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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.
51. |
Leopold maneuvers refers to : |
A. | delivery of head |
B. | External version |
C. | Internal version |
D. | Breech extraction |
E. | Examination of abdomen. |
Answer» F. | |
52. |
Mechanism of labor in abortion stick ( use of stick to induce abortion)is due to |
A. | Necrosis of uterine endometrium and stimulation of uterine contraction |
B. | Oxytocin present in the stick |
C. | Prostaglandins present in the stick |
D. | All of the above |
E. | none |
Answer» B. Oxytocin present in the stick | |
53. |
Following changes occur in urinary system during normal pregnancy: |
A. | Increase in renal blood flow |
B. | Increase in glomerular filtration rate |
C. | Increase in capacity of kidney pelvis |
D. | All of the above |
E. | none |
Answer» E. none | |
54. |
A 34wk GA lady presented with vaginal bleeding of an amount more of that of her normal cycle. O/E uterine contracts every 4 min, bulged membrane, the cervix is 3 cm dilated, fetus is in a high transverse lie and the placenta is on the posterior fundus. US showed translucency behind the placenta and the CTG (Cardiotocography) showed FHR of 170, the best line of management is: |
A. | C/S immediately. |
B. | give oxytocin. |
C. | do rupture of the membrane. |
D. | amniocentisis |
E. | none |
Answer» B. give oxytocin. | |
55. |
Placenta previa, all true except : |
A. | Shock out of proportion of bleeding |
B. | Malpresentation |
C. | Head not engaged |
D. | Painless bleeding |
E. | none |
Answer» B. Malpresentation | |
56. |
Factors favoring long anterior rotation include all except |
A. | Correction of the deflexion |
B. | Adequate pelvis |
C. | good pelvic floor |
D. | rupture of membranes |
E. | none |
Answer» E. none | |
57. |
Most important cause of immediate post partum hemorrhage: |
A. | laceration of cervix |
B. | laceration of vagina |
C. | uterine atony |
D. | placental fragment retention |
E. | none |
Answer» D. placental fragment retention | |
58. |
All following are indications for CS in OP except |
A. | Persistent oblique op |
B. | Long anterior rotation |
C. | Deep transverse arrest |
D. | Contracted pelvis |
E. | none |
Answer» C. Deep transverse arrest | |
59. |
Uterine inertia is due to EXCEPT? |
A. | Over distension of uterus |
B. | Presence of fibroid uterus |
C. | Fetal malpresentations |
D. | Abruptio placenta |
E. | repeated interautrine manipulation |
Answer» E. repeated interautrine manipulation | |
60. |
Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy? |
A. | Vitamin B6 |
B. | Vitamin B12 |
C. | Vitamin A |
D. | Folic acid |
E. | none |
Answer» E. none | |
61. |
Exposure of female fetus to androgens may arrest differentiation of : |
A. | Mullerian duct |
B. | Ovary |
C. | Urogenital sinus |
D. | All of the above |
E. | None of the above |
Answer» D. All of the above | |
62. |
The risk for development of fetal macrosomia is increased in the following, EXCEPT: |
A. | Primiparity. |
B. | Diabetes with pregnancy. |
C. | Post-term pregnancy. |
D. | Prior macrosomic infants. |
E. | none |
Answer» B. Diabetes with pregnancy. | |
63. |
Shock is out of proportion to the amount of bleeding in : |
A. | 1ry postpartum haemorrhage |
B. | Retained placenta |
C. | Acute puerperal inversion of uterus |
D. | Hypofibrinogenemia |
E. | none |
Answer» C. Acute puerperal inversion of uterus | |
64. |
Which method of terminating a molar gestation is never indicated |
A. | Suction curettage |
B. | Prostaglandic |
C. | Hypertonicsaline |
D. | Hysterotomy |
E. | Hyterectomy |
Answer» D. Hysterotomy | |
65. |
Invasive molar tissue is most commonly found in |
A. | Myometrium |
B. | Vaginal wall |
C. | Ovary |
D. | Liver |
E. | Lungs |
Answer» B. Vaginal wall | |
66. |
Complications of the third stage of labor include all of the following except : |
A. | Rupture uterus. |
B. | Postpartum hemorrhage. |
C. | Puerperal sepsis. |
D. | Retained placenta. |
E. | Obstetric shock. |
Answer» B. Postpartum hemorrhage. | |
67. |
A 31-year-old, HIV-positive woman, gravida 3, para 2, at 32-weeks' gestation comes to the physician for a prenatal visit. Her prenatal course is significant for the fact that she has taken zidovudine throughout the pregnancy. Otherwise, her prenatal course has been unremarkable. She has no history of mental illness. She states that she has been weighing the benefits and risks of cesarean delivery in preventing transmission of the virus to her baby. After much deliberation, she has decided that she does not want a cesarean delivery and would like to attempt a vaginal delivery. Which of the following is the most appropriate next step in management? |
A. | Contact psychiatry to evaluate the patient |
B. | Contact the hospital lawyers to get a court order for cesarean delivery |
C. | Perform cesarean delivery at 38 weeks |
D. | Perform cesarean delivery once the patient is in labor |
E. | Respect the patient's decision and perform the vaginal delivery |
Answer» F. | |
68. |
The gold standard in diagnosing ectopic pregnancy |
A. | Laparoscopy |
B. | Culdocenteris |
C. | Beta HCG |
D. | US |
E. | Progesterone |
Answer» B. Culdocenteris | |
69. |
A 19-year-old primigravid woman at 42 weeks' gestation comes the labor and delivery ward for induction of labor. Her prenatal course was uncomplicated. Examination shows her cervix to be long, thick, closed, and posterior. The fetal heart rate is in the 140s and reactive. The fetus is vertex on ultrasound. Prostaglandin (PGE2) gel is placed intravaginally. One hour later, the patient begins having contractions lasting longer than 2 minutes. The fetal heart rate falls to the 70s. Which of the following is the most appropriate next step in management? |
A. | Administer general anesthesia |
B. | Administer terbutaline |
C. | Perform amnioinfusion |
D. | Start oxytocin |
E. | Perform cesarean delivery |
Answer» C. Perform amnioinfusion | |