Obstetrics and Gynecology MCQ I

Question 1 of 104

1. Question

With respect to HIV testing in pregnancy, which of the following is correct?

It should be compulsory.
It should follow adequate voluntary counseling.
Post-test counseling is not a requirement.
Only antigen tests are carried out.

Question 2 of 104

2. Question

In placenta previa which of the following is correct?

The placenta is in the anterior part of the fundus rather than the posterior part.
The patient may have mild vaginal bleeding at 36 weeks gestation.
Bimanual vaginal examination should be carried out to rule out concomitant cancer of the cervix.
The mother should not be allowed to have vaginal delivery.

Question 3 of 104

3. Question

Episiotomy: Which of the statements below is correct?

It is a routine procedure in the first stage of labor.
It should only be carried out at the end, rather than the beginning, of the second stage of labor.
It involves cutting the perineum.
It should not be carried out in a multipara

Question 4 of 104

4. Question

Abnormal vaginal discharge: Which of the statements below is incorrect?

It is muco-purulent or purulent.
It is whitish in color.
It is seen in endometritis.
It is a feature of vulvo-vaginitis.

Question 5 of 104

5. Question

Pelvic tumors include which of the following?

Helminthoma.
Ovarian cyst.
Meibomian cyst.
Bartholin cyst.

Question 6 of 104

6. Question

Fetal heart rate: Which of the statements below is correct?

It is a useful indicator of fetal well-being especially during labor.
Of 156 beats/min. it is alarmingly high.
It does not fluctuate in labor.
It is unreliable if Pinnard fetoscope is used.

Question 7 of 104

7. Question

For prevention of mother-to-child transmission of HIV which of the following is correct

HAART is recommended.
Early rupture of membranes is advocated.
Cesarean delivery is not required.
Breast-feeding is not a problem.

Question 8 of 104

8. Question

Which of the following statements about placenta previa is incorrect?

It is a cause of painless vaginal bleeding.
There is usually lower abdominal pain.
The patient may bleed to death.
The patient will need referral to a hospital if suspected in a health center.

Question 9 of 104

9. Question

Perineal tears: Which of the statements below is correct?

Involving perineal muscles, they are of the first degree.
They are very likely in a primigravida with inadequate pelvis.
They occur with a generous episiotomy.
They may cause recto-vaginal fistula.

Question 10 of 104

10. Question

Which of the following statements about pruritus vulvae is correct?

It is associated with trichomoniasis.
It does not affect quality of life of the patient.
It has minimal impact, if any, on sexual function in marriage.
Self esteem is the last thing to be adversely affected.

Question 11 of 104

11. Question

Uterine fibroid locations do not include which of the following?

The uterine fundus.
The fallopian tube.
The cornu of the uterus.
The ovary.

Question 12 of 104

12. Question

With rupture of the membranes, which of the following is correct?

Vaginal examination should not be carried out if the rupture was spontaneous.
Cervical dilatation is expected to progress faster.
The patient will definitely deliver vaginally.
Vaginal examination should be done quarter-hourly if the rupture was artificial

Question 13 of 104

13. Question

A pregnant woman is said to have a high risk factor if which of the following is noted?

A history of a spontaneous abortion previously.
First pregnancy at 35 years of age, 5 years after a complicated abdominal surgery.
She has two living children.
She is 28 years old and has had two children in the last six years.

Question 14 of 104

14. Question

In abruptio placentae, which of the following statements is correct?

Vaginal bleeding occurs before the twenty-sixth week of gestation.
The bleeding is painless.
The uterine fundal height may exceed what is expected for the gestational age.
The patient is unlikely to be a multipara.

Question 15 of 104

15. Question

Vacuum extraction: Which of the statements below is correct?

It uses the principle of positive pressure.
It should be done in breech presentation.
It can almost always be performed when the os is 7cm. dilated.
It is safer with than without episiotomy.

Question 16 of 104

16. Question

Which of the following statements is incorrect about ectopic pregnancy?

It is a sequela of previous pelvic inflammatory disease.
It is a cause of acute abdomen in females of child-bearing age.
When ruptured it may be treated with methotrexate before surgical intervention
It frequently presents as severe lower abdominal pain.

Question 17 of 104

17. Question

Uterine fibroids may present with which of the following?

A swelling in the epigastrium.
Frequency of micturition.
Profuse vaginal discharge.
Menorrhagia.

Question 18 of 104

18. Question

At pelvic assessment, which of the following findings is considered normal?

Readily palpable sacral promontory.
Prominent ischial spines bilaterally.
A subpubic angle that accepts the knuckles of four fingers.
A relatively straight sacrum.

Question 19 of 104

19. Question

Which of the following patients should be referred to the doctor if they attend medical facilities where midwives run the ante-natal clinic?

Patients with booking hemoglobin concentration of 11.5g/dL.
Tall patients with fundal height commensurate with the last menstrual period.
Patients with previous emergency cesarean section carried out in another medical facility.
Patients with a history of spotting per vaginam in the first trimester of the last pregnancy.

Question 20 of 104

20. Question

In abruptio placentae, which of the following is correct

Coagulation failure may result.
The uterus is non-tender.
The placenta is usually intact.
The doctor should wait for a repeat episode to ascertain the diagnosis.

Question 21 of 104

21. Question

Which of the following statements about forceps delivery is correct?

It is used for transverse lie.
Wrigley’s forceps is used when the head is in the mid-cavity.
It does not require maternal assistance in the form of uterine, abdominal or pelvic muscle contraction.
Episiotomy is of no value.

Question 22 of 104

22. Question

Hydatidiform mole: Which of the statements below is correct?

It is a variant of normal pregnancy.
It does not produce symptoms of pregnancy in early stages.
It is a cause of early pre-eclampsia.
It is synonymous with chorio-carcinoma.

Question 23 of 104

23. Question

Complications of uterine fibroids do not include which of the following?

Infection.
Red degeneration.
Torsion of submucous fibroid.
Frequent abortions.

Question 24 of 104

24. Question

Which of the following is correct regarding dysfunctional uterine bleeding?

Bleeding is irregular.
The patient cannot be anemic.
Infection and trauma are likely causes.
Estrogen is used for treatment

Question 25 of 104

25. Question

With regards to measurements in obstetrics which of the following is correct?

Transverse diameter of the pelvic brim is 11.0cm.
Antero-posterior diameter of the pelvic mid-cavity is 12cm.
The antero-posterior diameter of the pelvic cavity is wider than the transverse diameter.
The transverse diameter of the pelvic outlet is 10.0cm.

Question 26 of 104

26. Question

Which of the following statements is true of tetanus toxoid?

It is synonymous with anti-tetanus serum.
It gives passive immunity.
A single booster dose gives adequate protection to a previously vaccinated pregnant woman whose last confinement was ten months earlier.
It is given subcutaneously

Question 27 of 104

27. Question

Two patients are referred from a health center with the diagnosis of prolonged labor. Which of the following findings does not support the diagnosis?

Suturing of laceration of the cervix after the previous delivery.
History of death of their previous babies within four days after vaginal delivery.
Sacral promontory readily palpated in one of the patients.
Apgar score of 8 at 1 minute for the baby of one of the women.

Question 28 of 104

28. Question

In cord prolapse: Which of the statements below is correct?

The membranes are intact.
The pregnancy is unlikely to be term.
There is fetal bradycardia during contractions
Diagnosis cannot be made without digital vaginal examination.

Question 29 of 104

29. Question

Cervical erosion: Which of the statements below is correct?

It is common in post-menopausal women.
It does not manifest with post-coital bleeding.
It is uncommon in pregnancy.
It may be treated by electrocautery.

Question 30 of 104

30. Question

Which of the following statements about carcinoma of the cervix is incorrect?

It manifests as post-menopausal vaginal bleeding.
Profuse purulent vaginal discharge rules out the diagnosis.
Weight loss is a feature.
The rectum may be infiltrated.

Question 31 of 104

31. Question

Abortion may not be precipitated by which of the following?

Uterine fibroids.
Malaria.
Incompetence of the cervix.
Vigorous sexual intercourse 10 days after onset of last menses.

Question 32 of 104

32. Question

Which of the following is true of the presenting diameters of the fetal skull during labor?

Face, 11.0cm.
Brow, 12.0cm.
Flexed vertex, 8.5cm.
Brow is the most unfavorable diameter.

Question 33 of 104

33. Question

During pregnancy which of the following statements is correct?

Intermittent preventive treatment (IPT) of malaria is required.
Malaria is usually very mild, requiring no treatment.
Abortion is a rare result of malaria.
Anemia does not result from malaria in malaria endemic areas.

Question 34 of 104

34. Question

In women with borderline pelvis undergoing trial of labor, which of the following findings is not a pointer to choice of cesarean delivery?

Weak uterine contractions in a primigravida after strong uterine contractions.
Fetal heart rate persistently exceeding 160/minute.
Cervical os dilating from 4cm to 7cm in two hours.
A vertex presentation which changes to brow.

Question 35 of 104

35. Question

Manual removal of the placenta: Which of the statements below is correct?

It should be carried out 10min. after the second stage of labor.
It should be preceded by insertion of an intravenous line in the patient.
It involves introducing the gloved hand into the uterus repeatedly.
It may end in emergency cesarean section.

Question 36 of 104

36. Question

Which of the following statements about gonorrhea is correct?

The causative organism can grow both intracellularly and extracellularly.
Arthritis is not a complication.
There is urinary frequency but no dysuria.
The causative organism is a diplococcus.

Question 37 of 104

37. Question

Ovarian tumors: Which of the statements below is correct?

They do not occur in teenagers.
They do not coexist with pregnancy
When malignant, they are usually associated with ascites and weight loss.
They may contain hair and teeth.

Question 38 of 104

38. Question

Ectopic pregnancy: Which of the statements below is correct?

It usually occurs in the cervix.
It may result in tubal abortion.
When ruptured, it is no emergency.
It usually ruptures after 12 weeks gestation.

Question 39 of 104

39. Question

Which of the following constitutes a high risk factor in obstetrics?

Maternal height of 165cm.
Booking blood pressure of 90/60mmHg.
First pregnancy at age 13 years.
First pregnancy at age 25 years.

Question 40 of 104

40. Question

Which of the following is not associated with untreated severe anemia in pregnancy?

Pre-term labor.
Post-partum hemorrhage.
Cardiac failure.
Eclampsia.

Question 41 of 104

41. Question

In face presentation which of the following is correct?

Diagnosis is usually made during pelvic assessment at 36 weeks gestation.
The presentation is favorable.
When the baby is delivered the lips may be edematous.
Vaginal examination should be carried out frequently in labor.

Question 42 of 104

42. Question

Primary post-partum hemorrhage is not associated with which of the following?

Hyperplacentosis.
Retained products of conception.
Subserosal uterine fibroids.
Grand-multiparity.

Question 43 of 104

43. Question

Which of the following statements about gonorrhea is correct?

A knowledge and use of the appropriate antibiotics by the patient ensure effective treatment.
The incubation period in males is longer that in females.
The gonococcus readily penetrates normal squamous epithelium.
It may result in urethral stricture in the male sexual partner.

Question 44 of 104

44. Question

Infertility: Which of the statements below is correct?

Arising from male factor, it is unusual.
It is an established sequela of pelvic inflammatory disease.
It is unlikely in a woman who has had three children.
It is an unusual consequence of tuberculosis and diabetes mellitus.

Question 45 of 104

45. Question

Bartholinitis: Which of the statements below is incorrect?

It is caused by Escherichia coli and Trichomonas vaginalis.
It affects glands in the mid vagina.
It may lead to Bartholin’s abscess.
When chronic, it may progress to form Bartholin’s cyst.

Question 46 of 104

46. Question

Which of the following is not a source of prostaglandins?

Skeletal muscle.
Liver.
Seminal vesicles.
Adrenals

Question 47 of 104

47. Question

In normal labor which of the following is correct?

Onset is spontaneous at 35 weeks.
Fetal presentation is either vertex or breech.
The patient may have episiotomy.
Maternal blood loss during the childbirth may be up to 800ml.

Question 48 of 104

48. Question

In secondary uterine inertia which of the following statements is incorrect?

Uterine contractions are weak from the beginning of labor.
There is fatigue of the myometrium.
There is acetone in the urine in severe cases.
Oxytocin drip may be risky.

Question 49 of 104

49. Question

Secondary post-partum hemorrhage: Which of the statements below is correct?

It does not occur after three days post-delivery.
It is associated with foul-smelling lochia.
It is associated with high fever.
It does not respond satisfactorily to oxytocin.

Question 50 of 104

50. Question

Which of the following statements about syphilis is incorrect?

It is commoner than gonorrhea.
It is caused by Treponema pallidum.
The causative organism is related to the spirochete causing yaws.
The causative organism can penetrate intact mucous membranes.

Question 51 of 104

51. Question

Amenorrhea, when physiological, is seen is which of the following?

Pregnancy.
Hypothalamic injury.
Severe stenosis of the endocervical canal.
Asherman’s syndrome.

Question 52 of 104

52. Question

Menopause: Which of the statements below is correct?

It usually occurs at age 40 years.
Related vaginal dryness is treatable with clotrimazole vaginal cream.
It is diagnosed after one year of cessation of menstruation.
It has a direct relationship with the number of previous miscarriages.

Question 53 of 104

53. Question

Ergometrine: Which of the statements below is correct?

It acts on the uterus causing rhythmic contractions.
It is used to prevent post-partum hemorrhage.
It is used to augment labor.
It is used to treat migraine.

Question 54 of 104

54. Question

The first stage of labor is characterized by which of the following?

Uterine contractions which are initially painless.
A minimum duration of 18 hours.
A longer duration in multigravidae than in primigravidae.
Spontaneous rupture of the membranes.

Question 55 of 104

55. Question

Obstructed labor: Which of the statements below is correct?

It rarely occurs in primigravidae.
In primigravidae it usually ends in rupture of the uterus.
In grand-multiparae it rarely leads to ruptured uterus.
When it occurs in a medical facility, it may indicate poor monitoring of labor.

Question 56 of 104

56. Question

Breast engorgement: Which of the statements below is incorrect?

It causes breast tenderness.
It can be prevented by proper breast care.
It may progress to breast abscess.
It precludes the baby sucking the unaffected breast.

Question 57 of 104

57. Question

With respect to syphilis which of the following statements is correct?

The incubation period may be up to 10 weeks.
It usually presents as multiple labial ulcers.
A typical ulcer is very painful.
The patient may have multiple tender inguinal lymph nodes.

Question 58 of 104

58. Question

Which of the following is not a cause amenorrhea?

Sheehan’s syndrome.
Severe encephalitis.
Reserpine.
Acetaminophen.

Question 59 of 104

59. Question

Galactorrhea: Which of the statements below is correct?

It occurs in women only.
It does not coexist with amenorrhea
It occurs in hypothalamo-hypophyseal axis dysfunction.
It is a feature of hypoprolactinemia.

Question 60 of 104

60. Question

During pregnancy which of the following statements about the cervix is correct?

It is reddish because of congestion with blood.
It becomes a transverse slit at the os in a primigravida.
It appears reddish and granular in cases of cervical erosion.
It should be palpated if there is a history of drainage of liquor amnii.

Question 61 of 104

61. Question

Which of the following is not a feature of the second stage of labor?

It may last up to one hour.
9cm dilatation of the cervix.
Crowning.
Birth of the baby

Question 62 of 104

62. Question

Which of the following statements about maternal distress is incorrect?

It is an indication for operative delivery.
The patient may be weak and require resuscitation.
Rehydration must at least be commenced before delivery.
It has no relationship with delayed second stage of labor.

Question 63 of 104

63. Question

Puerperal endometritis is an unlikely association with which of the following?

To result from obstructed labor.
To progress to septicemia.
To respond to antibiotic therapy.
To complicate a normal delivery.

Question 64 of 104

64. Question

Chancroid: Which of the statements below is correct?

It may be asymptomatic in females.
It is usually prevented by the use of condoms.
It causes a painless ulcer in males.
It can be treated effectively with amoxicillin.

Question 65 of 104

65. Question

Uterine causes of amenorrhea include which of the following?

Hysterectomy.
Sheehan’s syndrome.
Stein-Leventhal syndrome.
Granulosa and thecal cell tumors.

Question 66 of 104

66. Question

Clomiphene: Which of the statements below is correct?

It causes release of gonadotropins.
It stimulates ovulation in Sheehan’s syndrome.
It may be used in patients with impaired liver function.
Its absorption is not satisfactory after an oral dose.

Question 67 of 104

67. Question

Which of the following is abnormal in the first trimester of pregnancy?

Nausea.
Tingling sensation in the breasts.
Excessive vomiting with dehydration.
Weakness.

Question 68 of 104

68. Question

In the third stage of labor which of the following is correct?

The baby and the placenta are delivered.
Controlled cord traction is an acceptable technique.
Delivery of the placenta should not exceed two hour.
There is no danger to the patient.

Question 69 of 104

69. Question

Which of the following statements about fetal distress is incorrect?

It is a known result of umbilical cord going round the baby’s neck twice.
It can be detected early by monitoring the fetal heart rate.
It can be caused by severe maternal malaria in the second trimester, not at term.
It may lead to cerebral palsy.

Question 70 of 104

70. Question

Vesico-vaginal fistula: Which of the statements below is correct?

Obstructed labor is a recognized complication.
Prevention is difficult.
Fecal incontinence is psychologically traumatic.
Subsequent deliveries should usually end by cesarean section.

Question 71 of 104

71. Question

Pelvic inflammatory disease: Which of the statements below is correct?

It is a lower genital tract infection.
It does not involve salpingitis.
It may be caused by Escherichia coli.
It may rarely be caused by bacterioides.

Question 72 of 104

72. Question

Which of the following statements about abortion is incorrect?

When threatened, there is slight bleeding.
When threatened, the patient is not expected to benefit from bed rest.
When the os is closed it is unlikely to be due to inevitable abortion.
In missed abortion the uterine fundal height is smaller than the gestational age.

Question 73 of 104

73. Question

Dysmenorrhea: Which of the statements below is incorrect?

It may be accompanied by nausea and vomiting.
When secondary, it is due to pelvic pathology.
When primary, it is commoner in young women.
It is not expected with the use of the intrauterine contraceptive devic

Question 74 of 104

74. Question

Pregnancy test, using a urine sample, can be used to diagnose pregnancy at which of the following times?

Two weeks after the last menstrual period.
Two weeks after the missed period.
Three weeks after the last menstrual period.
One week after conception.

Question 75 of 104

75. Question

Which of the following is not a feature of a normal puerperium?

The fundal height of 20 weeks on the day of delivery.
Lochia which is initially red.
Full establishment of lactation.
Subinvolution of the uterus.

Question 76 of 104

76. Question

Which of the following is not a sign of fetal distress?

Exaggerated fetal movements.
Fetal heart rate of 172/min.
Light meconium staining of liquor amnii in breech presentation.
Thick meconium staining of liquor amnii in vertex presentation.

Question 77 of 104

77. Question

External cephalic version: Which of the statements below is correct?

It may be carried out before the onset of labor.
It may be complicated by umbilical cord entanglement.
It should be carried out before elective cesarean section.
It is indicated in cases of breech presentation and placenta previa.

Question 78 of 104

78. Question

Pelvic inflammatory disease can predictably result from which of the following?

An infected intrauterine contraceptive device.
Choledochal cyst
Hepatitis.
Duodenal ulcer.

Question 79 of 104

79. Question

Which of the following is expected after abdominal total hysterectomy?

Amenorrhea.
Cryptomenorrhea.
Anovulation
Inability to have sexual intercourse.

Question 80 of 104

80. Question

Which of the following is not a usual “passenger” complication of breech delivery?

Adrenal gland injury.
Erb’s palsy.
Arrest of the after-coming head.
Fracture of the femur.

Question 81 of 104

81. Question

Documenting which of the following information during the patient’s first ante-natal visit is not essential?

Last menstrual period.
Height.
Mid-arm circumference.
Parity

Question 82 of 104

82. Question

Which of the following is an indicator for not inducing labor?

Pre-eclampsia.
Diabetes mellitus.
Post-maturity.
Central placenta previa.

Question 83 of 104

83. Question

Pre-term labor may result from which of the following

Malaria any time in pregnancy.
Large fetus.
PCV of 20% uncorrected by the third trimester.
Maternal blood pressure of 170/120mmHg. at the 38th week of pregnancy.

Question 84 of 104

84. Question

Eclampsia: Which of the statements below is correct?

It is associated primarily with severe anemia.
It is characterized by unconsciousness and fits.
It is not a known result of undiagnosed pre-eclampsia.
It is not a risk after delivery.

Question 85 of 104

85. Question

Chronic pelvic inflammatory disease: Which of the statements below is correct?

It is a known cause of secondary amenorrhea.
It does not cause dyspareunia.
It is not associated with infertility.
It is an unusual cause of marital discord.

Question 86 of 104

86. Question

Vaginal hysterectomy: Which of the statements below is incorrect?

It may be carried out in a uterus that is the size of an 8-week pregnancy.
It requires a lot of skill.
It should not be carried out at the same time as anterior colporrhaphy.
It is dangerous when uterine mobility is reduced by pelvic adhesions.

Question 87 of 104

87. Question

Which of the following should be checked at a routine follow-up ante-natal visit?

Maternal height.
Maternal blood pressure.
Fetal respiratory rate.
Fetal weight.

Question 88 of 104

88. Question

Which of the following conditions is a justification for refraining from using oxytocin drip?

First pregnancy.
History of two previous cesarean sections.
Suspicion or confirmation of large baby.
Maternal short stature.

Question 89 of 104

89. Question

Which of the following is correct regarding pre-term labor?

The pregnancy is up to 39 weeks.
Delivery may be precipitate.
There is no need for episiotomy.
Diazepam should be given intravenously when the cervical os is 10cm. dilated.

Question 90 of 104

90. Question

Management of an eclamptic patient involves which of the following?

Frequent administration of glucose drinks.
Administration of magnesium sulfate but the results are unsatisfactory.
Use of thiopentone sodium intramuscularly.
Applying the principles of management of the unconscious patient.

Question 91 of 104

91. Question

Trichomoniasis: Which of the statements below is correct?

It is caused by a bacterium.
It is usually an upper genital tract infection.
It causes vaginal discharge without pruritus vulvae.
It is diagnosed microscopically by demonstrating a flagellated organism.

Question 92 of 104

92. Question

Abdominal hysterectomy: Which of the statements below is incorrect?

It is justifiable in a 40-year-old woman with symptomatic multiple uterine fibroids.
It should be avoided in a 23-year-old woman with three palpable subserous fibroids confirmed by pelvic ultrasound scan.
It poses danger of damage to the ureters.
It should include bilateral oophorectomy in a pre-menopausal woman.

Question 93 of 104

93. Question

Which of the following is a pointer to problems during pregnancy?

Blood pressure of 90/60mmHg at three consecutive ante-natal visits.
A finding of more than trace amounts of protein in urine associated with a rising maternal blood pressure.
Increased maternal appetite.
Pitting pedal edema at 32 weeks gestation.

Question 94 of 104

94. Question

Artificial rupture of the membranes: Which of the statements below is correct?

It is medical augmentation of labor.
It should be carried out when the cervical os is 2cm dilated.
It is performed when the membranes are not bulging, in-between contractions
It should be withheld in cases of profuse vaginal discharge requiring treatment before onset of labor.

Question 95 of 104

95. Question

Rupture of the uterus is unlikely in which of the following?

In primigravidae.
In a uterus at term with three previous cesarean sections.
In grandmultiparae.
Following the use of oxytocin to induce labor.

Question 96 of 104

96. Question

Cesarean section: Which of the statements below is correct?

As an emergency it is the preferred mode of child delivery for contracted pelvis.
For fetal distress in a previous pregnancy it is an indication for a repeat.
It should be elective in a woman with three previous cesarean sections.
Once carried out, it should always be repeated for future child deliveries.

Question 97 of 104

97. Question

Moniliasis: Which of the statements below is correct?

It is caused by Candida albicans.
It is rare in pregnancy.
It is almost always transmitted sexually.
It is effectively treated with amoxicillin.

Question 98 of 104

98. Question

Normal vaginal discharge: Which of the statements below is correct?

It leaves a yellowish-brown stain on the underwear
It is reduced before menstruation and at ovulation.
It may be offensive in odor.
It is accompanied by pruritus of the vulva and vagina.

Question 99 of 104

99. Question

During ante-natal visits, which of the following statements is correct?

The patient’s heart should not be auscultated.
A problem not directly related to pregnancy should not be attended to.
Vaginal discharge should not be investigated as it is a normal finding.
The anxious primigravida should be reassured and her questions answered.

Question 100 of 104

100. Question

Incidental causes of ante-partum hemorrhage do not include which of the following?

Cervical erosion.
Carcinoma of the cervix.
Abruptio placentae.
Severe cervicitis.

Question 101 of 104

101. Question

Which of the following is correct in uterine rupture?

The baby is usually alive.
Vaginal delivery should be expedited when fetal heart sounds are heard.
With absent fetal heart sounds there is no urgency for surgical intervention.
Surgical repair and bilateral tubal ligation are appropriate treatment.

Question 102 of 104

102. Question

Hydatidiform mole may not be complicated by which of the following?

Excessive vaginal bleeding.
Perforation of the uterus.
Seizures.
Infection.

Question 103 of 104

103. Question

Predisposing factors in moniliasis do not include which of the following?

Reduced immunity.
Pregnancy.
High vaginal pH.
Diabetes mellitus.

Question 104 of 104

104. Question

During cesarean section, which of the following statements is correct?

A Pfannenstiel incision usually causes a bloody field unless blood vessels are ligated adequately.
There is danger of cutting the inferior epigastric vessels with a longitudinal midline subumbilical incision.
A full bladder is desirable as it helps with identification of the uterus.
A transverse incision into the lower uterine segment should not be made in a primigravida.