MCQOPTIONS
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MCQOPTIONS
This section includes 69 Mcqs, each offering curated multiple-choice questions to sharpen your Uncategorized topics knowledge and support exam preparation. Choose a topic below to get started.
| 1. |
Cervical lesion (ectopy): |
| A. | It is an ulcer of the cervix. |
| B. | Should be treated in pregnant females. |
| C. | Pap smear is advisable before management. |
| D. | Commonly cause pain, dyspareunia & low back pain. |
| E. | none |
| Answer» E. none | |
| 2. |
Which of the follwing is responsible for inability to rotate anteriorly in the occipitoposterior position : |
| A. | Moderate size fetus |
| B. | Gynecoid pelvis |
| C. | Weak uterine contractions |
| D. | Good levatorani muscle contractions |
| E. | none |
| Answer» D. Good levatorani muscle contractions | |
| 3. |
Which is the least frequent site of an ectopic pregnancy? |
| A. | Fallopian tube |
| B. | Cervix |
| C. | Ovary |
| D. | Abdominal cavity |
| E. | Between the leaves of broad ligament |
| Answer» E. Between the leaves of broad ligament | |
| 4. |
Perforation tends to occur earliest when an ectopic pregnancy is located in which portion of fallopian tube ? |
| A. | Isthmic |
| B. | Interstitial |
| C. | Ampullary |
| D. | Infundibular |
| E. | No difference |
| Answer» B. Interstitial | |
| 5. |
Which of the following does not occur in post partum pituitary necrosis : |
| A. | signs of hypoglycaemia |
| B. | Asthenia |
| C. | Amenorrhoea |
| D. | Galactorrhoea |
| E. | Decreased libido |
| Answer» D. Galactorrhoea | |
| 6. |
The Arius-Stella reaction may be seen with all except : |
| A. | Ectopic pregnancy |
| B. | Birth control pills |
| C. | Abortion |
| D. | Trophoblastic disease |
| E. | none |
| Answer» C. Abortion | |
| 7. |
The most dangerous symptom during pregnancy is: |
| A. | PV bleeding |
| B. | Ankle swelling |
| C. | Hyperemesis |
| D. | Cramps |
| E. | none |
| Answer» B. Ankle swelling | |
| 8. |
Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following, except: |
| A. | Amniotic fluid |
| B. | Maternal blood |
| C. | Chorionic villi |
| D. | Fetal blood |
| E. | none |
| Answer» E. none | |
| 9. |
The passage of decidual cast in cases of ectopic pregnancy usually means : |
| A. | Impending tubal rupture |
| B. | Reabsorption of embryo |
| C. | Pregnancy was intrauterine |
| D. | Death of embryo |
| E. | none |
| Answer» E. none | |
| 10. |
What is the most common side effect with MTX therapy for ectopic pregnancy |
| A. | Transient pelvic pain 3 - 7 days after starting treatment |
| B. | Stomatitis |
| C. | Bone marrow suppression |
| D. | Gastritis |
| E. | none |
| Answer» C. Bone marrow suppression | |
| 11. |
Most common indication for C/S : |
| A. | malpresentations |
| B. | antepartum hge |
| C. | prematurity |
| D. | previous c/s |
| E. | contracted pelvis |
| Answer» E. contracted pelvis | |
| 12. |
The following are eitiological factors of atonic postpartum hge except : |
| A. | prolonged labour |
| B. | overdistension of uterus |
| C. | full bladder |
| D. | cervical lacerations |
| E. | accidental he |
| Answer» E. accidental he | |
| 13. |
A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by; |
| A. | Immediate cesarean section |
| B. | Immediate induction of labor |
| C. | Tocolytic therapy |
| D. | Magnesium sulphate therapy |
| E. | none |
| Answer» B. Immediate induction of labor | |
| 14. |
Engaging diameter, in fully extended head : |
| A. | Mento occipital |
| B. | Submentobregmatic |
| C. | Biparietal |
| D. | Mentovertica |
| E. | none |
| Answer» C. Biparietal | |
| 15. |
If the foetus is lying accros the uterus, with the head in the flank |
| A. | Transverse lie |
| B. | Cephalic lie |
| C. | Breech lie |
| D. | Frank lie |
| E. | Oblique lie |
| Answer» B. Cephalic lie | |
| 16. |
Refers to the part of the foetus that occupies the lower segment of the uterus or pelvic |
| A. | The show |
| B. | The version |
| C. | The engagement |
| D. | The lie |
| E. | The presentation |
| Answer» F. | |
| 17. |
Means the head is at the level of the ischial spines |
| A. | Station +1 |
| B. | Station -1 |
| C. | Station -2 |
| D. | Station 0 |
| E. | Station +2 |
| Answer» E. Station +2 | |
| 18. |
The following hormone is not produced by the placenta... |
| A. | HCG |
| B. | HPL |
| C. | Prolactin |
| D. | Estriol |
| E. | none |
| Answer» D. Estriol | |
| 19. |
Which is the most common cause of abnormal lie? |
| A. | Polyhydramnios |
| B. | Twin pregnancy |
| C. | Uterine deformity |
| D. | Pelvic tumour |
| E. | Placenta praevia |
| Answer» B. Twin pregnancy | |
| 20. |
Refers to a maneuver which attempts to turn a breech baby to a cephalic presentation |
| A. | VEC |
| B. | CEV |
| C. | ECR |
| D. | EVC |
| E. | ECV |
| Answer» F. | |
| 21. |
Which of the following statements regarding vaginal breech birth is FALSE? |
| A. | Increased risk if footling |
| B. | In about 30% there is slow cervical dilatation in the first stage |
| C. | CTG is advised |
| D. | Pushing is not encouraged until the buttocks are visible |
| E. | Epidural analgesia is mandatory |
| Answer» F. | |
| 22. |
Refers to the part of the foetus that occupies the lower segment of the uterus or pelvis |
| A. | The show |
| B. | The version |
| C. | The engagement |
| D. | The lie |
| E. | The presentation |
| Answer» F. | |
| 23. |
After what age gestation would abnormal lie warrant hospital admission |
| A. | 37 |
| B. | 40 |
| C. | 38 |
| D. | 39 |
| E. | 36 |
| Answer» B. 40 | |
| 24. |
Which is contraindicated in trial of labour following Caesarian Section ? |
| A. | History of Classical CS |
| B. | Breech |
| C. | X-ray pelivmetry not available |
| D. | No previous vaginal delivery |
| E. | none |
| Answer» C. X-ray pelivmetry not available | |
| 25. |
Engagement is said to occur when....... |
| A. | The fetal head is within the maternal pelvis |
| B. | The biparietal diameter of the fetal head is through the plane of the inlet. |
| C. | The presenting part is just above the level of ischial spines. |
| D. | The vertex is in transverse position. |
| E. | none |
| Answer» C. The presenting part is just above the level of ischial spines. | |
| 26. |
Premature labour. |
| A. | is associated with an increased risk of breech presentation. |
| B. | is associated with uterine anomaly. |
| C. | asymptomaticbacteruria is a proven risk factor. |
| D. | is associated with genital tract infection. |
| E. | All of the above |
| Answer» F. | |
| 27. |
Which one of the following is diagnosed by Spiegelberg criteria ? |
| A. | Molar pregnancy |
| B. | Ovarian pregnancy |
| C. | Uterine pregnancy |
| D. | Twin pregnancy |
| E. | none |
| Answer» C. Uterine pregnancy | |
| 28. |
The most common type of breech |
| A. | Starling breech |
| B. | Flexed breech |
| C. | Explicit breech |
| D. | Footling breech |
| E. | Extended breech |
| Answer» F. | |
| 29. |
At which part of the pelvis are the transverse and anterior-posterior diameter most similar? |
| A. | Inlet |
| B. | Mid-cavity |
| C. | Outlet |
| D. | none |
| E. | all |
| Answer» C. Outlet | |
| 30. |
In which of the following condition vaginal delivery is contraindicated? |
| A. | Extended breech |
| B. | Mento anterior |
| C. | Twins with one vertex and one breech |
| D. | all |
| E. | none |
| Answer» B. Mento anterior | |
| 31. |
Flexion of the fetal head occurs when it meets resistance from : |
| A. | Pelvic floor |
| B. | Cervix |
| C. | Pelvic walls |
| D. | Any of the above |
| E. | None of the above |
| Answer» B. Cervix | |
| 32. |
Breech presentations occurs in ___ of term pregnancies |
| A. | 1% |
| B. | 3% |
| C. | 8% |
| D. | 4-10% |
| E. | 5-6% |
| Answer» C. 8% | |
| 33. |
Ectopic pregnancy is differentiated from abortion by the fact that in ectopic pregnancy : |
| A. | Pain appears after vaginal bleeding |
| B. | There is slight amount of bleeding |
| C. | No enlargement of uterus |
| D. | Histological examination of products of expulsion shows villi |
| E. | none |
| Answer» E. none | |
| 34. |
All are complications of illegal /Septic abortion except |
| A. | Cerebral Hemorrhage |
| B. | DIC |
| C. | ARF |
| D. | Bacterial Shock |
| E. | none |
| Answer» B. DIC | |
| 35. |
A 19-year-old nulliparous woman in her 35th week of pregnancy presents with nausea, blurred vision and a weight gain of 4.5 kg per week. Her blood pressure is 160/110 mmHg. Which of the following tests is the most suitable for the assessment of fetal status? |
| A. | amniocentesis for the measurement of the lecithin/ sphingomyelin (L/S) ratio |
| B. | amniocentesis for the measurement of the creatinine level of the amnotic fluid |
| C. | sonographiccephalometry |
| D. | a non-stress test (NST) |
| E. | an oxytocin challenge test (OCT) |
| Answer» E. an oxytocin challenge test (OCT) | |
| 36. |
The indications of an elective caesarean section include all of the following, except ? |
| A. | Placenta Praevia |
| B. | Cephalopelvic disproportion |
| C. | Previous lower segment caesarean section |
| D. | Carcinoma Cervix |
| E. | none |
| Answer» D. Carcinoma Cervix | |
| 37. |
Following a vaginal delivery, a woman develops a fever, lower abdominal pain and uterine tenderness. She is alert, and her blood pressure and urine output are good. Large gram positive rods suggestive of clostridia are seen in a smear of cervix. management should include all except : |
| A. | Immediate radiographic examination for gas in uterus |
| B. | High dose antibiotic therapy |
| C. | Hysterectomy |
| D. | close observation for renal failure or hemolysis |
| E. | none |
| Answer» D. close observation for renal failure or hemolysis | |
| 38. |
A 31-year-old woman comes to the physician for follow-up after an abnormal Pap test and cervical biopsy. The patient's Pap test showed a high-grade squamous intraepithelial lesion (HGSIL). This was followed by colposcopy and biopsy of the cervix. The biopsy specimen also demonstrated HGSIL. The patient was counseled to undergo a loop electrosurgical excision procedure (LEEP). Which of the following represents the potential long-term complications from this procedure? |
| A. | Abscess and chronic pelvic inflammatory disease |
| B. | Cervical incompetence and cervical stenosis |
| C. | Constipation and fecal incontinence |
| D. | Hernia and intraperitoneal adhesions |
| E. | Urinary incontinence and urinary retention |
| Answer» C. Constipation and fecal incontinence | |
| 39. |
Female patient with history of irregular vaginal bleeding tender right iliac fossa , CBC normal , B-HCG positive , most likely to be : |
| A. | corpus luteum cyst |
| B. | appendicitis |
| C. | ectopic pregnancy |
| D. | none of the above |
| E. | none |
| Answer» D. none of the above | |
| 40. |
A 22-year-old woman in labor progresses to 7 cm dilation, and then has no further progress. She therefore undergoes a primary cesarean section. Examination 2 days after the section shows a temperature of 39.1 C (102.4 F), blood pressure of 110/70 mm Hg, pulse of 90/min, and respirations of 14/min. Lungs are clear to auscultation bilaterally. Her abdomen is moderately tender. The incision is clean, dry, and intact, with no evidence of erythema. Pelvic examination demonstrates uterine tenderness. Which of the following is the most appropriate pharmacotherapy? |
| A. | Ampicillin |
| B. | Ampicillin-gentamicin |
| C. | Clindamycin-gentamicin |
| D. | Clindamycin-metronidazole |
| E. | Metronidazole |
| Answer» E. Metronidazole | |
| 41. |
The foetal well-being can be assessed by all of the following, except ? |
| A. | non-stress test |
| B. | contraction stress test |
| C. | ultrasound |
| D. | oxytocin sensitivity test!!! |
| E. | none |
| Answer» E. none | |
| 42. |
A woman with a complete mole is most likely to present with which of the symptoms? |
| A. | Vaginal Bleeding |
| B. | Excessive uterine size |
| C. | Hypermesis |
| D. | Prominent theca lutein cysts |
| E. | Pre-eclampsia |
| Answer» B. Excessive uterine size | |
| 43. |
The presence of a retraction ring at the junction of upper and lower uterine segment in labour indicates ? |
| A. | Prolonged labour |
| B. | Cervical dystocia |
| C. | Obstructed labour |
| D. | Precipitate labour |
| E. | none |
| Answer» D. Precipitate labour | |
| 44. |
A 20 year old full-term primigravida is brought to the casualty with labour pains for last 24 hours and a hand prolapse. On examination, she has pulse 96/min, BP 120/80 mm Hg, and mild pallor. The abdominal examination reveals the uterine height at 32 weeks, the foetus in transverse lie and absent foetal heart sounds. On vaginal examination, the left arm of the foetus is prolapsed and the foetal ribs are palpable. The pelvis is adequate. What would be the best management option ? |
| A. | External cephalic version |
| B. | Decapitation and delivering the baby vaginally |
| C. | Internal podalic version |
| D. | Lower Segment Caesarean section |
| E. | none |
| Answer» C. Internal podalic version | |
| 45. |
Fetal hyperinsulinemia leads to: |
| A. | Fetal macrosomia causes difficult vaginal delivery |
| B. | Inhibition of pulmonary surfactant causing Intrauterine asphyxia |
| C. | Decrease serum K causing respiratory distress syndrome |
| D. | Neonatal hypoglycemia with myocardial injury |
| E. | none |
| Answer» B. Inhibition of pulmonary surfactant causing Intrauterine asphyxia | |
| 46. |
Hyperemesis gravidarium in 1st trimester is seen with increased frequency in allof the following except: |
| A. | H. Mole |
| B. | Twins |
| C. | Pre-eclampsia |
| D. | Primigravida |
| E. | none |
| Answer» D. Primigravida | |
| 47. |
A woman experiencing a molar pregnancy has an increased risk of which of the following in subsequent gestations? |
| A. | Stillbirth |
| B. | Prematurity |
| C. | Congenital malformations |
| D. | Recurrent molar gestation |
| E. | Cancer later in life |
| Answer» E. Cancer later in life | |
| 48. |
Which one of the following is a risk factor for developing DVT? |
| A. | Family history of thromboembolic disease. |
| B. | Factor V Leiden. |
| C. | Antiphospholipid syndrome. |
| D. | Sepsis. |
| E. | All of the above. |
| Answer» F. | |
| 49. |
All of the following can be used in hypertension in Pregnancy except |
| A. | Hydralazine |
| B. | Labetolol |
| C. | Captopril |
| D. | Alpha methyl DOP |
| E. | none |
| Answer» D. Alpha methyl DOP | |
| 50. |
A woman delivers a 9 lb baby with midline episiotomy & develops a 3rd degree tear. Inspection shows that the following structures are intact. |
| A. | Anal sphincter |
| B. | Perineal body |
| C. | Rectal mucosa |
| D. | Perineal muscles |
| E. | none |
| Answer» D. Perineal muscles | |