338.

What type of pelvis is characterized by a short anteriorposterior diameter and

a wide transverse diameter?
a. gynecoid
b. android
c. anthropoid
D. platypelloid
1419. What is the most common deceleration pattern encountered during labor?
a. late decelerations
B. early decelerations
c. variable decelerations
d. mixed decelerations
1431. Before one decides to perform a cesarean section for dystocia, there should be
how much uterine activity?
a. 75 to 100 Montevideo units
b. 150 to 175 Montevideo units
C
. 200 to 225 Montevideo units
d. 300 to 325 Montevideo UNITS
Microinvasion of carcinoma of the cervix involves a depth below the base of
the epithelium of no more than
A 1 mm
B 2 mm
C 3 mm
D 4 mm
E 5 mm
8. What is bradycardia?
a. baseline fetal heart rate < 100 for > 5 min
B. baseline fetal heart rate < 100 for > 15 min
c. baseline fetal heart rate < 120 for > 5 min
d. baseline fetal heart rate < 120 for > 15 min
25. What is a laceration involving the skin, mucous membrane, perineal body, anal
sphincter, and rectal mucosa called?
a. 1st degree
b. 2nd degree
c. 3rd degree
D. 4th degree
. What is the median duration of the second stage of labor in multiparas?
a. 5 min
b. 10 min
C. 20 min
d. 30 min

. When should the fetal heart rate be auscultated during observation for labor?
a. before the contraction
b. during the contraction
C. at the end and immediately after a contraction
d. anytime
A 37 year old woman complains of postcoital leeding . The least likely cause \
of her bleeding would be cervical
A Polyp
B Ectropion
C Carcinoma
D Nabothian cyst
E Infection
At the eights weeks gestation a women has an IUCD and the strings are
visible at the external os. The best management is
A Antibiotics
B Progestrone
C Dilation and curettage
D Removal of IUCD
E Bed rest
Genital prolapse is associated with the following except Chronic
A constipation
B Prolonged second stage
C Unreparied hidden perineal tear
D Improper applied forceps
E The use of HRT at the menpause
Induction of labor at term is contraindicated in
A breech presentation
B GDM
C Placenta previa
D postmaturity
E A and C
Microinvasion of carcinoma of the cervix involves a depth below the base of
the epithelium of no more than
A 1 mm
B 2 mm
C 3 mm
D 4 mm

E 5 mm
Rectal examination in the gynecological practice
A Is useful in the diagnosis of enterocele
B Is useful in suspected pelvic abscess
C Is indicated in the assessment of carcinoma of the cervix
D All of the above
E None of the above
Risk factors for development of cancer cervix include the following except
A Early sexual activity
B Nulliparous
C HPV infection
D Smoking
The best contraceptive method for patients with gestational trophoblastic
disease
A Tubal ligation
B Hystrectomy
C Combined contraceptive pills
D IUCD device
E Subcutaneous implant

The bishops score is used to assess

A pelvic diameters
B fetal head diameter
C fetal presentation
D the recommended method of delivery
E the recommended method of induction of labour
The following investigations are component of routine antenatal care except
A Rh type
B Hemoglobin
C Urine analysis for sugar and protein
D Blood grouping
E Urine culture
The following vessels contains oxygenated blood except
A Umbilical artery
B Ductus venosus
C The inferior vena cava as enters the right atrium
D Carotid artery
E Umbilical veins

The most common benign mass of the cervix and endocervix is

A Polyp
B Lieomyoma
C Nobothian cyst
D Cervical hood
E Gartner duct cyst
The side effects of combined OCP include the following except
A Nausea
B Dizziness
C Vaginal discharge
D Menorrhagia
E Weight gain
The true statement about retroversion of the uterus is
A Is a common cause of infertility
B Should be corrected with a Hodge pessary
C May be corrected with a Fothergill operation
d occurs in 20% of normal women
E Is caused with heavy lifting
Which of the following is an absolute contraindication for oral progesterone
only contraceptive pills
A Cigarette smoking
B Depression
C Gall bladder stone
D Mild hypertension
E Unexplained vaginal bleeding
An enterocele is best characterized by which of the following statement
A It is not true hernia
B It is herniation of the bladder floor into the vagina
C It is prolapse of the uterus and vaginal wall outside the body
D It is protrusion of the pelvic peritoneal sac and vaginal wall into the vagina
E It is a herniation of the rectal and vaginal wall into the vagina
All of the following statements with regard to the copper IUCD are correct
except
A Modern copper IUCD is effective and safe for at least five years
B It reduce s the number of sperm reaching the fallopian tube and their capacity to
fertilize the eggs
C The risk of pelvic infection is low and does not increase with long term use

D Is contraindicated in women with irregular vaginal bleeding

E Levenorgestrel releasing devices are associated with menorrhagia
As regard fetal presentation , the incorrect statement is
A Is the part of the fetus that enters the pelvis first
B In face presentation the occiput and back comes into contact
C is usually cephalic
D The denominator is the lowest part of the presenting area
E In cephalic presentation it is more common to be vertex
The shortest diameter of the pelvic cavity is
A The external conjugate
B The diagonale conjugate
C The interspines
D The true conjugate
E The transverse
As regard the mechanism of labor , which of the following sequences is
correct
A Descent , internal rotation , flexion
B Engagement , flexion , descent
C Engagement , internal rotation , descent
D Engagement , descent , flexion
E Descent , flexion , engagement
The following statements regarding ischial spines are correct except
A They make the beginning of the forward curve of the pelvis
B The are landmarks for pudendal nerve block procedure
C They indicate a normal pelvis when particularly prominent
D They help to assess station of the presenting part
E They lie at the level of the plane of least pelvic dimensions
Caput succedaneum
A Resolves spontaneously after labor
B May lead to jaundice of the baby postpartum
C Indicate traumatic vaginal delivery
D Indicates that the fetal head engaged
E Is a sign of intrauterine fetal death
Variable deceleration on fetal heart rate monitoring are usually due to
A Fetal head compression
B Uteroplacental isufficiency
C Fetal metabolic acidosis
D Umbilical cord compression

E Fetal distress
Epidural anaesthesia
A Does not affect uterine activity
B Is contraindicated in patient with heart valve lesions
C Should be routinely administerted during the first stage of labor
D Increase the risk of PPH
E Should be offered to highly selected cases in labor
The following hormone is responsible for the contraction of the myoepithelial
cells of the breast
A Oxytocin
B Prolactin
C Progestrone
D Placental lactogen
E Estrogen
Maternal mortality refers to the number of maternal deaths that occur as the
result of the reproductive process per
A 1000 births
B 10.000 births
C 100.000 births
D 10.000 live births
E 100. 000 live births
5. What are the cardinal movements of labor (in order)?
a. descent, engagement, flexion, internal rotation, extension, external rotation,
expulsion
b. descent, flexion, engagement, internal rotation, extension, external rotation,
expulsion
c. engagement, descent, flexion, internal rotation, extension, external rotation,
expulsion
d. engagement, flexion, descent, internal rotation, extension, external rotation,
expulsion
126. Which of the following is characteristic of asynclitism?
a. Sagittal suture is not parallel to the transverse axis of the inlet.
b. Sagittal suture lies midway between the symphysis and sacral promontory.
c. Sagittal suture, although parallel to the transverse axis of the inlet, does not
lie exactly midway between the symphysis and sacral promontory.
d. Sagittal suture rotates 45 degrees from the sacral spines.
127. The chin is brought into intimate contact with the fetal thorax during which
cardinal movement of labor?
a. flexion
b. extension
c. engagement
d. descent
1213. During labor in the occiput posterior position, the occiput has to rotate to the
symphysis pubis how many degrees?
a. 45
b. 90

c. 135 !!!
d. 180
1214. What is edematous swelling of the fetal scalp during labor?
a. molding
b. caput succedaneum
c. subdural hematoma
d. erythema nodusum
17. During the third stage of labor, which of the following is NOT a sign of placenta
separation?
a. a gush of blood
b. uterus rises in the abdomen
c. umbilical cord protrudes out of the vagina
D. a sudden, sharp, unrelenting contraction
1318. Which of the following is a complication of the third stage of labor associated
with forced placental separation?
a. endometritis
b. uterine atony
c. Asherman syndrome
D. uterine inversion