Obs Final MCQ

1. Primary pregnancy 30 years have addressed to reception in female consultation.
The gestation
period for the last month is 20 weeks. From the anamnesis it is established that the woman suffered
ARVI with a high fever at the beginning of pregnancy and took treatment (antibiotics, antipyretic
drugs). In screening ultrasound, microcephaly was diagnosed. Determine the tactics.
*A. Abortion.
B. Observation in dynamics, ultrasound in 1 month.
C. Conduct amniocentesis.
D. A placenta biopsy should be done.
E. Perform a cordocentesis.
2. Persorodilla 20 years old with bagohydrates is in labor for C hour. Generic activity is active. Fruit
alone, in the head presentation. Palpitation of the fetus does not suffer. Cicatrix of the cervix is 4 cm.
Fetal bladder of tension is out of contractions. Define the tactics of labor management:
A. Stimulation of prostaglandin.
B. expectant management.
With Cesarean section.
B. Dream-rest.
*E. Amniotomy.
3. A 37-year-old woman turned to a gynecologist with complaints about bloody smearing of the
nature of vaginal discharge from the last 2 weeks, pain in the abdomen. 3 months ago there was an
artificial abortion. Objectively: the uterus is increased to 12 weeks of pregnancy, mild at palpation,
moderately painful, on both sides of the uterus tumor formations are defined, with dimensions of
5x6 cm, sensitive for palpation. The serum level of chorionic gonadotropin is more than 1000 mmol
/ l. Your diagnosis?
A. Myoma of the uterus.
B. Ovarian cancer.
* C. Trophoblastic disease.
D. Pregnancy 12 weeks.
E. Ectopic pregnancy.
4. Pregnant woman was admitted to the Department of Pregnancy Pathology at the age of 38 weeks.
Twins are diagnosed. The first fruit is in the leg presentation, the second - in the transverse. Define a
delivery plan.
A. Assign corrective gymnastics.
B. Births through natural birthmarks.
C. The removal of the 1st fetus by the foot, the 2nd - the external internal obstetric turn.
D. To lead an external turn for Arkhangelsk.
* E. Routine cesarean section.
5. A pregnant woman with a complaint about spotting from the genital tract addressed the women's
consultation. The gestation period for Stann by menstruation is 12 weeks. Upon examination, it is
established that the uterine base is defined by 2 transverse fingers below the navel, parts of the fetus
are not palpable, the fetal heart beat is not listened. At ultrasound examination, the fetal egg is
poorly visualized, in the uterus the picture of a "snow storm". What is the most likely diagnosis?
A. Late spontaneous miscarriage.
B. placenta previa.
C. Premature detachment of the normally located placenta.
* D. Bubble skid.
E. Ectopic pregnancy.
6. Multiple, 34 years old, entered the maternity hospital with full term pregnancy and
polyhydramnios, with whole amniotic fluid. Belly circumference - 112 cm, VDM - 38 cm, uterus
strained, there is a sign of fluctuations, parts of the fetus are palpable poorly. The palpitation of the
fetus is muffled. Contractions are regular. When vaginal examination: the cervix is smoothed, the
edges are thin, the opening is up to 4 cm, the fetal blister is intact, strained, the presenting part is the
head, movable above the entrance to the small pelvis. What tactics of labor management?
A. Obstetric sleep before amelioration of amniotic fluid.
B. Cesarean section.
* C. Amniotomy, complete labor through the birth canal.
D. Amniotomy followed by extraction of the fetus behind the pelvic end.
E. induction with the introduction of prostaglandins.
7. Pregnant 30 years old she entered the maternity ward. In the ultrasound study, twins were
identified, gestational age 37-38 weeks. Both fetuses are in transverse position. The amniotic fluid
went away. What tactics of labor management?
A. Post-stimulation.
* B. Cesarean section.
C. Anticipatory tactics.
D. Obstetric forceps.
E. Rotation of the fetus on the stem.
8. Pregnant S., 26 years old, the second pregnancy in the period of 14-15 weeks. The first
pregnancy ended with an abortion in 11-12 weeks. In the woman, 0 (I) Rh (-), in the husband, 0 (I)
Rh (+). What kind of tests are necessary for a woman?
A. Coagulogram.
B. Determination of group antibodies.
* C. Determination of antiresusive antibodies.
D. Biochemical analysis of blood.
E. Cordocentesis.
9. Antibodies to Rh are found in a pregnant woman with Rh (-) blood belonging, which is in a
second marriage, when tested at 4 to 5 weeks of gestation. During the previous pregnancy
antibodies to Rh did not manifest, and therefore anti-D immunoglobulin was not administered. The
first child Rh (+) is positive. How to explain the appearance of antibodies to Rh during this
pregnancy?
A. Sensitization occurred during the first pregnancy.
* B. Sensitization occurred in the first birth.
C. Sensitization occurred with the onset of this pregnancy.
D. Sensitization is due to repeated rejection.
E. Diagnostic error.
10. When a pregnant woman was examined at the gestational age of 30 weeks, she was diagnosed
with a second pregnancy (in the anamnesis of 1 artificial abortion), blood group A (II), Rh (-),
hepatosplenomegaly, cardiomegaly, ascites and hydrothorax in the fetus, thickening of the placenta.
What is the most likely diagnosis?
A. Placental insufficiency.
B. The threat of premature birth.
C. maternal - fetal infection.
* D. Hemolytic disease of the fetus.
E. Acute distress of the fetus.
11. In the first-born 22 years with Rh (-) blood belonging to the person Rh (+), up to 32 weeks of
gestation antibodies to the Rh factor were not detected. At 35 weeks of gestation, antibodies to Rh
were not found upon repeated determination. What is the frequency of further detection of
antibodies?
A. Once a month.
B. Once in two weeks.
C. Once every three weeks.
* D. Once a week.
E. Further determination is impractical.
12. Pregnant 28 years old with Rh-negative blood accessory registered in the antenatal clinic for 10
weeks. The man has Rh-positive blood. In the anamnesis, one birth is a full-term fetus, two medical
abortions in 10-11 weeks of pregnancy. How often should I determine the anti-Rhesus antibody titer
in a given woman?
A. Once a month.
* B. When registering and at 20 weeks of pregnancy.
C. Daily.
D. With deterioration of the fetus.
E. When registering and at 30 weeks of pregnancy.
13. re-pregnant 28r., With Rh-negative blood type is under the supervision of an obstetrician-
gynecologist. In the anamnesis: in previous sorts the manual separation of the placenta was carried
out concerning the bleeding in the III-rd period. At 36 weeks of gestation, antibody titers increased
from 1:16 to 1:64. With ultrasound, thickening of the placenta and slowing of the fetal movements.
How often in the future is it necessary to conduct a blood test for Rh-antibodies?
A. 1 time in two weeks.
B. Once a week.
* C. Daily to delivery.
D. 1 time in three weeks.
E. Before giving birth.
14. In re-pregnant with blood group B (iii) Rh (-) at 24 weeks of gestation, a titer of Rh antibodies
was detected: 1: 8. The first pregnancy resulted in an antinatal fetal death due to Rh-conflict. The
general condition is satisfactory. Uterus in normotonus. Fetal position longitudinal, there is a head,
fetal heartbeat 146 beats / min. Edema is absent. Your tactics?
A. Assign a consultation to an immunologist.
B. Conduct urgent gologozerezennya.
C. To appoint a therapist's consultation.
* D. Send to hospital for the treatment of Rh-conflict.
E. Dynamic observation in a female consultation.
15. A pregnant 25 years old entered the hospital at 34 weeks. There are no complaints. From the
anamnesis: the first births passed without complications, there were three artificial abortions, this
pregnancy is the fifth. Up to 30 weeks of pregnancy, the women's consultation did not attend. At 30
weeks of pregnancy, the examination showed: the blood group of the pregnant woman - A (II) Rh-
negative, her husband - B (III), Rh-positive. An antiresus antibody titre of 1:16 was established,
after 2 weeks the titer was 1:64. What is the main link in the pathogenesis of this pathological
process?
* A. Hemolysis of erythrocytes of the fetus of antiresus antibodies produced in the body of a
pregnant woman.
B. Autonomous hemolysis of fetal erythrocytes.
C. Deterioration of placental and fetal blood circulation due to
increased thrombogenesis.
D. Fetal intoxication of indirect bilirubin in pregnant women.
E. Fetal intoxication with its own direct bilirubin.
16. A pregnant woman turned 30 years into a women's consultation at the time of 12 weeks. There
are no complaints. Pregnancy is the fifth. Childbirth - 2, artificial abortion - 2. In the second child
after birth, jaundice and anemia were diagnosed, as a result of which blood transfusion was carried
out. both children have Rh-positive blood. Mother - blood type O (I), Rh-negative. 17. The blood
test for antibodies was found to have a titer of 1:32. Blood group of male O (I), Rh-positive. What
diagnostic procedure is the most informative for determining the fetus in this case?
A. Determination of antiresus antibody titer in dynamics.
* B. Determination of bilirubin in the amniotic fluid.
C. Biophysical profile of the fetus in dynamics.
D. Dopplerometry of fetal placental and fetal blood circulation.
E. Ultrasound examination (fetometry, placentometry) in dynamics.
18. With the help of a pregnant 24 years later after a car accident. At the time of the examination,
the pregnancy is 29 weeks. He does not complain. The wiggling of the fetus feels good. When
examined on the skin of the thighs, the trunk is hemorrhages. At inspection the uterus is increased
according to the term of pregnancy, the tone of the uterus is normal. Palpitation of the fetus is
rhythmic, 146 in 1 min. From the exchange card of the pregnant woman is established: blood group
A (II) Rh (-). Antibodies to Rh-factor up to 26 weeks did not turn out. What needs to be done to
prevent hemolytic disease of the fetus?
A. Determination of antibodies to Rh.
B. The introduction of rhesus anti-D immunoglobulin with the growth of antibody titres to Rh.
C. Carrying out desensitization.
* D. Enter 300 μg of antiresusin D-immunoglobulin.
E. Carrying out magnesia therapy.
XII. Situational problems
Task 1. Pregnant K., 30 years old, entered the hospital with active labor. On admission: two clear
heartbeats are heard, active activity is active, cervical dilatation is 8 cm. After the birth of the first
fetus, the second fetus is found in the transverse position, the first position, in the rear view.
Palpitation of the fetus is 135 in 1 min. The fetal bladder of the second fetus is intact. Establish the
diagnosis. Physician's tactics?
Answer: Multiple pregnancy, 39-40 weeks. Urgent childbirth, II period. The transverse position of
the second fetus.
Amniotomy, externally the internal rotation of the fetus on the foot and further maintenance of
classical manual help.
Task 2. Pregnant M., 22 years old, entered the hospital with active labor. Pregnancy 2, term. During
pregnancy on the account in a female consultation did not stand. An hour later, a live girl with a
body weight of 2800 was born. The uterus is large, one more fetus is determined in the transverse
position, the head is the case, the buttocks on the left. The palpitation of the fetus is heard at the
navel level (130 beats per 1 minute). Diagnosis? Tactics of birth management?
Answer: Multiple pregnancy, 39 weeks. Immediate delivery, II period of labor. The transverse
position of the second fetus.
Amniotomy, externally the internal rotation of the fetus on the foot and further maintenance of
classical manual help.
Task 3. Pregnant S., 40 years old, entered the hospital at the age of 36-37 weeks. Pregnancy And it
is desirable. Pregnancy has come as a result of extracorporeal zaplidennya.Pid time of urgent birth
of twins after the birth of the first fruit weighing 2800 g have passed amniotic fluid. In the process
of vaginal examination, a pulsating umbilical cord of the second fetus was found in the vagina. The
fetal head is pressed against the terminal line, it is repulsed easily. Attempts to fill the umbilical
cord are unsuccessful. Palpitation of the fetus is 160 beats / min .. The estimated weight of the fetus
is 2500 g. What should be the tactics of the doctor?
Answer: Laparotomy in the n / m segment, cesarean section.
Task 4. A 36-year-old woman, in an anamnesis of 5 pregnancies: 2 deliveries, 1 frozen pregnancy, 2
induced abortions. The last pregnancy was 5 years ago. Complains of the presence of uterine
bleeding, not associated with the cycle, does not stop hemostatic drugs. Recently, he coughs,
sputum is stained with blood. The pregnancy test with urine is positive, including after urine culture.
During ultrasound of the fetal egg in the uterine cavity and in the small pelvis it was not found.
What is the most likely diagnosis? Methodology of diagnosis of the disease?
Answer: Horionapithelioma. Gynecological examination, in which the doctor performs a visual
examination, collection of anamnesis and the appointment of further procedures. CT, MRI,
ultrasound (the organs of the abdominal region are subject to examination), hysterosalpingoscopy,
radiography, lumbar puncture, laboratory diagnostics (extensive blood analysis, biochemistry,
detection of oncomarker presence (B-chryiogonin)).
Task 5. On the account in the women's consultation is a woman with a second pregnancy in the
period of 35-36 weeks and Rh-negative type of blood. The first pregnancy ended with the birth of a
child with Rh-positive blood type, immunization after birth was not performed. When tested,
antiresus antibodies were detected in a titer of 1: 2, the titer is stable. When an ultrasound is
performed, the examination of the fetus is satisfactory. Your diagnosis? Tactics of delivery?
Answer: Pregnancy 2, 35-36 weeks. Isoimmunization by the Rh factor (antibody titer 1: 2). Carry
out delivery within 38-40 weeks through the natural birth canal.
Task 6. At the examination of a woman with a third pregnancy in the period of 30-31 weeks,
antiresonant antibodies were detected in a titer of 1: 132 with Rh-negative blood. In ultrasound,
there were determined: polyhydramnios, in fetus - hepatosplenomegaly, cardiomegaly, ascites,
hydrothorax, double contour of the head , decreased motor activity of the fetus. Your diagnosis?
Tactics?
Answer: Pregnancy 3, 30-31 week. Isoimmunization by the Rh factor (antibody titer 1: 132).
Hemolytic disease of the fetus, edematous form.
Hospitalization. Carry out an early delivery.
Task 7. On the account in the antenatal clinic about pregnancy, a woman arose in the period of 11-
12 weeks. Pregnancy is second, the first one ended with an artificial abortion in the early term.
When the test revealed a Rh-negative type of blood, a person - Rh-positive. No antibodies. Your
diagnosis? Tactics of pregnancy management?
Answer: Pregnancy 2, 11-12 weeks. Rhesus-negative type of blood.
Determine antibodies at 20 weeks, then every 4 weeks. In the absence of antibodies in the period of
28-32 weeks or earlier, when symptoms of the threat of termination of pregnancy occur, preventive
administration of 300 μg of anti-rhesus immunoglobulin (D) should be performed.
Task 8. In a woman with Rh-negative blood type, a child with icteric skin color was born as a result
of second childbirth. During pregnancy, Rh antibodies were found in a titer of 1: 16-1: 32. When
examining the blood of a newborn, it was revealed: hemoglobin 120 g / l, indirect bilirubin 350
μmol / l, hourly bilirubin increase more than 5 μm / l. What is the diagnosis? Tactics?
Answer: hemolytic disease of the newborn (hemolytic anemia with jaundice).
To carry out a replacement transfusion of single-group blood, phototherapy, infusion therapy.
9/9/21, 7:12 PM Topic 1. Female pelvis. Fetus as an object of delivery.: Attempt review
Dashboard / My courses /
Module 2 (5 course) Department of obstetrics and gynecology № 3
/ Topic 1. Female pelvis. Fetus as an object of delivery. /

Topic 1. Female pelvis. Fetus as an object of delivery.
Started on Thursday, 9 September 2021, 7:02 PM

State Finished
Completed on Thursday, 9 September 2021, 7:08 PM
Time taken 5 mins 40 secs
Marks 20.00/20.00
Grade 100.00 out of 100.00
Question 1
Complete
Mark 1.00 out of 1.00
The small transverse dimension of the fetal head is equal to:
a. 10.5 cm.
b. 8.0 cm.
c. 8.5 cm.
d. 9.5 cm.
Question 2
Complete
11. A large fontanel is formed by sutures:
a. Sagittal, frontal, coronal

b. Sagittal, frontal
c. Coronal, lambdoid
d. Sagittal, coronal
e. Sagittal, lambdoid
Question 3
Complete
Indicate all possible options for the presentation of the fetus:
a. oblique and transverse

b. longitudinal, transverse, oblique
c. head and pelvis
d. flexion and extension
e. antherior and posterior
https://likar.nmuofficial.com/md/mod/quiz/review.php?attempt=2911766&cmid=56390 1/6
Question 4
Complete
What layer of muscles of the perineum are m.transversus perinei superficialis from?
a. from the outer layer

b. the part of m. bulbospongiosus
c. from the middle layer
d. from the inner layer
Question 5
Complete
Large transverse dimension of the fetal head is equal to:
a. 9.5 cm.
b. 8.0 cm
c. 10.5 cm.
d. 10 cm.
e. 12 cm.
Question 6
Complete
The position of the fetus is determined:
a. the ratio of the longitudinal axis of the fetus to the longitudinal axis of the uterus
b. the ratio of the back of the fetus to the right or left side of the uterus
c. according to the location of the fetus in the left or right half of the uterus
d. the ratio of the fetus to the upper or lower half of the uterus
e. the ratio of the back of the fetus to the anterior or posterior side of the uterus
Question 7
Complete
How many planes are there in the pelvis?
a. One.
b. Two.
c. Three.
d. Four.
e. Five.
Question 8
Complete
A full-term baby was born. The midwife performs anthropometry. What is the small oblique diameter of the head?
a. 9.5 cm
b. 13 cm
c. 10 cm
d. 11 cm
e. 12 cm
Question 9
Complete
The width and circumference of the thighs of a full-term fetus are:
a. 8 cm, 24 cm
b. 9.5 cm, 28 cm
c. 11 cm, 31 cm
d. 12 cm, 33 cm
e. 13 cm, 35 cm
Question 10
Complete
The birth canal includes:
a. Pelvis, uterus, vagina, pelvic floor muscles

b. The small pelvis
c. Uterus, pelvic floor muscles, parietal muscles of the pelvis
d. The body of the uterus, the lower segment of the uterus, the vagina
e. Uterus, vagina, pelvic floor muscles
Question 11
Complete
How to calculate the obstetrics for the external conjugate?
a. Subtract 3 cm.
b. Subtract 9 cm.
c. Subtract 7 cm.
d. Subtract 1.5–2 cm.
Question 12
Complete
Straight size of the fetal head is equal to:
a. 10,5cm.
b. 13cm.
c. 9.5 cm.
d. 12cm.
e. 11cm.
Question 13
Complete
Specify the dimensions of the plane of the narrow part of the pelvis in the sequence - straight and transverse:
a. 10.5 cm, 11.0 cm.

b. 11.0 cm, 10.5 cm.
c. 9.5 cm, 11.0 cm.
d. 12 cm, 12 cm.
Question 14
Complete
The dimension of the diagonal conjugate is equal to:
a. 11.5 cm.
b. 13.5 cm.
c. 10.5 cm.
d. 12cm.
e. 13cm.
Question 15
Complete
The vaginal portion of the cervix is covered by:
a. stratified squamous epithelium.

b. columnar epithelium.
c. cubic epithelium.
d. cylindrical epithelium
Question 16
Complete
What is the largest dimension on the fetal head?
a. Straight
b. Small oblique.
c. Vertical
d. Medium oblique
e. Large oblique
Question 17
Complete
What suture on the fetal head is separate the frontal and the parietal bones?
a. Frontal
b. Coronal.
c. Sagittal.
d. Lambdoidal.
Question 18
Complete
Pregnant woman, 10 weeks of pregnancy. The principal dimensions of the pelvis: 26-29-31-20 cm. Michaelis Rhombus dimensions: vertical
-11 cm, horizontal – 9 cm. Diagonal conjugate 13 cm. What is dimension of c.vera ?
a. 10 cm.
b. 11 cm
c. 12,5 cm
d. 12 cm
e. 8 cm
Question 19
Complete
What is the boundary between the big and small pelvis?
a. Linea innominate and sacrum

b. Front - the upper edge of the symphysis, laterally – unnamed line, rear – the sacral promontorium.
c. the iliac bone.
d. An imaginary line in the middle of the pelvis
e. Tuberculum of the pubic bone.
Question 20
Complete
The plane of the wide part of the pelvis is limited to:
a. The middle of the internal surface of the symphysis, the middle of the acetabulum, articulation of II and III sacral vertebrae.
b. The middle of the internal surface of the symphysis, articulation of II and III sacral vertebrae.
c. The lower margin of the pubic symphysis, the nameless lines, the top of the promontory.
d. The lower margin of the pubic symphysis, sacrococcygeal articulation.
e. The upper margin of the pubic symphysis, nameless lines, the tip of the promontory.
◄ Workbook. Female pelvis. Fetus as an object of delivery.
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Methodological recommendations: Physiology of pregnancy. Methods of examination of pregnant women. Perinatal protection of the
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9/9/21, 7:13 PM Topic 2. Physiology of pregnancy.: Attempt review
/ Topic 2. Physiology of pregnancy. Methods of examination of pregnant women. Perinatal protection of the fetus.
/
Topic 2. Physiology of pregnancy.
Started on Thursday, 2 September 2021, 9:27 AM

State Finished
Time taken 14 hours 28 mins
Marks 12.00/20.00
Grade 60.00 out of 100.00
Question 1
Complete
The position of the fetus longitudinal, the head is a small segment at the pelvic inlet. The heartbeat of the fetus clear, rhythmical, 140 BPM,
auscultated to the left and below the navel. Sagittal suture in the right oblique size, small fontanel is to the left closer to the pubis. Specify
the position and the view of position of the fetus?
a. Second position, anterior view.

b. Second position, posterior view.
c. First position, anterior view.
d. First position, posterior view.
Question 2
Complete
A 26-year-old woman who gave birth 7 months ago, 2 weeks worried about nausea, vomiting in the morning, drowsiness. Breastfeeding, no
menstruation. Pregnancy was not prevented. Which of the methods should be used to clarify the diagnosis?
a. X - Ray of the pelvic organs

b. Two-handed vaginal examination
c. Ultrasound examination
d. Research with the help of speculum
e. Palpation of the mammary glands and squeezing of colostrum
Question 3
Complete
The 21-year-old pregnant woman is in the first period of childbirth. At vaginal examination: the cervix is smoothed, the opening of the cervix
is 4 cm. There is no amniotic sac. The breech and foot of the fetus are presented. What is the presentation of the fetus?
a. Mixed breech
b. Incomplete foot presentation
c. Complete foot presentation
d. Pure breech
e. The knee presentation
Question 4
Complete
The height of the uterus is midway between the symphysis pubis and umbilicus. What is the term of pregnancy?
a. 30th week
b. 20th week
c. 16th week
d. 24th week
e. 12th week
Question 5
Complete
Where is the fundus of the uterus at 32 weeks of pregnancy?
a. In the middle between the navel and the pubis.

b. At the level of the navel.
c. 4 cm below the xiphoid process.
d. Under the xiphoid process.
e. In the middle between the xiphoid process and the umbilicus.
Question 6
Complete
Woman 20 years old, first labor. At internal obstetric examination: the cervix is smoothed, the opening of the cervix is 10 sm, the amniotic sac
is absent, the head is presented, a large segment in the plane of the entrance to the pelvis. The small fontanel on the left is closer to the
womb. The sagittal suture in the right oblique size of the plane of the entrance to the small pelvis. What is the position and type of position
of the fetus?
a. I the position of the fetus, posterior type.

b. I position of the fetus, anterior type.
c. II position of the fetus, posterior type.
d. II position of the fetus, anterior type.
e. I position of the fetus. It is impossible to determine the species according to the specified data.
Question 7
Complete
The second method of Leopold determines:
a. The nature of the anterior part

b. The ratio of the anterior part to the entrance to the pelvis
c. Presentation, position and type of fetus
d. The height of the uterine floor
e. Abdominal circumference
Question 8
Complete
At vaginal research, the front corner of a big temple is palpated on the left, on the right - superciliary arches and a root of a nose. Frontal
suture in the transverse size of the entrance to the small pelvis. What is the presentation of the fetus?
a. Lobes
b. Rear view of the occipital
c. Forehead
d. Rear view of the face
e. Front view of the front
Question 9
Complete
Biophysical profile of the fetus is evaluated by the following methods of research:
a. X-ray examination
b. Determine the PH of amniotic fluid.
c. Determining the ratio of lecithin to sfingomielin.
d. Determination of fetal blood PH.
e. Ultrasound examination and CTG.
Question 10
Complete
What special methods of preparation for the ultrasound (2-3 trimester) is required:
a. 2 hours before the test - drink 1 liter of water.

b. no special preparation is required.
c. to give an enema
d. the day before - to take 40 g of castor oil.
Question 11
Complete
Which is not typical for 28-week pregnancy?
a. body weight of the fetus 1000.

b. the ratio of lecithin to sfingomielin less than 2:1.
c. a viable fetus.
d. the presence of a large number of lecithin.
Question 12
Complete
Where is the height of the fundus at 32 weeks?
a. Between the umbilicus and the ensiform cartilage

b. Upper two-thirds of the distance between the umbilicus and ensiform cartilage
c. The level of umbilicus
d. The level of ensiform cartilage
Question 13
Complete
The best place listening to the heartbeat of a fetus in the first position, front view of cephalic presentation:
a. to the left above the navel.

b. to the right above the navel.
c. to the left below the navel.
d. to the right below the navel.
e. the area of the navel.
Question 14
Complete
Modern methods of diagnosing pregnancy in the early stages do not include:
a. Ultrasound.
b. Biological.
c. Radiological.
d. Immunological.
e. Radiological.
Question 15
Complete
Which of the following signs of pregnancy are true?
a. Palpation of fetal parts.

b. Determination in the urine the level of HCG.
c. Cyanosis of the cervix and vaginal mucosa.
d. Movement of the fetus in the uterus feels pregnant.
e. Auscultation noises in the womb.
Question 16
Complete
Normal amount of amniotic fluid at 40 weeks of pregnancy:
a. 50 -100 ml.
b. 500 – 1500 ml.
c. 2000 – 3000 ml.
d. 3200 – 3250 ml.
e. 300 – 400 ml.
Question 17
Complete
External obstetric examination revealed: the shape of the uterus is elongated in the transverse direction, the gestation period is 40 weeks, the
head is palpated on the left side of the uterus, the pelvic end of the fetus is palpated on the right, and the anterior part is absent. The fetal
heartbeat is most clearly heard at the level of the navel. What is the position and presentation of the fetus?
a. Transverse position, II position.

b. Longitudinal position, I position, pelvic presentation
c. Transverse position, I position.
d. Longitudinal position, II position, main presentation
e. Oblique position, II position.
Question 18
Complete
First pregnancy. First day of last periods - may 29, the first fetal movements October, 20. The first visit to female consultation on 24 July,
uterine pregnancy 7 weeks was diagnosed. What is probable date of delivery?
a. 17 Apr.
b. 29 March.
c. 15 March.
d. 5 March.
e. 17 Feb.
Question 19
Complete
Full-term pregnancy. Body weight of pregnant 76 kg. Longitudinal position of the fetus, the head of the fetus in the pelvic inlet. The
circumference of the abdomen is 100 cm, height of the uterine fundus 36 cm What is the approximate weight of the fetus?
a. 4 kg 500 g.
b. 4 kg.
c. 2 kg 500g.
d. 3 kg.
e. 3 kg 600 g
Question 20
Complete
Sensation of the first agitation of the fetus in re-pregnant:
a. From 14 to 15 weeks.
b. From 18 weeks.
c. From 21 -22 weeks.
d. From the 20th week.
e. From 16 to 17 weeks.
◄ Workbook Physiology of pregnancy. Methods of examination of pregnant women. Perinatal protection of the fetus.
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Lecture ►
9/9/21, 7:20 PM Tests. Physiology of childbirth. Pain relief in labor.: Attempt review
Dashboard / My courses / Module 2 (5 course) Department of obstetrics and gynecology № 3
/ Topic 3. Physiology of childbirth. Pain relief in labor. / Tests. Physiology of childbirth. Pain relief in labor.
Started on Monday, 6 September 2021, 10:26 AM

State Finished
Completed on Monday, 6 September 2021, 10:56 AM
Marks 14.00/20.00
Main characteristic of uterine contractions:
a. intensity, tonus, frequency;

b. smoothing, effaced, dilatation;
c. intensity, duration, frequency;
d. intensity, duration, power;
e. contraction, retraction, distraction;
True labor pains (contractions) is characterized by (all true, EXCEPT):
a. Painful uterine contractions at regular interval;

b. Intensity and duration of contractions increase progressively;
c. Progressive effacement and dilatation of the cervix;
d. Frequency of contractions increase gradually;
e. Usually relieved by analgetics or sedatives;
Indications of vaginal examination in labor (all true, EXCEPT):
a. whenever any interference is contemplated;

b. in the progress of the labor (every 4 hours);
c. following rupture of the membranes to exclude cord prolapse;
d. initial examination (at the onset of the labor) ;
e. womanʼs wish (to describe the progress and reassure the woman);
What is the “name” of marginal mechanism of separation of the placenta?
a. Duncan.
b. Schulze.
c. Mikeladze.
d. Crede – Lazarevych.
e. Abuladze.
A few days prior to the onset of labor, cervix becomes ripe. A ripe cervix is (all true, EXCEPT):
a. cervical dilatation is 4 cm;

b. cervix located on the middle pelvic axis;
c. 80% effaced (˂1,5 cm in length);
d. admits one finger easily;
e. soft;
What will be the result of compression of the fetal head in the narrow part of small pelvis:
a. Arrhythmia.
b. None of the above.
c. Changes in the cardiac activity of the fetus is absent.
d. Tachycardia.
e. Bradycardia.
What size of the pelvis is most important for the prognosis of delivery flow:
a. Direct size of the pelvic inlet.

b. Interspinal size of the big pelvis.
c. Oblique size of the pelvic inlet.
d. Transverse size of the pelvic inlet.
e. . Direct size of the pelvic outlet
Point of fixation on the fetal head in the front view of occipital presentation:
a. Eyebrows.
b. Occipital protuberance.
c. Upper jaw.
d. Suboccipital fossa.
e. Small fontanel.
After performing an amniotomy in the active phase, labor in the first 30 minutes:
a. Remains unchanged.
b. Become stronger.
c. None of the above.
d. Become weaker.
e. Completely stops.
Physiological blood loss during childbirth is:
a. No more than 0.9% and 1.0% of body weight.

b. Not more than 0,6%-0,8% of body weight.
c. Not more than 0,8%-0,9% of body weight.
d. Not more than 0,7%-0,8% of body weight.
e. Not more than 0.5% of body weight.
What is the “name” of central mechanism of separation of the placenta?
a. Crede – Lazarevych.
b. Schultze.
c. Duncan.
d. Mikeladze.
e. Abuladze.
The leading point in the anterior view of the occipital presentation:
a. Glabella.
b. Suboccipital fossa.
c. Small fontanell.
d. Lower jaw
e. Big fontanell.
Anna, 20 years old, full-term pregnancy, labor pains lasts 3 hours. Labors active. One fetus in cephalic presentation. The heartbeat of the
fetus does not suffer. The opening of the cervix 4 cm, the amniotic bladder is intact. Determine the tactics of labor:
a. Sleep-rest.
b. Provide the normal labor through the vagina.
c. Stimulation of birth with prostaglandins.
d. Cesarean section.
e. Amniotomy.
How many points of fixation on the fetal head in posterior view of occipital presentation?
a. Four.
b. Two.
c. One.
d. No one.
e. Three.
What is a “large segment” of the head?
a. The circumference of the transverse diameter of the head.

b. The circumference of the small oblique size of the head.
c. The circumference of the largest diameter of the head at this insertion.
d. The circumference of the smallest diameter of the head at this insertion.
e. None of the above.
What is the average duration of III stage of labor?
a. 1-2 hours.
b. 15-30 minutes.
c. 30-60 minutes.
d. 2-3 hours.
e. 4-5 hours.
False labor pains (contractions) is characterized by (all true, EXCEPT):
a. Usually relieved by analgetics or sedatives;

b. Progressive effacement and dilatation of the cervix;
c. Confined to lower abdomen and groin;
d. May be associated with hardening of the uterus;
e. Dull in nature;
What is called merging of amniotic fluid “at time”- merge of them when cervical dilatation is:
a. To 5cm
b. Upon full disclosure of the cervix.
c. Until 7cm.
d. To 6cm.
e. More than 6 cm .
What is the average duration of childbirth in multiparous women?
a. 6-12 hours.
b. 16-20 hours.
c. 12-16 hours.
d. 2-3 hours.
e. 4-5 hours.
Vaginal examination 6 hours after the onset of labour is determined: the cervical dilation is up to 5 cm, presentative part - is fetal head
pressed to the pelvic inlet. Sagittal suture in the transverse size of the pelvic inlet, small Fontanelle on the left side. What moment of the
biomechanism of the delivery is it?
a. Additional flexion of the head.

b. Extension of the head.
c. Internal rotation of the shoulder.
d. The flexion of the head.
e. Internal rotation of the head.
◄ Workbook. Physiology of childbirth. Pain relief in labor.
Jump to...
Methodological recommendations: Physiology of the postpartum period. The physiology of neonatal period ►
9/9/21, 7:18 PM Tests. Physiology of the postpartum period. The physiology of neonatal period.: Attempt review
/ Topic 4. Physiology of the postpartum period. The physiology of neonatal period. Curation of the patients.
/ Tests. Physiology of the postpartum period. The physiology of neonatal period.
Started on Tuesday, 7 September 2021, 2:16 PM

State Finished
Completed on Tuesday, 7 September 2021, 3:23 PM
Time taken 1 hour 7 mins
Marks 12.00/22.00
A 20-year-old woman (gravida 1) has just delivered. After expression of the placenta a red raw surface is visualized in the introitus of the
vagina. Simultaneously, the nurse states that the patient is pale and her BP is 70/40 mm Hg. External bleeding has been of normal
amount. What would be the most likely diagnosis?
a. second twin;
b. uterine inversion;
c. ovarian cyst;
d. vaginal rupture;
e. rupture of the uterus;
A 16-year-old patient delivered a term infant yesterday. She is placing the child for adoption and is not going to breast-feed. She asks
for something to suppress lactation. What is simplest and safest method of lactation suppression?
a. breast binding, ice packs, analgetics;

b. Depo-Provera;
c. oral contraceptive pills;
d. cabergoline;
e. bromocriptine;
On the occipital part of the newborn's head, which has a dolichocephalic shape, a birth tumor with a center in the area of the small
fontanell is determined. At what variant of head presentation was the fetus delivered?
a. In brow presentation
b. In the posterior view of the occipital presentation.
c. In face presentation
d. In the anterior view of the occipital presentation.
e. In biparietal presentation
What is the duration of the early postpartuml period?
a. The first 24 hours after labor.

b. Until discharge from hospital.
c. The first 6 weeks after labor.
d. the First 2 hours after labor.
e. The first 2 weeks after labor.
Which criteria for assessing the condition of the newborn are not included in the Apgar scale?
a. Heartbeat.
b. Color of the visible mucous membranes.
c. Breathing.
d. Muscle tone.
e. Reflex excitability.
Within 1 hour after delivery of the fetus Mothers state is satisfactory: the uterus is dense, its fundus at the level of the navel, bleeding is
absent. The clip imposed on the cord is on the same level, with a deep breath and pressed the edge of the palm above the symphysis
the umbilical cord retracts into the vagina. There is no bleeding from the genital tract. What should be done?
a. applying the method of Abuladze.

b. applying a method of Krede-Lazarevich.
c. providing curettage of uterine cavity.
d. applying an intravenous oxytocin.
e. a manual separation of the placenta.
A patient presents 1-week postpartum with complains of her right breastbeing engorged, hot, red, and painful. She reports a fever
38.5oC. If her breast were cultured, which of the following is the most likely organism to be found?
a. Staphylococcus aureus;
b. E. coli;
c. anaerobic Streptococcus;
d. Neisseria;
e. aerobic Streptococcus;
During childbirth classes, a patient should be told which of the following regarding breastfeeding?
a. Prolactin stimulates milk production and breast development;

b. Motherʹs milk contains a large amount of iron;
c. Most ingested drugs that are soluble in maternal blood do not cross into maternal milk;
d. The postpartum period of lactation is a time of above-normal fertility;
e. Breast milk is a major source of Ig G;
Five infants are admitted to the newborn nursery after uncomplicated vaginal deliveries. Which of the following newborns would be
classified as high-risk and merits closer monitoring?
a. 2,650g, 37 weeksʹ gestation, Apgar score 7/9

b. 3,100g, 38 weeksʹ gestation, Apgar score 7/9
c. 2,650g, 41 weeksʹ gestation, Apgar score 7/8
d. 3,800g, 41 weeksʹ gestation, Apgar score 7/8
e. 3,500g, 39 weeksʹ gestation, Apgar score 8/9
During the inspection of the placenta, which has just been born, we see the defect 2х3сm. No bleeding. What tactics are most justified?
a. External massage of the uterus.

b. Observation of the puerperal woman.
c. Manual revision of the uterine cavity.
d. Instrumental revision of the uterine cavity.
e. The purpose of uterotonic drugs.
After the delivery of the baby, during the third stage of labor, the doctor pressed the edge of his hand over symphysis and marked
retraction of the umbilical cord in the vagina. The sign was used by the doctor to determine the separation of the placenta is?
a. Alfeld
b. Schroeder
c. Chukalov-Kustner
d. Crede- Lazarevich
e. Genter
An infant is born and at 5 minutes it has a vigorous cry, a heart rate of 105, movement of all four extremities, good muscle tonus,
grimacing with stimulation, and has bluish hands and feet. What is the Apgar score of this infant?
a. 10
b. 7
c. 9
d. 6
e. 8
A patient calls to your clinic complaining of continued heavy vaginal bleeding. She had an “uncomplicated” vaginal birth 2 weeks ago of
her second child. What is the most likely diagnosis from the following differentials?
a. coagulopathies;
b. uterine atony;
c. uterine rupture;
d. vaginal lacerations;
e. retained placental fragments;
Immediately after the completion of a normal labor and delivery, the uterus should be which of the following?
a. immobile;
b. discoid
c. at the level of the symphisis pubis;
d. firm and rounded;
e. boggy;
When perinatal period starts and when it ends?
a. 32 weeks, 4 weeks after birth.

b. 22 weeks, 4 weeks after birth.
c. 28 weeks, a week after giving birth.
d. 24 weeks, a week after giving birth.
e. 25 weeks, a week after giving birth.
Where is the fundus of the uterus on the 2nd day of physiological postpartum period?
a. 4 cm below the navel.

b. 3 cm above the pubis.
c. 2 cm above the pubis.
d. At the level of the navel.
e. In the small pelvis.
What is the most common cause of bleeding in the early postpartum period?
a. Defect of the placenta.

b. Hypotonia of the uterus.
c. Placenta accreta.
d. Birthways injuries.
e. Coagulopathy.
A 20-year-old woman (gravida 1) has just delivered. After expression of the placenta a red raw surface is visualized in the introitus of the
vagina. Simultaneously, the nurse states that the patient is pale and her BP is 70/40 mm Hg. External bleeding has been of normal
amount. What would be the emergency treatment?
a. immediate hysterectomy;
b. delivery of the second infant;
c. immediate replacement of the fundus;
d. massive blood transfusion;
e. exploratory laparotomy;
What is the duration of the late postpartum period?
a. The first 6 weeks after labor.

b. The first 24 hours after labor.
c. The first 2 hours after labor.
d. Until discharge from hospital.
e. The first 2 weeks after labor.
Where is the fundus of the uterus in 2 hours after delivery located?
a. At the level of the navel.

b. 2 cm above the pubis.
c. In the small pelvis.
d. 4 cm above the pubis.
e. 4 cm below the navel.
The postpartum nurse calls about the patient who had an uncomplicated vaginal delivery 12 hours ago. She is concerned that the
patient has the following findings. Which of them should be of most concern to you?
a. a single temperature 37.2oC;

b. leukocytosis;
c. a pulse rate of 60;
d. abdominal rigidity;
e. proteinuria;
Anna 25 years, the second delivery. Delivery was lasted for 14 hours. Baby girl was born with a mass 4500 g. In 10 minutes after the birth
of a child separated placenta with all parts and membranes. The birth canal without damage. Bleeding is started. The uterus is soft, the
fundus is 2 cm above the navel. After an external massage of the uterus separated clots of blood. What is the cause of the bleeding is
most likely?
a. Coagulative disorders
b. Violation of placenta separation
c. Defect of the placenta
d. Violation of the contractile activity of the uterus
e. Trauma of the birth canal
◄ Workbook. Physiology of the postpartum period. The physiology of neonatal period.
Jump to...
Methodological recommendations: Placental dysfunction. Distress of the fetus. Delay of the fetal development ►
9/9/21, 7:15 PM Tests. Placental dysfunction. Distress of the fetus. Delay of the fetal development: Attempt review
/ Topic 5. Placental dysfunction. Distress of the fetus. Delay of the fetal development
/
Tests. Placental dysfunction. Distress of the fetus. Delay of the fetal development
Started on Wednesday, 8 September 2021, 1:59 PM

State Finished
Completed on Wednesday, 8 September 2021, 7:14 PM
Time taken 5 hours 15 mins
Marks 13.00/28.00
Question 1
Complete
30-year-old woman gave birth to a child at the second labor with anemic jaundice form of hemolytic disease. A woman's Blood Type A (II) Rh
Negative, Blood Type of the newborn is in B (III) Rh +, the parent of the newborn is also in B(III) Rh +. What is the most probable cause of the
immune conflict?
a. antigen B conflict
b. Rhesus conflict
c. antigen A conflict
d. antigen AB conflict
e. AB0 conflict
Question 2
Complete
25-year-old woman is in labor for 16 hours. Contractions are ineffective, continuing for 1.5
hours. Fetal head in the pelvic cavity. The fetal heartbeat suddenly became deaf, arrhythmic 100 / min. On vaginal examination: the opening
of the cervix is complete, the amniotic bladder is absent. Head in the cavity of the small pelvis. What are the next obstetric tactics?
a. Vacuum extraction of the fetus

b. Further conservative delivery
c. Caesarean section
d. Oxytocin labor stimulation
e. Applying obstetric forceps
Question 3
Complete
The development of placental dysfunction during pregnancy contributes to all except:
a. Anemia
b. Preeclampsia
c. Infectious diseases
d. Kidney diseases and hypertension
e. Age of the pregnant 25-30 years
Question 4
Complete
Nulliparious woman, 36 years old, labor lasts for 5 hours. The labor is in term. Contractions lasting for 35-40 seconds. after 5 minutes.
Meconial amniotic fluids has poured. Fetal heartbeat-90 beats per minute. During a vaginal examination: the cervix is smoothed, the
dilatation of the uterine os is 6 cm. What actions are the most appropriate?
a. Obstetric forceps
b. Medical sleep
d. Introduction of antispasmodics
e. Introduction of uterotonics
Question 5
Complete
Into the obstetrics pathology department was admitted a multiparious woman at 37 weeks of gestation, who complains that she doesn't feel
the child's movements well. From the anamnesis, it is known that at 11-12, 16-18 weeks of gestation she was treated in a hospital for the
threat of termination of pregnancy. At 32 weeks placental dysfunction was diagnosed by ultrasound. During auscultation – heartbeat is
muffled, heart rate up to 120 per minute. Performed amnioscopy – amniotic fluid are greenish. Determine doctor's tactics:
a. prolong pregnancy and determine the biophysical profile of the fetus

b. prolong pregnancy and conduct antihypoxic therapy
c. cardiomonitoring in dynamics during this week
d. perform amnioscopy once in 3 days
e. urgent delivery
Question 6
Complete
A patient at 34 weeks' gestation in a low-risk pregnancy who reports decreased fetal movement over the preceding hour should be
instructed to:
a. donʼt pay any attention to this fact.

b. increase her physical activity.
c. come to the hospital for providing CS.
d. report to her primary medical provider for immediate assessment.
e. have something to eat or drink, lie on her left side, and count fetal movements over the next 1-2 hours.
Question 7
Complete
M., 29 years old, delivery III at 40 weeks of gestation. A boy weighing 2500g was born, 50 cm long, with an Apgar Score of 7-8 points.In the
third stage of labor the placenta was born with multiple petrifications, greenish amniotic membranes. Establish probable diagnosis.
a. Fetal hypotrophy I degree

b. Placental dysfunction. Fetal hypotrophy II degree.
c. Intrauterine infection of the fetus
d. Chronic placental insufficiency
e. Preterm labor. Placental dysfunction.
Question 8
Complete
Indications for resuscitation measures are:
a. condition of asphyxia of the newborn

b. discoordinated labor activity
c. weakness of labor activity
d. is mandatory if there is meconium in the amniotic fluid
e. severe gestosis in a pregnant woman
Question 9
Complete
Indirect heart massage in infants is not indicated:
a. with general cyanosis

b. in general
c. with bradycardia less than 20 beats per minute
d. with a heart rate of 100 beats per minute
e. with general paling of the skin
Question 10
Complete
According to estimates biophysical profile of the fetus pathological condition of the fetus is:
a. 6 points or less
b. 3 points or less
c. 4 points or less
d. 7 points or less
e. 5 points or less
Question 11
Complete
The time during which it is necessary to separate a child born in asphyxia, from mother:
a. The separation time does not matter

b. Time is determined individually by the physician neonatologist
c. In the first seconds for at term labor and after a minute in preterm labor (to host events without crossing the cord)
d. To wait until the cessation of pulsation of the umbilical cord
e. Conducted only in the presence of meconium in the amniotic fluid
Question 12
Complete
Repeated delivery in a 30-year-old woman. The duration of labor is 14 hours. Fetal heartbeat is muted, arrhythmic 100 beats / min. Vaginal
examination: complete opening of the cervix,
the fetal head is in the plane of the exit from the small pelvis. Sagittal suture in straight size, small fontanel near the symphysis. Determine
the further tactics of labor.
a. use of obstetric forceps

b. use of vacuum extraction
c. stimulation of labor with oxytocin
d. Caesarean section
e. Skin-Head forceps according to Ivanov
Question 13
Complete
Nulliparious, 36 years old, labor lasts 5 hours. The delivery is urgent. Contractions lasting 35-40 seconds in 5 minutes. The meconium-colored
amniotic fluids have poured. Fetal heartbeat is 90 beats per minute. During vaginal examination: the cervix is smoothed, dilatation of the
uterine os - 6 cm. What actions are the most appropriate?
a. Introduction of antispasmodics
b. Obstetric forceps
d. Introduction of uterotonics
e. Medical sleep
Question 14
Complete
The cause of asphyxia of a newborn can not be:
a. mechanical trauma of the brain stem

b. use of general anesthesia or narcotic analgesics in labor
c. gender of the newborn
d. fetal distress
e. rapid removal of the fetus from the uterus by caesarean section
Question 15
Complete
The use of what medications during pregnancy does not contribute to the development of fetal dystress:
a. Magnesium sulfate
b. Reserpin
c. Narcotic drugs
d. Antidepressants
e. Antispasmodics
Question 16
Complete
Basic measures of resuscitation of a newborn in asphyxia include all except:
a. use of narcotic drugs

b. intubation and artificial ventilation
c. external heart massage
d. oxygen therapy
e. airway pathway release
Question 17
Complete
The indications for mechanical ventilation in newborns are:
a. Meconial staining water

b. The Apgar score at birth - 4-5 points
c. Hyporeflexia
d. Apgar score at birth 6 points
e. General cyanosis
Question 18
Complete
22-year-old woman in labor is in a maternity house with active labor activity. Merged
amniotic fluid, lost umbilical cord. Fetal position longitudinal, breech presentation. Vaginal examination: the cervix is smoothed, the opening
is 6 cm; there is no amniotic bladder; the buttocks are presented, squeezed to the entrance to the small pelvis. The vagina contains a
pulsating umbilical cord. What should be the management strategy?
a. Umbilical cord filling and labor stimulation

b. Extraction of the fetus by the pelvic end
c. Conservative treatment
e. Oxytocin labor stimulation
Question 19
Complete
30-year-old woman in labor, somatically healthy. II period of labor. Estimated fetal weight 3100 g. Fetal heartbeat is deaf, 90 / min., rhythmic,
head on the pelvic floor, saggital suture in the straight size of the plane of exit of the small pelvis, front view. What tactics of the doctor is the
most appropriate in this case?
a. Labor stimulation
b. Vacuum extraction
c. Obstetric forceps
d. Treatment of intrauterine fetal distress
e. Caesarean section
Question 20
Complete
Normal fetal heart rate:
a. 100-140 beats/min.
b. 120-150 beats/min.
c. 120-180 beats/min.
d. 110-170 beats/min
e. 110-190 beats/min
Question 21
Complete
Nulliparious woman, 30 years old. Head in the plane of exit of the pelvic cavity. The fetal heartbeat began to slow down, an arrhythmia
appeared. What should be done?
b. Perineotomy
c. Vacuum extractor
d. Skin-head forceps
Question 22
Complete
Pregnant woman,33 years old, smoking, not registered in marriage. Somatic anamnesis -
as a child, she had pyelonephritis. At 16 weeks of pregnancy there was a threat of termination of pregnancy, she was treated in the hospital
for 2 weeks. Gestation period 33 weeks, last 2 weeks fetal movements are weak. To assess the state of the fetoplacental complex of a
pregnant woman ultrasound is recommended. Which of these signs are characteristic of placental dysfunction?
a. detection of ascites in the fetus

b. polyhydramnios
c. lack of amniotic fluids
d. III degree of placental maturity
e. placental thickening more than 50 mm
Question 23
Complete
Repeated delivery in a 30-year-old woman. The duration of labor is 14 hours. Fetal heartbeat is muffled, arrhythmic 100 beats / min. Vaginal
examination: the dilatation of the cervix is complete, the fetal head is in the plane of the exit from the small pelvis. Sagittal suture in straight
size, small fontanel is near the symphysis. Determine the further tactics of labor.
a. Skin-head forceps according to Ivanov

b. Stimulation of labor with oxytocin
d. Applying of obstetric forceps
Question 24
Complete
Distress of the fetus may be due to all except:
a. Narrow pelvis
b. Mothers heart disease
c. The entanglement of the umbilical cord
d. Post-term pregnancy
e. Anomalies of labor activity
Question 25
Complete
23 year old pregnant woman with low localization of the placenta was admitted to the Department of obstetric pathology with a gestation
period of 34 weeks. During complex examination, it was revealed that there are signs of placental dysfunction. What fetoplacental complexe
disorders can be considered diagnostically significant in this situation?
a. intrauterine growth retardation of the fetus

b. presence of deceleration on the fetal cardiotocogram
c. positive non-stress test
d. the duration of active fetal respiratory movements is 45 seconds
e. assessment of fetal biofysical profile
Question 26
Complete
Pregnant woman, V., 23 y.o., pregnancy 36 weeks of gestation. She was hospitalized with complaints of increased movement of the fetus for
3 days. Objectively: the size of the abdomen corresponds to 34 weeks of gestation, conclusion of ultrasound: the size of the fetus
corresponds to 34 weeks of gestation., signs of the placenta aging (petrifications, lacunae). What additional tests should be made?
a. repeated ultrasound after 2 weeks

b. fetal biophysical profile, dopplerometry of fetoplacental circulation
c. amniocentesis
d. cordocentesis
e. amnioscopy
Question 27
Complete
Woman, 25 years old, is in labor for 16 hours. 2nd period of labor. Contractions are ineffective, last for 1.5 hours. Fetal head is in the pelvic
cavity. Fetal heartbeat is deaf, arrhythmic 100 beats per minute. During vaginal examination: the dilatation of the cervix is complete, the
amniotic bladder is absent. What is the subsequent management?
a. Use obstetric forceps

b. Vacuum extraction of the fetus
c. Conservative delivery
d. Oxytocin labor stimulation
e. Perform a caesarean section
Question 28
Complete
In the complex treatment of fetal hypotrophy is not used:
a. Essentiale-Forte
b. Vitamin E
c. antibiotics
d. hyperbaric oxygenation
e. glucose solution
◄ Workbook. Placental dysfunction. Distress of the fetus. Delay of the fetal development
Jump to...
Lecture ►
9/9/21, 7:16 PM Tests. Abnormalities of the ovum. Multiple pregnancy. Isoantigen incompatibility of blood of mother and fetus.: Attempt review
/ Topic 6. Abnormalities of the ovum. Multiple pregnancy. Isoantigen incompatibility of blood of mother and fetus.
/
Tests. Abnormalities of the ovum. Multiple pregnancy. Isoantigen incompatibility of blood of mother and fetus.

State Finished
Marks 14.00/16.00
Question 1
Complete
Secundipara with Rh (-) blood is in a second marriage, the examination at 4 - 5 weeks of pregnancy revealed antibodies to Rh factor. No
antibodies to Rh were detected during previous pregnancies, so anti-D immunoglobulin was not administered. The first child is Rh (+)
positive. How to explain the appearance of Rh - antibodies during this pregnancy?
a. Sensitization occurred in the first labor

b. Sensitization occurred with the onset of this pregnancy
c. Sensitization is caused by remarriage
d. Sensitization occurred during the first pregnancy
e. Diagnostic error
Question 2
Complete
In a 22-year-old woman with Rh (-) blood belonging to a man Rh (+), up to 32 weeks of pregnancy antibodies to Rh-factor were not
determined. At 35 weeks of gestation, re-detection of antibodies to Rh was not found. What is the frequency of further detection of
antibodies?
a. Once a week
b. Once every three weeks
c. Once every two weeks
d. Once a month
e. Further definition is impractical
Question 3
Complete
Normally, the number of amniotic fluid in the full-term pregnancy is:
a. 250-300 ml
b. 500 - 600 ml
c. 600-1500 ml
d. 300 - 400 ml
e. 1600-2000 ml
Question 4
Complete
The main diagnostics of the Rh-conflict are:
a. Determination of the titre of Rh antibodies

b. Hormonal research
c. Cardiomonitor examination of fetal status
d. Determination of blood type
e. Ultrasound research
Question 5
Complete
Twin pregnancy. All is true, except:
a. The period of disclosure is often shortened

b. It is often necessary to induce childbirth
c. Preterm labor often occurs
d. There are uterine ruptures
e. Its duration is more than an average term
Question 6
Complete
The main diagnostic features of hydatidiform mole are listed, except?
a. Inconsistency in the size of the uterus and term of pregnancy

b. Uterine bleeding with bubbles
c. Positive tests for determining chorionic gonadotrophin
d. No part of the fetus is determined, the heartbeat is not audible
e. Development of renal failure
Question 7
Complete
Examination of a pregnant woman at 30 weeks of gestation revealed: second pregnancy (history of 1 artificial abortion), blood group A (II),
Rh (-), during ultrasound scan the presence of hepatosplenomegaly, cardiomegaly, ascites and hydrothorax in the fetus , thickening of the
placenta. Which diagnosis is most likely?
a. Fetal distress during pregnancy

b. Placental insufficiency
c. Hemolytic disease of the fetus
d. Maternal - fetal infection
e. Threat of premature birth
Question 8
Complete
ABO-isoimmunization occurs most frequently in women with blood type:
a. AB (IV)
b. 0(I)
c. B (III)
d. all
e. A (II)
Question 9
Complete
The diagnostic features of the polyhydramnios all, except?
a. Tight and overly painful uterus

b. Increased blood pressure
c. Abdominal cramping is more appropriate
d. Poorly palpable parts of the fetus in the uterus
e. Vaginal bleeding during vaginal examination
Question 10
Complete
What is an ultrasound criterion for a monochorial biamniotic twins in the first trimester?
a. Two embryos
b. T-sign at the base of the interfetal septum
c. One amnion
d. Two yellow bags
e. Thin inter-fetal partition
Question 11
Complete
Pregnant woman was admitted to the Department of Pregnancy Pathology at the age of 38 weeks. Twins are diagnosed. The fetus is in the
leg presentation, the second - in the transverse. Define a delivery plan.
a. The removal of the 1st fetus by the foot, the 2nd - the external internal obstetric turn.
b. To lead an external turn for Arkhangelsk.
c. Births through natural birthmarks.
d. Routine cesarean section.
e. Assign corrective gymnastics.
Question 12
Complete
Re-pregnant 28 years old, with Rh-negative blood type is under the supervision of an obstetrician-gynecologist. History: in previous births,
manual separation of the placenta was performed due to bleeding in the third period. At 36 weeks of pregnancy, the antibody titer increased
from 1:16 to 1:64. At ultrasound - thickening of the placenta is increased and slowing of fetal movements is observed. How often should a
blood test for Rh antibodies be performed in the future?
a. Daily before delivery

b. Before childbirth
c. Once every two weeks
d. 1 time per week
e. 1 time in three weeks
Question 13
Complete
An Rh-negative mother delivers an Rh-positive infant, and alloimmunization (production of Rh antibodies in the mother) occurs. In this case,
the risk of hemolytic disease is greatest in:
a. subsequent Rh-negative fetuses

b. subsequent Rh-positive fetuses
c. the current Rh-positive infant
d. the risk is equal in all cases
e. the current Rh-negative infant
Question 14
Complete
A 25-year-old pregnant woman was admitted to the maternity hospital within 34 weeks. No complaints. From the anamnesis: the first
childbirth - without complications, there were three artificial abortions, this is the fifth pregnancy. She did not attend a women's clinic until 30
weeks of pregnancy. At 30 weeks of pregnancy, the examination revealed: blood group of the pregnant woman - A (II), rhesus-negative, her
husband - B (III), rhesus-positive. The titer of anti-rhesus antibodies was 1:16, after 2 weeks the titer was 1:64. What is the main link in the
pathogenesis of this pathological process?
a. Autoimmune hemolysis of fetal erythrocytes

b. . Deterioration of fetal-placental and fetal blood circulation due to increased thrombosis
c. Hemolysis of fetal red blood cells by anti-rhesus antibodies produced in the pregnant woman
d. Intoxication of the fetus by indirect bilirubin of the pregnant woman
e. Intoxication of the fetus with its own direct bilirubin
Question 15
Complete
If a pregnant woman has RH-negative blood type, you should:
a. to make cordocentesis
b. to determine the blood group of the husband
c. to determine the RH factor of the husband
d. to determine blood group of woman
e. to find out the obstetric anamnesis
Question 16
Complete
Pregnant S., 26 years old, the second pregnancy,14-15 weeks. The first pregnancy ended in an abortion at 11-12 weeks. Women has 0 (I) Rh
(-), father of the baby - 0 (I) Rh (+). What tests should a woman have?
a. Determination of antirhesus antibodies

b. Biochemical analysis of blood
c. Cordocentesis
d. Determination of group antibodies
e. Coagulogram
◄ Workbook. Abnormalities of the ovum. Multiple pregnancy. Isoantigen incompatibility of blood of mother and fetus.
Jump to...
Methodological recommendations: Early gestosis. Hypertensive disorders in pregnancy. Preeclampsia. Eclampsia. ►
9/9/21, 7:16 PM Tests. Early gestosis. Hypertensive disorders in pregnancy. Preeclampsia. Eclampsia.: Attempt review
/ Topic 7. Early gestosis. Hypertensive disorders in pregnancy. Preeclampsia. Eclampsia.
/
Tests. Early gestosis. Hypertensive disorders in pregnancy. Preeclampsia. Eclampsia.

State Finished
Completed on Thursday, 9 September 2021, 12:08 AM
Marks 16.00/20.00
Question 1
Complete
A woman at 37 weeks of pregnancy complains of headache, nausea, vomiting, pain in the right hypochondrium. Objectively: pale skin,
jaundice of mucous membranes, AT-180/110 mm Hg. on both hands, swelling of the lower extremities and anterior abdominal wall, bleeding
at the injection site. Palpation reveals sharp pain in the epigastric region, liver + 4 cm. Blood parameters: increase in the level of liver enzymes
by 6 times, platelets 80 g/l, hemoglobin 65 g/l, total bilirubin 120 μmol/l. What is the diagnosis?
a. Eclamptic status
b. HELLP syndrome
c. Eclampsia
d. DIC syndrome
e. Rupture of the liver
Question 2
Complete
The following drugs are of use in treating essential hypertension in pregnancy
a. Atenolol
b. Angiotensin-converting-enzyme inhibitors
c. Methyldofa
d. Telmisartan
e. Furosemid
Question 3
Complete
Severe pre-eclampsia may be complicated by all, EXCEPT
a. Intrauterine growth retardation

b. Intrauterine fetal death
c. Cardiovascular accidents
d. Temporary loss of sight
e. Varicose veins disease
Question 4
Complete
In pregnancy-indused hypertension
a. As usual it develops in the first trimester of pregnancy

b. The patient is usually primigravida
c. The patient is normotensive before 28 weeks gestation
d. The patient more commonly is a smoker than a non-smoker
e. The patient has significant proteinuria, a loss of 300 mg per 24 hours or more in the urine
Question 5
Complete
A pregnant woman in the period of 8-9 weeks complains of vomiting up to 11 times a day, significant salivation. In 2 weeks the body weight
decreased by 3 kg. Blood pressure 90/60 mm Hg, pulse 100/min. The skin is dry, pale. The pregnant woman is mentally unstable. Diuresis is
reduced. What is the probable diagnosis?
a. Mild vomiting of pregnancy

b. Moderate vomiting of pregnancy
c. Decompensated pylorostenosis
d. Severe vomiting of pregnancy
e. Botkin's disease
Question 6
Complete
Pregnant, 39 years old. Pregnancy II, 10 weeks. Complaints on nausea and vomiting up to 8 times a day. She lost 5 kg. What is the most likely
preliminary diagnosis?
a. Exacerbation of gastritis
b. Hernia of the esophageal orifice of the diaphragm
c. Food poisoning
d. Malignant neoplasm of the gastrointestinal tract
e. Gestosis of I half of pregnancy
Question 7
Complete
Pregnant 27 years at 37 weeks of pregnancy is diagnosed with mild pre-eclampsia.. What is the preferable start treatment for a patient?
a. Antihypertensive drugs with microcirculation correction

b. Antiplatelet agents and anticoagulants
c. Vitamins
d. Neuroleptics
e. Spasmolytic preparations
Question 8
Complete
Pregnant, 20 years old. Pregnancy I, term 28 weeks. Delivered by an ambulence with sudden complaints of severe low back pain, general
weakness, fever up to 38.5oC. Pasternatskiy's symptom is positive on both sides, more on the left, torso tilts are little painful. In blood:
protein 1.2 g/l. BP 130/90 mm Hg, PS 85beats per min. Nephrological history is not burdened. Make a preliminary diagnosis?
a. Glomerulonephritis of pregnant women

b. Gestational pyelonephritis
c. Mild preeclampsia
d. Exacerbation of chronic pyelonephritis
e. Moderate preeclampsia
Question 9
Complete
A 28-year-old woman, pregnant for the third time. Previous 2 pregnancies ended in abortions at 7 and 10 weeks. The term of this pregnancy
is 38 weeks, received with complaints of headache, epigastric pain, drowsiness, swelling in the legs. Blood pressure - 180/120 mm Hg Prior to
pregnancy, she did not suffer from hypertension. The position of the fetus is longitudinal, the main presentation, the heartbeat of the fetus
145 beats/min, clear, rhythmic. In urine protein 4.2 g/l. What complication occurred during pregnancy?
a. Severe preeclampsia
b. Hypertension of pregnant women.
c. Mild preeclampsia.
d. Moderate preeclampsia
e. Eclampsia.
Question 10
Complete
A pregnant woman was taken to the maternity hospital with complaints of epigastric pain and severe headache. Pulse 110/min, blood
pressure 180/100 mm Hg, edema in the abdomen, legs. The size of the uterus corresponds to the term of full-term pregnancy. The uterus
becomes toned, painful on palpation. The heartbeat of the fetus is deaf, bloody discharge from the vagina. Obstetric tactics?
a. Cesarean section in an urgent manner

b. Start a comprehensive treatment of preeclampsia
c. Treat fetal distress
d. To begin complex pathogenetic therapy of gestosis, in case of absence of effect to make cesarean section
e. Amniotomy and delivery through the natural birth canal
Question 11
Complete
Pregnant in the period of 37 weeks, the condition is severe. Complains of severe headache, blurred vision, flashing "flies" before the eyes.
Objectively: generalized edema, BP -200/140 mmHg. Suddenly, fibrillar twitching of the facial muscles, tonic convulsions, and then apnea.
After 1 minute, breathing resumed. There is a considerable amount of foam from the mouth. Amnesia. In the clinical analysis of urine: protein
9 g/l. What is the likely diagnosis?
a. Severe preeclampsia
b. Severe craniocerebral trauma
c. Epilepsy
d. Complicated hypertensive crisis
e. Eclampsia
Question 12
Complete
The following drugs are NOT of use in treating NVP:
a. Magnium ions
b. Methyldofa
c. Vitamin B6
d. Infusion of Ringer-Lokk solutions
e. Ginger extract
Question 13
Complete
Primary 32 years old, at 35 weeks came with complaints of headache, swelling of the legs and face, impaired fetal movements. The woman's
condition is severe, blood pressure 180/105 mm Hg. Protein in the urine - 4.5 g/l. Fetal heart rate 160 beats / min. On vaginal examination:
the cervix is "immature". After treatment, blood pressure dropped to 160/90 mm Hg, but CTG results indicate fetal distress. What are the
obstetric tactics?
a. Arousal and amniotomy

b. Prolongation of pregnancy, childbirth through the natural birth canal at 37-38 weeks
c. Urgent cesarean section
d. Preparation of the cervix for childbirth, childbirth, application of obstetric forceps
e. Continue treatment of late preeclampsia until 37-38 weeks, followed by cesarean section
Question 14
Complete
Symptoms and signs of pre-eclampsia include all, except:
a. Thirst
b. Epigastric pain
c. Swelling of tissues
d. Hypertensia
e. Oliguria
Question 15
Complete
Pregnant is 19 years old. Pregnancy for a period of 10 weeks. Disturbs nausea and vomiting 5-8 times a day. Has lost in weight of 6,5 kg.
What is the most likely diagnosis?
a. Malignant neoplasm of the gastrointestinal tract

b. Nausea and vomiting of pregnancy
c. Foodborne disease
d. Threat of abortion
e. Exacerbation of gastritis
Question 16
Complete
Caterina with her first-pregnancy, 23 years. The gestation period is 35 weeks. There are no complaints. Over the past two weeks she gained 2
kg. There are swelling of the lower extremities. Arterial pressure 140/95 mm Hg. In the urine there are traces of protein. What is the likely
diagnosis?
a. Mid pre-eclampsia
b. Moderate preeclampsia
c. Swelling of the pregnant
d. Hypertensive disease of pregnant women
e. Pyelonephritis of pregnant women
Question 17
Complete
A pregnant woman is delivered by an ambulance on a stretcher. Pregnancy is the third, the term is 10 weeks. The two previous pregnancies
were interrupted due to early gestosis. Pregnancy is welcome. The pregnant woman is exhausted, the skin is dry, and the smell of acetone is
from her mouth. Vomiting up to 20 times a day. Treatment did not receive. What is the most likely diagnosis?
a. Excessive vomiting of pregnant women

b. Foodborne disease
c. Coma
d. Exacerbation of chronic cholecystitis
e. Moderate vomiting of pregnant women
Question 18
Complete
A 27-year-old pregnant woman was admitted to the department at 9–10 weeks of pregnancy with complaints of vomiting during the day (up
to 15-20 times). Objective examination: dry skin, pulse 110/120 beats / min, blood pressure 90/60 mm Hg, odor of acetone in the mouth, the
woman is exhausted, restless, dry tongue with whitish layering, tachypnea (up to 30 respiratory movements per minute), decreased urine
output. Blood glucose level - 5.2 mmol/liter. Diagnosis?
a. Severe vomiting of pregnancy

b. Acute food poisoning
c. Decompensated pylorostenosis
d. Precoma hyperglycemic (ketoacidotic)
e. Moderate vomiting of pregnancy
Question 19
Complete
First-pregnant 24 years, in the second period of labor. Complains of intermittent pain in the back of the head, forehead and epigastric region.
Swelling of the face, legs and genitals occurs. Blood pressure on both arms 190/115mm.Hg. The head of the fetus in the pelvic cavity. What
are the further obstetric tactic?
a. Imposition of forceps according to Ivanov

b. Imposition of obstetric forceps
c. Cesarean section
d. Decapitation
e. Introduction of oxytocin intravenously
Question 20
Complete
Primary 26 years old, the first urgent delivery. The contractions started 12 hours ago. At hospitalization: contractions every 5 minutes. for 30
s, complaints of headache and impaired vision ("grid" in front of the eyes). AT 140/100 mm Hg. 4 hours after hospitalization, contractions
began, amniotic water poured. Suddenly, the mother had convulsions with short-term fainting. At vaginal research: cervical dilatation is full, a
head on a pelvic floor, an arrow-shaped seam in the direct size of pelvic outlet, a small fontanell under the pubis. Obstetric tactics?
a. Parturition, childbirth conservatively

b. Childbirth per vias naturalis
c. Cesarean section
d. Fetus-destroying operation
e. Imposition of obstetric forceps
◄ Workbook. Early gestosis. Hypertensive disorders in pregnancy. Preeclampsia. Eclampsia.
Jump to...
Lecture ►
9/10/21, 12:22 AM Tests. Miscarriage. Preterm labor: Attempt review
Module 2 (5 course) Department of obstetrics and gynecology № 3 / Topic 8. Miscarriage.
/
Tests. Miscarriage. Preterm labor

State Finished
Completed on Friday, 10 September 2021, 12:21 AM
Marks 18.00/24.00
Question 1
Complete
A 19-year-old woman was admitted to the gynecological department in the direction of a women's clinic, where a discrepancy in the size of
the uterus during pregnancy was established. Last menstruation 3 months ago. Vaginal examination: cervix up to 2 cm long, dense, uterine
body is enlarged up to 8 weeks of pregnancy. Which diagnosis is most likely?
a. Incomplete abortion
b. Abortion that has begun
c. Abortion in progress
d. Missed pregnancy
e. Threatened abortion
Question 2
Complete
In the obstetric hospital there is a pregnant woman in the period of 26-27 weeks with the threat of premature birth. Receives tocolytic
therapy, prevention of respiratory distress syndrome of the newborn. In case of development and completion of childbirth to what type they
should be attributed?
a. Premature birth
b. Late miscarriage
c. Extremely early preterm birth
d. Early premature birth
e. Timely delivery.
Question 3
Complete
Pregnant 30 years, pregnancy 35 weeks. At hospitalization the complaint of cramp-like pain in the lower abdomen. It is established: the tone
of the uterus is increased, the fetal heartbeat is rhythmic, 110 beats / min. The cervix is closed. Diagnosis:
a. Placenta previa.
b. Embolism of amniotic fluid.
c. Premature detachment of the normally located placenta.
d. Threat of uterine rupture.
e. Threat of premature labor.
Question 4
Complete
In case of threatened abortion
a. The cervical os is closed

b. Bleeding is always slight
c. The pregnancy terminates in most cases
d. Admission to the surgeon is necessary
e. Pain is absent
Question 5
Complete
A 26-year-old pregnant woman is registered in the LCD. No complaints. History of one medical abortion and two miscarriages at 18 and 21
weeks. At vaginal examination at 17 weeks: cervix up to 1.5 cm, soft, cervical canal passes one finger. Tactics of the LCD doctor?
a. Recommend bed rest

b. Prescribe sedative and antispasmodic therapy.
c. Continue outpatient care.
d. Hospitalize the pregnant woman.
e. Carry out a course of treatment with tocolytics.
Question 6
Complete
The first pregnant woman within 20 weeks complains of pain in the hypogastric area, smearing bloody discharge from the genital tract. The
tone of the uterus is excessive, the mobility of the fetus is felt. At bimanual research: the uterus is increased according to gestational age, the
cervix is shortened to 0,5 cm, the external os is opened on 2 cm. What is the most likely diagnosis?
a. Abortion in progress
b. Missed pregnancy
c. Incomplete abortion
d. Abortion that has begun
e. Threat of abortion
Question 7
Complete
A 26 y.o. woman complains of a mild bloody discharge from the vagina and pain in the lower abdomen. She has had the last menstruation
3,5 months ago. The pulse is 80 bpm. The blood pressure (BP) is 110/60 mm Hg and body temperature is 36,60C. The abdomen is tender in
the lower parts. The uterus is enlarged up to 12 weeks of gestation. What is your diagnosis?
a. Incomplete abortion
b. Missed abortion
c. Complete abortion
d. Threatened abortion
e. Disfunctional bleeding
Question 8
Complete
It is necessary to diagnose the causes of habitual miscarriage:
a. After 20 weeks of pregnancy

b. During previous miscarriages
c. No later than 20 weeks of pregnancy
d. Before pregnancy
e. In early pregnancy
Question 9
Complete
A 27-year-old pregnant woman was taken to the maternity hospital with a pregnancy of 35 weeks and complaints of bright bloody discharge
with clots that appeared after the act of defecation. The head of the fetus at the bottom of the uterus. Fetal heart rate - 150 / min. There is no
labor. Vaginal examination: the cervix is 2.5 mm long, the external os passes the fingertip, everywhere the vault of the vagina is felt a massive
formation of soft consistency, bloody discharge, bright. What is the most likely diagnosis?
a. Rupture of the uterus

b. Low placental attachment
c. Detachment of the naturally located placenta
d. Placenta previa
e. Threat of premature birth
Question 10
Complete
Patient 30 years old, taken to the hospital with complaints of cramping pain in the lower abdomen, bloody discharge from the genital tract
with clots, weakness. AT 100/60 mm Hg Ps-95 / min, body t 36.7°C. The last menstruation was 8 weeks ago. Per vaginum: the cervix is conical,
the external os passes the finger. The uterus is enlarged to 6-7 weeks of pregnancy, not painful. The appendages are not palpable on both
sides. The arches are deep, not painful. What is the most likely diagnosis?
a. Submucosal uterine fibroids

b. Incomplete abortion
c. Impaired ectopic pregnancy
d. Abnormal uterine bleeding
e. Abortion in progress
Question 11
Complete
The most common cause of abortion is
a. genital infantilism
b. hormonal insufficiency of the ovaries and placenta
c. hypothyroidism
d. immunological conflict
e. isthmic-cervical insufficiency
Question 12
Complete
A woman complains of having slight dark bloody discharges and mild pains in the lower part of abdomen for several days. Last menses were
7 weeks ago. The pregnancy test is positive. Bimanual investigation: the body of the uterus indicates for about 5 weeks of pregnancy, it is
soft, painless. The ovaries without features. What examination is necessary for detection of fetus state?
a. Chromohydrotubation
b. Colposcopy
c. Cystoscopy
d. Hysteroscopy
e. Ultrasound
Question 13
Complete
The patient is 25 years old, complains of significant bloody discharge from the genital tract, significant abdominal pain of a convulsive nature.
Last menstruation 4 months ago. In bimanual examination: a large number of blood clots in the vagina, the cervix passes one finger, in the
cervical canal - the elements of the fertile egg, the uterus is enlarged to 14 weeks of pregnancy, the appendages are not defined. Which
diagnosis is most likely?
a. Abortion that has begun

b. Incomplete abortion
d. Complete abortion
e. Threatened abortion
Question 14
Complete
A pregnant woman, 28 years old, came to a women's clinic with complaints of aching pain in the lower abdomen and lower back. The
gestation period is 12-13 weeks. History of 2 artificial abortions. At vaginal examination: the cervix is 2.5 cm long, the external os is closed,
the uterus is enlarged according to the term of pregnancy, on palpation comes into tone. Discharge is mucous, light, insignificant. Diagnose:
a. Undeveloped pregnancy
b. Spontaneous miscarriage that has begun
d. Threatened miscarriage
e. Hydatidiform mole
Question 15
Complete
The following drugs will NOT suppress uterine contractions
a. dexamethasone
b. atosiban
c. alcohol
d. hexoprenalin
e. indomethacin
Question 16
Complete
Spontaneous premature labor is associated with all, except
a. multiple pregnancy
b. low socio-economic class
c. cervical incompetence
d. placenta praevia
e. congenital uterine abnormalities
Question 17
Complete
A 24 years old primipara was hospitalized with complaints about discharge of the amniotic fluid. The uterus is tonic on palpation. The
position of the fetus is longitudinal, it is pressed with the head to pelvic inlet. Palpitation of the fetus is rhythmical, 140 bpm, auscultated on
the left below the navel. Internal examination: cervix of the uterus is 2,5 cm long, dense, the external orifice is closed, light amniotic waters
discharge out of it. Point a correct component of the diagnosis:
a. Preterm discharge of the amniotic waters

b. Early discharge of the amniotic waters
c. The end of the 1st stage of labor
d. The beginning of the 1st stage of labor
e. Pathological preterm labor
Question 18
Complete
A 29-year-old woman went to a women's clinic with complaints of lower abdominal pain and blood in the genital tract. Diagnosed with
pregnancy 7-8 weeks, pregnancy 4, 1 ended in abortion within 9 weeks. During the abortion, there were difficulties with opening the cervix.
The next two pregnancies ended in miscarriages at 20-21 weeks. Rh - negative blood type without isosensitization. What is the most likely
cause of miscarriage in this case?
a. Increased content of male sex hormones

b. Metroendometritis
c. Genetic pathology
d. Rh- conflict
e. Isthmic-cervical insufficiency
Question 19
Complete
A patient with a missed abortion (what is not correct):
a. has a significant risk of uterine haemorrhage due to coagulopathy

b. usually has a uterus smaller than would be expected from her dates
c. often presents with a red bright vaginal discharge
d. will develop a septic abortion if the uterus is not emptied within 7 days
e. usually presents complaining of a diminution in fetal movements
Question 20
Complete
A 27 y.o. gravida with 17 weeks of gestation was admitted to the hospital. There was a history of 2 spontaneous miscarriages. On bimanual
examination: uterus is enlarged to 17 weeks of gestation, uterus cervix is shortened, isthmus allows to pass the finger tip. The diagnosis is
isthmico-cervical insufficiency. What is the doctor's tactics?
a. To administer hormonal treatment

b. To place suture on the uterus cervix
c. To administer tocolytic therapy
d. To perform amniocentesis
e. To interrupt pregnancy
Question 21
Complete
A 22-year-old woman was taken to a gynecological hospital with uterine bleeding and cramping pains in the lower abdomen within 10-11
weeks. Per vaginum: the vagina is filled with blood clots, the cervix is open by 2 cm. A fertile egg is defined in the canal. The uterus is
enlarged to the size of 10-11 weeks of pregnancy, tense. The discharge is bloody, very abundant. What measures should a doctor take?
a. Prescription of progesterone
b. Instrumental revision of the uterine wall
c. Conducting tocolytic therapy
d. Extirpation of the uterus with appendages
e. Conducting blood transfusion
Question 22
Complete
Topic 8
First semester spontaneous abortions most frequently happened due to
a. Immunologic incompatibility
b. Isthmicocervical insufficiency
c. Plasental dysfunction
d. Pregnancy indused hypertension
e. Trisomies, triploidies
Question 23
Complete
Pregnant 28 years old, hospitalized with the threat of premature birth at 28-29 weeks of pregnancy. It was found that she was in the
gynecology department at 7-8 and 13-14 weeks of pregnancy due to the threat of miscarriage. Which of the methods of pathogenetic
therapy are most reasonable in pregnant women?
a. Progesterone
b. β-adrenomimetics
c. Magnesium therapy
d. α-blockers
e. Glucocorticoids
Question 24
Complete
Lower abdominal pain in the first 10 weeks of pregnancy may be due to all, except
a. acute appendicitis
b. spontaneous abortion
c. acute salpingitis
d. big sizes “luteoma”
e. an ectopic pregnancy
◄ Workbook. Miscarriage. Preterm labor
Jump to...
Lecture ►
9/14/21, 12:18 AM Tests. Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.: Attempt review
/ Topic 10.Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
/ Tests. Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
Started on Tuesday, 14 September 2021, 12:12 AM

State Finished
Completed on Tuesday, 14 September 2021, 12:18 AM
Marks 19.00/21.00
Which of the uterotonic drugs should not be used to prevent bleeding in the third stage of labor in women with severe pre-eclampsia?
a. Insaprost
b. Methylergometrine
c. Deaminooxytocin
d. Oxytocin
e. Cerviprost
Which of the following is most characteristic clinical manifestation of placenta previa?
a. Periodic increase in uterine tone

b. Spotting begins against the background of complete well-being, often at night
c. Signs of internal bleeding that accompany sudden pain in the uterus
d. Aching pain in the lower abdomen
e. All of the above is characteristic
Primigravida, 33 weeks of gestation. The fetus is alive. Pelvis 26-28-31-20. 2 days ago in the absence of labor activity, spotting from the
genital tract appeared in the amount of 50-60 ml.
A day later, the bleeding has repeated. Per vaginum: the cervix is shortened, the cervical canal skips a finger. Behind the internal os the
spongy tissue is determined. Fetal head is movable above the entrance to the small pelvis. After the examination, the bleeding
significantly increased. What is the probable diagnosis?
a. Cervical cancer
b. Placental abruption
c. Hypotonic uterine bleeding
d. Threating uterine rupture
e. Placenta previa
In a woman in labor with moderate preeclampsia on opening of the cervical os by 4 cm, there were signs of placental abruption. BP -
130/80, 120/70 mmHg. Pulse-100 beats/min., rhythmic. Fetal heartbeat-95 beats/min. What should be done?
a. Caesarean section
b. Use tocolytics
c. Apply skin-head forceps according to Ivanov
d. Introduce antispasmodics
e. Stimulation of labor with prostaglandins
Immediately after the birth of the fetus, moderate bleeding began, blood loss exceeded physiological and continues. There are no signs
of placental separation. What are the doctor's tactics?
a. Make an instrumental revision of the uterine walls

b. Perform uterine tamponade
c. Perform manual separation of the placenta
d. Intravenously methylergometrine with glucose
e. Lazarevich method
10 minutes after the birth of the baby, the placenta independently separated and delivered. After birth, bleeding has started. On
examination – the placental lobules and membranes are intact. On speculum examination no ruptures were found in the birth canal. The
uterus is soft, flabby, poorly contoured, its bottom is located on 3 transverse fingers above the navel. The bleeding doesn't stop.
Uterotonic agents were administered intravenously, and an external massage of the uterus was performed. The bleeding stopped, but
after 15 minutes it resumed, within 20 minutes the woman in labor lost 700 ml of blood. What complication did a woman in labor
develop in the postpartum period?
a. Retention of parts of the placenta in the uterus

b. Incomplete uterine rupture
c. Hypotonic bleeding
d. Bleeding from varicose veins of the vagina
e. Cervical rupture
Possible complications of the third period of labor with late gestosis.
a. Perineal tears
b. Uterine rupture
c. Anaphylactic shock
d. Coagulopathic bleeding
e. There are no complications
Multigravida, 28 years old. In the third stage of labor bleeding appeared without signs of placental separation. Manual separation of the
placenta revealed an ingrown placenta in the myometrium. Doctor's tactics.
a. Laparotomy, uterine extirpation

b. Use of uterotonic drugs
c. Prevention of postpartum inflammation of the uterus
d. Instrumental delivery of the placenta
e. Blood transfusions
Which of these can be a consequence of premature placental abruption?
a. There is no correct answer

b. Amniotic fluid embolism
c. Uterine rupture
d. All of the above can happen
e. Development of DIC syndrome
Pregnant woman was admitted to the maternity hospital with complaints of spotting from the genitals that appeared unexpectedly
during the rest. She doesn't feel any pain. Gestation period 38 weeks. During the examination, the fetal position is oblique, the
heartbeat is clear, rhythmic 156 beats/min. On the internal obstetric examination (with a detailed operating room): cervix is open by 4
cm, spongy tissue is determined behind the internal os. What the diagnosis is the most appropriate?
a. Cervical pregnancy
b. Uterine rupture
c. Rupture of umbilical cord vessels
d. Placenta previa
e. Placental abruption
Multigravida, 36 weeks of gestation. The fetus is alive. Pelvis 26-28-31-20. One days ago in the absence of labor activity, spotting from
the genital tract appeared. Per vaginum: the cervix is shortened, the cervical canal skips a finger. Behind the internal os the spongy
tissue is determined, covering the full palpable surface. Fetal head is movable above the entrance to the small pelvis. After the
examination, the bleeding significantly increased. What is futher management?
b. Delivery through the natural birth canal
d. Fetus-destroying operation
e. Vacuum extraction
Pregnant woman, 20 years old, appealed to antenatal clinic with complaints about the appearance of bloody discharge from the vagina
of a bright color during pregnancy, 33 weeks. With suspected placenta previa she was admitted to the hospital. To confirm the
diagnosis, it is possible to conduct internal obstetric examination in the conditions of:
a. In the expanded operating room

b. Do not carry out because of the risk of profuse bleeding
c. In the emergency department of the Maternity Hospital
d. In the women's examination room
e. In the Maternity Hospital in compliance with all the rules of asepsis
The integrity of the placenta has no doubt. The birth canal is intact. Blood loss in the early postpartum period is 300 ml, the bleeding
does not stop. The uterus is soft, flabby, poorly contoured, its bottom is 2 transverse fingers above the navel. After a number of
measures, the bleeding stopped, however, after 2-3 minutes the uterus relaxed again, the bleeding resumed, and a large blood clot was
released. What is the most likely cause of bleeding?
a. Hypotonic bleeding
b. Placenta previa
c. Coagulopathic bleeding
d. Placental abruption
e. Atonic bleeding
Bleeding in the first period of labor, the doctor diagnosed marginal placenta previa. The amniotic bladder is intact. Blood loss 150 ml.
What should be done first?
a. Apply obstetric forceps

b. Start stimulating labor
c. Perform an amniotomy
d. Caesarean section immediately
e. In such cases, the course of labor should not be interfered with.
What is the character of bleeding during placenta previa:
a. External
b. Periodic
c. Mixed
d. Simultaneous
e. Internal
With the beginning of the first period of labor, bleeding began, reaching 400 ml. The doctor, after examining the patient, made a
diagnosis placenta previa. What are the doctor's actions?
a. Prescribe hemostatic drugs

b. Perform a caesarean section
c. Perform stimulation of labor with prostaglandins with simultaneous blood transfusion
d. The choice of actions depends on the woman condition
e. The choice of actions depends on the condition of the fetus
Premature placental abruption should be differentiated with:
a. Primary uterine inertia

b. Placenta previa
c. Perineal rupture
d. There is no correct answer.
e. Must be excluded all of the above
A 24-year-old woman in labor, weighing 80 kg, in 15 minutes. after the birth of a fetus weighing 4000 G and 53 cm long, self-released
after birth 100 ml of blood. The uterus contracted, after 10 min bleeding appeared again, blood loss reached 300 ml. How much of
blood loss is considered acceptable for this woman in labor?
a. 650ml
b. 1000ml
c. 300ml
d. 500ml
e. 400ml
Where is the edge of the placenta when it’s attachment is low:
a. Half covers the internal os

b. In none of these cases
c. 8 cm higher from the internal os
d. Is determined at the level of the internal os
e. Just above the internal os
Multiparous woman was admitted to the maternity ward for significant bleeding from the vagina. Per vaginum: cervix is shortened to 1.5
cm, opening of the cervical canal 4 cm, above the inner os spongy tissue is palpated, and membranes are determined next to it. There
are no pathological changes on the side of the walls of the vagina and cervix during speculum examination. What kind of pathology can
be suspected?
a. Partial placenta previa

c. Rupture of the marginal sinus
d. Amniotic fluid embolism
e. Complete placenta previa
The family doctor during a patronage visit to a pregnant woman at 30 weeks, based on the relevant complaints and anamnesis,
suspected placenta previa. Which of these methods is the most informative for establishing this diagnosis?
a. All these methods are equal

b. Amnioscopy
c. Colposcopy
d. Ultrasound
e. Complete blood count
◄ workbook. Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
Jump to...
/ Topic 10.Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
/
Tests. Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
Started on Tuesday, 14 September 2021, 12:33 AM

State Finished
Completed on Tuesday, 14 September 2021, 12:36 AM
Marks 20.00/21.00
Question 1
Complete
A 24-year-old woman in labor, weighing 80 kg, in 15 minutes. after the birth of a fetus weighing 4000 G and 53 cm long, self-released after
birth 100 ml of blood. The uterus contracted, after 10 min bleeding appeared again, blood loss reached 300 ml. How much of blood loss is
considered acceptable for this woman in labor?
a. 300ml
b. 500ml
c. 400ml
d. 1000ml
e. 650ml
Question 2
Complete
The family doctor during a patronage visit to a pregnant woman at 30 weeks, based on the relevant complaints and anamnesis, suspected
placenta previa. Which of these methods is the most informative for establishing this diagnosis?
a. Colposcopy
b. Ultrasound
c. Complete blood count
d. All these methods are equal
e. Amnioscopy
Question 3
Complete
Pregnant woman was admitted to the maternity hospital with complaints of spotting from the genitals that appeared unexpectedly during
the rest. She doesn't feel any pain. Gestation period 38 weeks. During the examination, the fetal position is oblique, the heartbeat is clear,
rhythmic 156 beats/min. On the internal obstetric examination (with a detailed operating room): cervix is open by 4 cm, spongy tissue is
determined behind the internal os. What the diagnosis is the most appropriate?
a. Placental abruption
b. Placenta previa
c. Cervical pregnancy
d. Uterine rupture
e. Rupture of umbilical cord vessels
Question 4
Complete
Where is the edge of the placenta when it’s attachment is low:
a. 8 cm higher from the internal os

b. Just above the internal os
c. In none of these cases
d. Is determined at the level of the internal os
e. Half covers the internal os
Question 5
Complete
10 minutes after the birth of the baby, the placenta independently separated and delivered. After birth, bleeding has started. On examination
– the placental lobules and membranes are intact. On speculum examination no ruptures were found in the birth canal. The uterus is soft,
flabby, poorly contoured, its bottom is located on 3 transverse fingers above the navel. The bleeding doesn't stop. Uterotonic agents were
administered intravenously, and an external massage of the uterus was performed. The bleeding stopped, but after 15 minutes it resumed,
within 20 minutes the woman in labor lost 700 ml of blood. What complication did a woman in labor develop in the postpartum period?
a. Cervical rupture
b. Hypotonic bleeding
c. Retention of parts of the placenta in the uterus
d. Bleeding from varicose veins of the vagina
e. Incomplete uterine rupture
Question 6
Complete
Possible complications of the third period of labor with late gestosis.
a. Anaphylactic shock
b. There are no complications
c. Coagulopathic bleeding
d. Uterine rupture
e. Perineal tears
Question 7
Complete
Multigravida, 36 weeks of gestation. The fetus is alive. Pelvis 26-28-31-20. One days ago in the absence of labor activity, spotting from the
genital tract appeared. Per vaginum: the cervix is shortened, the cervical canal skips a finger. Behind the internal os the spongy tissue is
determined, covering the full palpable surface. Fetal head is movable above the entrance to the small pelvis. After the examination, the
bleeding significantly increased. What is futher management?
a. Delivery through the natural birth canal

b. Fetus-destroying operation
d. Obstetric forceps
e. Vacuum extraction
Question 8
Complete
What is the character of bleeding during placenta previa:
a. Mixed
b. Internal
c. Simultaneous
d. External
e. Periodic
Question 9
Complete
Primigravida, 33 weeks of gestation. The fetus is alive. Pelvis 26-28-31-20. 2 days ago in the absence of labor activity, spotting from the
genital tract appeared in the amount of 50-60 ml.
A day later, the bleeding has repeated. Per vaginum: the cervix is shortened, the cervical canal skips a finger. Behind the internal os the
spongy tissue is determined. Fetal head is movable above the entrance to the small pelvis. After the examination, the bleeding significantly
increased. What is the probable diagnosis?
b. Hypotonic uterine bleeding
c. Placenta previa
d. Threating uterine rupture
e. Cervical cancer
Question 10
Complete
Immediately after the birth of the fetus, moderate bleeding began, blood loss exceeded physiological and continues. There are no signs of
placental separation. What are the doctor's tactics?
a. Lazarevich method
b. Perform manual separation of the placenta
c. Intravenously methylergometrine with glucose
d. Make an instrumental revision of the uterine walls
e. Perform uterine tamponade
Question 11
Complete
In a woman in labor with moderate preeclampsia on opening of the cervical os by 4 cm, there were signs of placental abruption. BP - 130/80,
120/70 mmHg. Pulse-100 beats/min., rhythmic. Fetal heartbeat-95 beats/min. What should be done?
b. Stimulation of labor with prostaglandins
c. Use tocolytics
d. Introduce antispasmodics
e. Apply skin-head forceps according to Ivanov
Question 12
Complete
Premature placental abruption should be differentiated with:
a. Primary uterine inertia

b. Placenta previa
c. Must be excluded all of the above
d. Perineal rupture
e. There is no correct answer.
Question 13
Complete
The integrity of the placenta has no doubt. The birth canal is intact. Blood loss in the early postpartum period is 300 ml, the bleeding does
not stop. The uterus is soft, flabby, poorly contoured, its bottom is 2 transverse fingers above the navel. After a number of measures, the
bleeding stopped, however, after 2-3 minutes the uterus relaxed again, the bleeding resumed, and a large blood clot was released. What is
the most likely cause of bleeding?
a. Hypotonic bleeding
c. Atonic bleeding
d. Coagulopathic bleeding
e. Placenta previa
Question 14
Complete
Which of the uterotonic drugs should not be used to prevent bleeding in the third stage of labor in women with severe pre-eclampsia?
a. Insaprost
b. Oxytocin
c. Methylergometrine
d. Deaminooxytocin
e. Cerviprost
Question 15
Complete
Pregnant woman, 20 years old, appealed to antenatal clinic with complaints about the appearance of bloody discharge from the vagina of a
bright color during pregnancy, 33 weeks. With suspected placenta previa she was admitted to the hospital. To confirm the diagnosis, it is
possible to conduct internal obstetric examination in the conditions of:
a. Do not carry out because of the risk of profuse bleeding

b. In the Maternity Hospital in compliance with all the rules of asepsis
c. In the emergency department of the Maternity Hospital
d. In the women's examination room
e. In the expanded operating room
Question 16
Complete
Which of the following is most characteristic clinical manifestation of placenta previa?
a. Signs of internal bleeding that accompany sudden pain in the uterus

b. Aching pain in the lower abdomen
c. Spotting begins against the background of complete well-being, often at night
d. Periodic increase in uterine tone
e. All of the above is characteristic
Question 17
Complete
With the beginning of the first period of labor, bleeding began, reaching 400 ml. The doctor, after examining the patient, made a diagnosis
placenta previa. What are the doctor's actions?
a. The choice of actions depends on the woman condition

b. The choice of actions depends on the condition of the fetus
c. Perform stimulation of labor with prostaglandins with simultaneous blood transfusion
d. Perform a caesarean section
e. Prescribe hemostatic drugs
Question 18
Complete
Multigravida, 28 years old. In the third stage of labor bleeding appeared without signs of placental separation. Manual separation of the
placenta revealed an ingrown placenta in the myometrium. Doctor's tactics.
a. Blood transfusions
b. Prevention of postpartum inflammation of the uterus
c. Use of uterotonic drugs
d. Instrumental delivery of the placenta
e. Laparotomy, uterine extirpation
Question 19
Complete
Multiparous woman was admitted to the maternity ward for significant bleeding from the vagina. Per vaginum: cervix is shortened to 1.5 cm,
opening of the cervical canal 4 cm, above the inner os spongy tissue is palpated, and membranes are determined next to it. There are no
pathological changes on the side of the walls of the vagina and cervix during speculum examination. What kind of pathology can be
suspected?
b. Rupture of the marginal sinus
c. Complete placenta previa
d. Partial placenta previa
e. Amniotic fluid embolism
Question 20
Complete
Bleeding in the first period of labor, the doctor diagnosed marginal placenta previa. The amniotic bladder is intact. Blood loss 150 ml. What
should be done first?
a. In such cases, the course of labor should not be interfered with.

b. Caesarean section immediately
c. Perform an amniotomy
d. Start stimulating labor
e. Apply obstetric forceps
Question 21
Complete
Which of these can be a consequence of premature placental abruption?
a. Uterine rupture
b. Development of DIC syndrome
c. There is no correct answer
d. All of the above can happen
e. Amniotic fluid embolism
◄ workbook. Obstetric hemorrhages during the pregnancy, childbirth and the postpartum period.
Jump to...
9/16/21, 11:35 AM Tests. Operative obstetrics. Maternal and child injuries during delivery.: Attempt review
/ Topic 12. Operative obstetrics. Maternal and child injuries during delivery.
/
Tests. Operative obstetrics. Maternal and child injuries during delivery.

State Finished
Completed on Thursday, 16 September 2021, 11:35 AM
Marks 20.00/20.00
Grade 100.00 out of 100.00
Question 1
Complete
Which of the following can't be the cause of a perineal tear?
a. Rigidity of perineal tissues;

b. Large fetud;
c. Fast born of the head;
d. Preterm birth;
e. Scarring of the vagina.
Question 2
Complete
If you leave the cervical rupture unstitched, a late complication (a few months after delivery) may be:
a. Formation of a cervical ulcer.

b. Formation of a cervical erosion;
c. Ectropion formation;
d. Development of endometritis;
e. Bleeding;
Question 3
Complete
During an attempt to detach the placenta, the doctor found its increment. What are the next steps?
a. Blood transfusion
b. All answers are correct
c. Baloon tamponade of the uterus
d. Conservative management
e. Uterine extirpation
Question 4
Complete
Primigravida, gestation period 40-41 weeks. Longitudinal position of the fetus, vertex presentation. Pelvic dimensions: 23-27-30-19,
abdominal circumference is 104 cm, high of uterine fundus is 40 cm. First period of labor lasts for 10 hours. Fetal heartbeat is 150 beats/min.,
clear, rhythmic. Oblique contraction ring, on the level of the navel, Vasten's sign is positive. Vaginal examination: full opening, head is pressed
against the entrance to the small pelvis, the fetal bladder is absent, the small fontanel is on the left of the symphysis. Which one is the
appropriate management?
b. Fetus-destroying operation
c. Increase labor activity
e. Managing labor through the natural birth canal
Question 5
Complete
Primigravida, 32 years old, hospitalized with severe preeclampsia. Pelvic dimensions: 26-28-31-20 cm. The position of the fetus is
longitudinal, vertex presentation, fetal head is located in the pelvic cavity. The fetal heartbeat is absent. An attack of eclampsia. Vaginally:
opening of the uterine os is full, the head is in the narrow part of the pelvic cavity. What are the tactics of labor management?
a. Complete the delivery by applying obstetric forceps

b. Skin-head forceps according to Ivanov
c. Fetus-destroying operation
d. Perform vacuum extraction of the fetus
e. Complete the delivery with a caesarean section
Question 6
Complete
Multigravida, at the time of delivery, with regular labor activity. In the Anamnesis - caesarean section 2 years ago due to fetal distress. During
contractions she felt a diffuse pain in the area of the postoperative scar. Fetal heartbeat is rhythmic, 150 beats per minute. Per vaginum:
opening of the cervix is 4 cm. The fetal bladder is intact. Obstetric tactics?
a. Childbirth through the natural birth canal

b. Waiting tactics for labor management
c. Stimulation of labor activity
d. Obstetric forceps.
Question 7
Complete
In a woman after labor, 23 years old, on examining the birth canal in the early postpartum period the following findings were detected: the
cervix is intact, there is damage to the posterior wall of the vagina, skin and muscles of the perineum. Muscle-sphincter of the anus and rectal
mucosa are not damaged. What kind of birth injury is mentioned?
a. Perineal rupture of the I degree.

b. Laceration of posterior commissura
c. Perineal rupture of the II degree.
d. Perineal rupture of the III degree.
e. Vaginal rupture
Question 8
Complete
In the second stage of labor, internal bleeding occurred due to premature placental abruption. Fetal distress, heartbeat 100 in 1 min. Head in
the pelvic outlet. How should the labor be completed?
a. Caesarean section immediately

b. fetus-destroying operation
c. Immediate vacuum extraction of the fetus
d. Mid obstetric forceps
e. Outlet obstetric forceps
Question 9
Complete
In the second period of labor, a 27-year-old woman had an attack of seizures. BP - 190/120 mm Hg. Fetal heartbeat -152 beats/min., muted.
Sagittal suture in a straight size of pelvic outlet. What actions of the doctor are the most appropriate in this case?
a. Outlet obstetric forceps

b. Continue to lead the labor conservatively
c. Mid obstetric forceps
d. Vacuum fetal extraction
e. Caesarean section in an urgent order
Question 10
Complete
Primigravida, 26 years old, was admitted to the hospital with an excessive labor activity. Pelvic dimensions: 23-26-29-18 cm. The Henkel-
Vasten sign is positive. The woman is nervous, uterus is tense, painful in the lower parts. Contractile ring at the level of the navel is located
obliquely. The fetal head is pressed against the pelvic inlet. Fetal heartbeat is 150 beats/min. What complication has occured in labor?
a. The beginning of a uterine rupture

b. Discoordination of labor activity
c. Excessive labor activity
d. Threatening uterine rupture
e. Complete uterine rupture
Question 11
Complete
Primigravida in labor. The contractions started 15 hours ago, 2 hours later amniotic fluid spilled out. In the emergency department of the
maternity hospital seizures occured, blood pressure 190/110 mm Hg, significant swelling of the extremities, arms, and anterior abdominal
wall. Proteinuria - 5.0 g/l, cylindruria. On vaginal examination: the cervix is smoothed, the opening is complete, the fetal bladder is absent, the
head is presented, in the plane of the exit from the small pelvis. What are the tactics of labor management?
a. Stimulation of labor activity

b. Obstetric forceps
e. Conservative labor management
Question 12
Complete
Primigravida, 22 years old, 38-39 weeks of gestation. The condition of patient is severe. She had an attack of eclampsia at home. BP 190/120
mmHg, pulse 108 beats/min. Generalized edema. Consciousness is unclear. Determine the tactics of managing this pregnant woman.
a. Urgent delivery by caesarean section after treatment in intensive care unit

b. Intensive care for 2-3 days followed by delivery
c. Early amniotomy
d. Prolongation of pregnancy in intensive care unit
e. Applying obstetric forceps
Question 13
Complete
The woman in labor was found to have damage to the integrity of the posterior commissura. Diagnosis?
a. Perineal rupture II degree;

b. Perineal rupture I degree;
c. Perineal rupture III degree;
d. Perineal rupture IV degree.
e. Threat of perineal rupture;
Question 14
Complete
In which case caesarean section is indicated?
a. In all cases
b. In the case of acute heart failure during childbirth
c. In the case of circulatory insufficiency of Stage II B-III
d. In septic endocarditis
e. In none of the cases
Question 15
Complete
What tactic will be correct if, after examining the placenta the doctor found a defect in the placental lobule, but there is no bleeding?
a. Introduce contractile and hemostatic drugs

b. Apply external techniques to deliver the placenta
c. Since there is no bleeding, do not interfere at all
d. Perform a manual revision of the uterine walls
e. Do all this sequentially
Question 16
Complete
Which of the following is a feature of cesarean section in premature placental abruption?
a. Revision of the uterine walls and examination of the outer surface to exclude the "Couvelaire uterus”
b. Amniotomy preceding surgery
c. In the case of diagnosis of "Couvelaire uterus" - extirpation of the uterus
d. All this should be taken into account
e. Cesarean section in this pathology has no special features
Question 17
Complete
Primigravida, 23 years old. II period of urgent labor. The fetal head is located in the narrow part of the pelvic cavity. An attack of eclampsia
began. What are the tactics of further management of labor?
b. Complex intensive care and continuation of conservative labor management
c. Conservative management of labor followed by episiotomy
d. Vacuum extraction of the fetus
e. Obstetric forceps
Question 18
Complete
What way should the fetus be delivered if in the first period of labor there was a premature placental abruption, and the fetus died?
a. There is no correct answer among the answers

b. First stage of labor is completed expectantly, in II stage obstetric forceps are applied
c. Only by caesarean section
d. First stage of labor is completed expectantly, in II stage fetus-destroying operation is performed
e. Immediately perform a fetus-destroying operation
Question 19
Complete
Primigravida, 23 years old, with active labor, complains of a headache, visual impairment. Blood pressure 180/100 mmHg, distinct edema of
the extremities, anterior abdominal wall. Fetal heartbeat is clear, rhythmic 170 beats/min. On internal examination: full dilatation of the cervix,
fetal head in the pelvic cavity. Which one is the appropriate delivery tactics?
b. Operation of applying mid obstetric forceps
c. Conservative delivery with episiotomy
d. Stimulation of labor activity
e. Fetus-destroying operation
Question 20
Complete
How to stop bleeding caused by a rupture of the soft tissues of the birth canal?
a. All of the above is appropriate

b. Blood transfusion is performed
c. Sew up the lacerations
d. Tamponade of the vagina
e. Perform an external massage of the uterus
◄ Workbook. Operative obstetrics. Maternal and child injuries during delivery.
Jump to...
Lecture ►
9/16/21, 11:54 PM Tests. Abnormalities of the contractile activity of the uterus. Postpartum septic diseases.: Attempt review
/ Topic 13. Abnormalities of the contractile activity of the uterus. Postpartum septic diseases.
/
Tests. Abnormalities of the contractile activity of the uterus. Postpartum septic diseases.

State Finished
Marks 20.00/20.00
Grade 100.00 out of 100.00
Question 1
Complete
Pregnant woman, 30 years old, labor lasts 20 hours. 2 hours ago, throws have started. Fetal heartbeat is clear, rhythmic 140 beats/min. Per
vaginum: opening of the cervical os is 10 cm, fetal head in the plane of pelvic outlet. Sagittal suture in straight size, small fontanel is near the
symphysis. The diagnosis was made: primary uterine inertia. Determine further tactics.
a. Stimulation of labor activity

b. Caesarean section
c. Operation of applying mid obstetric forceps.
d. Vacuum extraction of the fetus
e. Skin-head forceps according to Ivanov
Question 2
Complete
Causes of postpartum ulcers are all of the above, except:
a. Ruptures of the vagina, perineum, and cervix

b. Reduced reactivity of a woman's body
c. Performing an episiotomy
d. Anatomically narrow pelvis
Question 3
Complete
Multigravida, 23-year-old, labor lasts for 22 hours. 3 hours ago, throws started. Fetal heartbeat is muffled, rhythmic 100 beats/min. Vaginal
examination: opening the cervix is full, the fetal head is in the plane of the exit from the small pelvis. Diagnosis?
a. Secondary uterine inertia.

b. Discoordinated labor activity
c. Excessive labor activity.
d. Primary uterine inertia.
e. Dystocia of the cervix.
Question 4
Complete
Labor occurred three days ago, complicated by bleeding in the third stage of labor, in this connection, the operation of manual examination
of the uterine wall was performed, the additional placental lobule was removed. The total blood loss was 400 ml. On the third day the body
temperature rose to 38oC, the uterus is painful on palpation, its fundus is 4 cm below the navel, the discharge is purulent. What is the
diagnosis:
a. Metrothrombophlebitis
b. Postpartum peritonitis
c. Lochiometer, 3 days of the postpartum period
d. Postpartum period, 3 days, metroendometritis
Question 5
Complete
The second stage of postpartum septic diseases includes:
a. Anaerobic infection
b. Septic shock
c. Sepsis
d. Metritis, parametritis, pelvioperitonitis
Question 6
Complete
Risk factors for postpartum endometritis are all listed, except:
a. Large fetus
b. Polyhydramnios, multiple pregnancy
c. Intrauterine interventions in labor
d. The use of oxytocin in labor
Question 7
Complete
A 30-year-old woman was admitted to an obstetric hospital due to the beginning of a regular labor activity, early merge of amniotic fluid. At
the end of the first period of labor contractions have slowed down and last for 20-25 seconds., every 5-6 minutes. For the last 4 hours of
opening the cervix is 1 cm. What complication had occurred?
a. Excessive labor activity

b. Cervical dystocia
c. Discoordinated labor activity
d. Primary uterine inertia
e. Secondary uterine inertia
Question 8
Complete
On what day does the peritonitis after cesarean section develop if the barier bowel functions are violated?
a. 1-2 days
b. 2-3 days
c. 8-9 days
d. 4-5 days
e. 6-7 days
Question 9
Complete
After 12 hours from the beginning of labor, when the uterine os was fully opened, the light
amniotic fluid has poured. After that, labor activity become sharply weakened: the contractions are short, irregular, weak, the fetal head does
not move. What is the diagnosis?
a. Secondary uterine inertia

b. Primary uterine inertia
c. Discoordinated labor activity
d. Primary and secondary uterine inertia
e. Tetany of the uterus
Question 10
Complete
In what case during bacteriological examination from an infected focus in the postpartum period, can the presence of an anaerobic infection
be assumed?
a. No microorganisms were detected

b. Staphylococcal flora
c. Fungi of the genus Candida
d. Association of bacteria
e. Escherichia coli colonies
Question 11
Complete
Clinical manifestations of postpartum pelvioperitonitis are the following signs:
a. Dizziness, visual impairment

b. Paresthesia in the lower extremities
c. Anuria, dysuria, painful urination
d. Pain in the lower abdomen, a positive Shchetkin-Blumberg’ sign in the lower abdomen
Question 12
Complete
Multipara, 38 weeks of gestation, was admitted to the hospital with contractions that last 10 hours, the amniotic fluid has poured 4 hours
ago. Contractions are weak, short, rare after 12- 15 min for 15-20 sec. Fetal heartbeat is 150 beats/min, rhythmic. Per vaginum: the cervix is
smoothed, opening 5 cm, there is no fetal bladder, the fetal head is pressed against the entrance to the small pelvis. What is further
management of labor?
a. Stimulation of labor with oxytocin

c. Intravenous administration of methylergometrine
d. Conservative observation
e. Vacuum extraction of the fetus
Question 13
Complete
Woman has a regular 28 - day menstrual cycle. The last menstruation was from 8 to 12 April 2020. What is the date of expected delivery?
a. January 01, 2021

b. January 15, 2021
c. January 22, 2021
d. January 29, 2021
e. January 8, 2021
Question 14
Complete
The first stage of postpartum septic diseases includes all of the above, except:
a. Postpartum endometritis
b. Uterine bleeding
c. Postpartum ulcer
d. Postpartum ulcer on the cervix
Question 15
Complete
Peritonitis after cesarean section occurs due to all of the above, except:
a. Failure of sutures on the uterus

b. On the background of chorioamnionitis
c. Intestinal paresis
d. Hypotonic bleeding
Question 16
Complete
Management of peritonitis after cesarean section:
a. Prescribing broad-acting antibiotics

b. Surgical
c. Observation in the intensive care unit
d. Conservative
Question 17
Complete
The Hematometer is:
a. Decreased uterine tone

b. Inflammation of the uterine wall
c. An accumulation of blood clots in the uterine cavity
d. Metrothrombophlebitis
Question 18
Complete
Primigravida woman was admitted to the hospital. She was found to have a third degree of pelvic narrowing. Installed premature rupture of
amniotic membranes, as well as primary uterine inertia. The fetus is alive. What is further management of labor?
a. Vacuum extraction
e. Delivery through the natural birth canal
Question 19
Complete
Pregnant woman, 30 years old, at 39 weeks of pregnancy was admitted to an obstetric hospital due to the beginning of regular labor.
Amniotic fluid poured 10 hours ago, at the end of the first period of labor, contractions slowed down, lasting 25-30 seconds., every 7-8 min.
Opening of the cervical os is 6cm. In the last three hours, the opening of the cervix has increased by 0.5 cm. What complication has occurred?
a. Primary uterine inertia.

c. Excessive labor activity.
d. Dystocia of the cervix.
e. Secondary uterine inertia.
Question 20
Complete
Primigravida, labor lasts for 8 hours. Contractions last for 25 seconds. after 5-6 minutes. They are accompanied by pain that spreads from the
lower part of the uterus to the fundus. Fetal heartbeat is rhythmic 165 beats/min. On vaginal examination: the cervix is smoothed, the uterine
os is opened by 4 cm, during labor it narrows, its edges become tighten. Fetal head is above the entrance to the small pelvis. What is the
diagnosis?
a. Uterine inertia
c. Dystocia of the cervix
d. Excessive labor activity
e. Threatened uterine rupture
◄ Workbook. Abnormalities of the contractile activity of the uterus. Postpartum septic diseases.
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1. Primary pregnancy 30 years have addressed to reception in female consultation.

/ Topic 1. Female pelvis. Fetus as an object of delivery. /

Started on Thursday, 9 September 2021, 7:02 PM

Mark 1.00 out of 1.00

The small transverse dimension of the fetal head is equal to:

Mark 1.00 out of 1.00

11. A large fontanel is formed by sutures:

a. Sagittal, frontal, coronal

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Indicate all possible options for the presentation of the fetus:

a. oblique and transverse

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a. from the outer layer

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Large transverse dimension of the fetal head is equal to:

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The position of the fetus is determined:

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How many planes are there in the pelvis?

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The width and circumference of the thighs of a full-term fetus are:

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The birth canal includes:

a. Pelvis, uterus, vagina, pelvic floor muscles

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How to calculate the obstetrics for the external conjugate?

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Straight size of the fetal head is equal to:

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a. 10.5 cm, 11.0 cm.

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The dimension of the diagonal conjugate is equal to:

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The vaginal portion of the cervix is covered by:

a. stratified squamous epithelium.

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What is the largest dimension on the fetal head?

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What is the boundary between the big and small pelvis?

a. Linea innominate and sacrum

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The plane of the wide part of the pelvis is limited to:

◄ Workbook. Female pelvis. Fetus as an object of delivery.

Started on Thursday, 2 September 2021, 9:27 AM

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a. Second position, anterior view.

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a. X - Ray of the pelvic organs

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Where is the fundus of the uterus at 32 weeks of pregnancy?

a. In the middle between the navel and the pubis.

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a. I the position of the fetus, posterior type.

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