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第1題Whatisnottrueaboutfemaleexternalgenitalanatomyis:AThefemaleexternalgenitaliaisthevulvaBFemalepubichairisarrangedinaninvertedtriangle女性陰毛呈倒三角形分布CThevestibuleofthevaginaisthediamond-shapedareabetweenthebilaterallabiaminoraDThegreatervestibularglandopensinsidethevaginaETheclitorisisthespongytissueatthefrontofthelabiaminora第2題Theareamostpronetohematomaafterexternalgenitaliainjuryis:AmonspubisBclitorisClabiummajusDlabiaminoraEperineum第3題Thecorrectmorphologicalcharacteristicofadultwomen'suterusis:ATheuterusweighsabout100gramsBUterinevolume20mlCThelengthisabout7~8cmDTheupperpartoftheuterusisnarrowerthanthelowerpartoftheuterusETheratioofuterinebodytocervixinwomenofchildbearingageis1:2第4題Thecorrectmorphologicalcharacteristicoftheisthmusoftheuterusis:AIt'sthewiderpartoftheuterus.BTheupperendistheinternalhistologicalorifice.CInthenon-pregnantitslengthisabout2cm.DThelengthofthegestationperiodisunchanged.EInthegestationalperioditcanreach7to10cm,formingthelowerportionoftheuterus,whichbecomespartofthesoftbirthcanal.正確答案:E第5題Theuteruscanmaintainitsnormalpositioninthepelviccavity,mainlyby:ASupportsofuterineligamentsandpelvicfloormusclesandfascia.BBladderandrectumsupport.CThefourpairsofuterineligaments.DThesacrotuberousligamentsandthesacrospinousligaments.EPelvicsupport.第6題Thecorrectanatomyandphysiologyofthefallopiantubeis:AThetotallengthisabout6~8cm.BTheisthmusisthenarrowestpartofthefallopiantubecavity.CThefimbriaportionhastheroleof"pickupeggs".DThecontractionofthetubalmusclesisnotaffectedbysexhormones.ETheinnerlayerisstratifiedcolumnarepithelium.第7題Duringlabor,animportantindicatortomeasurethedegreeofdescentofthefetalpresencesisAischialspineBischialtuberosityCsacralpromontoryDapexcoccygeumEsymphysispubis第8題A15-year-oldfemale,whocollidedwithatricyclewhileridingabicycle,presentedtothehospitalcomplainingofunbearablepainandswellinginthevulva.Giventheanatomicalcharacteristicsofthefemalevulva,themostlikelydiagnosisis:AlacerationoflabiaminoraBlacerationruptureofhymenChematomasoflabiamajoraDvaginalvestibularinjuryEbartholiniancystwithbleeding第9題A25-year-oldfemalepresentedtothehospitalfourdaysafterdiscoveringacystinthevulvaarea.Afterexamination,thecystwasfoundtobelocatedinthegroovebetweentheposteriorpartofthelabiamajora,posteriortothevestibule,andthelabiaminora,nearthehymen.Themostlikelydiagnosisis:AVulvarmalignancyBBenigntumorofvulvaCEpithelialsarcomatoidlesionsofvulvaDBartholiniancystEEpisiohematoma第1題Whichoneisthephysiologicaleffectofestrogen?AReducestheuterus'ssensitivitytooxytocinBCausestheendometriumtoproliferateCReducesandthickenscervicalmucus,andincreasesitsstretchiness.DMakethevaginalepithelialcellsshedfasterEStimulatesthethermoregulatorycenterofthehypothalamus,andcausesatemperatureincrease.第2題Whichoneisthephysiologicaleffectofprogesterone?AProliferatestheendometriumBPromotesmyometriumproliferationCMakescervicalmucuseasytostretchintoafilamentousshapeDMakesthevaginalepithelialcellsshedfasterEHelpsreducecholesterollevelsinthebloodcirculation第3題Themenstrualcycleis28days,andcervicalmucusappearsclearandtypicallyfern-like(orfern-leaf-like)crystals,whichcorrespondstoacertainphaseofthemenstrualcycle:AThe6thto7thdayBThe9thto10thdayCThe13thto14thdayDThe16thto17thdayEThe19thto20thday第4題Which'swrongaboutmenstruation:AMenstrualbloodischaracterizedbynon-clotting.BMenstruationisanexternalsignofreproductivematurity.CMenstruationindicatesovulation.DThefirstperiodiscalledmenarche.EMenstruationistheregular,periodicbleedingoftheuterus.第5題Thenormalonsetofmenstruationisduetothepresenceof:AWithdrawalbleedingofestrogenBBreakthroughbleedingofprogesteroneCWithdrawalbleedingofestrogenandprogesteroneDBreakthroughbleedingofestrogenandprogesteroneEWithdrawalbleedingofprogesterone第6題Regardingthecorpusluteum,whichisincorrect:AAfterovulation,thecorpusluteumsecretesestrogenandprogesterone.B9to10daysafterovulation,thecorpusluteumbeginstoatrophy.CIftheeggisnotfertilized,thecorpusluteumdegeneratesintothecorpusalbicans.DIntheabsenceofpregnancy,lutealfunctionisgenerallylimitedto14days.EThecorpusluteumofpregnancybeginstoatrophyat18weeksgestation.正確答案:E第7題Atage30,witharegularmenstrualcycleof28daysandabiphasicbasalbodytemperature,ifauterinecurettageisperformedonthe12thdayofthemenstrualcycle,themicroscopicexaminationoftheendometriumshouldreveal:AMiddleproliferativephaseBLateproliferativephaseCEarlysecretoryphaseDMiddlesecretoryphaseELatesecretoryphase第8題A28-year-oldfemale,menarcheat14yearsold,witharegularmenstrualcycleof35dayslastingfor6days.Thepredictedovulationdateshouldbeonthe____dayofthemenstrualcycle.AThe14thdayBThe17thdayCThe21stdayDThe25thdayEThe29thday第9題A30-year-oldfemale.Shehadmenarcheat15yearsoldandhasaregularmenstrualcycleof5/32.Shehasbeenmarriedfor4yearsandliveswithherhusband,havinganormalsexuallife,buthasnotconceivedyet.HerlastmenstrualperiodwasonJune24th.Theoretically,theovulationdayforthispatientshouldbe:AAroundJuly1stBAroundJuly7thCAroundJuly12thDAroundJuly14thEAroundJuly21st第10題A30-year-oldfemale.Shehadmenarcheat15yearsoldandhasaregularmenstrualcycleof5/32.Shehasbeenmarriedfor4yearsandliveswithherhusband,havinganormalsexuallife,buthasnotconceivedyet.HerlastmenstrualperiodwasonJune24th.Todeterminewhetherthepatienthasovulation,thesimplestexaminationmethodis:AEndometrialbiopsyBUrinarypregnanediolmeasurementCSequentialestrogen-progestintestDBasalbodytemperaturemeasurementEProgesteronetestexercises3第1題Whichistrueabouthumanchorionicgonadotropin(hCG):AItissecretedbyvilloustrophoblastcells.BAftertheformationofthefertilizedegg,trophoblastcellsbegintosecretehCG,whichisthemostsensitivemethodfordiagnosingearlypregnancy.CIthasabetasubunitsimilartotheluteinizinghormone.DItisasinglechainpolypeptidehormonewithoutsugarmolecule.EItisinvolvedintheimmunomodulatorymechanismatthemother-fetusinterfacetopreventtheembryonictrophoblastfrombeingattackedbymaternallymphocytes.正確答案:E第2題Thelengthofumbilicalcordis:A30~50cmB30~70cmC30~100cmD50~100cmE70~100cm第3題Theumbilicalarteriesintheumbilicalcordare:A5B4C3D2E1第4題Thecorrectdescriptionofamnioticfluidis:AFetalurineisthemainsourceofamnioticfluidinearlypregnancy.BFetalpulmonaryalveolisecreteamnioticfluid.CDigestivetractmalformationsinthefetuscanleadtooligohydramnios.DThefetalskinbeforekeratosisisthemainwaytoabsorbamnioticfluid.EAfterthesecondtrimester,theosmoticpressureoftheamnioticfluidincreasedgradually.第5題Whichiswrongwiththedescriptionofthefunctionofamnioticfluid:AAmnioticfluidisconstanttemperature,andsuitableforfetalgrowth.BAmnioticfluidcanpromotethedevelopmentoffetallung.CAmnioticfluidcanpreventthefetus'slimbsfromadhering.DTheamnioticfluidisacidicandflushesthevaginaafterbreakingthemembranetoreducethechanceofinfection.EAdequateamnioticfluidcanbufferthediscomfortcausedbyfetalmovementtothemother.第6題Theincorrectstatementaboutthechangesinthematernalcirculatorysystemduringpregnancyis:ATheelectrocardiogrammayshowamildleftaxisdeviation.BThebloodpressuresinthefirstandsecondtrimestersarelow.CCardiacoutputpeaksbetween32and34weeksofgestation.DLateralrecumbencycanavoidhypotension.EAgradeI-IIsystolicmurmurheardintheapicalregionsuggeststhatthepregnantwomanhasaheartcondition.正確答案:E第7題Thecorrectstatementaboutthechangesinthematernalbreastduringpregnancyis:ALargeamountsofestrogenstimulatebreastacinardevelopment.BLargeamountsofprogesteronestimulatethedevelopmentofmammaryglandducts.CLactationisregulatedbypituitaryprolactin.DThenippleenlargesandtheareoladarkens.EMilksecretionusuallyoccursinthelatestageofpregnancy.第8題Thecorrectstatementaboutthefetaldevelopmentprocessis:AThehumanembryowithin10weeksafterfertilizationiscalledtheembryo,whichistheperiodoforgandifferentiationandformation.BBytheendofthe10thweekofpregnancy,thefetus'sexternalgenitaliacanbepreliminarilydistinguishedbygender.CBytheendofthe12thweekofpregnancy,somepregnantwomencanalreadyfeelfetalmovements,andfromthisweekonward,thefetus'sweightbeginstoincreaselinearly.DBytheendofthe24thweekofpregnancy,thefetusmaybreatheafterbirth,butitsviabilityisextremelypoor.EBytheendofthe28thweekofpregnancy,thefetusisabletocryandsuckleafterbirth,withagoodchanceofsurvival.第9題Theincorrectstatementaboutthegrossstructureoftheplacentaduringpregnancyis:AItisdisc-shaped,mostlyroundorelliptic.BItweighsabout450~650g.CItisthickinthemiddleandthinattheedges,withafetalsurfaceandamaternalsurface.DThefetalsurfaceiscoveredbyamnioticmembrane,andtheumbilicalcordisattachednearthecenter.EThematernalsurfaceoftheplacentaisseparatedbychorionicvilli,formingseveralshallowgroovesanddividingintomaternallobes.正確答案:E第10題Theincorrectstatementabouttheplacentalfunctionis:ATheestablishmentoffetalplacentalcirculationisthebasisofmaterialexchangebetweenmotherandfetus.BThevillussurfaceareaofthefull-termplacentaisequivalenttothetotalareaoftheadultintestine,andthereisalargeexchangeareabetweenmotherandchild.COxygen(O2)andcarbondioxide(CO2)exchangebetweenthemotherandfetusoccurthroughsimplediffusion.DTheplacentalbarriercaneffectivelyprotectthefetusfromharmfulfactors.EThesyntheticfunctionalcellsofplacentaaresyncytiotrophoblastcells.exercises4第1題Themostreliableauxiliarydiagnosticmethodforintrauterineearlypregnancyis:ACytologicalexaminationofvaginalexfoliationBBasalbodytemperaturemeasurementCUrinepregnancytestDB-modeultrasoundexaminationEMicroscopicexaminationofcervicalmucussmearafterdrying第2題Thenormalrangeoffetalheartrateduringtermpregnancyis:A100to140beatsperminuteB110to150beatsperminuteC110to160beatsperminuteD130to170beatsperminuteE140to180beatsperminute第3題Fetalpositionrefersto:AThepartofthefetusthatfirstenterstheentrancetothepelvisBTherelationshipbetweentheindicativepointsofthefoetalprepresentationandthematernalpelvisCTherelationshipbetweenfetallongitudinalaxisandmaternallongitudinalaxisDTheinterrelationshipofthevariouspartsofthefetalbodyETheinterrelationshipbetweenthefetalpresencesandthevariouspartsofthefetalbody第4題Therelationshipbetweenfetallongitudinalaxisandmaternallongitudinalaxisis:AFetalpositionBFetalpresentationCPelvicaxisDFetalattitudeEFetallie正確答案:E第5題Whichcan'tbeusedtoestimategestationalage?AFirstdayoflastmenstrualperiod.BThedatewhenearlypregnancysymptomsbegintoappear.CThedatewhenfetalmovementisfirstperceived.DThemeasureduterinelengthvalue.EThemeasuredabdominalcircumferencevalue.正確答案:E第6題A28-year-oldmarriedwomanwithregularmenstruationandacycleof28days.HerlastmenstrualperiodwasonMay7,2024.ShecametothehospitalonJune14,2024,complainingof"asmallamountofbloodyvaginaldischargefor3days"withoutabdominalpain.Thefirstexaminationthatshouldbeperformedonthispatientis:AUrinehCGtestBBasaltemperatureexaminationCUrineroutineexaminationDCervicalmucussmearEDiagnosticcurettage第7題A28-year-oldmarriedwomanwithregularmenstruationandacycleof28days.HerlastmenstrualperiodwasonMay7,2024.ShecametothehospitalonJune14,2024,complainingof"asmallamountofbloodyvaginaldischargefor3days"withoutabdominalpain.Assumingthewomanispregnant,thefollowingoptionselectedtoconfirmintrauterinepregnancyis:AAttheearliestpoint,around4weeksofamenorrhea,atransvaginalB-ultrasoundcanbeperformedtocheckforanintrauterinegestationalsac.BAttheearliestpoint,around5weeksofamenorrhea,atransvaginalB-ultrasoundcanbeperformedtocheckforthepresenceofanembryoandprimitivecardiacactivitywithinthegestationalsac.CAttheearliestpoint,around6weeksofamenorrhea,atransvaginalB-ultrasoundcanbeperformedtocheckforthepresenceofanembryoandprimitivecardiactubepulsationwithinthegestationalsac.DAgynecologicalexaminationisperformedtocheckiftheuterusisenlargedandsoftened.ECervicalmucusexaminationisperformed.第8題IfaB-ultrasoundexaminationisperformedonthispatientat6weeksofamenorrhea,andnogestationalsacisseenintheuterus,butalow-echomassisseenintheleftadnexalregion,ahighsuspicionshouldbegivento:AHydatidiformmoleBLeftadnexaectopicpregnancyCLeftovariancystDLefthydrosalpinxECorpusluteumoftheleftovary第9題A28-year-oldfemalewitha55-dayhistoryofamenorrheaandsymptomsofnauseaandvomiting.Gynecologicalexaminationrevealsthattheuterusisenlargedapproximatelytoa50-daypregnancysize,andbothadnexaarenormal(-).Thepreferredauxiliaryexaminationforthiscaseis:AB-modeultrasoundBBasaltemperatureexaminationCCervicalmucussmearDBloodhCGtestEProgesteroneChallengeTest第10題Aprimipara,24yearsold,at38weeksofgestation,complainsofamasssensationundertheribs.Abdominalexaminationrevealsthattheuterusisverticallyelliptical,withasoftandirregularfetalpresentation,andthefetalheartbeatislocatedslightlyleftandabovetheumbilicus.Thediagnosisforthiscaseshouldbe:AoccipitalpresentationBfacepresentationCbreechpresentationDshoulderpresentationEcompoundpresentationexercises5第1題During6to8weeksofnormalpregnancy,thedailyincreaserateofbloodhCGshouldbe:A≥100%B≥66%C0.55D.≥22%E1.2第2題Abortionwithinfectionismostlikelytooccurin:AthreatenedabortionBrecurrentabortionCincompleteabortionDmissedabortionEearlyabortion第3題Theincorrectstatementaboutabortionis:ATerminationofpregnancybefore28weekswithafetalweightlessthan1000giscalledabortion.BIfitoccursbefore12weeksofpregnancy,itiscalledearlyabortion.C80%ofspontaneousabortioninclinicisearlyspontaneousabortion.DOnlyafewoftheearlyspontaneousabortionarerecessiveabortion.E50%~60%ofearlyabortionisassociatedwithchromosomalabnormalitiesintheembryo.第4題Themostcommoncauseofearlyspontaneousabortionis:AGenitalmalformationofpregnantwomenBEndocrineabnormalitiesinpregnantwomenCChromosomalabnormalityofembryoDImmunedysfunctionofpregnantwomenEExposuretoenvironmentalhazards第5題Whichofthefollowingitemsisnotacauseofrecurrentmiscarriage?AOneofthespouseshasmildthalassemiaBLutealInsufficiencyCCervicalincompetenceDPrethromboticstateEHypothyroidism第6題Themostcommonsiteoftubalpregnancyis:AInterstitialportionoffallopiantubeBIsthmusoffallopiantubeCAmpullaportionoffallopiantubeDFimbriaoffallopiantubeEFimbriaandampullaportionoffallopiantube第7題Theincorrectstatementaboutthepathologyoftubalpregnancyis:ATubalpregnancyabortionismostcommonlyseenin8-12weeksofpregnancyattheampullaofthefallopiantube.BTheruptureoftubalpregnancyismostcommonlyseenintheisthmusofthefallopiantubearoundthe6thweekofpregnancy.CTheruptureofinterstitialtubalpregnancyoftenoccursduringthe6thto8thweekofpregnancy.DTheorganizedmassofoldectopicpregnancycanexistformanyyears,evencalcifytoformlithopedion.EMostembryosinsecondaryabdominalpregnancydie.第8題Theincorrectstatementaboutthecervicalincompetenceis:AItisanimportantcauseoflatenaturalabortion.BIftherearenoobviousuterinecontractionsbefore24weeksofpregnancy,andthecervicallengthislessthan25mm,orevenifthecervicalosisdilated,cervicalinsufficiencyshouldbesuspected.CForindividualswithcervicalinsufficiency,cervicalcerclageshouldbeperformedduringthe12-14thweekofthesubsequentpregnancy.DIftherearefrequentuterinecontractionsaftercervicalcerclage,andthesutureloosens,arepeatcerclagesurgeryshouldbeperformedassoonaspossible.ECervicalconizationcanleadtocervicalinsufficiency.第9題Themostcommonsiteofectopicpregnancyis:AcervixBfallopiantubeCovaryDabdominalcavityEuterus第10題Whichofthefollowingitemsisnottheassistedexaminationmethodoftubalpregnancy?AultrasonictestingBβ-hCGChysteroscopyDlaparoscopyEpunctureofposteriorvaginalfornix第11題Theincorrectstatementaboutthepunctureofposteriorvaginalfornixis:AItisasimpleandreliablediagnosticmethodforectopicpregnancyBItissuitableforpatientswithsuspectedintra-abdominalbleedingCDarkrednon-clottingbloodisdrawn,indicatingthepresenceofhemoabdominalsyndromeDAnegativepunctureoftheposteriorvaginalfornixcanruleoutectopicpregnancyEIfthepuncturedbloodcancoagulateafterabout10minutes,itindicatesthatthepuncturemaystrayintothevein第12題Inthetreatmentoftubalpregnancy,thefollowingitemwhichdoesnotmeetthecriteriafordrugtherapyis:AThereisnoobviousintra-abdominalbleedingBPregnancysacdiameteris<4cmCBloodhCGis<2000U/LDTheembryoandfetalheartbeatareobservedbyultrasoundEVitalsignsarestable.第13題A28-year-oldfemalepatient,withamenstrualdelayof45daysandasmallamountofvaginalbleedingfor3days,suddenlyfeltatearingpainintheleftlowerabdomen3hoursago,followedbyasenseofanalfullness,dizziness,andvomiting.Physicalexamination:palecomplexion,pulserateof120beatsperminute,bloodpressureof80/40mmHg,abdominalmuscletension,andtendernessinthelowerabdomen.Gynecologicalexamination:asmallamountofbloodysecretionsinthevagina,positivecervicalliftpain(+),fullposteriorfornix,slightlyenlargeduterus,andunsatisfactorypalpationoftheadnexalregion.Themostappropriatetreatmentis:ACorrectingshockwhileperforminglaparotomyexploration.BCorrectingshockwhileperforminglaparoscopicexamination.CPerformingcurettageassoonaspossible.DRapidfluidreplacementandbloodtransfusiontherapy.EImmediatelyperformingaposteriorfornixpuncture.第14題A28-year-oldfemale,withamenstrualdelayofover50days,hashadrepeatedepisodesofsmallamountsofvaginalbleedingfor2weeks.Inthepast2days,shehasexperiencedmildlowerabdominalpainaccompaniedbyfever,withamaximumbodytemperatureof38.5°C.Gynecologicalexaminationrevealedasmallamountofbloodysecretionsinthevaginawithanunpleasantodor,aclosedcervicalos,anenlargeduterussimilartoa50-daypregnancy,andtendernessintheuterinebody.Bloodroutinetestshowedawhitebloodcellcountof18x10?/Landaneutrophilpercentageof90%.Themostappropriatetreatmentis:AImmediatecurettageandanti-infectiontreatmentBAnti-infectiontreatmentfirst,andcurettageafterinfectioncontrolCUsingmisoprostoltoinduceembryoexpulsionDUsingoxytocintoinduceembryoreleaseEAnti-infectionandcurettage第15題A27-year-oldfemale,withamenstrualdelayof9weeks,hashadasmallamountofdarkredvaginalbleedingfor1daywithoutsignificantlowerabdominalpain.Examinationshowsaclosedcervicalos,andtheuterusisenlargedtothesizeofa50-daypregnancy.Ultrasoundexaminationindicatesanintrauterinepregnancy,withtheembryoequivalenttoa7-weekpregnancysize,andnocardiacactivityisobserved.Thediagnosisinthiscaseshouldbe:AthreatenedabortionBinevitableabortionCcompleteabortionDmissedabortionEnormalpregnancyexercises6第1題A24-year-oldprimigravidaat30weeksofgestationpresentedwitha5-dayhistoryofheadache.Onphysicalexamination,herbloodpressurewas160/110mmHg,pulseratewas90beatsperminute,fundalheightwas28cm,thepresentationwasscapula,fetalheartratewas144beatsperminute,urineproteinwas2g/24hours,andedemawasmild(+).Thiscaseshouldbediagnosedas:AHypertensioninpregnancyBGestationaledemaCProteinuriaduringpregnancyDEclampsiaEPreeclampsia正確答案:E第2題A24-year-oldprimigravidaat30weeksofgestationpresentedwitha5-dayhistoryofheadache.Onphysicalexamination,herbloodpressurewas160/110mmHg,pulseratewas90beatsperminute,fundalheightwas28cm,thepresentationwasscapula,fetalheartratewas144beatsperminute,urineproteinwas2g/24hours,andedemawasmild(+).Themostimportantauxiliarydiagnostictestis:AHaematocritBBloodroutineandcoagulationtestCTotalproteinandalbuminquantificationDOcularfundusexaminationEB-modeultrasoundexamination第3題A24-year-oldprimigravidaat30weeksofgestationpresentedwitha5-dayhistoryofheadache.Onphysicalexamination,herbloodpressurewas160/110mmHg,pulseratewas90beatsperminute,fundalheightwas28cm,thepresentationwasscapula,fetalheartratewas144beatsperminute,urineproteinwas2g/24hours,andedemawasmild(+).Theunnecessarymeasureforthepatientafterhospitalizationis:ABedrest,leftsidepositionBIntravenousdiazepam10mgCFurosemideDIntravenousinfusionofMagnesiumsulfateEIntravenousinfusionofLabetalol第4題A31-year-oldprimigravidaat29weeksofgestationwasfoundtohaveabloodpressureof144/92mmHgforthefirsttimeduringprenatalexaminationonehourago,withnegativeurineprotein.Themostappropriatemanagementatthistimewouldbe:ABloodpressurereassessmentafterrestinginleftlateralpositionBReassessmentafteroneweekofreducedworkloadCRecheckafter1monthDRecheckafter2weeksEReexaminationincaseoflowerlimbedema第5題A31-year-oldprimigravidaat29weeksofgestationwasfoundtohaveabloodpressureof144/92mmHgforthefirsttimeduringprenatalexaminationonehourago,withnegativeurineprotein.Ifthebloodpressureofthepregnantwomanreturnstonormaluponre-examination,themostappropriatemanagementwouldbe:AImprovenutritionandexerciseBCloselyobservechangesinbloodpressureCPeriodicmonitoroffetalheartratewithafetalheartmonitorDPeriodicmonitorwithb-modeultrasoundexaminationEPerformperiodicamnioticfluidshakingtest第6題A31-year-oldprimigravidaat29weeksofgestationwasfoundtohaveabloodpressureof144/92mmHgforthefirsttimeduringprenatalexaminationonehourago,withnegativeurineprotein.Iftheresultsuponre-examinationremainthesame,themostappropriatemanagementwouldbe:ABedrestBDetectionofurinaryproteinCIntravenouslyadministeredoxytocinDIntravenouslyticcocktailEOraldiuretics第7題A27-year-oldfemalewithregularmenstrualcycles,currently30weekspregnant,presentedwithirregularlowerabdominalpainofunknownorigintwodaysago,whichwasepisodic.Today,sheexperiencedasignificantamountofvaginalfluiddischarge,whichwasclear.Physicalexaminationrevealedauterinefundusheightof27cm,fetalheartrateof150beatsperminute,aclosedcervix,andvaginalfluidwithapHgreaterthan7.Thediagnosisforthiscaseshouldbe:AThreatenedabortionBInevitableabortionCThreatenedprematurelaborDPretermdeliveryinlaborEPregnancywithpelvicinflammatorydisease第8題A27-year-oldfemalewithregularmenstrualcycles,currently30weekspregnant,presentedwithirregularlowerabdominalpainofunknownorigintwodaysago,whichwasepisodic.Today,sheexperiencedasignificantamountofvaginalfluiddischarge,whichwasclear.Physicalexaminationrevealedauterinefundusheightof27cm,fetalheartrateof150beatsperminute,aclosedcervix,andvaginalfluidwithapHgreaterthan7.Thebestmanagementapproachforthiscaseis:AImmediatecesareansectionBIntravenouslyadministeredoxytocinCBedrestDIntravenousdripantibioticsandcontractioninhibitorsEIntramuscularinjectionofprogesterone第9題A27-year-oldfemalewithregularmenstrualcycles,currently30weekspregnant,presentedwithirregularlowerabdominalpainofunknownorigintwodaysago,whichwasepisodic.Today,sheexperiencedasignificantamountofvaginalfluiddischarge,whichwasclear.Physicalexaminationrevealedauterinefundusheightof27cm,fetalheartrateof150beatsperminute,aclosedcervix,andvaginalfluidwithapHgreaterthan7.Giventhecurrentsituationwiththepatient,includinganelevatedtemperatureof38.5°C,increasedfrequencyandintensityofcontractions,significantlowerabdominaltenderness,andsustainedfetalheartratefluctuationsbetween165-170beatsperminute,alongwithawhitebloodcellcountof21x10?/L,thebestmanagementapproachwouldbe:AStrengthentheuseofantibioticsBPhysicalhypothermiatherapyCIncreasethedosageofuterinecontractioninhibitorsDTerminatepregnancyassoonaspossibleESimultaneouslyadministeranti-inflammatorymedicationandincreasethedosageofuterinecontractionsagent第10題A25-year-oldprimigravida,39weekspregnant,whohasnotundergoneprenatalexaminations,complainsoflowerlimbedemaforhalfamonth,headacheforthepast3days,andworseningheadachewithblurredvisionandvomitingtwicethismorning.Urineproteinis2.5g/24h.Themostlikelyfindingduringphysicalexaminationis:AHeartrate>110beats/minBBloodpressure160/110mmHgCsplenomegalyDhepatomegalyEkidneytenderness第11題A25-year-oldprimigravida,39weekspregnant,whohasnotundergoneprenatalexaminations,complainsoflowerlimbedemaforhalfamonth,headacheforthepast3days,andworseningheadachewithblurredvisionandvomitingtwicethismorning.Urineproteinis2.5g/24h.若測(cè)血壓為150/110mHg,Ifthebloodpressuremeasurementis150/110mmHg,thediagnosisforthiscaseshouldbe:AHypertensionduringpregnancyBEclampsiaCPreeclampsiaDPregnancywithchronicnep
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