yayu titip 22-24 fix dgn kunci jawaban.docx

8/18/2019 yayu titip 22-24 FIX dgn kunci jawaban.docx

1/10

Soal 22-24

1. Which of the following is an accurate reflection of fetal death rates between 20 and 28 weeks' gestation?a. They have fallen significantly since 1990.b. They have re ained relatively stable since 1990.c. The fetal ortality rate at 20!2" weeks' gestationa##ro$i ates that at %28 weeks' gestation.d. &one of the above

2. Which of the following is the largest contributor tothe #erinatal ortality rate?a. etal deathsb. &eonatal deathsc. (#ontaneous abortions) 1* weeks' gestationd. &one of the above

3. Which of the following obstetrical co #licationscontributes the least to the #regnancy!related deathrate in the +nited (tates?a. ,e orrhageb. Thro boe bolisc. -cto#ic #regnancyd. nesthetic co #lications

4. The #elvis is for ed by which of the following bone/s ?a. (acrub. occy$c. nno inated. ll of the above

5. Which of the following is true regarding rela$ationof the #elvic 3oints at ter in #regnancy?a. s #er anent and not accentuated in subse4uent

#regnanciesb. llows for an increase in the transverse dia eter of the id#elvisc. 5esults in arked obility of the #elvis at ter

because of a downward gliding ove ent of thesacroiliac /( 3ointd. 6is#lace ent of the ( 3oint increases outletdia eters by 1.7 to 2.0 e in dorsal lithoto y

#osition

6. 5ates for all EXCEPT which of the followingobstetrical co #lications are increased in wo enwith uterine iillerian ano alies?a.

Twinningb. iscarriagec. al#resentationd. reter delivery

7. Which category of unicornuate uterus #oses thegreatest risk for ecto#ic #regnancy?a. genesis of one hornb. o unicating noncavitary rudi entary hornc. &onco unicating cavitary rudi entary hornd. &onco unicating noncavitary rudi entaryhorn

8. longitudinal vaginal se#tu is LEAST co onlyseen with which of the following iillerianano alies?a. (e#tate uterusb. +nicornuate uterusc. :icornuate uterusd. +terine didel#hys

9. 5egarding the bladder during #regnancy; which of the following is true?a. There is increased bladder ca#acity.b. bsolute and functional urethral length increases.c. :ladder #ressure decreases fro 17 to 8 e , 20

by ter .d. ##ro$i ately three fourths of all #regnantwo en e$#erience incontinence during #regnancy.

10. 5egarding the gastrointestinal tract during #regnancy; which of the following is true?a.


2/10

a. ord #rola#seb. ord false knotsc. ord #seudocystsd. =ela entous insertion

17. The nu ber of co #lete coils #er centi eter of cordlength has been ter ed the u bilical coiling inde$.Which of the following is true of cord coiling?a. nor al coiling inde$ in a #ost#artu cord

a##ro$i ates 1.2.b. ,y#ocoiling has not been associated with adversefetal outco es.c. ,y#ercoiling has been associated with greater rates of intra#artu fetal acidosis.d. ll of the above

18. Where is fetal he oglobin #roduced?a. >iver b. @olk sacC. :one arrowd. @olk sac and liver

19. lnf. ts attain adult levels oflg at what age?a. A onthsb. * onthsc. 9 onthsd. 12 onths

20. Which of the following is the ost co on #regnancy co #lication in wo en older thanA7 years?a. 6iabetesb. ,y#ertensionc. reter birth

d. >ow birthweight

21. n 2007; what #ercentage of all ultifetal gestationswere due to assisted re#roductive technologies?a. 20%b. A0Bc. 40%d . 50%

22. Which of the following assisted re#roductivetechnologies is associated with a higher rate of congenital abnor alities in the fetus?a. ryo#rcservationb. Cvulation inductionc. n vitro fertili ationd. ntracyto#las ic s#er in3ection

23. Which wo en who are #lanning a #regnancy shouldreceive 0.D!0.8 g of su##le ental folate?a. ll wo enb. Those with #roven folate deficiencyc. Those with a #revious child affected by a neuraltubedefectd. Those who do not receive ade4uate dietary intakeof grains

24. 6oses of vita in in e$cess of what a ount have been associated with congenital alfor ations?a. %1;000 + #er dayb. %10;000 + #er dayc. %100;000 + #er day

d. %1;000;000 + #er day

25. Where do ost congenital dia#hrag atic herniadefects #rotrude into the fetal thora$?a. idlineb. >eft sidec. :ilaterald. 5ight side

26. The vascular su##ly to an e$tralobar #ul onaryse4uestration originates fro which of the following

blood vessels?a. ortab. =ena cavac. ul onary arteryd. &one of the above

27. #atient with a known ono ygotic twin gestation #resents at 2* weeks' gestation for sonogra#hicevaluation of fetal growth. Twin has an esti atedfetal weight of 80D g; whereas twin :' s esti atedfetal weight is *DA g. The largest #ocket of a nionicfluid around twin is 9.* e and 2.2 e for twin:. Which of the following conditions ost likelye$#lains these findings?a.


3/10

31. EWhich of the following genetic disorders would bee$#ected to occur ore fre4uendy in the setting of advanced #aternal age?a. Turner syndro eb. ystic fibrosisc. (ickle!cell ane iad. Tuberous sclerosis

32. 22!year!old


4/10

an elevated aternal seru al#ha!feto#rotein level.The following s#inal defect is a##reciated and isconsistent with a yelo eningocele (arrowheadsindicate nerve roots; arrow marks the cephalad junctionof skin and bulging meningeal sac). (he in4uires about

#ossible fetal surgery. @ou counsel her that infantswho underwent #renatal surgery in the anage entof yelo eningocele (tudy / C ( had which of the following outco es co #ared with those thathad #ostnatal surgery?

5e#roduced with #er ission fro unningha eveno JK; :loo (>; etal /eds H etali aging. n Willia s Cbstetrics; 2Dth ed. &ew @ork; civer to$icityd.


5/10

52. n the +nited (tates; a reasonable alternative todilatation and curettage for the anage ent of co #lete hydatidifor ole includes which of thefollowing?a. ,ysterecto yb. ,ysteroto y and uterine evacuationc. iso#rostollabor induction following la inaria

#lace entd. ll of the above

53. @our #atient; who is #regnant with an esti atedgestational age of 8 weeks by last enstrual #eriod;

#resents to the e ergency de#art ent with heavyvaginal bleeding and #assage of tissue . (onogra#hice$a ination reveals an endo etrial cavity filledwith blood and tissue e$hibiting inho ogeneousechoes. @ou #erfor a dilatation and curettagewith no co #lications. week later; you receivethe #athology re#ort for the evacuated #roducts of conce#tionH(#eci enH uterine contents6& inter#retation by i age cyto etryH di#loidl unostainingH #7"J 2 #ositive

These histological findings are consistent with whichof the following diagnoses?a. artial oleb. o #lete olec. (#ontaneow abortiond . &one of the above

54. or wo en with a #rior #reter birth delivered at) A" weeks' gestation; 1"a!hydro$y#rogesteroneca#roate ay be used to #revent recurrent #reter

birth. Cne echanis by which #rogesteroneaintains uterine 4uiescence is its ability to decrease

e$#ression of which of the following?

a. denyl cyclaseb. rogesterone rece#tor c. rogesterone rece#tor :d. ontraction!associated #roteins

55. decline in #rogesterone's relative activity ay bei #ortant for initiation of #hase 2 of #arturitionin hu ans. This decline ay be achieved throughwhich of the following echanis s?a. ncreased e$#ression of #rogesterone rece#tor co re#ressorsb. osttranslational odifications of the

#rogesterone rece#tor

c. hanges in the e$#ression of different #rogesterone isoforrnsd. ll of the above

56. @our #atient #resents at A9 weeks' gestation with a breech!#resenting fetus. fter a discussion of the risksand benefits; she agrees to an e$ternal ce#halic versionatte #t. rior to initiation; you ad inister 0.27 g of terbutaline subcutaneously. This drug binds to

betaadrenergicrece#tors to create which of the followingcellular res#onses to cause uterine rela$ation?a. ncreased e$tracellular g 2+ levelsb. ncreased intracellular a 2+ levelsc. ncreased cyclic adenosine ono#hos#hate/c levelsd. 6ecreased cyclic guanosine ono#hos#hate/c< levels

57. ccording to ried an; the ini u nor al rate

of active!#hase labor in a ulti#ara is which of thefollowing?a. 1 c Ihr b. 1.2 c Ihr c. 1.7 c Ihr d. 3.4 c Ihr

58. Which stage oflabor begins with co #lete cervicaldilatation and ends with delivery of the fetus?

a. irst stageb. (econd stagec. Third staged. ourth stage

59. n obstetrics; which of the following deflnes acontracted #elvic inlet?a. transverse dia eter) 12 eb. diagonal con3ugate ) 11.7 ec. An antero#osterior dia eter) 10 ed. ll of the above

60. Which interischial tuberous dia eter easure entserves as the threshold to deflne #elvic outletcontraction?a. " eb. 8 ec. 9cd. 10 e

61.


6/10

65. When using a transcervical catheter to echanically #ro ote cervical ri#ening; concurrent e$traa nionicsaline infusion through the catheter reduces whatco #lication co #ared with catheter #lace entwithout infusion?a. Tachysystoleb. +terine ru#turec. horioa nionitisd. lacental abru#tion

66. o #ared with #rostaglandins for cervical ri#ening;transcervical catheters have what benefit?a. >ower cesarean delivery rateb. >ower rates of su##le ental o$ytocin usec. ewer cases of cardiotocogra#hic changesd. ll of the above

67. Which of the following is true regarding shoulder dystocia drills?a. c5oberts aneuver involves at least twoassistants.b. (u#ra#ubic #ressure is the initial a##roach

reco ended by the erican ollege of Cbstetricians and


7/10

a. It ay ask the signs of uterine scar dehiscence. b. ,igher doses of edication are re4uired inwo en undergoing trial oflabor.c. It is associated with decreased success rates for vaginal birth after cesarean.d. &one of the above

"*. 6uring routine e$#loration of the lower uterineseg ent following a vaginal delivery in a #atientwith a #revious cesarean delivery; the obstetriciandiscovers a defect in the yo etriu . The #atient'svital signs are stable; and she has a nor al a ountof vaginal bleeding. What is the ost a##ro#riatene$t ste# in the anage ent of this #atient?a. ediate e$#loratory la#aroto y

b. 6iagnostic la#arosco#y * weeks #ost#artuc. bdo inal co #uted to ogra#hy / T scan toassess the defect si ed. &one of the above

77. Which of the following regi ens is NOTreco ended #ro#hyla$is for the condition shownhere?

5e#roduced with #er ission fro >evsky -; 6e iorio H C#hthal ologicconditions.

n Jnoo# JK; (tack >:; (torrow :; et al /eds H The tlas of - ergency edicine;Arded. &ew @ork; c- is concerned after her baby was

born with a rash. ,er #ediatrician says it is related

to lu#us. What can you tell the #atient regarding thecutaneous anifestations of neonatal lu#us?a. They are usually transient.b. They never #resent beyond the first week of life.c. The recurrence risk in a future #regnancya##ro$i ates 7B.d. ll of the above

84. #atient with syste ic lu#us erythe atosus hasanti!((! antibodies. (he is worried about the risk of the condition seen in this ! ode i age. What isthe risk of this co #lication in her fetus or neonate?a. < 1B

b. 2!ABc. *!"Bd. 10!17B


8/10

85. Which of the following are safe and effectivecontrace#tive ethods for #atients with syste iclu#us erythe atosus who lack anti#hos#holi#idantibodies?a. rogesterone only #illsb. rogesterone intrauterine deviceC. o bination estrogen~progesterone #illsd. ll of the above

86. Which of the following state ents regardingarteriovenous alfor ations and #regnancy is true?a. The ortality rate associated with he orrhage is27!70B.b. :leeding fro this lesion is ore fre4uent during

#regnancy.c. They are the ost co on abnor ality of the cerebrovascular syste encountered during

#regnancy.d. &one of the above

87. Which of the following organis s is suggested to actas an environ ental trigger in the develo# ent of

ulti#le sclerosis?a. nfluen a :b. ,er#esvirus *c. Chlamydia trachomatisd. &one of the above

88. What #ercent of wo en will develo# ulti#lesclerosis following an e#isode of isolated o#ticneuritis?a. 10Bb. 27Bc. 70Bd. "7B

89. Which of the following is not a #ro inent feature of schi o#hrenia s#ectru disorders?a. (o nolenceb. ,allucinations

c. 6isorgani ed thinkingd. bnor al otor behavior

90. If one #arent has schi o#hrenia; what is the risk of this condition devdo#ing in offs#ring?a. )1B

b. 7!10Bc. 17!20Bd. 70!!*0B

91. Within 7 years fro the first signs of schi o#hrenia;what #ercent of #atients are e #loyed?a. 10Bb. A0Bc. 70Bd. "0B

92. A7!year!old


9/10

a. They re4uire sonogra#hic surveillance.b. Their incidence in #regnancy a##ro$i ates 2oIo.c. They grow in #regnancy due to hu an chorionicgonadotro#in sti ulation.d. The vaginal delivery rate is only A0oIo if leio yo as are larger than 10 e .

96. rior to conce#tion; uterine artery e boli ation/+ - was reco ended for your #atient withsy #to atic leio yo as. 5ates of which of thefollowing are increased in #regnancies following+ -?a. iscarriageb. esarean deliveryc. ost#artu he orrhaged. ll of the above

97. What is the reco ended standard of care for thetreat ent of endo etrial carcino a?a. urettage with #rogestational treat entb. urettage without #rogestational treat entc. Total abdo inal hysterecto y and bilateralsal#ingoo#horecto yd. ll of the above

98. Which of the following is not a r isk factor

for intra#artu grou# : stre#tococcus /


10/10

9A. 69D. :

97. :9*. 6

9".98.

99. 6100. :

yayu titip 22-24 fix dgn kunci jawaban.docx

Documents