Obstetrics & Gynecology 24

1. Question

In prenatal infection

Rubella can be prevented by administration of rubella vaccine during pregnancy
Toxoplasma is a virus
HIV virus infect the baby more readily when delivered vaginally than caesarean section
Cytomegalovirus causes macrosomic babies
In HIV patient breast-feeding is encouraged

2. Question

The definition of intrauterine growth restriction (IUGR):

Infant with birth weight below 10th percentile for a give gestation age
Infant with birth weight below 25th percentile for a given gestation age
Infant with birth weight of 2.8 kg
Infant with birth weight below 50th percentile for a given gestation age
Infant born at 30 weeks of gestation with a weight of 2.3 kg

3. Question

The most common reason for postdate pregnancy is:

Inaccurate gestational age.
Fetal anencephaly.
Oligohydramnios.
IUGR.
Advanced maternal age.

4. Question

Breech presentation: Which is true?

Constitutes 10% of all term deliveries
Common in post term labor
Vacuum extraction can be used when cervix is fully dilated
Forceps can be used for after coming head
External cephalic version is best performed between 32-34 weeks gestation.

5. Question

Transplacental infection occur with all, EXCEPT:

Cytomegalovirus.
Toxoplasma
Rubella
Syphilis
Gonorrhea

6. Question

Maternal causes for intrauterine growth restriction may one of these EXCEPT:

Hypertensive diseases with pregnancy
Chronic renal diseases with pregnancy
Smoking and alcoholism
Cyanotic heart disease
Rheumatic mitral stenosis

7. Question

Which of the followings is an indication for induction of labor?

Placenta brevia
Postterm gestation.
Cord presentation
Prior classical cesarean section
Active genital herpes

8. Question

Which of the following is contraindication for delivery using vacuum extraction?

Face presentation
Second twins in vertex presentation
post term pregnancy
Occipito transverse position
Chorioamnionitis

9. Question

In HIV infection which of the following is CORRECT ?

It is DNA virus
Virus can be isolated from saliva
Breast feeding increase transmission to the baby
Caesarean section increase transmission of infection to the baby
Negative HIV antibodies guarantees absence of infection

10. Question

Risk factors for shoulder dystocia include all the followings EXCEPT:

Maternal obesity
Macrosomia.
Maternal diabetes.
Prolonged second stage of labor.
IUGR

11. Question

In postterm pregnancy all the followings are true EXCEPT:

Associated with meconium stained liquor.
The fetus has long nails.
May results in oligohydraminos
Not associated with respiratory distress syndrome.
It is a gestational age beyond 43 weeks.

12. Question

The following may be indicative of chorioamnionitis EXCEPT:

Maternal pyrexia
Maternal tachycardia
Tender uterus
Fetal bradycardia
Increased white-cell count in the mother

13. Question

Causes of IUGR include all the followings EXCEPT:

Constitutional small mother.
Fetal urinary tract anomalies
Premature rupture of membranes
Placental insufficiency

14. Question

Indications for induction of labor include all the following EXCEPT :

Prolonged pregnancy
Severe pre-eclampsia
IUGR
Previous 3 LSCS ( lower segment c/s)
Prolonged rupture of membranes without labor

15. Question

In Toxoplasmosis infection, all are true EXCEPT:

Hepatosplenomegaly
Jaundice
Retenitis
None of the Above

16. Question

The most accurate method for diagnosis of IUFD :

No fetal movement by the mother
Decrease in symptoms & signs of pregnancy
Recurrent bleeding per vagina
Absence of fetal heart sound by Doppler
Absence of fetal heart by real time UUS movement

17. Question

Risks and complications of induction of labor include all the following, EXCEPT :

Failed induction.
Atonic postpartum hemorrhage.
Uterine hyperstimulation leading to fetal hypoxia.
Prostaglandin may cause hypothermia due to its direct effect on thermo regularity centers in the brain.
Ruptured uterus in grand multipara of patients with previous C-section.

18. 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

19. Question

The following are causes for a uterus that is large for gestation during pregnancy, EXCEPT :

Multiple pregnancy
IUGR
Fibroid
Polyhydramnios
Incorrect dating of pregnancy

20. Question

Risk and complications of induction of labor include all of the following EXCEPT:

Failed induction
Atonic PPH
Uterine hyperstimulation leading to fetal hypoxia
Prostaglandin may cause hypothermia due to its direct effect on thermo regulatory centers in the brain
Rupture uterus in grandmultipara of patients with previous CS

21. Question

Rubella’s eye manifestation on the newborn is mainly:

Cataract.
Microcephaly
Retinopathy
None of the Above

22. Question

Causes of IUGR include all the followings EXCEPT:

Constitutional small mother
Fetal urinary tract anomalies
Premature rupture of membranes
Placental insufficiency

23. Question

Which of the following has NOT been shown to stimulate (induce) labor:

Amniotomy.
Prostaglandins.
Enemas.
Breast stimulation
Overeating.

24. Question

Genital tract Candida occurs more frequent in all these patients EXCEPT :

Diabetic
On long term antibiotic therapy
Thyrotoxicosis
On oral contraceptive pills
Pregnant

25. Question

The most serious maternal complication of IUFD:

Acute amnionitis
Acute psychosis
Pelvic thrombophlebitis
Hypofibrinogenemia
Infertility

26. Question

Regarding induction of labor all statements are false, EXCEPT:

Chance of success is not dependent on the cervical bishop score.
Is indicated in patient with mitral stenosis.
Vaginal prostaglandin pessaries reduce the induction of delivery interval.
In indicated at 40 weeks gestation.
All diabetic women should be induced at 38 weeks of gestation.

27. Question

Regarding Rubella immunization :

Rubella negative patients should be vaccinated during pregnancy
Rubella vaccine is a Toxoid
The majority of pregnant patients are rubella non immune
Breast feeding should be inhibited if vaccine is given postnatally
Pregnancy should be avoided for 3 months after vaccination

28. Question

IUGR may occur in all of the following EXCEPT:

Pre-eclampsia
Congenital anomaly
Gestational diabetes mellitus.
Sickle cell anemia
Maternal smoking

29. Question

Actions of Oxytocin include:

Anti-diuretic activity.
Production of transient hypertension.
Increase in uterine muscle contractility.
Activation of myoepithelial cells of the breast.
All of the above

30. Question

Regarding Rubella vaccination, choose the correct ANSWER:

It's a live attenuated virus.
Should be given in pregnancy in non-immune mother.
Should be given to all pregnant mothers in the 1st antenatal visit.
Pregnancy should be avoided for one year after the vaccination.
It's a toxoid

31. Question

In cases of IUFD:

A cause can be indentified in most cases
Immediate delivery is indicated.
More common with good antenatal care
Fetal chromosome should not be done.
Careful examination of the newborn is important.

32. Question

What is the 1/2 life of Oxytocin:

< 1 min.
3 min.
10 – 15 min.
20 – 30 min

33. Question

The following are characteristic findings in neonatal rubella infection, EXCEPT :

Deafness
Spina bifida
Congenital heart disease
Cataracts

34. Question

If IUGR is encountered:

Immediate delivery is indicated.
C-section is the only way in those cases
Steroids should not be administrated in causes post maturity.
Congenital anomalies should be ruled out.
Perinatal mortality/morbidity is unaffected

35. Question

Amnio-hook (artificial ROM) may cause all except:

Amniotic fluid embolus
IUGR
Abruptio placenta
Fetal distress
Cord prolapse

36. Question

The following maternal infections may cross the placenta:

Herpes genitals
Parvovirus B19
Toxoplasmosis
Chicken pox
Cytomegalovirus

37. Question

The commonest cause of IUFD is :

True knots in the cord.
Gestational diabetes mellitus.
Unexplained.
Infections.
Complete placental abruption.

38. Question

Complications of artificial rupture of membranes include all the following, EXCEPT :

Abruptio placenta.
Amniotic fluid embolism.
Fetal distress.
Meconium aspiration.
Cord prolapse

39. Question

Which of the following is the predominant bacteria in vagina during pregnancy:

Peptostreptococci.
Listeria monocytogenes
Lactobacilli
Streptococcus agalatia

40. Question

The most common chromosomal abnormality in the abortuses is:

Blanced translocation.
Unblanced translocstion
Triploidy
Trisomy
Turner (45 XO)

41. Question

A contraindication to the use of Oxytocin for stimulating labor at term is:

Dead fetus.
Hypertonic uterine dysfunction.
Hypotonic uterine dysfunction.
Twin gestation.
Prior history of LSCS.

42. Question

The following can be associated with toxoplasmosis infection during pregnancy EXCEPT:

Rhinitis
Brain calcification
Hepatic Splenomegaly
Hydrocephalus
Spina bifida

43. Question

Which is a contraindication of induction of labor

History of upper segment caesarian section
Sever P E T at 36 weeks
Gestational diabetes on insulin at 39 weeks
Post term pregnancy
Chorioamnionitis

44. Question

Compound presentation is most consistently associated with :

Prematurity.
Advanced maternal age.
Uncoordinated uterine contractions.
Diabetic pregnant woman.
Large pelvic vessels.

45. Question

All these tests can be useful in management of intrauterine fetal growth restriction (IUGR) EXCEPT:

Fetal kick chart
Cardiotocography CTG non stress test
Chorionic villous sampling
Biophysical profile
Umbilical cord Doppler waveforms

46. Question

Which of the following is an indication for induction of labor:

Placenta previa
Post-term gestation
Cord presentation
Prior classical C-section
Active genital herpes

47. Question

Complete breech means:

Flexion at hip joint and extension in knee joint
Flexion at hip joint and flexion at knee joint
Extension at the hip joint
Flexion at knee joint and extension at the hip joint
Flexion of one leg at hip joint and extension of the other leg at the hip joint

48. Question

The following are possible complications of IUGR EXCEPT :

Intrauterine death
Severe hypoxia and fetal distress in labor
Meconium aspiration
Hypoglycemia
Post maturity

49. Question

The following are indications for induction of labor EXCEPT :

Sever pre-eclampsia
Diabetes mellitus-controlled with high dose of insulin
Prolonged rupture of membrane without uterine contraction
IUFD (intrauterine fetal death)
History of previous 3 C/S.

50. Question

Regarding shoulder presentation, the following are true EXCEPT:

Cord prolapse is common
3rd degree Perineal tear is common
Deep transverse arrest can occur*
More common in primigravida
Always end by shoulder dystocia.