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1. What is the most common side effect of ursodeoxycholic acid? A-Dizziness B- Palpitation C- GI upset D-Maculopapular rash E- Headache Answer: GI upset 2. What are the most significant complications for women with very advanced maternal age? A-Cesarean section B- Preterm labour C- Antenatal admissions D-Gestational diabetes E- Preeclampsia Answer: Cesarean section
3. A patient with Secondary amenorrhea at the age of 34 years. The condition started with oligomenorrhea for 2 years. now amenorrhea for 8 months. She has 2 children with no significant complications or comorbidity.it is sexually active. What is the most suitable test? A-17 hydroxyprogesterone B- Prolactin C- FSH, LH, and estradiol D-CT pelvic Answer: FSH, LH, and estradiol 4. pt with RPL. The uterine anomaly was detected by 2D us. What is the most appropriate investigation? A- laparoscopy B-3D TVS C- MRI D- CT E- Saline infusion sonography F – Hysterosalpingogram Answer: 3D TVS

7. pt is Planned to have hysteroscopy Polypectomy. She is on warfarin due to atrial fibrillation. How to Manage her anticoagulation? A-No need to stop B- Stop before the operation one day and start LMWH C- Stop before the operation and start immediately after the operation D-Stop warfarin 5 days before and bridging Answer: Stop warfarin 5 days before and bridging 8. RHD negative mother. early in pregnancy normal levels of anti-D antibodies. at 36 weeks gestation found an anti-D level 16.5 and later delivered at 37 weeks. This baby is at increased risk of? A-Early anaemia B- Early jaundice C- Late jaundice D-Late anaemia E- Polycythemia Answer: Early jaundice

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