Obstetrics & Gynecology 23

1. Question

These conditions are always an indication for C-section. Which one of these is an absolute indication for CS?

Twin pregnancy
Breech presentation
Severe PET
Minor degree placenta previa
IUGR

2. Question

The most serious complication of preterm premature rupture of membrane (PPROM) at 28 weeks:

Fetal compression anomaly.
Pulmonary hypoplasia.
Intrauterineinfection
Limb contraction
Abruptio placenta

3. Question

All of these drugs can be used as tocolytic to stop labor, EXCEPT:

Salbutamol ventolin
Methotrexate
Calcium channel blocker
Indomethacin non steroidal anti inflammatory drugs Retodrine (agonist)

4. Question

One of the following is an absolute indication for C-section:

Grade IV placenta previa.
Abruptio placenta
Cervical cerculage
Breech presentation
Twins pregnancy

5. Question

The following are obstetrics causes for premature labor EXCEPT :

Multiple pregnancy
Multiparity
Premature preterm rupture of the membrane
Cervical incompetence
Uterine congenital anomalies

6. Question

The following are known contraindications to the usage of Tocolysis in pregnancy EXCEPT:

Cardiac disease.
Severe hypertension
Clinical chorioamnionitis
Intrauterine death
Thyroid disease

7. Question

Pre-requisite for instrumental delivery include all of the following EXCEPT:

Cervix fully dilated.
Ruptured membranes
Fetal head engaged
Fetal head at -2 station
Empty catheterized bladder

8. Question

In the diagnosis of premature rupture of the membrane, all of the following are true EXCEPT:

History of fluid loss per vagina
Visualization of amniotic fluid in the vagina by sterile speculum
Positive Nitrazine test
Positive fern test
Positive methyline blue test

9. Question

Dexamethasone is indicated in which of the following condition :

Premature labor to prevent neonatal respiratory distress syndrome
Ectopic pregnancy to enhance fetal lung maturity
Spontaneous rupture of membrane at 39 week
At 38 weeks severe abruption placenta
Threatened abortion

10. Question

Obstructed labor:

Diagnosed only when the cervix is fully dilated.
Usually predicted before the onset of labor.
More common in developed countries.
Mento-posterior position could be a cause.
X-ray pelvimetry is essential to predict cephalo-pelvic disproportion in a primigravida.

11. Question

A newborn is noted to have a darkened swelling of the scalp that does not cross the midline. This is most likely a:

Caput succedaneum.
Subdural hemorrhage.
Cephalohematoma
Subarachnoid hemorrhage
Tentorial tear

12. Question

Rupture of membranes is suspected with all of the followings EXCEPT:

Positive Nitrazine test.
Positive Fern test
Pooling of amniotic fluid on speculum examination
Observing amniotic fluid drain through the cervix during speculum examination.
Contractions seen on the CTG

13. Question

Complication of pregnancy that predispose to preterm labor includes all the
following EXCEPT :

polyhydramnios
Urinary tract infection
25 years old primigravida
Premature rupture of membranes
Multiple pregnancy

14. Question

Prerequisites for instrumental delivery include all the followings EXCEPT:

Cephalic presentation.
Engaged head.
Full dilation of the cervix.
Rupture of membranes.
The presence of epidural analgesia.

15. Question

Which of the following anesthetic technique will produce the greatest uterine relaxation?

Spinal block
Caudal
Nitrous oxide
Halothane
Paracervical

16. Question

All the followings are causes of preterm labor EXCEPT:

Multiparity.
Placenta previa
Polyhydramnios
None of The Above

17. Question

A pregnant woman with Active vulval herpes infection, How would you manage her?

Give acyclovir & then deliver
Deliver & give the baby prophylactic acyclovir
C/S
None of the Above

18. Question

Vacuum extraction (ventouse):

Causes more maternal birth canal injuries than the forceps.
Can be used when the cervix is 7 cm dilated.
Can be applied when the vertex is minus 2 station.
Can cause Cephalohematoma to the baby.
Can be used in face presentation.

19. Question

What is the most common cause of anesthetic death in obstetrics :

Failed intubation.
Hemorrhage
Stroke
Reaction to medication
Aspiration pneumonitis

20. Question

The following are known causes of preterm labor EXCEPT:

Maternal hypoxia
Intrauterine fetal death
Polyhydramnios
Multiple pregnancy
Cervical incompetence

21. Question

These conditions are always an indication for caesarean section. Which one of these is an absolute indication for C/S :

Twin pregnancy
Breech presentation
Severe PET
Major degree placenta previa
IUGR

22. Question

Epidural nerve block in labor:

Involves the injection of an anesthetic agent into the subarachnoid space.
Causes transient hypertension.
Increases the rate of forceps delivery.
Increases the length of the 1St stage of labor
Is contraindicated if the patient is on anti-coagulants.

23. Question

Early signs of premature labor include all of following EXCEPT:

Increased vaginal discharge
Increased uterine contraction
Low back pain
Cervical dilatation to 4 cm
Worsening pelvic pressure

24. Question

Advantage of lower segment caesarean section over the classic incision includes:

Ease of repair
Decreases blood loss
Lower probability of subsequent uterine rupture
Decreases danger of intestinal obstruction
All of the above

25. Question

Which of the following anesthetic technique will produce the greatest uterine relaxation?

Spinal block
Caudal
Nitrous oxide
Halothane
Paracervical

26. Question

Rupture of membranes is suspected with all the following, EXCEPT :

+ve nitrazine test
+ve fern test
Pooling of amniotic fluid on speculum examination.
Contraction seen on the CTG
Observing amniotic fluid draining through the cervix during speculum examination.

27. Question

Indication for cesarean section include all of the following EXCEPT:

Previous caesarean section
Failed forceps delivery
Cervical cerculage.
Cord prolapsed
Primigravida

28. Question

Most common cause of anesthesia death in pregnancy:

Aspiration pneumonia
Medication reaction
Stroke
Hemorrhage

29. Question

In cases of premature rupture of membrane, all the following is acceptable in conservative management, EXCEPT:

Serial CBC to diagnose rising WBC.
Closed monitoring of maternal vital signs.
Frequent vaginal examination to asses cervical dilation.
US to asses fetal weight and the amount of liquor.
Monitoring of fetus by doing cardiogram.

30. Question

Pre-requisite for a forceps delivery include all of the following EXCEPT :

A complete dilated cervix
An empty bladder
The vertex in the occipito-anterior position
Ruptured membrane
The known position of the vertex

31. Question

The following are absolute indication for C-section EXCEPT:

Face presentation.
Shoulder presentation
Cervical cancer.
Fibroids in the lower uterine segment.
Previous classical C-section.

32. Question

In cases with premature rupture of membranes, all the following are acceptable in the conservative management except:

Frequent vaginal examination to assess cervical dilatation.
serial complete blood count to diagnose rising of WBC.
Close monitoring of maternal vital signs.
Ultrasound to assess fetal weight and amount of liquor.
Monitoring of the fetus by doing cardiotocogram.

33. Question

Which of the following neonatal morbidities is not related to forceps delivery?

Fractured skull
Sepsis
Nerve palsies
Cephalohematoma
Convulsion

34. Question

All of these drugs can be used as tocolytic to stop labor, EXCEPT:

Salbutamol ventolin
Diazepam (valium)
Calcium channel blocker
Indomethacin non steroidal anti inflammatory drugs
Ritodrine (β agonist)

35. Question

A premature birth has been defined as:

Before 37 completed weeks' gestation.
Prior to the period of viability.
Weighing less than 1000 g
Weighing more than 1000g but less than 2500g
None of the above

36. Question

Kjelland’s forceps :

May be used if the head is not engaged
Have no cephalic curve
Have knobs on the shank which point towards the sinciput
Have a sliding lock in the order to correct asynclitism
Can be used with axis traction

37. Question

In cases with premature rupture of membranes, all the following are acceptable in the conservative management except:

Frequent vaginal examination to assess cervical dilatation
serial complete blood count to diagnose rising of WBC
Close monitoring of maternal vital signs
Ultrasound to assess fetal weight and amount of liquor
Monitoring of the fetus by doing cardiotocogram

38. Question

Preterm labor is defined as labor which starts:

Before 24 weeks of gestation.
Before 37 completed weeks
Before the viability of the fetus
When the fetus weighing < 1000 gm
Prior to 40 weeks gestation

39. Question

An absolute indication foe an elective C-section is :

Previous CS
Antepartum hemorrhage
Twin pregnancy
Placenta previa totalis
Fetal distress

40. Question

Regarding Surfactant:

Is secreted by type I pneumocytes
Are glycoprotein.
After 38 weeks the ratio to sphingomyelins is 2:1.
Its secretion is suppressed by betamethzone.
Its deficiency leads to adult respiratory distress syndrome.

41. Question

Premature rupture of membrane is most strictly defined as rupture at any time prior to:

A stage of fetal viability
The 2ND stage of labor
The 32ND week of gestation
The onset of labor
The 38TH week of gestation

42. Question

Immediate complications of C-section include all the following, EXCEPT :

Complications of anesthesia
Bladder injury
Thromboembolism
Colon injury
Hemorrhage

43. Question

The following has a recognized relation with spontaneous preterm labor:

Fetus with anencephaly
Oligohydromnios
Maternal hypothyroidism
Bacterial Vaginosis
Transverse lie of the fetus

44. Question

Contraindications to tocolytic therapy includes the following EXCEPT:

Severe PET
Severe antepartum hemorrhage
IUGR
Chorioamnionitis
Preterm breech presentation

45. Question

Immediate complication of C/S include all except:

Bladder injury
Hemorrhage
Thromboembolism (also DM is not immediate)
Complication of anesthesia

46. Question

All the following are possible of premature labor, EXCEPT:

Multiple pregnancy
Polyhydramnios
Bicorrnuate utures
Anecephaly
Perinatel infection.

47. Question

Drugs used to inhibit preterm labor include:

Phenobarbitone
Prostaglandins
Cachannelinhibitors
Anticholinergic drugs
Dexamethasone

48. Question

All are contraindications to VBAC except:

Lower segment C-section
Classical C-Section.
Rupture uterine
None of the Above

49. Question

A positive nitrazine test is:

Strong evidence of rupture of the membranes.
Presumptive evidence of intact membranes.
An evidence of intact membranes.
Presumptive evidence of intact membranes.
None of the above.

50. Question

Premature rupture of membrane is :

Rupture of membranes before the onset of labor.
Rupture of membranes before fetal lung maturity
Rupture of membranes before term
Rupture of membranes before 28 weeks gestation
All the above.