1. You are attending primigravida, 24 years full term pregnancy who are already in labor.

The
contraction was 3 times in 10 minutes strong and regular. During the process of engagement,
what is the position of sagittal suture against the pelvic brim?
a. Antero-posterior
b. Postero-anterior
c. Right obligue
d. Left obligue
e. Transverse
2. You do an abdominal palpation using leopold maneuver I. What are you going to detect?
a. The position of fetal back
b. The attitude of the fetus
c. The height of the fundus
d. The engagement of the fetal head
e. The position of sagittal suture
3. A 29 years old woman, secundigravida, and para I, at 38 weeks pregnancy comes to the labor
and delivery ward with frequent painful contraction. Her prenatal course was significant for a
urine culture that showed 100,000 colony-forming units/milliliter of group B streptococci and
asthma for which she uses an albuterol inhaler. Examination shows that she is contracting every
2 minutes and her cervix is 5 contractions dilated and 100% effaced. Which of the following
medications should this patient be treated with during labor and delivery?
a. Bethamethasone
b. Folic Acid
c. Magnesium sulphate
d. Oxytocin
e. Penicillin
4. A 39 years old woman, gravida 2, para 1 at 30 weeks gestation comes to the physician for a
prenatal visit. The patient’s due date was determined by a 7 week ultrasound. Her prenatal
course has been remarkable. She has no complaints of contractions, loss of fluid, or bleeding
from the vagina, and her baby is moving well. Examination demonstrates a fetal heart rate of
150 and a fundal height of 27 centimeters, which is the same measurement as that determined
4 weeks ago. The patient’s fundal height measurement is the most suggestive of which of the
following?
a. Inaccurate estimate date of delivery
b. Intrauterine growth restriction
c. Premature labor
d. Twin gestation
e. Uterine cancer
5. What is the term for no visible fetus in the gestational sac?
a. Blighted ovum
b. Miscarriage
c. Septic abortion
d. Polar body
e. Anti-kell antibodies
6. What is the most common ectopic tubal implantation site?
 a. Fimbria
b. Ampula
c. Isthmus
d. Cornua
e. Ovarium
7. A young woman comes to you for family planning counseling. She asks you about the
mechanism of work of combined pill. What should you tell her?
a. Combined pill kills the sperm
b. Combined pill prevents ovulation
c. Combined pill causes abortion
d. Combined pill liquefies the cervical mucous
e. Combined pill thickens the endometrial surfaces
8. A 35 years old-P2A0 woman comes to you for a family planning counselling. She is interested in
combined pill. What condition below is contraindication of combined pill?
a. Smoking
b. Pelvic Inflammatory Disease
c. Varicose veins
d. Chronic Colitis
e. Bacterial vaginosis treated with Metronidazole
9. Post-menopausal women who are overweight or obese who suffered from endometrial bleeding
is most likely caused by
a. Aromatase activity in adipose tissue
b. Estrogen production from ovary
c. CYP19 gene over activity in the skin
d. Estrogen production from brain
e. CYP19 gene over expression in the bone
10. Where estradiol 17-beta is is produced?
a. Theca cell, LH
b. Granulose cell, LH
c. Theca cell, FSH
d. Granulose cell, FSH
e. Adipose cell, LH
11. Mrs P., a 30 years old P1A0 come to your clinic with mass in the abdomen. On examination, the
upper border of mass is in the middle level between the umbilicus and symphisis of pubic bone.
Her last period was around 3 weeks ago. During pelvic examination, the consistency of the mass
is cystic, mobile in the right abdomen, the uterus within normal limit in palpation, there is no
pain, no blood in vaginal passage, and cervix is closed. The laboratory result is mentioned below:
Hb 10.3, Al 4,000 and AT 210,000. What is the most likely diagnosis?
a. Ovarian cyst
b. Abdominal pregnancy
c. 16 weeks of pregnancy
d. Ovarian solid tumor
e. Hydatidiform mole
12. A 29 years old P0A0 woman presents to your clinic with a mass in the abdomen. She has history
of prolonged vaginal bleeding when she is on her period. She has been married for 4 years.
During examination, the uterine fundus is at the middle level between umbilicus and symphisis
of pubic bone. Her last period should be around 3 weeks ago. During pelvic examination, there is
a solid mass with a size of 9x8x7 cm, mobile, there is no adnexa, no blood in vaginal passage,
and the cervix is closed. The laboratory result is mentioned below: Hb 9.0, Al 7,000, and AT
200,000. What is the most likely diagnosis?
a. 9 weeks of pregnancy
b. Uterine fibroid
c. Ovarian solid tumor
d. Hydatidiform mole
e. Abdominal pregnancy
13. A 26 years old sexually active woman with a past history of gonorrhea, complaints a severe
pelvic pain, vaginal discharge, and febrile. There are rebound tenderness and involuntary during
physical examination. Which is of the following the most likely diagnosis?
a. Psychosomatic pain
b. Pelvic inflammatory disease
c. Severe endometriosis
d. Peritonitis
e. Ectopic Pregnancy
14. Cervical motion tenderness is associated with peritoneal irritation and is commonly found with
which of the following non gynecologic disorder?
a. Cystitis
b. Appendicitis
c. Pancreatitis
d. Liver disease
e. Pyelonephritis
15. Which investigation should be done in the first time for infertility?
a. Semen analysis
b. Tubal patency by hysterography or laparoscopy
c. Mid luteal progesterone for the diagnosis of ovulation
d. Ultrasound
e. Post coital test
16. Infertility in older women may be due to?
a. A higher rate of chromosomal abnormalities that occur in the eggs
b. Older women are also more likely to have psychological problems that may interfere
with the fertility
c. The ectopic pregnancy also increases with women’s age
d. After about age 40, a women’s fertility gradually declines
e. The risk factors for both male and female infertility are totally different
17. Which of the following is a risk for the development of placenta accrete, increta, and percreta?
a. Placental abruption
b. Placenta previa
c. Prior spontaneous normal delivery
 d. Obesity
e. Gestational
18. Which of the following increases the risk of placenta previa?
a. Age <20 years
b. Prior cesarean delivery
c. Nulliparity
d. Obesity
e. Gestational Diabetes Mellitus
19. In the presence of normal CTG, fetal hypoxia and acidosis may develop faster or may affect the
neonatal outcome in the following situations compared with an averagely grown fetus at term
a. In the presence of clear meconium
b. When there is oligohydramnion
c. When the fetus has intrauterine growth restriction
d. When the fetus is full term
e. In a labour with rapid progress
20. Concerning decelerations in a CTG
a. Variable decelerations are due to cord compression
b. Variable decelerations may be due to head compression
c. A CTG with variable decelerations is categorized as suspicious
d. Variable decelerations are categorized as simple and uncomplicated
e. Early decelerations are common when the cervix is >3cm dilated
21. A 28 year old woman came to a physician due to the fact that she has been married for 5 years
but until now she is not yet able to get pregnant. The doctor performed a fern test and the
result of the test was positive. On the 20 th day, the doctor performed a fern test again but this
time the result was negative. What does the result mean?
a. Allergic reaction
b. Ovulation
c. Increase of metabolism
d. Increase of temperature
e. Pregnancy
22. A patient with G1P0A0 has vomiting, which has been getting worse. This symptom has been
affecting her daily activities until the patient is not able to work these days. She also loses her
weight up to 5 kg in 2 weeks. She is in her 12 weeks of pregnancy. Ultrasound examination
shows the fetus is appropriate for her gestational age. What is the diagnosis for this patient?
a. Hyperemesis gravidarum
b. Emesis gravidarum
c. Gastritic ulcer
d. Gastritis
e. Hydatidiform Mole
23. A mother, P3A0 is visiting a clinic because she has been occasionally leaking urine when she is
coughing or sneezing. This symptom disappears when she is having some rests. What is the
diagnosis for this patient?
a. Urinary incontinence
b. Vesicoureter fistule
 c. Cystitis
d. Rupture of urethra
e. Bladder cancer
24. A 28 years old woman came to a health care service due to a reddish lump on her external
genital. She started to notice this symptoms one week ago. The patient felt an egg sized-lump,
itchy, and sometimes painful when she walks. The patient also said to have itchy vaginal
discharge. The examination of local status showed an egg sized in the posterior part of labia
majora with soft consistency and pain from palpitation on the lump. There was also white
vaginal discharge with an unspecified odor. What could be the diagnosis of this patient?
a. Candidiasis
b. Trichomoniasis
c. Bartholin abscess
d. Myoma Geburt
e. Type 2 herpes simplex
25. A 30 years old woman, G3P2A0 and her husband came to the emergency unit due to labor
contractions. She has been leaking her amniotic fluid since 12 hours ago. Leopold examination
revealed a singleton with head presentation. The estimated birth weight was 3000 gr and FHR
was 120x/min. The frequency of the contraction was 2 times in 20 minutes. Bimanual
examination revealed a 4cm cervical dilatation, 50% of cervical effacement and the fetal
headhas been descending until hodge 2. What is the appropriate intervention for this patient?
a. Evaluation after 24 hours
b. Termination of the labor
c. Enhancement of contraction
d. Induction of the labor
e. Termination of the pregnancy
26. A 34 year old woman, P3A0 visited a healthcare service due to abnormal discharge from the
vagina. The discharge was yellowish and thick. The patient also suffered from itchiness and
burnt sensation on external genital area, as well as painful urination. The patient was still using
IUD at that time. A strawberry cervix sign was observed from speculum examination. What
might be the most probable diagnosis for this patient?
a. Candidiasis
b. Chlamidiasis
c. Trichomoniasis
d. Gonorrhea
e. Syphilis
27. Chlamydial infection is the most common bacterial STI and results in substantial morbidity and
economic cost worldwide. Untreated chlamydial infection may cause severe complications in
the upper reproductive tract, especially in young women. Which of the following that could
complicate the disease?
a. Ectopic pregnancy
b. Intrauterine fetal death
c. Pre-cancer lesion
d. Sensorineural hearing loss
e. Urine continence
28. Female receptive partner is more susceptible for HIV transmission that the insertive (male).
Which of the following is the least likely to be the cause of the phenomenon?
a. The area susceptible to infection (vagina, cervix, and uterus) is much larger in women
than in men (head of the penis, exposed urethra)
b. Female genital organ is more easily (and more often) traumatized during consensual and
non-consensual sex
c. Women are exposed to a larger quantity of infectious fluid (ejaculate) than men (vaginal
fluids)
d. Vaginal fluids contain more HIV on the average than semen
e. Women retain the secretions within the body while men are only exposed during the
sex
29. Syphillis is a STI bacteria caused by:
a. Chlamydia trachomatis
b. Neisseria gonorrhea
c. Trichomonas vaginalis
d. Treponema pallidum
e. Herpes simplex
30. The drugs listed below are used as treatment for syphilis. Which drug that should not be used
for pregnant women treated for syphilis?
a. Benzathine-penicillin
b. Erythromycin
c. Doxycycline
d. Ceftriaxone
e. Azithromycine