Quiz: Final Exam 2023

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

The best timing for ultrasound diagnosis of fetal anomalies is

A a. Between 6-10 weeks B b. Between 12-16 weeks C c. Between 18-22 weeks D d. Between 26-30 weeks

The largest diameter of the normal fetal head is the

A a. Occipito frontal B b) Submento bregmatic C c) Subocciput bregmatic D d) Subocciput frontal

The Second stage of labour starts when

A a) Fetal head crowning occurred B b) Bag of water is ruptured C c) Cervix is fully dilated D d) Maternal bearing down started

The head will be delivered by extension in

A a) Direct occipto-posterior B b) Direct mento-anterior C c) After coming head in breech presentation D d) Direct occipto-anterior

Partograph does not record

A a. Fetal heart rate B b. Moulding of the head C c. Station of the head D d. Position of the head

As regard to 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 c) It can causes placental separation D d) It reduces the need for caesarean section

An advantage of forceps over ventouse delivery is

A a) It needs less skill for application B b) It can be applied before full cervical dilatation C c) It needs shorter time of application in case of acute fetal distress D d) It leads to less maternal trauma

A 28-year old woman has severe atonic PPH not responding to medical therapy, the next step is ?

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

Ultrasound estimation of fetal gestational age at 8-10 weeks of pregnancy is best achieved by

A a. Femur length B b. Crown-rump length C c. Bibarietal diameter D d. Abdominal circumference

A woman who gave birth to an infant with a neural tubal defect can reduce the risk of recurrence by taking pre-conceptional folic acid dose of

A a. 400 µg B b. 500 µg C 1000 µg D d. 5000 µg

Causes of fundal level less than the period of amenorrhea include all of the following EXCEPT

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

The following can be used in management of shoulder dystocia EXCEPT

A a. McRoberts maneuver B b. Corkscrew maneuver of Wood's C c. Jaw flexion shoulder traction maneuver D d. Zavanelli maneuver

The incidence of extra uterine pregnancy is

A a. 1%-2 B b. 5% C c. 15% D d. 50%

Disturbed tubal pregnancy is NOT associated with

A a. Minimal vaginal bleeding B b. Severe abdominal pain C c. Early symptoms of pregnancy D d. Shock related to the amount of vaginal bleeding

Ectopic pregnancy occurs when a fertilized ovum implants in

A a. Cervical canal B b. Rudimentary horn C c. Fallopian tubes D d. Any of the above

Which of the following can be used in estimation of fetal weight

A a. Biparietal diameter B b. Transcerebellar diameter C c. Crown-rumb length D d. Chest circumference

The antenatal care visits of high risk pregnancy in the 8th month is

A a. Every 4 weeks B b. Every 3 weeks C c. Every 2 weeks D d. Every 1 weeks

Routine drug supplemented to pregnant women in their 2nd months is

A a. Ferrous sulphate B b. Folic acid C c. Progesterone D d. Calcium carbonate

The 2nd stage of labour ends when

A a. Engagement of fetal head occurs B b. Delivery of the baby occurs C c. Cervix dilates completely D d. Membranes ruptures

In the third stage of labour

A a. Fetus is not yet delivered B b. ergometrin is given C c. Placenta is always delivered passively D d. Uterine massage is stopped

The management of first stage of labour includes

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

An associated finding with complete molar pregnancy may be

A a. Severe preeclampsia B b. Premature rupture of membranes C c. Oligohydramnios D d. Congenital fetal malformations

The treatment of choice for vesicular mole is

A a. Ring evacuation B b. Digital evacuation C c. Suction evacuation D d. Hysterotomy

Routine investigations during pregnancy include the following EXCEPT

A a. Blood group B b.Liver function tests C c. Hemoglobin level D d. Random blood sugar

In case of severe attack of hemorrhage in patient with placenta previa

A a. Ultrasound performed firstly B b. Antishock measures started firstly C c. Cesarean section is rapidly done D d. Vaginal delivery is allowed

Placental abruption can be suspected by all of the following EXCEPT

A a. Laparoscopy B b. Ultrasonography C c. Clinical examination D d. Non stress test

Which of the following is not allowed in first stage of labour

A a. Walking B b. Bearing down C c. Drinking fluids D d. lying on bed

All of the following conditions should be managed in a tertiary hospital EXCEPT

A a. Antepartum eclamsia B b. Postpartum hemorrhage C c. Obstructed labour D d. Anemia with pregnancy

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

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

As regards cervical incompetence

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

Which of the following is CORRECT about the fetal circulation ?

A a. The foramen ovale connects the two atria B b. The umbilical cord normally contains two veins C c. The blood in the descending aorta is more saturated with oxygen than in the ascending aorta D d. The fetal lungs are bypassed by the ductus venosus

Mgso4 is administered to women with pre-eclampsia, the primary goal is ?

A a. To lower the BP B b. To prevent preterm labor C c. For neuroprotection of the fetus D d. To prevent seizur

In the third trimester of pregnancy, the location of the appendix is

A a. Lower in the abdomen B b. Closer to the bladder C c. Unchanged D d. Higher in the abdomen

Partogram

A a. Is used by the patient to record the uterine contractions B b. Is done before diagnosis of labor C c. Measures progression of labor D d. Is of utmost importance in the latent phase

Most common cause of 1st trimesteric abortion is

A a. Chromosomal abnormalities B b. Syphilis C c. Rhesus isoimmunisation D d. Cervical incompetence

In cardiac patients, during delivery the followings is correct

A a. No pain relief to avoid giving medications during labour B b. Lithotomy position is prefaced all the time C c. Low forceps may be used if necessary D d. Digitalis should be avoided until the fetus is delivered

Most common cause of breech presentation is

A a. Prematurely B b. Advanced maternal age C c. Fibroid D d. Uterine anomalies

In placenta Previa: Which is true ?

A a. It is common primigravida B b. May cause abnormal lie C c. Causes recurrent painful bleeding D d. All patients should be induced with prostaglandin pessaries

Indications for instrumental delivery include all the followings EXCEPT

A a. Prolonged second stage of labor B b. Fetal distress C c. Transverse lie D d. Breech presentation

The expected fetal injury resulting from excessive traction on the neck during shoulder dystocia is

A a. Depressed skull fracture B b. Fissure fracture skull C c. Erb's palsy D d. Bell's palsy

The clinical picture of onset of labor includes the following EXCЕРT

A a. Cervical dilatation B b. Formation of the bag of fore-waters C c. Engagement of the fetal head D d. Passage of show especially in primigravida

Which of the following is correct for prelabor rupture of membranes (PROM)

A a. Its incidence is 20% in uncomplicated labor B b. Bacterial vaginosis represent a real risk for PROM occurrence C c. Uterine inertia predisposes to PROM occurrence D d. CS should be the best management when it occurs

which of the following is correct for intra-uterine fetal death

A a. Skin maceration starts 72 hours after death B b. DIC occurs within hours after fetal death C c. Termination of pregnancy starting with amniotomy is an effective line D d. Maternal septicemia is a common complication

which of the following is correct for intra-uterine fetal death

A a. Skin maceration starts 72 hours after death B b. DIC occurs within hours after fetal death C c. Termination of pregnancy starting with amniotomy is an effective line D d. Maternal septicemia is a common complication

The commonest cause of puerperal pyrexia is

A a. Puerperal sepsis B b. Breast engorgement C c. Deep venous thrombosis D d. Pyelonephritis

Neurogenic shock in obstetrics may occur secondary to the following except

A a) Concealed accidental haemorrhage B b) acute inversion of the uterus C c) Early undisturbed tubal pregnancy D d) Repeated rough attempts at Crede" method

Etiology of asymmetrical IUGR (type 2) include all of the following except

A a. Fetal chromosomal abnormalities (trisomies) B b. Reducing uteroplacental blood flow as with hypertensive disorders C c. Restriction of oxygen & nutrient transfer as with sickle cell anemia D d. Reducing placental size with infarcts as with diabetes mellitus

Caput sacedaneum

A a. Resolves spontaneously after labour B b. May lead to jaundice of the baby postpartum C c. Indicates a traumatic vaginal delivery D d. Indicates that the fetal head is engaged

The blood pressure during pregnancy is

A a. Elevated in the first trimester B b. Elevated in the second trimester C c. Decreased in the first trimester D d. Decreased in the second trimester

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 B-hCG

Primigravida pregnant 28 weeks, after initial clinical & laboratory testing which one of the followings represent an abnormal finding

A a. Bilateral basal lung crepitations B b. WBCs count of 12,000/mm3 C c. Early ejection systolic murmur D d. Trace glucosuria in urine analysis

In a case of septic abortion; which of the following is NOT correct

A a. In all cases antibiotics administration is highly indicated . B b. Offensive discharge means fungal contamination C c. The risk of septic shock is relatively high D d. Fresh blood transfusion will be needed if hypotension develops

All are true for placental abruption EXCEPT

A a. It is the 2nd most common cause of antepartum hemorrhage B b. Vaginal bleeding is always presents C c. Fetus is at a risk D d. Termination of pregnancy is the main line of treatment

Which of the following conditions contraindicate vaginal delivery of a twin pregnancy

A a. Breech presentation of the first twin B b. Sharing a single placenta C c. Sharing a single amniotic sac D d. Past history of vaginal delivery complicated by postpartum hemorrhage

Which of the following condition carries a significant risk of having a baby with Erbs palsy following vaginal delivery

A a. Pre-eclamptic mother with growth restricted fetus B b. Cardiac mother with a preterm delivery C c. Diabetic mother with uncontrolled blood sugar D d. Epileptic mother suffering folic acid deficiency due to her anticonvulsant therapy

Which of the following is 1" line treatment in the management of hyperemesis gravidarum

A a. Glucocorticoids B b . Enteral nutrition C c. H2 blockers D d. Intravenous hydration

A currently pregnant woman with five living children and one further set of twins. She had previous one miscarriage at 10 weeks and one ectopic pregnancy. She should be regarded as

A a. G9 P7+2 B b. G8 P6+2 G9 P6+2 C c. G9 P6 + 2 D d. G10 P7+2

A pelvis with a rounded inlet, straight sidewalls, non projecting ischial spines and wide subpubic angle is described as

A a. Android pelvis B b. Gynecoid pelvis C c. Anthropoid pelvis D d. Platypelloid pelvis

The mechanism of normal labor is characterized by all of the following EXCEPT

A a. Descent is continuous throughout the mechanism of both first and second stages B b. The head engages with its biparietal diameter in the oblique diameter of the pelvis C c. Increased flexion occurs when the head meets the pelvic floor D d. External rotation occurs in the opposite direction of restitution

The following are risk factors for preterm labour EXCEPT

A a. Prior preterm labour B b. Multiple gestation C c. Transvaginal cervical cerclage D d. unicornuate uterus

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