Quiz: Bleeding — AUA MCQ

Neurogenic shock in obstetrics may occur secondary to the following except

A a) Concealed accidental hemorrhage B b) Acute inversion of the uterus C c) Early undisturbed tubal pregnancy D d) Intrauterine manipulation during manual placental removal

The following are perdisposing factors for placenta previa except

A a) Contraction ring. B b) Multi fetal gestation. C c) IVF. D d) Multiparity

The risk factors for ectopic pregnancy include the following except

A a) history or previous ectopic B b) History of PID C c) COCS Use D d) ART.

In case of vesicular mole, the following is true except

A a) Severe bleeding may occur B b) Uterus is larger than expected C c) The best is suction evacuation D d) B-HCG titer is negative in serum

The most common site for ectopic pregnancy is

A a) Tubal B b) Ovarian C c) Cervical D d) Abdominal

The predisposing factors for tubal ectopic include the following except

A a) PID B b) IUCD C c) ART D d) COCs

painless, causeless, and recurrent bleeding > 28 wks. of pregnancy is caused by

A a) Placenta previa B b) Placental abruption C c) Placenta accrete D d) Placental retention

Couvelaire uterus (utero-placental apoplexy) is present in

A a) Placenta previa B b) Placental abruption C c) Placenta accrete D d) Placental retention

Couvelaire uterus (utero-placental apoplexy) is present in

A a) Placenta previa B b) Placental abruption C c) Placenta accrete D d) Placental retention

Retained dead fetus inside the uterus in first trimester is termed

A a) Septic abortion B b) Missed abortion C c) Threatened abortion D d) Incomplete abortion

Patients of obstetric hypovolemic shock are almost always hypotensive EXCEPT IN

A a) Rupture of the uterus. B b) Severe atonic postpartum hemorrhage C c) Septic Abortion D d) Concealed accidental hemorrhage.

Which of the following is correct in the diagnosis of placenta previa

A a) The commonest presentation is shock B b) Vaginal examination is needed to complete the diagnosis C c) The fetus is usually dead D d) Bleeding is recurrent and painless

The most common cause of early abortion

A a) Maternal syphilis B b) Fetal chromosomal abnormalities C c) Incompetent cervix D d) Chronic nephritis

The following factor does not affect the choice of methotrexate as a plan of treatment for ectopic pregnancy

A a) Size of the ectopic B b) Integrity of the tube C c) Parity of the patient D d) Level of BhCG

The most common cause of post-abortive bleeding is

A a) Cervical laceration B b) Retained remnants of conception C c) Choriocarcinoma D d) Submucous fibroid

Causes of hypofibrinogenemia in obstetrics indudeaal the following except

A a) Neglected missed abortion B B b) Rh isoimmunization reaction C c) Severe preeclampsia D d) Amniotic fluid embolism

All of the followings are true about primary postpartum hemorrhage EXCEPT

A a) It occurs within 24 hours after delivery B b) It occurs in the first 10 days after delivery C c) It is common after placental abruption D d) It could be recurrent in future deliveries

Management of acute uterine Inversion include all of the following EXCEPT

A a) Anti-shock measures B b) Manual reduction C c) Hydrostatic reduction D d) Intravenous uterotonics

A 28-years old woman has severe atonic post-partum hemorrhage not responding to medical therapy. Which of the following methods is the next step

A a) Surgical ligation of the vaginal artery B b) Surgical ligation of the common iliac artery C c) Surgical ligation of the ovarian artery D d) Surgical ligation of the ascending branch of uterine artery

For diagnosis of vesicular mole, the following are used except

A a) Pregnancy test B b) Laparoscopy. C c) B-HCG. D d) Ultrasonography

Which of the following is correct for the diagnosis of vesicular mole

A a) Pregnancy test may be positive or negative B b) Uterine size equals the period of amenorrhea C c) Hypertension & hyperemesis are frequently present D d) Ultrasound diagnosis is diagnostic in 70-80% of cases

The following are causes of 1ry PPH except

A a) uterine atony B b) retained placenta C c) laceration of genital tract D d) malignant trophoblastic diseases

Causes of bleeding in late pregnancy include all of the following except

A a) Placental abruption. B b) Rupture vase previa. C c) Placenta previa. D d) Vesicular mole.

As regard to inevitable abortion all are true except

A a) Mild abdominal colic. B b) Cervical is opened C c) Server vaginal bleeding. D d) Tocolytics is contraindicated for treatment

uterine causes of recurrent abortion include the following except

A a) incompetent cervix. B b) hypoplastic uterus. C c) septate uterus. D d) Total (complete) Asharman syndrome.

Vaginal cerclage for incompetent cervix is removed at

A a) 35 weeks B b) 36 weeks C c) 38 - 40 weeks. D d) tape is permanent and not removed.

the commonest site of tubal ectopic pregnancy is

A a) ampullary portion of fallopian tube. B b) interstitial portion of fallopian tube. C c) fimbrial portion of fallopian tube. D d) isthmical portion of fallopian tube.

The following is diagnostic for vesicular mole

A a) fundal level more than the period of amenorrhea. B b) histopathological examination of the product of conception C c) passage of vesicles D d) B&C.

Causes of post-partum Hge include the following

A a) placenta previa B b) abruptio placenta C c) rupture vasa previa D d) all of the above

Differential diagnosis of prune juice vaginal discharge include the following

A a) vesicular mole B b) mixed& revealed type of accidental hge C c) missed abortion D d) all of the above

the most common cause of antepartum haemorrhage

A a) cervical ectopy. B b) ruptured uterus. C c) vasa previa. D d) abruption placenta.

causeless, painless, recurrent vaginal bleeding during the last trimester of pregnancy may be due to

A a) rupture of the uterus. B b) abruption placenta. C c) placenta previa D d) vasa previa.

The most common cause of primary post-partum haemorrhage

A a) cervical laceration. B b) vaginal laceration. C c) atony of the uterus D d) retained placenta.

habitual abortion may be defined as

A a) five or more abortions. B b) two or more consecutive spontaneous abortions regardless of the cause. C c) three or more consecutive spontaneous abortions. D d) two abortions - one therapeutic and one spontaneous.

The most infrequent cause of habitual abortions is

A a) cervical incompetence. B b) lethal genes C c) luteal phase defect D d) tissue antibody incompatibility

Cervical Incompetence

A a) is a common cause of first trimester abortions. B b) can only be diagnosed by clinical history C c) commonly occurs following large loop excision of the transformation zone. D d) may be congenital.

the number of cornified vaginal cells is increase in

A a) a normal pregnancy. B b) threatened abortion C placental abution D Ectopic pregnency

the most common cause of first trimester abortion in

A a) syphilis. B b) incompetent cervix C c) chronic nephritis. D d) chromosomal anomalies.

cervical dilatation characterizes which type of abortion

A a) threatened abortion. B b) missed abortion. C c) inevitable abortion. D d) none of the above.

all of the following are cause of habitual abortion EXCEPT

A a) luteal phase defect. B b) fevers C c) hypertension. D d) congenital mal formation of the uterus

The least common cause of abortion ls

A a) congenital fetal malformation B b) uterine fibroid. C c) progesterone deficiency. D d) retroverted uterus

missed abortion may be accompanied by all. EXCEPT

A a) decreased myometrium contractility, B b) hypofibrinogenemia C c) regression in uterine size. D d) increased oxytocin response.

which mostly to be associated with profuse vaginal bleeding

A a) incomplete abortion. B b) threatened abortion. C c) missed abortion. D d) incompetent cervix.

The following drugs are considered tocolytics except

A a) misoprostol B b) ritodrine hydrochloride C c) anti-prostaglandins D d) C.Ch. blockers

The following drugs are considered tocolytics except

A a) misoprostol B b) ritodrine hydrochloride C c) anti-prostaglandins D d) C.Ch. blockers

placenta previa

A a) Termination of pregnancy is indicated if bleeding is sever regardless of gestational age B b) Termination of pregnancy is usually by vaginal route if incomplete centralis C c) Ligation of uterine arteries, ovarian vessels, internal iliac arteries is unhelpful D d) Hysterectomy is not done if the woman is primigravida or have only one child

ectopic pregnancy occurs when a fertilized ovum implants in

A a) abdominal cavity. B b) Rudimentary horn. C c) Fallopian tubes D d) All of the above.

concerning missed abortion , the following are true except

A a) gestation sac may be empty on ultrasound examination B b) cervix is usually opened C c) Bleeding is absent or minimal D d) DIC is a possible complication

A common associated finding with vesicular mole is

A a) preeclampsia. B b) Hyperemesis gravidarum C c) Ovarian cysts. D d) All of the above.

subnormal temperature and cold cyanotic extremities are present in the following except

A a) septic shock B b) Hypovolemic shock C c) Splanchnic shock D d) Anaphylactic shock

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