Obstetrics Set 3 MCQs

Q1 | The following are eitiological factors of atonic postpartum hge except :

prolonged labour

overdistension of uterus

full bladder

cervical lacerations

accidental he

Q2 | If the foetus is lying accros the uterus, with the head in the flank

Transverse lie

Cephalic lie

Breech lie

Frank lie

Oblique lie

Q3 | Refers to the part of the foetus that occupies the lower segment of the uterusor pelvic

The show

The version

The engagement

The lie

The presentation

Q4 | Means the head is at the level of the ischial spines

Station +1

Station -1

Station -2

Station 0

Station +2

Q5 | Engagement is said to occur when.......

The fetal head is within the maternal pelvis

The biparietal diameter of the fetal head is through the plane of the inlet.

The presenting part is just above the level of ischial spines.

The vertex is in transverse position

none

Q6 | The following hormone is not produced by the placenta...

HCG

HPL

Prolactin

Estriol

none

Q7 | Which is the most common cause of abnormal lie?

Polyhydramnios

Twin pregnancy

Uterine deformity

Pelvic tumour

Placenta praevia

Q8 | Which of the following statements regarding vaginal breech birth is FALSE?

Increased risk if footling

In about 30% there is slow cervical dilatation in the first stage

CTG is advised

Pushing is not encouraged until the buttocks are visible

Epidural analgesia is mandatory

Q9 | Refers to a maneuver which attempts to turn a breech baby to a cephalic presentation

VEC

CEV

ECR

EVC

ECV

Q10 | Refers to the part of the foetus that occupies the lower segment of the uterusor pelvis

The show

The version

The engagement

The lie

The presentation

Q11 | Engagement is said to occur when.......

The fetal head is within the maternal pelvis

The biparietal diameter of the fetal head is through the plane of the inlet.

The presenting part is just above the level of ischial spines.

The vertex is in transverse position.

none

Q12 | After what age gestation would abnormal lie warrant hospital admission

37

40

38

39

36

Q13 | The most common type of breech

Starling breech

Flexed breech

Explicit breech

Footling breech

Extended breech

Q14 | At which part of the pelvis are the transverse and anterior-posterior diametermost similar?

Inlet

Mid-cavity

Outlet

none

all

Q15 | Breech presentations occurs in ___ of term pregnancies

1%

3%

8%

4-10%

5-6%

Q16 | Flexion of the fetal head occurs when it meets resistance from :

Pelvic floor

Cervix

Pelvic walls

Any of the above

None of the above

Q17 | A woman delivers a 9 lb baby with midline episiotomy & develops a 3rd degree tear. Inspection shows that the following structures are intact.

Anal sphincter

Perineal body

Rectal mucosa

Perineal muscles

none

Q18 | Leopold maneuvers refers to :

delivery of head

External version

Internal version

Breech extraction

Examination of abdomen.

Q19 | Following changes occur in urinary system during normal pregnancy:

Increase in renal blood flow

Increase in glomerular filtration rate

Increase in capacity of kidney pelvis

All of the above

none

Q20 | Mechanism of labor in abortion stick ( use of stick to induce abortion)is due to

Necrosis of uterine endometrium and stimulation of uterine contraction

Oxytocin present in the stick

Prostaglandins present in the stick

All of the above

none