Quiz: End Module 2023

The term " Puerperium " describes

A a) The first six postpartum weeks B b) The first tow postpartum weeks C c) The first four postpartum weeks D d) The period of lactation

Which of the following laboratory values is expected to increase during normal pregnancy

A a) Plasma fibrinogen B b) Serum albumin C c) Blood urea nitrogen D d) Fasting blood sugar.

Which part of the following is sharing in the formation of the placenta

A a) Decidua capsularis B b) Decidua Vera C c) Chorion leave D d) Chorion frondosum A

woman who gave birth to an infant with a neural tubal defect The prophylactic dose of folic acid to prevent recurrence is

A a) 400 µg B b) 500 µg C c) 5000 µg D d) 1000 ug

According to Naegele's rule: the EDD for pregnant woman whose LMP was 25/9/2022, will be

A a) 2 July 2023 B b) 2 June 2023 C c) 25 Juge 2023 D d) 18 July 2023

Active management of the 1ST stage of labor includes

A a) Administration of antibiotics B b) Encourage mothers to bear down C c) Heavy sedation intake D d) Frequent emptying of urinary bladder

As regard to ECV (external cephalic version) for term breech presentation, all are true EXCEPT

A a) Fetal heart activity should be documented B b) General anesthesia is required C e) It can cause placental separation D d) It reduces the need for caesarean section

As regards cervical incompetence

A a) Is a common cause of abortion B b) May be congenital C c) Can be diagnosed only by history D d) Requires a cervical cerclage before 10weeks gestation

Biophysical profile should be done

A a) As the first fetal assessment test when hypoxia is suspected B b) When oxytocin challenge test is negative C c) When fetal movement count < 10 D d) When non stress test is non-reactive

Cervical dilatation characterizes which of the following

A a) Inevitable abortion B b) Missed abortion C c) Complete abortion D d) Threatened abortion

Couvelaire's uterus can be diagnosed only by

A a) Abdominal Ultrasound B b) Abdominal Exploration C c) Laparoscopy D d) Transvaginal Ultrasound

Effect of diabetes on pregnancy includes all of the following EXCEPT

A a) Increases risk of preeclampsia pregnancy B b) Increases the risk of multiple C c) Increases risk of miscarriage D d) Increases operative delivery rate

If a pregnant woman delivered twice before and aborted three times, she will be

A a) G5 Para 2+3 B b) G6 Para 2+3 C c) G5 Para 5+0 D d) G6 Para 5+0

Regarding causes of fundal level less than the period of amenorrhea The following are true EXCEPT

A a) Transverse lie B b) Wrong calculation cause is the commonest C c) Pregnancy may be associated with uterine fibroid D d) Intrauterine growth restriction can be expected

The Bishop scoring system for induction of labor includes each of the following EXCEPT

A a) Parity B b) Effacement C c) Dilatation D d) Station

The first step in the management of a patient. with eclampsia is

A a) Termination of pregnancy by Cesarean Section B b) Administration of IV anticonvulsant as MgSO4 C c) Administration of a diuretic D d) Administration of IV antihypertensive

The following can be used in management of shoulder dystocia EXCEPT

A a) Mc-Robert’s maneuver B b) Rubin maneuver for Shoulder rotation C c) Delivery of posterior shoulder D d) Jaw flexion shoulder traction

27 years old woman 22 weeks of gestation complaining of sudden gush of fluids per vagina two days ago + high grade fever + abdominal pain. Investigation revealed Leucocytosis. Your management will be

A a) broad spectrum antibiotics and dexamethasone B b) broad spectrum antibiotics and termination of pregnancy C c) Termination of the pregnancy D d) broad spectrum antibiotics and wait till term

A 30-years old woman has severe atonic PPH after vaginal delivery not responding to medical therapy. Which of the following methods is the next step

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

Which of the following is expected to decrease during normal pregnancy

A a) Serum albumin B b) Serum creatinine and uric acid C c) Water and electrolyte D d) Plasma fibrinogen

Which part of the decidua is sharing in the formation of the placenta

A a) Decidua capsularis B b) Decidua Vera C c) Decidua basalis D d) Chorion leave

The Bishop scoring system for induction of labor includes each of the following EXCEPT

A a) Gravidity B b) Effacement C c) Dilatation D d) Position of the cervix

The first step in the management of a patient with eclampsia is

A a) Administration of a diuretic B b) Stabilization of the patient then immediate termination of pregnancy C c) Termination of pregnancy by Cesarean Section D d) Administration of IV antihypertensive

Regarding causes of fundal level more than the period of amenorrhea The following are true EXCEPT

A a) Pregnancy may be associated with uterine fibroid B b) Wrong calculation is the commonest cause C c) Transverse lie or breech presentation D d) Fetal macrosmia

Cervical dilatation may associate with which of the following

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

Couvelaire's uterus can be suspected by

A a) laparoscopy B b) Severe preeclamsia with acute abdominal pain C c) Abdominal Exploration D d) Transvaginal Ultrasound

Effect of pregnancy on diabetes includes the following

A a) Increases risk of preterm labour B b) Pregnancy aggravates diabetic complications C c) Increases risk of miscarriage D d) Increases operative delivery rate

A woman who did not give birth before to an infant with a neural tubal defect (NTD) The prophylactic dose of folic acid is

A a) 500 µg B b) 5000 µg C c) 400 μg D (d) 1000μg

According to Naegele's rule: the EDD for pregnant woman LMP was 25/10/2022, will be

A a) 2 August 2023 B b) 2 June 2023 C c) 25 June 2023 D d) 18 July 2023

Active management of the 2nd stage of labor includes

A a) Administration of antibiotics B b) Encouraging ambulation before ROM C c) Heavy sedation intake D d) Encourage mothers to bear down during uterine contractions

As regards cervical incompetence

A a) Is a common cause of abortion B b) May be 2ry to a previous obstetric trauma C c) Can be diagnosed only by clinical history D d) Requires a cervical cerclage before 10 weeks gestation

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