SLE Assessment Exam 3
The SLE assessment exam below is a set of questions mainly on gestation and diseases related to the process. How conversant are you with the topic. Take the bold step and attempt the quiz to see how much you know.
- 1.Female patient, uses douches excessively in the past 6 weeks, she developed a malodor vaginal discharge, no itches, no urinary symptoms, on examination revealed pooling of vaginal wall, milky discharge with intact vulva. PH is 6. KOH revealed clue cells, no yeast, no hypha. Which of the following is NOT accepted to give this patient :
- A.
Miconazole cream
- B.
Metronidazole 500 mg BID for 5 days
- C.
Clindamycin
- D.
Metronidazole once
- E.
Metronidazole gel
- 2.Breech presentation + dilated cervix + wide pelvis + late deceleration the management is
- A.
Spontaneous delivery
- B.
C/S
- C.
Vacume
- D.
Forceps delivery
- 3.42 year old pregnant in the 2nd trimester,concerning about having a baby with Down syndrome, best appropriate method of diagnosis:
- A.
Triple test
- B.
Amniocentesis
- C.
Cord blood sample.
- D.
Chorionic villous biopsy
- 4.A 54 YO female with chronic pelvic pain is found to have a right sided ovarian mass. After the initial evaluation, surgery is planned to remove the mass. To avoid excessive bleeding during the surgery , the surgeon should ligate which of the following structures?
- A.
Suspensory ligament
- B.
Round ligament
- C.
Ovarian ligament
- D.
Transverse Cervical ligament
- E.
Mesosalpinx
- 5.What is special about placenta abruption:
- A.
Fetal distress
- B.
Vaginal bleed
- C.
Uterus pain and back pain
- D.
Abnormal uterine contraction
- 6.43years old female with irregular menses 3m back & 1-2d spotting what is next to do:
- A.
FSH
- B.
LH
- C.
Human chorionic gonadotropin
- D.
US
- 7.43 year old lady complaint about non itchy; white non smelling vaginal discharge after intercourse, she isn’t using any contraceptive or vaginal douche. What is diagnosis?
- A.
Do nothing
- B.
Vaginal douche
- C.
Local antifungal
- D.
Local steroids
- E.
Prescribe azithromycin
- 8.35 years prime 16 week gestation PMH coming for her 1st cheek up she is excited about her pregnancy no hx of any previous disease. Her B/P after since rest 160/100 after one week her B/P is 154/96, Most likely diagnosis :
- A.
Transit HTN
- B.
Chronic HTN with superimposed pre-eclampsia
- C.
Pre eclempsia
- D.
Chronic HTN
- 9.Gestational diabetes is associated with an increased risk of all of the following EXCECPT:
- A.
Intrauterine growth restriction
- B.
Intrauterine fetal death
- C.
Fetal macrosomia
- D.
Shoulder dystocia
- E.
Cesarean section
- 10.Infants of mothers with gestational diabetes have an increased risk of all of the following EXCEPT:
- A.
Hyperglycemia
- B.
Hypocalcemia
- C.
Hyperbilirubinemia
- D.
Polycythemia
- E.
Hypoglycemia
- 11.Child came with fever , and heterochromia on examination there is enlarged abdomen , neck swelling , ptosis:
- A.
Hodgkin lymphoma
- B.
Neuroblastoma
- C.
Rabdomyosarcoma
- D.
Wilm's tumor
- 12.A child with polyuria, polydipsia & poor weight gain, random blood sugar >200 mg/dl, fasting blood sugar >147 mg/dl, this disease is mostly associated with
- A.
HLA-DR4.
- B.
HLA-DR5
- C.
HLA-DR6
- D.
HLA-DR7.
- 13.The class of antibody responsible for hemolytic disease of the newborn is:
- A.
IgG
- B.
IgA
- C.
IgM
- D.
IgD
- E.
IgE
- 14.5 year old female child with history of pharyngitis for 4 days and persistent odorless vaginal discharge. Likely etiology:
- A.
Streptococcus
- B.
Chlamydia
- C.
Neisseria Gonorrhea
- D.
Foreign body
- 15.Child came with bilateral swellings in front of both ears. What is the common that could possibly happen for one within his age?
- A.
Meningitis
- B.
Orchitis
- C.
Encephalitis
- D.
Epididymitis
- 16.Before 14 d the child was bite, now develop lip swelling & erythema, what type of hypersensitivity?
- A.
Type 1
- B.
Type 2
- C.
Type 4
- D.
Type 3
- 17.Child swallowing battery in the esophagus management:
- A.
Remove by endoscope
- B.
Bronchoscope
- C.
Insert Foley catheter
- D.
Observation 12hrs
- 18.5 years child diagnosed as UTI, what is the best investigation to exclude UTI complication?
- A.
KidneyUS
- B.
CT
- C.
MCUG
- D.
IVU
- 19.13 years old child with typical history of nephritic syndrome (present with an urea, cola color urine, edema, HTN), what is the next step to diagnose?
- A.
Urine sediments microscope
- B.
Renal function test
- C.
US
- D.
Renal biopsy
- 20.A 6 years old female from Jizan with hematuria, all the following investigations are needed EXCEPT:
- A.
Cystoscopy
- B.
HbS
- C.
Hb electrophoresis.
- D.
Urine analysis.
- E.
U/S of the abdomen to see any changes in the glomeruli.
- 21.15 years old boy with dark urine, dark brown stool, positive occult test, what to do?
- A.
Isotope scan
- B.
Abdomen ultrasound
- C.
X-Ray
- D.
Barium
- 22.2 year old child got fever for 2 days then in the 2nd day he became drowsy with vomiting and diarrhea and appearance of Petechial skin rash which spread rapidly all over the body
- A.
Rocky mountain fever
- B.
Kawasaki
- C.
HSP
- D.
Measles
- 23.Which condition least common associated with endocarditis
- A.
ASD
- B.
VSD
- C.
PDA
- D.
TOF
- 24.A boy who was bitten by his brother and received tetanus shot 6 month ago and his laceration was 1 cm and you cleaned his wound next you will:
- A.
Give Augmentin
- B.
Suture the wound.
- C.
Give tetanus shot
- D.
Send home with close observation and return in 48 hours.
- 25.First sign in increase intracranial pressure:
- A.
Vomiting
- B.
Nausea
- C.
Ipsilateral pupil constrict
- D.
Contralateral pupil constrict
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