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Question 1 of 51
1. Question
- A 24 years old P1 presented with h/o an emergency Caesarean section for failure to progress. She was not sure if she had a past varicella zoster virus (VZV) infection. She was tested and found non.immune. She requests postpartum vaccination. What is your advice for breastfeeding?
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Question 2 of 51
2. Question
2. A 25years old G2P1 presented with H/O recent contact with a friend with chickenpox (varicella zoster). On testing, she is not immune to the infection. What is your immediate plan of care?
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Question 3 of 51
3. Question
3. A 22 years old primigravida has resented with signs and symptoms of chickenpox in the last 24 hours. What advice will you give him?
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Question 4 of 51
4. Question
4. A 27 years old G3P2 at 22 weeks of gestation is seen in the antenatal clinic. Her hepatitis screening test shows IgM antibody to the hepatitis B core antigen (HBcAg ). What is your diagnosis?
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Question 5 of 51
5. Question
5. At what gestational age should you advise starting treatment with tenofovir disoproxil fumarate (TDF) to hepatitis B-infected pregnant women as advised by NICE, to reduce mother to-child vertical transmission (MTCT)?
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Question 6 of 51
6. Question
- How will you counsel a hepatitis B-positive woman regarding breadt feeding who has just delivered?
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Question 7 of 51
7. Question
- An unbooked unscreened G2P1 has presented in early labour. What is your advice for the immediate follow-up for the baby regarding Hep B status?
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Question 8 of 51
8. Question
- A 29 years old G3P2 at 35 weeks of gestation is diagnosed with primary genital herpes. She received acyclovir treatment but was reluctant to accept Caesarean section delivery. What are the risks of the baby developing neonatal herpes if she has a vaginal delivery?
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Question 9 of 51
9. Question
9. A 25 years old primigravida at 35 weeks of gestation presented with C/O painful vulval blisters. She was diagnosed with genital herpes when she was 25 weeks pregnant and received acyclovir treatment. She is not keen on Caesarean section delivery. What is your first line of investigation to help her decide the mode of delivery?
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Question 10 of 51
10. Question
10. A 24 years old woman at 12 weeks of gestation has a serum screening test showing a VDRL/RPR titre of >16. This result indicates she has:
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Question 11 of 51
11. Question
- A 25 years old woman at 33 weeks of gestation is diagnosed with a syphilis infection. What is your first-line treatment option?
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Question 12 of 51
12. Question
- a 24 years old G2P1 resented at 16 weeks of gestation with H/O being a GBS carrier diagnosed from a vaginal swab in her previous pregnancy. What treatment options would you recommend?
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Question 13 of 51
13. Question
- A 24years old G4P3 at 26 weeks of gestation with H/O multiple sexual partners, is seen in the antenatal clinic. She had screened negative for HIV infection at her 13-week booking visit. How would you re-counsel her to reduce possible MTCT?
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Question 14 of 51
14. Question
- A 28years old primigravida at 14 weeks of gestation has screened positive for HIV infection. She agrees to start combined antiretroviral therapy (cART). When would you test her viral load in order to monitor her adherence to treatment?
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Question 15 of 51
15. Question
15. A 25years old primigravida at 11 weeks of gestation has screened positive for HIV infection. How would you counsel her about her options for the best time to start cART?
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Question 16 of 51
16. Question
- A 28 years old primigravida at term presented in established labour. She is 6-cm dilated. Her previous screening showed she is HIV screen positive but did not have any treatment. What is your immediate management?
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Question 17 of 51
17. Question
- A 24years old woman has presented at 36 weeks of gestation. She is positive for HIV with viral load of <50 HIV-RNA copies/mL. what would be your plan for her delivery?
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Question 18 of 51
18. Question
18. A 30 years old woman at 29 weeks of gestation. She has just came back from brazil and has complain of a low-grade fever, and a maculopapular rash. What is your next course of action?
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Question 19 of 51
19. Question
- A 26 years old primigravida at 32 weeks’ gestation presented with fever, myalgias, and a rash of 2 days’ duration. She has widely dispersed vesicular lesions with pruritis. Mortality from this infection is predominately due to which of the following?
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Question 20 of 51
20. Question
- One manifestation of congenital varicella syndrome is limb scarring. At which of the following gestational ages did infection most likely occur?
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Question 21 of 51
21. Question
- A 31 years old primigravida at 8 weeks’ gestation presents complaining of a fever and rash of 5 day’s duration. The rash started on her face and has spread to her trunk and extremities. Given her gestational age, which of the following infections would be the most concerning or this patient and her fetus?
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Question 22 of 51
22. Question
- The most common single defect associated with congenital rubella is which of the following?
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Question 23 of 51
23. Question
- A 20 years old primigravida at 18 weeks’ gestation presents with C/O several colds from last few days associate with headache, nausea, and pharyngitis. She has just started working at a day care center and is concerned about acquiring infections from the children. Three weeks ago, one child in particular was ill. You send serological testing for parvovirus B19. Which of the following testing outcomes would satisfy you that she is immune and needs no further evaluation?
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Question 24 of 51
24. Question
- Which of the following is not a risk factor for intrapartum group B streptococcus (GBS)
transmission?
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Question 25 of 51
25. Question
- A 26 years old G3P2 at 34 weeks’ gestation presents with decreased fetal movement, fever, myalgias, and headache for 4 days. Her fetus is dead. She is 3-cm dilated, and with rupture of membranes, dark-brown fluid is seen. Postpartum, the patient is diagnosed with listeriosis. Which of the following is prefferred treatment for her?
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Question 26 of 51
26. Question
- Which of the following statements regarding toxoplasmosis infection in pregnancy is true?
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Question 27 of 51
27. Question
- Which of the following fetal outcomes is not associated with toxoplasmosis infection during
pregnancy?
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Question 28 of 51
28. Question
- a 28years old G2P1 presented at 32 weeks gestation with suspected growth restriction and has oligohydramnios and an abnormal calvarium. Which antihypertensive agent taken by the mother may have caused this problem?
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Question 29 of 51
29. Question
- which of Category X drug if taken in pregnancy causes skull, palate, jaw, eye, limb, and
gastrointestinal anomalies in animal models?
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Question 30 of 51
30. Question
30. Which of the following genitourinary anomalies is not typically associated with prenatal exposure to
diethylstilbestrol?
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Question 31 of 51
31. Question
- which of the following agents can lead to neonatal toxicity with Prenatal exposure near term. Effects including hypothyroidism, diabetes insipidus, cardiomegaly, bradycardia, and hypotonia?
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Question 32 of 51
32. Question
- Which of following drug can lead to central nervous system defects such as agenesis of the corpus callosum, Dandy-Walker malformation, and midline cerebellar malformations when used in the second and third trimesters?
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Question 33 of 51
33. Question
- Which of the following generalizations is true regarding the reproductive capacity of adults with
Down syndrome?
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Question 34 of 51
34. Question
- which of following genetic condition includes choroid plexus cysts in the midtrimester scan of pregnancy?
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Question 35 of 51
35. Question
- A 25 years old G2P1 presented with Alobar holoprosencephaly on anomaly scan at 18 weeks’ gestation. Which of the following genetic conditions is frequently associated with this finding?
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Question 36 of 51
36. Question
- The majority of monosomy X conceptions result in?
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Question 37 of 51
37. Question
- Which of the following genetic disorders is frequently associated with advanced paternal age?
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Question 38 of 51
38. Question
38. A couple is referred for genetic counseling because the woman has several relatives with the some
unusual genetic condition. The pedigree of her family reveals that both males and females are equally affected but transmission occurs only though females. Which pattern of inheritance is suggested?
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Question 39 of 51
39. Question
- Which of the following conditions is more common in Females who are premutation carriers for fragile-X syndrome?
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Question 40 of 51
40. Question
- Which of the following tests has the highest detection rate for Down syndrome?
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Question 41 of 51
41. Question
- Which of the following correctly identifies the second-trimester analyte level abnormalities in a pregnancy at increased risk for Down syndrome?
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Question 42 of 51
42. Question
- Testing for the most common trisomies that complicate pregnancies can be accomplished by
isolating which of the following substances from maternal blood?
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Question 43 of 51
43. Question
43. Hexosaminidase A activity levels should be used in testing for carrier status for Tay-Sachs disease in which of the following samples?
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Question 44 of 51
44. Question
- A 40-year-old infertility patient underwent an amniocentesis at 17 weeks’ gestation. She calls 1 day later and reports that she is leaking amniotic fluid. What should she be told about this post amniocentesis complication?
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Question 45 of 51
45. Question
45. A woman undergoes a chorionic villus sampling (CVS) at 11 weeks’ gestation. The result shows two cell lines—46, XY and 47, XY, + 21. What is the appropriate next step?
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Question 46 of 51
46. Question
- Most cases of severe fetal anemia secondary to alloimmunization are due to all EXCEPT which of
the following antibodies?
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Question 47 of 51
47. Question
- What is the critical titer for anti-D antibody alloimmunization?
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Question 48 of 51
48. Question
- Why can ABO incompatibility manifest in firstborn children, even though there has been no prior
exposure to pregnancy?
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Question 49 of 51
49. Question
49. A 42-year-old G3P2 presents for prenatal care at 12 weeks’ gestation. She is Rh D-negative and has a positive antibody screen with anti-D antibodies. She has a first born child who needed a blood transfusion at birth for mild anemia. What management strategy would you implement next?
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Question 50 of 51
50. Question
- What is the main reason that peak systolic velocity of the middle cerebral artery increases as fetal anemia worsens?
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Question 51 of 51
51. Question
- Which of the following statements is true regarding a 300-μg dose of anti-D immunoglobulin?
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