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FCPS Part-2 Written-Infections In Pregnancy & Fetal Conditions

FCPS Part-2 Written-Infections In Pregnancy & Fetal Conditions

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  1. Question 1 of 51
    1. Question
    1. 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?

    Correct
    Incorrect
  2. 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?

    Correct
    Incorrect
  3. 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?

    Correct
    Incorrect
  4. 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?

     

    Correct
    Incorrect
  5. 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)?

    Correct
    Incorrect
  6. Question 6 of 51
    6. Question
    1. How will you counsel a hepatitis B-positive woman regarding breadt feeding who has just delivered?

    Correct
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  7. Question 7 of 51
    7. Question
    1. 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?

    Correct
    Incorrect
  8. Question 8 of 51
    8. Question
    1. 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?

    Correct
    Incorrect
  9. 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?

    Correct
    Incorrect
  10. 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:

    Correct
    Incorrect
  11. Question 11 of 51
    11. Question
    1. A 25 years old woman at 33 weeks of gestation is diagnosed with a syphilis infection. What is your first-line treatment option?

    Correct
    Incorrect
  12. Question 12 of 51
    12. Question
    1. 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?

    Correct
    Incorrect
  13. Question 13 of 51
    13. Question
    1. 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?

    Correct
    Incorrect
  14. Question 14 of 51
    14. Question
    1. 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?

    Correct
    Incorrect
  15. 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?

    Correct
    Incorrect
  16. Question 16 of 51
    16. Question
    1. 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?

    Correct
    Incorrect
  17. Question 17 of 51
    17. Question
    1. 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?

    Correct
    Incorrect
  18. 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?

    Correct
    Incorrect
  19. Question 19 of 51
    19. Question
    1. 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?

    Correct
    Incorrect
  20. Question 20 of 51
    20. Question
    1. One manifestation of congenital varicella syndrome is limb scarring. At which of the following gestational ages did infection most likely occur?

    Correct
    Incorrect
  21. Question 21 of 51
    21. Question
    1. 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?

    Correct
    Incorrect
  22. Question 22 of 51
    22. Question
    1. The most common single defect associated with congenital rubella is which of the following?

    Correct
    Incorrect
  23. Question 23 of 51
    23. Question
    1. 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?

    Correct
    Incorrect
  24. Question 24 of 51
    24. Question
    1. Which of the following is not a risk factor for intrapartum group B streptococcus (GBS)

    transmission?

    Correct
    Incorrect
  25. Question 25 of 51
    25. Question
    1. 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?

    Correct
    Incorrect
  26. Question 26 of 51
    26. Question
    1. Which of the following statements regarding toxoplasmosis infection in pregnancy is true?

    Correct
    Incorrect
  27. Question 27 of 51
    27. Question
    1. Which of the following fetal outcomes is not associated with toxoplasmosis infection during

    pregnancy?

    Correct
    Incorrect
  28. Question 28 of 51
    28. Question
    1. 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?

    Correct
    Incorrect
  29. Question 29 of 51
    29. Question
    1. which of Category X drug if taken in pregnancy causes skull, palate, jaw, eye, limb, and

    gastrointestinal anomalies in animal models?

    Correct
    Incorrect
  30. Question 30 of 51
    30. Question

    30. Which of the following genitourinary anomalies is not typically associated with prenatal exposure to

    diethylstilbestrol?

    Correct
    Incorrect
  31. Question 31 of 51
    31. Question
    1. which of the following agents can lead to neonatal toxicity with Prenatal exposure near term. Effects including hypothyroidism, diabetes insipidus, cardiomegaly, bradycardia, and hypotonia?

    Correct
    Incorrect
  32. Question 32 of 51
    32. Question
    1. 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?

    Correct
    Incorrect
  33. Question 33 of 51
    33. Question
    1. Which of the following generalizations is true regarding the reproductive capacity of adults with

    Down syndrome?

    Correct
    Incorrect
  34. Question 34 of 51
    34. Question
    1. which of following genetic condition includes choroid plexus cysts in the midtrimester scan of pregnancy?

    Correct
    Incorrect
  35. Question 35 of 51
    35. Question
    1. 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?

    Correct
    Incorrect
  36. Question 36 of 51
    36. Question
    1. The majority of monosomy X conceptions result in?

    Correct
    Incorrect
  37. Question 37 of 51
    37. Question
    1. Which of the following genetic disorders is frequently associated with advanced paternal age?

    Correct
    Incorrect
  38. Question 38 of 51
    38. Question

    38. A couple is referred for genetic counseling because the woman has several relatives with the some

  39. 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?

Correct
Incorrect
  • Question 39 of 51
    39. Question
    1. Which of the following conditions is more common in Females who are premutation carriers for fragile-X syndrome?

    Correct
    Incorrect
  • Question 40 of 51
    40. Question
    1. Which of the following tests has the highest detection rate for Down syndrome?

    Correct
    Incorrect
  • Question 41 of 51
    41. Question
    1. Which of the following correctly identifies the second-trimester analyte level abnormalities in a pregnancy at increased risk for Down syndrome?

    Correct
    Incorrect
  • Question 42 of 51
    42. Question
    1. Testing for the most common trisomies that complicate pregnancies can be accomplished by

    isolating which of the following substances from maternal blood?

    Correct
    Incorrect
  • 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?

    Correct
    Incorrect
  • Question 44 of 51
    44. Question
    1. 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?

    Correct
    Incorrect
  • 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?

    Correct
    Incorrect
  • Question 46 of 51
    46. Question
    1. Most cases of severe fetal anemia secondary to alloimmunization are due to all EXCEPT which of

    the following antibodies?

    Correct
    Incorrect
  • Question 47 of 51
    47. Question
    1. What is the critical titer for anti-D antibody alloimmunization?

    Correct
    Incorrect
  • Question 48 of 51
    48. Question
    1. Why can ABO incompatibility manifest in firstborn children, even though there has been no prior

    exposure to pregnancy?

    Correct
    Incorrect
  • 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?

    Correct
    Incorrect
  • Question 50 of 51
    50. Question
    1. What is the main reason that peak systolic velocity of the middle cerebral artery increases as fetal anemia worsens?

    Correct
    Incorrect
  • Question 51 of 51
    51. Question
    1. Which of the following statements is true regarding a 300-μg dose of anti-D immunoglobulin?

    Correct
    Incorrect
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