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Dcmc 219: Reproductive Health 1 Question Paper
Dcmc 219: Reproductive Health 1
Course:Clinical Medicine & Surgery
Institution: Kenya Methodist University question papers
Exam Year:2011
REPRODUCTIVE HEALTH 1 (DCMC 219) 3RD TRIMESTER 2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE & SURGERY
UNIT CODE : DCMC 219
UNIT TITLE : REPRODUCTIVE HEALTH 1
TIME : 3 HOURS
Instructions:
Write your Registration No.
Attempt ALL Questions.
MCQ
You score one mark for every correct response
You do not score or lose any Mark for any un attempted question
You loose one mark for every incorrect response
Question One
In ectopic pregnancies
Isthmus is the most common site in tribal types.
Infections are the common cause of death
Surgery is always indicated
History of amenorrhoea is important
Progestin Oral contraceptives are protective.
Question Two
About normal labour
2nd stage normally occurs in 10 minutes.
Flexion occurs before engagement
Active phase should last about 6 hrs
Braxton hicks contractions are a feature
All the above
Question Three
WHO partograph parameters, include
Colour of amniotic fluid
Fetal heart rates
Urinalysis
Random blood sugar
Cervical dilation
Question Four
About male condoms
Protect against HPV
Protection against HIV is not 100%
Should be stored in the back pocket
Is a long term contraceptive method
Useful as a back up method
Question Five
Emergency contraceptives Methods
Nova T
750 mg levonogesterol
Barrier methods
Spermicides
All pre above
Question Six
With regards to genital ulcer disease
Herpes is the most common
Syphillis is the most common
Chancroid is caused by haemophilus influenza.
(a) and (C) are true
None of the above is true
Question Seven
Risk factor for ca cervix
Multiparty
Late sexual debut
HIV
Multiple sex partners
Obesity
Question Eight
High risk HPV include the following strans.
Type 16
Type 18
Type 11
Type 31
Type 6
Question Nine
Features of fibroids
Mostly asymptomatic
Polycythemia vera
Infertility
Menosrrhagia
Dysmenorrhea
Question Ten
The following is true about of complete abortion.
Minimal Vaginal bleeding is the classic symptom.
Uterus is distended and more than gestation
Patients have severe lower abdominal pain
Cervix is closed
All the above
Question Eleven
Causes of macrosomia
Obesity
Diabetes Mellitus
Pre-eclampsia
Female sex of foetus
Multiple-pregnancy
Question Twelve
About ca’ ovary
Stage II is characterized by growth limited to ovaries.
Stage III has superficial liver metastasis.
Stage IV refers to distant mefastasis
’a’ and ’b’ are correct
All the above are correct
Question Thirteen
Habitual abortion:
Anatomical factors cause 1st trimester abortion.
Refers to two conscecutive abortions
Decreasing gestational losses occur in septate uterus
Decreasing gestational losses occur in cervical incompetence.
All the above
Question Fourteen
Risk factors for abruptio placentae
Trauma
Cigarette smoking
Hypertension
PROM
All the above
Question Fifteen
About Bishop’s score
A score of 4 is favorable
Cervical dilation of 4cm scores 2 points
Effacement of 80% scores 2 points
Consistency of cervix is not important
A score of 8 requires cervical ripening.
Question Sixteen
Placenta Praevia
Type I should be delivered vaginally
History of vaginal spotting earlier is suggestive
Type III should be delivered vaginally
Bleeding occurs around the 2nd trimester
Blood tends to be dark when bleeding occurs
Question Seventeen
Choice of drugs in pre-eclampsia include.
Angiotensin II receptor blocker
Centrally acting alpha receptor antagonist
Angiotension enzyme converting enzyme inhibitor
B blockers
Diuretics
Question Eighteen
Severe pre-eclampsia features include
B/P – 150/100 mm/Hg
BP= 160/110 mm/Hg
Convulsions
HELLP syndrome
IUGR
Question Nineteen
The following factors increase mother to foetus transmission of HIV (MTCT)
Prematurity
Breast feeding
Casaerian delivery
Instrumental delivery
Chorioamonomitis
Question Twenty
Effects of malaria in pregnancy outcomes
Abortion
Diabetes Mellitus – the gestational type
Pre-edampsis
IUGR
IUFD
SHORT ANSWER QUESTIONS
Question One
State in order, the mechanisms of normal labour. (6 Marks)
Question Two
List causes of post partum haemorrhage. (4 Marks)
Question Three
Outline the clinical features of uterine fibroids (5 Marks)
Question Four
Outline drugs used as tocolytics (4 Marks)
Question Five
List the risk factors for premature rapture of membranes. (5 Marks)
Question Six
List the features of severe pre-eclampsia (5 Marks)
Question Seven
Outline the risk factors in Ca’ ovaray. (5 Marks)
Question Eight
Outline the complications of UTI in pregnancy. (5 Marks)
Question Nine
Classify diabetes mellitus in pregnancy (3 Marks)
Question Ten
Classify benign lesions of the ovary (7 Marks)
LONG ANSWER QUESTIONS
Question One
A 42 year old known HIV positive patient presents with a 2 month history of post coital bleeding and is scheduled for EUA,
(a) Stage ca cervix (12 Marks)
(b) List the histological types. (3 Marks)
Question Two
Discuss the management of suspected ruptured ectopic pregnancy . (15 Marks)
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