1-Which of the the following is\are signs of menopause: a- high FSH. b- low FSH c- low estrogen d- high estrogen e- a & c. c. 2- he main s!mptom of menopause is : a- hot flashes. b-night sweat c- "aginal dr!ness. d- sleep disturbance e- all the abo"e. #-he contraindication for use hormonal replacement therap!$H% are : a-smo'ing b-une(plained "aginal bleeding c-coronar! arter! disease d-breast cancer e- all the abo"e. )- * ++ !ear old woman who has ,ust gone through her menopause is concerned that she ma! de"elop "ertebral fractures. She has ne"er had an! surger! before and has no rele"ant medical histor!. What is the most effecti"e wa! of pre"enting pathological fractures post-menopause a) lonidine / 0aginal lubricant b) ombined estrogen and progestogen replacement therap! c) estrogen onl! H% d) rogestins e) 3ineral supplements
5-all of the following appear to decrease hot flushes in menopausal women except ?
a. b. c. d.
androgens ralo ra loxi xife fene ne isoflavones tibolone
Menopause could be diagnosed by
* histor! of absent menstruation 4 High FSH le"el in !oung age group C bsent menstruation for ! year at the age of 5" year 5 Hot flushes 6 7nsomnia
hormone replacement therap! 1-H% is useful in all e(cept a Flushing b steoporosis c 0aginal atroph! d oronar! heart disease
"-estrogen replacement for post-menopausal symptoms cause an increase in ? a. b. c. d.
#$# Cholesterol %#$# &riglycerides
'-absolute contraindication of hormone replacement therapy is ? a. b. c. d.
)-(n* analogues may be given in all of the following except ? a. b. c. d.
prostate carcinoma endometrial carcinoma fibromyoma of uterus precocious puberty
+-estrogen administration in a post menopausal woman increases the ? a. b. c. d.
gonadotropin secretion #$# + cholesterol ,one mass Muscle mass
Contraindication to postmenpausal estrogen replacement therapy include the following except * %esent deep "ein thrombosis 4 *cute li"er disease High serum trigl!ceride 5 remenpausal mastectom! for breast cancer
$iabetes mellitus
epileps! in pregnanc! 1-* 2+ !ears old primigra"ida reports at 8 wee's gestation with h9o seiure disorder. She has been on phen!toin for the last 8 months. he appropriate management in this case would be ne answer onl!. a ontinue phen!toin and ad,ust the le"els as per serum le"els b Stop phen!toin and start barbiturates c erminate pregnanc! as phen!toin has had its teratogenic effect d Stop phen!toin and terminate pregnanc! if sonograph! detects malformations
2-Which "itamin deficienc! is most commonl! seen in a pregnant mother who is on phen!toin therap! for epileps! *. 0itamin 48 4. 0itamin 412 . 0itamin * 5. Folic acid #-Which of the following statements is incorrect in relation to pregnant women with epileps! *. he rate of congenital malformation is increased in the offspring of women with epileps! 4. Seiure fre;uenc! increases in appro(imatel! <=> of women . 4reast feeding is safe with most anticon"ulsants 5. Folic acid supplementation ma! reduce the ris' of neural tube defect )- afest antiepileptic drug in pregnancy *45-
5iaepam hen!toin arbamaepine 0alproate
+- Which of the following anticon"ulsants is most li'el! to be associated with a neural tube defect a. phenobarbital b. carbamaepine c. phen!toin
d. "alproic acid renatal diagnosis 1-he best period of gestation to carr! out chorion "illous biops! for prenatal diagnosis is *. ?-1= wee's 4. 1=-12 wee's . 12-1) wee's 5. 1)-18 wee's 2-prenatal diagnosis is possible ) all e(cept a- sic'le cell trait b- beta thallasemia c- 535 d- ectodermal d!splasia
3-Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following, except: b- Amniotic uid! c- "aternal blood! d- #horionic $illi! e- %etal blood! /-0hich one of the following congenital malformation of the fetus can be diagnosed in first trimester by ultrasound ? * *nencephal! 4 7nencephal! 3icrocephal! 5 Holoprosencephal!
5-&he best way of diagnosing &risomy-"! during second trimester of pregnancy is ? * riple mar'er estimation 4 @uchal s'in fold thic'ness measurement horionic "illus sampling 5 *mniocentesis
