1.

Which portion of Fallopian tubeis the most

possible site in ectopic pregnancy|)

A isthmic portion

B fwnbrie portion

E interstitial portion
2.Which is the useful technique to observe
ovulation?
()

A Cystoscopy

8B Amniocentesis

C Caddocentesis

D Colposcopy

- Ultrasound scan
3.Sheehan's syndrome is characterized by: ( )

A Polymenorrhioes

B Menorrhagia

C Regular mensturation

D Méetropathiahemorrhagia
4.The relationship
of the long axis of the
fetus to that of the mother is called thet )

A none
of the above

B fetal presentation

C fetal attitude

D fetal lie

E fetal position
 5.Regarding
the mechanism of labor for
occiput presentation,
which of the following
movements acts through the whole process? (
)

A Extention

C Descent

D mernal rotation

E Flexion
6.Which
of the following
is NOT the cause of
uterus prolapse? ( )

A Ctwonic constipation

68 Heavy labor shortly after vaginal delivery

C Less excercises

D Ctwonic cough

E injury during vaginal delivery

7,.Which of the followings
is NOT the side
effect
of IUD? ( }

A abnormal vaginal bleeding

D abnormal vaginal discharge

8.If a fetus with electronic fetal monitoring
meets the criteria for National institute of
Child Health and Human Development
(NICHD) category Il! fetal heart rate pattern
and scalp stimulation results in acceleration,
this probably means that( )

A the fetus is not acidotic

B the fetus
is acidotic

C noo
of above

D the acidotic status cannot be determined

PiRM (2.05)
9.A prolonged second stage of labor in the
primigravid
patient with epidural analgesia
lasts longer
than ( )

A 1.0 hours

B 20hors

C 15 hours

D> 3.0 hows

E 50 hous
10.Female, 30yr, amenorrhea for 42 days,
vaginal bleeding for 2 days, after dilatation
and curettage
the pathological result is
decidua”, the most possible diagnosis is: ( )

A menstruation endometrium

6 uterine amenorrhea

C ectopic pregnancy

D tweatened abortion

E dysfunction uterine bleeding

11.By day 2 after delivery, the uterus should |
normally descend at the rate of )

A 1m por day

B 3cm per day

C 05cm per day

D per day
4m

E 2cm
per day
12_All of the followings are helpful to
differentiate ectopic pregnancy from
appendicitis EXCEPT: ( )

A Curettage

8 Uncoagulated
blood been found while
culdoceriesis

C HCGl+)

D Ultrasonography

—E Erythrocyte sedimentation rate

13.Pregnancy
should be strongly discouraged
in women
who have ( )

A Marfan syndrome with aortic involvement

B Patent ductus arteriosus

C Ventricular septal defect

E Atrial septal defect

 RE yee —-— lll

15.Which of the following is the most common

symptom in the patient with endometrial
carcinoma?
()

A aysmenorrhes

C postmenopausal bleeding

D weight loss

E ttoating
16.Which
of the following items is NOT the
diagnostic
method for amenorrhea ( )

A Progestational challenge test

B Determination
of serum estradiol

C Pituitary stimulation test

D Postcoltal test

E Karyotype
17.Which of the followings is not the factor
leading to uterine rupture? ( )

A usecio
injudi us
of oxyto cin

8 otstruction
of fetal presentation

C previous uterine scar

D breech presentation
 = © Cl?’ lr

18.The typical clinical symptom of cervical

cancer
is : ( )

A abdominal distention

6B abdominal
pain

C postcoital bleeding

E fever
PRB (2.05)
19. The hormone primarily responsible
for
maintenance
of pregnancy is{ )

A progesterone

B Gexanethasonm

D T3

E testosterone
@iRM (2.053)
20.Which subtypes
of HPV are closely
associated
with cervical cancer? ( )

A HPV 11, 16

& MPV 16,

C HPV6, 18

D HPV 11,16

E HPV6,TI
21.4 58-year-old
woman menopausal for 6
years presents with irregular vaginal bleeding
this year. PE: hypertro
cervix,
phie lightly
d
enlarged uterus. Which of the following
procedures is most helpful for the diagnosis?
()

A Fractioned curettage

B Hysteroscopy

C B8-ultrasound

D Gbopsy
of cervix

E Vaginal cytology
Pi (2.07)
22.Leg tremors, nausea, and vomiting are
most Common in the first stage of labor
during the( )

A labor phase

B active phase

C tetent phase

transition phase

E none
of above
PRB (2.0%)
23.Which of the following diseases rarely
leads to postpartum homarrhage? ( )

A severe preecianosm

B placenta previa
PEM (2.053)
24.1f a patient
has gestational diabetes but it
is well controlied and without complications,
induction
is often carried out at ( )

A 36 weeks

D 34 weeks

E 26 weeks
MBE (2.07)
25.A 26-year-old
married woman who is
pregnant for 4 months presents with
increased discharge and vulvar pruritus for 3
weeks. Examination shows a white curdlike,
cheesy vaginal discharge and scattered white
membrane adhering to vaginal mucosa. Which
of the following diagnosis is correct? ( )

A Acute salpingitis

6B cervicitis

C Trichomonas

D acute annexitis

E candidiasis
PRE (2.057)
26.Clue cell is mostly seen in: ( )

A Bacterial vaginosis

Allergic vaginitis

Trichomoniasis

Atrophic vaginitis
MiB (2.05)
27.Which of the following is the clinical
manifestation of endometriosis? ( )

A Armenorrhes

68 regular vaginal bleeding

C Renal faiure

[ Pelvic pan

E Cancer
MBB (2.05)
28.Which is NOT the risk factor of abruption
placenta?
()

A Polyfiwdrarnnios

B Hypertensive disorders in preqnancy

C Abdominal trauma

D Wwiection

E Twins pregnancy
MBB (2.053)
29.A 28-year-old woman (gravida3, para2)
comes to the delivery floor at 37 weeks
gestation. She has had no prenatal care. She
complains that, on bending down to pick up
her 2-year-old
child, she experienced
sudden, severe back pain. This pain now has
lasted for 2 h. Approximately
30 min ago she
noted bright red blood coming from her
vagina .By the time she arrives at the delivery
floor, she feels strong uterine contraction
every 3 min; the uterus is quite firm even
between contractions.
By abdominal palpation
the fetus is vertex with the head deeply
engaged. The fetal heartbeat is very weak.
Please select the diagnosis that is most
appropriate:
()
D & labor

E Placental abruption
I ee

30.The second stage of labor is defined as ( )

A approximately
2 hours after delivery of the
placenta

none
of above

the period between full dilation of cervix

and the delivery
of the fetus

the period between the onset of labor and

full cervical dilation

the period of the delivery of the placenta

PER (2.053)
31.If LMP was Feb. 12, the expected
date of
confinement (EDC) will be. ( )

A Nov. 19

D Nov. 29

E Oec. 26
PRB (2.03)
32.During the second trimester, an ultrasound
may
be used to estimate gestational age
through measurement of the ( )

A none
of above

B AFI
Mae Le ee

33.Which is NOT the indication for cesarean

section?
()

8 Obdstructed labor

E Complete placenta previe

IER EVA

34.4 38-year-old
G3P1+1 woman at 36
weeks gestation, complains of mild abdominal
pain for 3 hours. She has vaginal bleeding
more than the amount of her menstruation.
She has no regular prenatal visits for this
pregnancy.
The past history is negative. On
examination, her BP is 165/115
mm Hg, and
HR is 100 bpm. The fundus reveals a little
tenderness,
She has edema (+). The obstetric
ultrasound shows no placental abnormalities.
The cervix is not dilated. The fetal heart beats
are 105 bpm. Which
of the following is
WRONG in the diagnosis and treatment of
this patient? ( )

A Emergency
CS

B Preeclampsia
A Emergency
CS

B Preeclampsia

C Dexamothasone

D Fetal distress

E Placenta abruption
MBB (2.05)
35.Which hormone can increase body
temperature
after ovulation: ( )

A testosterone

C dexamethasone

D estrogen

E 19
MRE (2.05)
36.A 31-year-old
married woman complained
with lower abdominal pain for 2 days. PE: T
38.5T, tension of lower abdomen, normal-
sized uterus, thickened and tender bilateral
adnexa. Lab test: WBC 12x109/L.
Which
treatment
is WRONG? ( )

A Antibiotics

6B Traditional Chinese medincine

D Forbid intercourse

E Rest
in bed
MRE (2.03)
37.Which of the following tumors is most
sensitive to radiation therapy? ( )

A mucinous cystadenocarcinoms
MiRM (2.05)
38.The normal range of fetal heart rate is? ( )

A between 160-200
beats per minute

8 between 160-180 beats per minute

C between 60-100 beats per minute

D between 110-140 beats per minute

E between 110-160 beats per minute

PBB (2.053)
39.Female,
58yrs, menopausa for 9 yrs,
irregular vaginal bleeding for 3 months,
cytological screening test showed LSIL, the
next management
should be: ( )

A Gagnostic
curettage and cervical biopsy

6 radical hysterectomy

C cervical conization

D radical hysterectomy+
pelvic lyrnph nodes
MRM (2.057)
40.4 women had persistent vaginal bleeding
for 1 hour after delivery of placenta. The
uterus was soft. There was approximate
500m blood with clots from uterine cavity by
uterine massage. Which of the following is
the most likely cause of hemorrhage?
()

A Placenta previa

8B Coaguistion disease

C Placental abruption

D Soft passage lacerations

—E Uterine atony
MRE (2.057)
41.All of the following are useful for
evaluating fetal status EXCEPT: ( )

A NST

C Fetal movernent courting

D Gishop score

—E Manning score
42.4 patient was diagnosed
with cervical
cancer by biopsy. Pelvic examination
revealed
a 0.5x0.1cm neoplasm in the cervix; The
uterus and bilateral adnexa were free of
disease.
This patient; s cervical cancer was classified
as stage:
()

A
43.4 46-year-old
married woman has been
suffering from menorrhagia
for 2 years. PE:
smooth cervix, enlarged uterus as 5-month
size. B-ultasonography:
myoma of uterus.
Which of the following
is the most
appropriate treatment?
()

A Hormone

6B Radiation therapy

D Traditional Chinese medicine

- Mysterectomy
PER (2.03)
44.With electronic fetal monitoring, an abrupt
variable deceleration often indicates| )

A cord compression

& fetal demise

C matemal hypotension

D Obdstructed labor

E PROM
45.A primigravida
with 38 weeks’ gestation
complained of decreased fetal movements for
one day. There was no uterine contraction
and fetal heartbeat was about 148 bom. For
evaluating fetal condition, which should be
the proper choice? ( )

A Blood NCG level

B Ammioscopy

C tlectronmc fetal monitoring

D Fetal ECG

E Fetal scalp pH
PBB (2.07)
46.infertility is defined as NOT conceived
after _—s months of normal sexual activity
without contraception

A 6
PBB (2.03)
47 Eight days after a normal vaginal delivery,
a woman develops a fever of 38T over 2
days with lower abdominal pain and increased
amount of vaginal bleeding with odor. The
most likely diagnosis in this case would be ( )

A Urinary
tract infection

8B Mastitis

C Puerperal infection

D WMfivenza

E Enteritis
PRB (2.053)
48.Which is the most adequate way for a
virgin patient? ( }

A Speculum examination

- Fectal exarnination
49.A female has a 7-years-—old son alive, 2-
years-old son dead | year ago. And she once
has ectopic pregnancy, spontaneous abortion
one time and artificial abortion twice. How to
describe this situation with gynecological
term?
()

A G5SPi43

B GSP2+3

C G6P2+3

D G6PI+4

E G6P2+4
50.A 27-year-old
married woman presents of
lower abdominal pain and purulent vaginal
discharge since her first artificial abortion a
week ago. PE: retro-positioned normal-—sized
uterus, thichened and tender bilateral adinexa.
What is the diagnosis?
()

A Chronic pelvic infection

6B Overian tumor

C Endometriosis

D Acute pelvic infection

E Ectopic pregnancy *