Obs MCQ
Obs MCQ
Obs MCQ
4- A 24 year old primagravida has been in labor for 6 hours. During the
past 2 hours of observation, the contractions have become shorter and
are weak. The membranes are bulging and she has remained a5 5 cm
dilation for this 2 hours period. The occiput is at station +1 and there
is no molding of the fetal head. Which of the following should be the
next step in management:
a. Administer ergometrine
b. Administer Oxytocin
c. Apply intracervical prostaglandin gel
d. Observe for another 4 hours
e. Perform artificial rupture of membranes
5- In twin pregnancies, which of the following is the most important
complication:
a. Abruption
b. Anemia
c. Prematurity
d. Postpartum hemorrhage
e. Hypertension
6- Fetal scalp blood sampling is indicated when cardiotocogram tracing
shows:
a. Early decelerations
b. Late decelerations
c. Accelerations
d. Reduced beat to beat variability
e. A baseline between 120 140 bbp
20A 21 year old primigravida presents for her first prenatal visit at
11 weeks gestation which is confirmed by U/S. she has no risk factors.
All of the following tests should be done at this stage EXCEPT:
a. Blood group and Rh type
b. Urine culture
c. Vaginal culture
d. Pap smear
e. Leukocyte count
21A complete blood count done on a 22 year old primigravida at
28 weeks gestation shows Hb of 9.5 g/dl. She is asymptomatic. Initial
Laboratory work done during her first antenatal visit was completely
normal. Her anemia is most commonly due to:
a. Increased fetal demand and growth
b. Dietary deficiency
c. Abnormal absorption during pregnancy
d. Increased blood loss during pregnancy
e. Folate treatment
22A 23 year old multipara comes to your office saying that she
has not felt any fetal movement for the past 10 hours. She is at 20
weeks gestation. Your next step in management should be:
a. Perform a non stress test
b. Perform an U/S test
c. Perform a Doppler test
d. Reassure mother, and re evaluate in the next 24 hours
e. Perform a speculum vaginal examination
the most appropriate next step in managing the above patient is:
a.
b.
c.
d.
e.
Answers:
1- E
2- D
3- D
4- E
5- C
6- B
7- A
8- E
9- B
10- A
11- F
12- A
13- A
14- B
NOTE: Prune belly syndrome is a rare birth defect affecting
about 1 in 35,000 births. About 96% of those affected are male. Prune belly
syndrome is a congenital disorder of the urinary system, characterized by a triad
of symptoms. The syndrome is named for the mass of wrinkled skin that is often
(but not always) present on the abdomens of those with the disorder. Other names
for the syndrome include Abdominal Muscle Deficiency Syndrome, Congenital
Absence of the Abdominal Muscles, Eagle-Barrett Syndrome, and Obrinsky
Syndrome.
Symptoms
15- D
16- B
17- C
18- E
19- A
20- C
21- A
22- B (to look for fetal heart tones or activities)
23- C
24- B
25- B
26- B
27- B
28- C
29- A
30- A
31- C
32- A
33- A
34- C
35- C