Fetal Monitoring in Labor.

***) The normal fetal heart rate in labor is:

80-100 beats per minute

100-120 beats per minute

120-160 beats per minute

160-180 beats per minute

180-200 beats per minute

 

Answer: C*120-160 beats per minute

 

***) The most dangerous sign of imminent fetal death during fetal heart monitoring is:

Early deceleration

Variable deceleration

Loss of beat to beat variability

Late deceleration

Fetal tachycardia

 

Answer: D* Late deceleration

 

***) All of the following may cause fetal hypoxia, except:

Maternal hypotension

Subserous fibroid

Uterine hyperactivity

Occlusion of umbilical cord

Placental insufficiency

 

Answer: B* Subserous fibroid

 

Induction of Labor.

***) The following may be used safely to accelerate labor, except:

Intravenous oxytocin

Ergometrine

Prostaglandin

Rupture of membranes

Stimulation of the nipples

 

Answer: B* Ergometrine

 

Complications & Risks of Delivery OB40-OB49.

 

Preterm Labor PTL.

***) All of the following may cause premature delivery, except:

Abruptio placenta

Chronic hypertensive vascular disease

Placenta previa

Oligohydramnios

Smoking

 

Answer: D* Oligohydramnios

 

***) All of the following have been associated with an increased risk of preterm delivery except:

Placenta previa

Oligohydramnios

Hyperemesis gravidarum

First-trimester bleeding

Multiple gestation

 

Answer: B* Oligohydramnios

 

Premature Rupture of Membranes PROM.

***) The following tests can be used for the diagnosis of premature rupture of membranes, except:

Nitrazine test

Ferning test

Schiller's test

Nile blue sulfate

Evans blue test

 

Answer: C* Schiller's test

 

???) Premature ruptures of membranes risks include the following except:

Premature labor

Cord prolapse

Fetal pneumonia

Placental abruption

Maternal septicemia

 

Answer: D* Placental abruption

 

Prolonged Pregnancy (Postmaturity).

***) A patient presented in labor claiming to be at 43 week gestation.Which of the following neonatal findings would support the diagnosis of a post-mature infant:

Anemia

Increase in subcutaneous fat

Long fingernails

Vernix

Fusion of fetal eye lids

 

Answer: C* Long fingernails

 

Umbilical Cord Prolapse.

***) Prolapsed umbilical cord may occur in all of the following, except:

Polyhydramnios

Transverse lie

Placenta previacentralis

Breech presentation

Prematurity

 

Answer: C* Placenta previacentralis

 

***) Pulsating cord prolapse at 4 cm cervical dilatation is best managed by:

Augmentation of labor by oxytocin drip

Vacuum extraction

By giving prostaglandin vaginal tablets

By putting the patient in knee chest position and wait for vaginal delivery

Cesarean section

 

Answer: E* Cesarean section

 

Uterine Rupture.

***) The commonest predisposing factor of rupture of uterus is:

Previous CS

Use of syntocinon (Oxytocin) non properly

Forceps delivery

Internal cephalic version

Vacuum extraction

 

Answer: A* Previous CS

 

***) Uterine rupture may be associated with all of the following except:

Amniocentesis

Previous cesarean section

Myomectomy

Administration of oxytocin or prostaglandins

Difficult forceps delivery or intrauterine manipulation

 

Answer: A* Amniocentesis

 

***) The most constant early symptom in uterine rupture during labor is:

Hematuria

Hypotension

Pain

Vaginal bleeding

Cessation of contractions

 

Answer: C* Pain

 

***) The first sign of rupture uterus is:

Abdominal pain

Tender scan

Unexplained tachycardia

Fetal distress

Vaginal bleeding

 

Answer: A* Abdominal pain

 

Operative Obstetrics OB49-OB51.

 

Operative Vaginal Delivery.

***) Vacuum extraction is contraindicated in one of the following condition:

Occipito-posterior position

Gestational age 32 weeks

Occipito-transverse position

In patients with heart disease

In patients with previous caesarian section

 

Answer: B* Gestational age 32 weeks