Obstetrics and Gynecology
SMLE Questions and Answers
Ver.1
, Table of Content
Chapter 1: Obstetrics ................................................................................................................................................... 3
Contraindications to Pregnancy (Medications and Vaccines) ............................................................................................................................................................................................. 4
Cervical Incompetence ........................................................................................................................................................................................................................................................ 9
Antenatal care .................................................................................................................................................................................................................................................................... 15
Fetal Medicine ................................................................................................................................................................................................................................................................... 20
Hypertension in Pregnancy and Preeclampsia .................................................................................................................................................................................................................. 28
Diabetes Mellitus and Gestational Diabetes Mellitus ....................................................................................................................................................................................................... 52
Pregnancy Related Medical and Surgical Conditions ....................................................................................................................................................................................................... 61
Antepartum Hemorrhage (APH) ....................................................................................................................................................................................................................................... 65
Labor and CTG Monitoring .............................................................................................................................................................................................................................................. 80
Preterm labor, Preterm Rupture of Membrane (PROM) and Premature Preterm Rupture of Membrane (PPROM) ..................................................................................................... 119
Postpartum Hemorrhage (PPH) ....................................................................................................................................................................................................................................... 134
Postpartum ....................................................................................................................................................................................................................................................................... 152
Chapter 2: Gynecology............................................................................................................................................. 154
Puberty Disorders, Pediatrics, Adolescent and Young Gynecology ............................................................................................................................................................................... 155
Menstrual Cycle Abnormalities and Abnormal Uterine Bleeding (AUB) ...................................................................................................................................................................... 157
Vaginal Infections ........................................................................................................................................................................................................................................................... 169
Pelvic Inflammatory Disease (PID) ................................................................................................................................................................................................................................ 179
Contraception and Hormonal Replacement Therapy (HRT) .......................................................................................................................................................................................... 186
Abortion, Pregnancy Loss, and Intrauterine Fetal Demise (IUFD) ................................................................................................................................................................................ 193
Ectopic Pregnancy ........................................................................................................................................................................................................................................................... 207
Gestational Trophoblastic Disease (Molar pregnancy and Choriocarcinoma) ............................................................................................................................................................... 229
Adnexal masses ............................................................................................................................................................................................................................................................... 238
Leiomyoma (Uterine Fibroids) and Leiomyosarcoma .................................................................................................................................................................................................... 239
Endometriosis .................................................................................................................................................................................................................................................................. 248
Adenomyosis ................................................................................................................................................................................................................................................................... 256
Asherman’s Syndrome .................................................................................................................................................................................................................................................... 261
Cervical Cancer and Screening ....................................................................................................................................................................................................................................... 263
Endometrial Polyp, Hyperplasia and Carcinoma ............................................................................................................................................................................................................ 282
Urogynecology ................................................................................................................................................................................................................................................................ 297
,Chapter 1: Obstetrics
3|Page
, Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
Contraindications to Pregnancy (Medications and Vaccines)
A 28-year-old female with history of recurrent pregnancy loss. She comes now want to
improve her immunity before trying to conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin
Correct Answer: B
Explanation: (According to UpToDate)
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Female her previous pregnancy is stillbirth and now she want to pregnant and ask the doctor
about all the vaccines that she is need before conception and reduce the stillbirth?
A. Rubella
B. Varicella
C. Influenza
Correct Answer: A
Explanation: (According to UpToDate)
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
4|Page
SMLE Questions and Answers
Ver.1
, Table of Content
Chapter 1: Obstetrics ................................................................................................................................................... 3
Contraindications to Pregnancy (Medications and Vaccines) ............................................................................................................................................................................................. 4
Cervical Incompetence ........................................................................................................................................................................................................................................................ 9
Antenatal care .................................................................................................................................................................................................................................................................... 15
Fetal Medicine ................................................................................................................................................................................................................................................................... 20
Hypertension in Pregnancy and Preeclampsia .................................................................................................................................................................................................................. 28
Diabetes Mellitus and Gestational Diabetes Mellitus ....................................................................................................................................................................................................... 52
Pregnancy Related Medical and Surgical Conditions ....................................................................................................................................................................................................... 61
Antepartum Hemorrhage (APH) ....................................................................................................................................................................................................................................... 65
Labor and CTG Monitoring .............................................................................................................................................................................................................................................. 80
Preterm labor, Preterm Rupture of Membrane (PROM) and Premature Preterm Rupture of Membrane (PPROM) ..................................................................................................... 119
Postpartum Hemorrhage (PPH) ....................................................................................................................................................................................................................................... 134
Postpartum ....................................................................................................................................................................................................................................................................... 152
Chapter 2: Gynecology............................................................................................................................................. 154
Puberty Disorders, Pediatrics, Adolescent and Young Gynecology ............................................................................................................................................................................... 155
Menstrual Cycle Abnormalities and Abnormal Uterine Bleeding (AUB) ...................................................................................................................................................................... 157
Vaginal Infections ........................................................................................................................................................................................................................................................... 169
Pelvic Inflammatory Disease (PID) ................................................................................................................................................................................................................................ 179
Contraception and Hormonal Replacement Therapy (HRT) .......................................................................................................................................................................................... 186
Abortion, Pregnancy Loss, and Intrauterine Fetal Demise (IUFD) ................................................................................................................................................................................ 193
Ectopic Pregnancy ........................................................................................................................................................................................................................................................... 207
Gestational Trophoblastic Disease (Molar pregnancy and Choriocarcinoma) ............................................................................................................................................................... 229
Adnexal masses ............................................................................................................................................................................................................................................................... 238
Leiomyoma (Uterine Fibroids) and Leiomyosarcoma .................................................................................................................................................................................................... 239
Endometriosis .................................................................................................................................................................................................................................................................. 248
Adenomyosis ................................................................................................................................................................................................................................................................... 256
Asherman’s Syndrome .................................................................................................................................................................................................................................................... 261
Cervical Cancer and Screening ....................................................................................................................................................................................................................................... 263
Endometrial Polyp, Hyperplasia and Carcinoma ............................................................................................................................................................................................................ 282
Urogynecology ................................................................................................................................................................................................................................................................ 297
,Chapter 1: Obstetrics
3|Page
, Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
Contraindications to Pregnancy (Medications and Vaccines)
A 28-year-old female with history of recurrent pregnancy loss. She comes now want to
improve her immunity before trying to conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin
Correct Answer: B
Explanation: (According to UpToDate)
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Female her previous pregnancy is stillbirth and now she want to pregnant and ask the doctor
about all the vaccines that she is need before conception and reduce the stillbirth?
A. Rubella
B. Varicella
C. Influenza
Correct Answer: A
Explanation: (According to UpToDate)
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
4|Page
