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MCQ Test: Miscellaneous


Number of questions in this MCQ test: 19
Suggested time for this MCQ test: 25
minutes
  1. The leading cause of death for woman older than 65 years old is ?
    Cancer
    Pneumonia
    Heart disease
    Stroke
    Alzheimer's

  2. A 26 year old presents to your office for preconception counseling. What is the highest probability of pregnancy relative to ovulation ?
    5 days before ovulation
    2 days before ovulation
    1 day before ovulation
    Day of ovulation
    1 day after ovulation

  3. The advantages of a prophylactic oophorectomy at the time of hysterectomy for benign reasons include all of the following except ?
    Lowers the incidence of ovarian cancer
    Lowers the risk of coronary artery disease
    Lowers the risk of subsequent surgery for ovarian pathology
    Accommodates patients request

  4. The advantages of preserving the ovaries at time of hysterectomy for benign disease include all of the following except ?
    Reduces the risk of ovarian cancer
    Reduces the risk of coronary artery disease (CAD)
    Lowers the risk of osteoporotic fracture
    Reduces the risk of breast cancer
    Prevention of climacteric symptoms

  5. At what age is there no significant difference in survival for prophylactic oophorectomy at the time of hysterectomy for benign disease in woman at low risk for ovarian cancer ?
    50 years
    55 years
    60 years
    65 years
    70 years

  6. All of the following comprise systemic symptoms of a primary Herpes Simplex (HSV) outbreak except ?
    Myalgias
    Fever
    Lymphadenopathy
    Crusting of ulcers
    Headaches

  7. The minimum diagnostic criteria for Pelvic Inflammatory Disease (PID) include all of the following except ?
    Cervical motion tenderness
    Fever
    Pelvic pain
    Adnexal tenderness

  8. The best predictive factor for Chlamydia is ?
    >2 Sexual partners in the past six months
    Multiple body piercing
    Age <25 years
    Single status
    Current IUD user

  9. The components involved in the calculation of body mass index (BMI) include all of the following except ?
    Height in inches
    Weight in pounds
    Weight in kilogram
    Sex

  10. The incriminates of measurement of Body Mass Index (BMI) are ?
    15-19
    19-24
    25-30
    31-35
    36-40

  11. Which racial group has the highest prevalence of obesity in women in America ?
    Black
    White
    Hispanic
    Oriental

  12. Which of the following attributes the most increase obesity in adolescent girls ?
    Decreased exercise
    Increased caloric intake
    Hormonal food supplementation
    Smoking
    Pregnancy

  13. What is the least likely effective treatment for a patient with Stress Urinary Incontinence (SUI) without a cystocele ?
    Anterior colporraphy
    Burch retropubic urethropexy
    Tension free vaginal tape (TVT)
    Transobturator tape (TOT)
    Pubovaginal sling with autologous fascia

  14. Of the following tests for evaluation of Stress Urinary Incontinence (SUI), the most sensitive is
    Standing stress test (SST)
    Q-tip test
    Valsalva leak point pressure (VLPP)
    Maximal urethral closing pressure (MUCP)

  15. A tension free vaginal tape (TVT) is positioned under which anatomical landmark of the urethra ?
    Urethorvesical junction (UVJ)
    Mid-urethra
    Distal urethra
    Proximal urethra

  16. The point of anchorage for a Burch retropubic colposuspension is which anatomical landmark ?
    Periosteum of the pubic bone
    Ileopectineal ligament
    Sacrospinous ligament
    Obturator membrane
    Sacrotuberous ligament

  17. A patient underwent a tension free vaginal tape (TVT) pubovaginal sling which was complicated by retropubic bleeding intraoperatively. Hemostasis was achieved with pressure, hyper distension of the bladder, and traction with a 30cc foley bulb. The patient is discharged on the first postoperative day (POD) and is voiding spontaneously. She presents for an unscheduled visit on POD#5 with urinary retention, recurrent urinary incontinence, suprapubic pressure, and extensive suprapubic ecchymosis. A urge incontinence and an ultrasound reveals a 10cm retropubic hematoma. The next best course of action is ?
    Instruct the patient on self-catherization and have her return for follow up in 3 days
    Return to the OR and remove the tape in its entirety
    Return to the OR and excise the tape at 4:00
    Return to the OR and drain the hematoma vaginally
    Return to the OR and drain the hematoma abdominally

  18. A Patient undergoes surgical repair of uterine porlapse, enterocele, rectocele, and cystocele. Surgery was coded as 58270 and 57260-51 modifier. Why was the surgery coded this way instead of billing for each procedure separately ?
    bundled coding
    un bundled coding
    none of the above
    all of the above

  19. Patient presents to labor and delivery for trial of labor. She is G2 P1 with a history of previous C-section, who is an established patient of your private practice for current maternity care. Select the correct CTP for vaginal delivery, antepartum care, and postpartum care.
    59409 vaginal delivery,59426 antepartum care 7 or more visits and 59430 postpartum care.
    59400 vaginal delivery with antepartum and postpartum care
    59610 routine obstetric care including antepartum care, vaginal delivery, and postpartum care, after previous cesarean delivery
    all of the above
    None of the above

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