The concept of family planning. Contraception. Preventing abortion.
!In Kazakhstan the marriageable age for men and women is (years)
* 16
* 17
* 18
* 19
* 20
!In Kazakhstan the voluntary surgical sterilization is possible at the age of
* 20 years old in the case of absence of children
* 25 years old with 1 child
* 35 years old with 2 children
* 30 years old with 2 children
* 25 years old in the case of absence of desire to have children
!The minimum recommended intergenetic interval between births (years)
* 0,5
* 1
* 2
* 3
* 4
! The effectiveness of a particular contraceptive by using Pearl Index is evaluated by the
* importance
* limitations
* reliability
* coefficient of luck
* coefficient of failure
! The optimal method of contraception in sexually active adolescents is
* Intrauterine device and the combined oral contraceptives
* Condom and combined oral contraceptives
* Condom and intrauterine device
* Condom and mini-pill
* Condom and spermicides
! The Billing method helps to determine the fertile period based on
* Changes in the nature of cervical mucus
* Rise time of a basal body temperature
* A combination calendar and cervical methods
* The length of menstrual cycles during year
* A combination of temperature and cervical methods
!The male contraception includes the next barrier
* cap
* diaphragm
* condom
* Cervical cap
* Contraceptive sponge
! Disadvantages of barrier methods of contraception
* availability
* low price
* Low contraceptive efficacy
* Lack of a systematic influence to the body
* Insufficient protection from sexually transmitted infections
! In the calendar method of contraception to determine the end of the fertile period of the longest menstrual cycle is subtracted
* 0,1
* 1,1
* 11
* 21
* 31
! In the women's genital tract the ability of sperm to fertilize retains during
* 5-7 seconds
* 5-7 minutes
* 5-7 hours
* 5-7 days
* 5-7 weeks
!The egg after ovulation retains the ability to fertilize during
* 24 seconds
* 24 minutes
* 24 hours
* 24 days
* 24 weeks
!One of the advantages of an intrauterine device is
* Strengthening of lactation
* High Pearl Index
* Protection against sexually transmitted infections
* Delay of fertility recovery
* Lack of systemic metabolic effects
! One of the disadvantages of an intrauterine device is
* Low Pearl Index
* Connection with sexual intercourse
* Pain, heavy menstruation
* Manipulation in the vagina before sexual intercourse
* Quick recovery of fertility after removal of the device
! The main mechanism of action of combined oral contraceptives is
* Amplification of contraction of the fallopian tubes and uterus
* Preventing of entering of sperm to the uterus
* Decreased activity of sperm
* Destruction of sperm
* Suppressing ovulation
! The duration of contraceptive action of one injection of only progestin contraceptive "Depo-Provera" is (in month)
* 1
* 2
* 3
* 4
* 5
!The emergency contraception drugs, which containing only progestogens are
* Exluton, Yarina
* Escapelle, Postinor
* Novynette, Lindynette
* Regulon, Marvelon
* Progynova, Exluton
!The recommended minimum frequency of use of postcoital contraception for 1 year (times)
* 1-2
* 3-4
* 5-6
* 7-8
* 9-10
! The method of postcoital contraception is called by author
* Yuzpe
* Billing
* Pomeroy
* Parkland
* Ogino-Knaus
! The presence of pain during sexual intercourse is called
* libido
* orgasm
* ejaculation
* dyspareunia
* lubrication
!Choose a synonym for "a sexual inclination"
* coitus
* libido
* orgasm
* ejaculation
* lubrication
!The hydration of the vagina during sexual arousal is called
* orgasm
* coitus
* libido
* ejaculation
* lubrication
!Choose a synonym for"eruption of sperm"
* coitus
* libido
* orgasm
* ejaculation
* lubrication
!The maximum duration of the subcutaneous implants "Norplant" is
* 1 month
* 1 year
* 3 years
* 5 years
* 10 years
! In vitro fertilization the embryo transfer is made by
* Vagina
* Uterus
* Fallopian tube
* Cervical canal
* Vestibule
! The basic principle of family planning is
* Limitation of the birth of children in the family
* A decrease in intergenetic interval
* Prevention of unwanted pregnancy
* Introduction of irreversible contraceptive methods
* Sex education in reproductive period
! Types of subcutaneous implants are
* EVRA
* Mirena
* Norplant
* NuvaRing
* Patentex
!The drugs used for emergency contraception are
* Yarina, Yaz
* Novynette, Regulon
* Escapelle, Postinor
* Exluton, Progynova
* Marvelon, Mersilon
! For a woman with exclusive breastfeeding in the first 6 months of postpartum the preferred method of contraception is
* Lactation amenorrhea
* Intrauterine contraception
* Only Progestin contraceptives
* Voluntary surgical sterilization
* Combined oral contraceptives
! For a girl of 16 who is not married, sexually active since 15, with the frequency of sexual activity 1-2 times a week with casual partners, the preferred method of contraception is
* Condom
* Condom and combined oral contraceptives
* Emergency Contraception
* Low-dose combined oral contraceptives
* Intrauterine Contraception
! For a married woman of 25, who has 2 children the preferred method of contraception is
* Сombined oral contraceptives
* Emergency Contraception
* Barrier method
* Intrauterine device
* Voluntary surgical sterilization
!For a woman, 38 years old, who is married, sexually active since 18, at the dispensary because of diabetes with vascular complications, has one child the preferred method of contraception is
* Condom
* Condom and combined oral contraceptives
* Emergency Contraception
* Low-dose combined oral contraceptives
* Intrauterine Contraception
!For nicotine-dependent woman that is 25 years old, who smokes 10-15 cigarettes a day, is contraindicated the following form of contraception
* Condom
* Coitus interruptus
* Emergency Contraception
* Intrauterine Contraception
* Combined oral contraceptives
! For patient, who is on the dispensary in the mental hospital the preferred method of contraception is
* Barrier
* Chemical
* Hormone
* Symptom-thermal
* Intrauterine device
! For a woman, that is 29 years old, who 3 months before underwent the tubectomy because of an ectopic pregnancy the preferred method of contraception is
* Barrier
* Chemical
* Surgical
* Hormone
* Intrauterine device
Early toxicosis. Pregnancy Induced Hypertension
The principles of emergency treatment for pre-eclampsia and eclampsia.
! The cause of early toxicosis is a disorder of the functions of
* Neuroendocrine regulation of metabolism
* Urinary system
* Gastrointestinal tract
* Endocrine system
* Immune system
! Frequency rate of daily vomiting in pregnant in mild hyperemesis gravidarum (times a day)
* up to 5
* up to 10
* up to 15
* less than 3
* more than 20
! Frequency rate of daily vomiting in pregnant in moderate hyperemesis gravidarum (times a day)
* up to 5
* up to 15
* up to 10
* less than 3
* more than 20
! Frequency rate of daily vomiting in pregnant in severe hyperemesis gravidarum (times in a day)
* up to 5
* up to 10
* less than 3
* more than 30
* more than 11
! Fatalism is a complication of the first half of pregnancy, which is characterized by
* vomiting
* nausea
* hypersalivation
* disorder of smell
* instability mood
! Monitoring and treatment of pregnant women with mild hyperemesis gravidarum is conducted in a
* department of Therapy
* women's clinic
* department of Gynecology
* department of Pathology of pregnancy
* department of Gastroenterology
! The early toxicosis of the first half of pregnancy is related to
* simfiziopatiya
* oedema of pregnancy
* vomiting of pregnancy (hyperemesis gravidarum), ptyalism
* pregnancy induced hypertension
* expention of varicose veins of legs
! As a rule, the weight loss of pregnant in severe hyperemesis gravidarum is (kg)
* 1
* 2-3
* 4
* 5
* more than 5
! If there is no effect after intensive combination therapy of ptyalism in pregnancy which accompanied with the weight loss of 7 kg in 2 weeks, hypotension, tachycardia up to 110 heartbeats per minute, decreased urine output, increasing residual nitrogen and creatinine in the urine, appearance of acetone, the following must be done
* hemodialysis
* diet therapy
* abortion
* prolongation of pregnancy
* extracorporeal detoxification methods
! The abnormal forms of early toxicosis in the first half of pregnancy are
* Disorder of the color sensation
* Phlebeurysm
* Reduced coordination of movements
* Dermatosis, hepatopathy, osteomalacia
* Insomnia, irritability, aggressiveness
! If in the double measuring of blood pressure of a pregnant woman with an interval of at least 30 minutes, the systolic blood pressure is 140 mm Hg and / or the diastolic blood pressure is 90 mm Hg, it corresponds to
* moderate hypertension
* severe hypertension
* mild hypertension
* pre-eclampsia
* eclampsia
! If in the double measuring of blood pressure of a pregnant woman with an interval of at least 30 minutes, the systolic blood pressure is 160 mm Hg and / or the diastolic blood pressure is 100 mm Hg, it corresponds to
* moderate hypertension
* severe hypertension
* mild hypertension
* pre-eclampsia
* eclampsia
! Pre-eclampsia is hypertension with acceding of
* cylindruria
* proteinuria
* leukocyturia
* macrohematuria
* microhematuria
! The pathogenesis of hypertensive states during pregnancy is caused by the increased synthesis of
* Prolactin
* Oxytocin
* Thromboxane
* Prostacyclin
* Prostaglandin E
! Pregnancy-Related Oedema has the following diagnostic criterias
* Oedema, high blood pressure
* Oedema, dizziness
* Oedema, proteinuria
* Oedema, clonus
* Oedema
! The hypertension occurring after 20 weeks of pregnancy and is normalized within 6 weeks after childbirth is called
* eclampsia
* pre-eclampsia
* Pregnancy Induced Hypertension
* Pregnancy-Related Oedema
* chronic hypertension
! The hypertension, which occurred before pregnancy or identified before 20 weeks of pregnancy and that goes on up to 6 weeks after childbirth is called
* eclampsia
* pre-eclampsia
* Pregnancy-Related Oedema
* Pregnancy Induced Hypertension
* chronic hypertension
! At the reception in the women's clinic the blood pressure of pregnant at her 35 week of pregnancy was increased up to 140/90 mm Hg. The future tactic is
* Emergency hospitalization to maternity hospital
* Re-measurement of blood pressure after 30 minutes
* Consultation of cardiologist
* Consultation of therapist
* Electrocardiography
! According to the "Main clinical protocols and orders of the Ministry of Health of the Republic of Kazakhstan in obstetrics and neonatology" (2010), the pregnant with mild pre-eclampsia needs
* ambulatory treatment
* careful monitoring
* treatment in the maternity facilities of the 1-st level
* treatment in the maternity facilities of the 2-nd level
* treatment in the maternity facilities of the 3-rd level
! In full-term pregnancy the pregnant with the mild pre-eclampsia and 9 points of cervical Bishop’s score needs
* Amniotomy, in the absence of contractions 2 hours later labor induction begins
* Finger delamination of the lower pole of amniotic bladder
* Waiting for a spontaneous labor activity
* Caesarean section in a planned way
* Emergency cesarean section
! The severe pre-eclampsia is characterized by the
* Blood pressure is 130/80 mmHg, proteinuria 0.033 g / day
* Blood pressure is 140/90 mmHg, proteinuria 0.3 g / day
* Blood pressure is 150 / 90 mmHg, proteinuria more than 0.3 g / day
* Blood pressure is 160/110 mmHg, proteinuria more than 0.3 g / day
* Blood pressure is 180/120 mm Hg, seizures, proteinuria 3 g / day
! According to the "Main clinical protocols and orders of the Ministry of Health of the Republic of Kazakhstan in obstetrics and neonatology" (2010), to the pregnant with severe pre-eclampsia is required
* ambulatory treatment
* careful monitoring
* treatment in the maternity facilities of the 1-st level
* treatment in the maternity facilities of the 2-nd level
* treatment in the maternity facilities of the 3-rd level
! Pathogenic effect of MgSO4 in the treatment of severe pre-eclampsia is
* sedative
* diuretic
* tocolytic
* analgesic
* anticonvulsant
! According to the "Main clinical protocols and orders of the Ministry of Health of the Republic of Kazakhstan in obstetrics and neonatology" (2010), in the case of severe preeclampsia the delivery has to be made within time (hours)
* 1-6
* 7-12
* 13-18
* 24-48
* 49-72
! A pregnant at 34 weeks of pregnancy after the severe pre-eclampsia was found is expedient to delivery in the next time interval
* 1-2 weeks
* 3-4 weeks
* 2-11 hours
* 12-23 hours
* 24-48 hours
! A pregnant at 34 weeks of pregnancy with eclampsia amid anticonvulsant and antihypertensive therapy after 3 hours in the intensive care unit the repeated attacks of contractions took place. After stabilization, at the vaginal examination the state of cervix by the Bishop's score is 5 points. The future tactic is
* The prolongation of pregnancy with symptomatic treatment
* The treatment of up to 3 days, in the absence of effect the delivery must take place
* Induction of labor activity
* Emergency cesarean section
*Planned Caesarean section
! Common seizures of a pregnant woman that are not associated with epilepsy or other known pathology are called
* eclampsia
* pre-eclampsia
* Pregnancy-Related Oedema
* chronic hypertension
*Pregnancy Induced Hypertension
! According to the "Main clinical protocols and orders of the Ministry of Health of the Republic of Kazakhstan in obstetrics and neonatology" (2010), proteinuria more than 0.3 g/day or 0.3 g/L in two time analysis of urine which was taken after 4 hours is called
* bacteriuria
* cylindruria
* proteinuria
* leukocyturia
* microhematuria
! The speed of intravenous drip of maintenance dose of magnesium sulphate 25%-80,0 ml in 320,0 ml of physiological saline, corresponding to 2 grams of dry matter per 1 hour for the purpose of symptomatic anticonvulsant treatment of severe preeclampsia/eclampsia is (drops/hour)
* 11
* 22
* 33
* 44
* 55
! The method of labor analgesia which is used in childbirth with preeclampsia is
* Epidural anesthesia
* Endotracheal anesthesia
* Spinal anesthesia
* The mask of anesthesia
* Promedoli
! Hemolysis of red blood cells, increasing concentrations of liver enzymes and thrombocytopenia are the main symptoms of
* pre-eclampsia
* earlytoxicosis
* HELLP – syndrome
* Pregnancy-Related Oedema
* chronic hypertension