Your-Doctor Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Preconception Counseling, Genetics, and Prenatal Diagnosis
Page: 1

Question 1#Print Question

After an initial pregnancy resulted in a spontaneous loss in the first trimester, your patient is concerned about the possibility of this recurring.

Which of the following is the most appropriate answer regarding the risk of recurrence after one miscarriage? 

a. It depends on the genetic makeup of the prior abortus
b. It is no different than it was prior to the miscarriage
c. It has increased to approximately 50%
d. It does not increase regardless of number of prior miscarriages
e. It depends on the gender of the prior abortus


Question 2#Print Question

A 24-year-old woman presents with a history of one first-trimester spontaneous abortion.

Which of the following is the single most common specific chromosome abnormality associated with first trimester miscarriage?

a. 45 X (Turner syndrome)
b. Trisomy 21 (Down syndrome)
c. Trisomy 18
d. Trisomy 16
e. 46 XXY (Klinefelter syndrome)


Question 3#Print Question

A 29-year-old G3P0 presents to your office for preconception counseling. All of her pregnancies were lost in the first trimester. She has no significant past medical or surgical history.

She should be counseled that without evaluation and treatment her chance of having a live birth is which of the following?

a. < 20%
b. 20% to 35%
c. 40% to 50%
d. 70% to 85%
e. > 85%


Question 4#Print Question

A 26-year-old G3P0030 has had three consecutive spontaneous abortions in the first trimester.

As part of an evaluation for this problem, which of the following tests is most appropriate in the evaluation of this patient?

a. Hysterosalpingogram
b. Chromosomal analysis of the couple
c. Endometrial biopsy in the luteal phase
d. Postcoital test
e. Cervical length by ultrasonography


Question 5#Print Question

A 30-year-old G1P0 at 8 weeks’ gestation presents for her first prenatal visit. She has no significant past medical or surgical history. A 29-year-old friend of hers just had a baby with Down syndrome and she is concerned about her risk of having a baby with the same problem. The patient reports no family history of genetic disorders or birth defects.

You should tell her that she has an increased risk of having a baby with Down syndrome in which of the following circumstances?

 

a. The age of the father of the baby is 40 years or older
b. Her pregnancy was achieved by induction of ovulation and artificial insemination
c. She has an incompetent cervix
d. She has a luteal phase defect
e. She has had three first-trimester spontaneous abortions




Category: Obstetrics & Gynecology--->Preconception Counseling, Genetics, and Prenatal Diagnosis
Page: 1 of 11