Nokea
Postmaturity is pregnancy equal to or more than
- A. 38 completed weeks
- B. 42 completed weeks
- C. 40 completed weeks
- D. 36 completed weeks
Correct Answer: B
Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.
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Teratogenic causes of congenital malformations include
- A. Infective agents and chromosomes
- B. Radiation and substance of abuse
- C. Prematurity and prophylactic antibiotic
- D. Substance of abuse and postdatism
Correct Answer: B
Rationale: Radiation and substances of abuse are key teratogenic causes of congenital malformations.
The correct statement with regards to polyhydramnios is that
- A. Acute polyhydramnios has a gradual onset as from 20 weeks
- B. Multiple pregnancy is a cause especially in dizygotic twinning
- C. Chronic polyhydramnios has a gradual onset as from 30 weeks
- D. On inspection, the abdomen is ovoid instead of being globular
Correct Answer: C
Rationale: Chronic polyhydramnios tends to develop gradually after 30 weeks.
Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes
- A. Administration of the American Urological Association (AUA) Symptom Scale
- B. Laboratory assessment to include a PSA
- C. Ordering a prostate ultrasound
- D. Assessment of nonprostate causes of nocturia
Correct Answer: C
Rationale: In this case, the best approach to the patient includes assessment of nonprostate causes of nocturia. Despite the lack of significant prostate hypertrophy on digital rectal examination, the patient is experiencing bothersome lower urinary tract symptoms such as nocturia, urinary urgency, and post-void dribbling. These symptoms suggest the need to consider alternative causes beyond prostate enlargement. Factors such as overactive bladder, urinary tract infections, diabetes, sleep apnea, medications, or other systemic conditions could be contributing to the patient's symptoms. Therefore, a comprehensive evaluation to identify potential nonprostate causes of the patient's nocturia is warranted before considering more invasive prostate-specific tests like PSA, ultrasound, or symptom scales.
Uterine apoplexy is associated with
- A. Postpartum haemorrhage
- B. Hyperemesis gravidarum
- C. Precipitate labor
- D. Placenta abruption
Correct Answer: D
Rationale: Uterine apoplexy is associated with placental abruption, which causes uterine rupture.
Prenatal tuberculosis always leads to neonatal tuberculosis. Clinical features of tuberculosis prenatally include anaemia, intrauterine fetal death, and glycosuria.
- A. TRUE
- B. FALSE
- C. Partially True
- D. Uncertain
Correct Answer: B
Rationale: Not all prenatal tuberculosis cases lead to neonatal tuberculosis, and symptoms vary.