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1) A 25 Y/O Primigravida at 37 weeks gestation , which of the following

would be the most common warning sign or symptom of her eclamptic seizure

I. Proteinuria
II. Severe headache ***
III. Facial edema
IV. Increased BP > 160 over 120 mm
V. Epigastric pain

2) A 34 Y/O Female attended for her booking in her 3rd pregnancy she
had a C/S in her first pregnancy 4 years ago and has had a successful
VBAC 2 years ago , she has a BMI of 26 what is the best predictor for
a successful VBAC

I. BMI < 30
II. < 35 Years old
III. Previous vaginal birth ***
IV. Short inter-pregnancy interval
V. Spontaneous onset of labor

If she has a history of 1 scar C/S the success rate is 75%


And it might end with an emergency C/S

3) A 28 Y/O female noted loss of fetal movement at 36 weeks gestation fetal


heart sounds were not heard at 40 weeks , when the patient was next seen the
uterus measured 30 cm , which of the following test would be of value to
perform at this time :

I. Clotting screening ***


4) A35 Y/O gravidae 4 para 3 presented with palpitations, investigation
revealed she’s anemic , the most common type of anemia in pregnancy :

I. Iron deficiency anemia ***

5) 29 Years old female gravida 5 para 4 on regular antenatal care at 34 weeks


gestation she developed night pruritus especially on her palms and soles and
mild elevated liver function test and elevated bile acids , which of the
following is most consistent with the clinical presentation :

I. Pancreatitis
II. Hyperthyroidism
III. Diabetes
IV. Cholestasis of pregnancy ***

6) A 24 years old female is found to be RH negative with a negative Anti-body


screening , Anti D immune globulin should be given for which of the
following situations :
I. After an abortion spontaneous or therapeutic prior to 6 weeks gestation
in a RH negative Female
II. DU RH Positive mother who has a RH positive baby ***
III. A RH Negative female infant with a RH Positive mother
IV. Post partum to RH Positive female With RH Negative husband
V. After a motor accident to a RH Negative mother

7) Regarding Cephalic Presentation the position is determined by the


relationship of which presenting part to the mother’s pelvis :

I. Sacral
II. Acromion
III. Occipital ***

8) The relations of the fetal parts to one another determine which of the
following:

I. Presentation
II. Lie
III. Attitude ***
IV. Position
9) Regarding engagement it is best defined as which of the following:

I. When the presenting part goes through the pelvic inlet.


II. When the presenting part is at the level of the ischial spine
III. When the greatest biparietal diameter of the fetal head passes through
the pelvic inlet ***
IV. When the greatest biparietal diameter of the fetal head is at the level of
the ischial spine

10) Regarding the bloody show , this is which of the following :

I. A result of a small placenta abruption


II. Not seen in breech presentation
III. Consequence of the effacement and dilatation of the cervix ****
IV. Associated with the passage of meconium

11) Which of the following statements most accurately describe Post Partum
hemorrhage:

I. Prevented primarily by increased concentration of clotting factor in


maternal blood
II. Grand multiparty is a risk factor ****
III. Women with severe pre eclampsia are more tolerant of heavy blood loss
IV. Changes in pulse and blood pressure are good early indicators of
excessive blood loss
V. Placenta accreta is the most frequent cause

12) A 25 years old Primigravida at 39 Weeks gestation on cervical


examination it revealed a dilatation of 3 cm , 50% effacement -1 station ,
vertex presentation , spontaneous rupture of membrane is confirmed , what is
the best course of action at this time :

I. Perform an immediate LTCS


II. Start IV Anti biotics for group b streptococcal prophylaxis ***
III. Amnioinfusion
IV. Conduct a contraction stress test

13) What is the maximum normal time for the second stage of labor in a
primigravida without anesthesia :

I. 20 mins
II. 60 mins
III. 120 mins ***
IV. 200 mins

14) Which of the following factors serves to increase the average duration of
labor :

I. Increasing parity
II. Increasing age
III. Increasing size of the baby
IV. Occipito-posterior position of the baby ****

15) Regarding transverse lie in a multipara at term in labor best treated by :

I. ECV
II. Internal version and traction
III. Oxytocin induction
IV. Cesarean delivery *****
16) A 34 year old female gravida 4 para 3 at 38 weeks whose pregnancy is
complicated by gestational diabetes, is in labor , the head delivers but the
shoulders do not follow an efficient method of delivery for shoulder dystocia
is Mc Roberts Maneuver , which of the following describes it :

I. Fundus pressure
II. Extreme flexion and abduction of the maternal thighs ****
III. Rotation to an oblique position after delivery of posterior arm
IV. Strong traction of the head
V. Rotation of the posterior shoulder to the anterior

17 ) What is the most favorable clinical scenario for a successful trial of labor
after cesarean section :

I. Previous Vaginal birth****


18 ) Three days after a normal vaginal delivery ,a female complained of loss
of appetite , difficulty in sleeping , for a approximately one week , what is your
diagnosis :

I. Blues ***

19) Immediately after normal delivery the uterus should be :

I. Firm and rounded , 4CM below the umbilicus (2 fingers)

20) In an uncomplicated vaginal delivery an average blood loss would be :

I. 200ml
II. 350ml
III. 550ml
IV. 750ml
V. 1000ml
21) A 25 years old female had a severe Postpartum hemorrhage and
developed hypovolemic shock which of the following symptoms is an evidence
of pituitary infarction:

I. Failure of Lactation (Sheehan syndrome).**

22) A 39 years old female gravida 2 para 1 at 36 weeks gestation , with a


history of prior cesarean section for placental abruption , presents with
abdominal pain and vaginal bleeding she admits to using cocaine , she had a
high temperature and a high BP , fetal heart rate is 160 , HB of 7.5 , all of
the followings are risk factors for this patients condition except :

I. Advanced age
II. Cocaine
III. Prior cesarean section ***
IV. Hypertension
V. Prior Placental abruption
23) A 36 years old female has been in a labor for over 12 hours , she has
been pushing for 2 hours and by examination the fetal head is determined
to be occipito-anterior with a full dilation and effacement , station -2 ,
you’re elected to perform an operative vaginal delivery , but the effacement
is coming less reassuring which of the following is true :

I. Cephalohematoma is more common in forceps delivery than vacuum


delivery
II. This is classified as mid-forceps delivery
III. Scalp lacerations are more common vacuum delivery ***

24) A 22 years old female gravida 1 para 0 at 15 weeks of gestation, which of


the following should be done to her :

I. CRL

25) A 28 years old para 1 with a Dichorionic-Diamniotic twins , attended at 28


weeks gestations , she at risk of all of these except one :

II. Twin to twin transfusion syndrome ***


III. Pre eclampsia
IV. Post-partum hemorrhage
V. IUGR
26 ) A 35 years old para 2 BMI of 45 , came to the antenatal clinic at 10 weeks
gestation , one of the following is incorrect in the associated risks in
counseling :

I. Increased risk of venous thromboembolism


II. Increased risk of pre eclampsia
III. Vit D 100 microgram early in pregnancy supplements ***
IV. Increased risk of gestation diabetes

27) A 30 years old multipara , with type 1 diabetes attended at 6 weeks


gestation which of the following is not an increased risk in her pregnancy :

I. Neural tube defect


II. Macrosomia
III. Congenital heart disease
IV. Oligohydramnios ***
V. Pre eclampsia

28) In the second stage labor which of the following is true :

I. Cervical dilitation happens at 1 cm per hour


II. Oxytocin should be used for bearing of the second stage of labor in
women with epidural
III. A delayed 2nd stage is when the active second stage has lasted more than
2 hours in primigravidas and more than an hour in multiparas**
IV. Fetal heart should be auscultated every 15 mins
V. Ends with delivery of the fetal head

29) A 28 years old para 1 at 28 weeks gestation came to discuss vaginal birth
after cesarean section, she had a previous emergency C/S 3 years ago for
undiagnosed breech in labor , which of the following is true in VBAC :

I. intermittent monitoring during labor is recommended


II. Risk of uterine rupture is 2%
III. It is contraindicated in women with previous classical cesarean section
**
30) In Fetal monitoring during labor which of the following
statements is true :
I. Fetal heart rate is 110 / 160

31) A 30 years old multipara , was diagnosed with Pre eclampsia she’s now
complaining of headache , she has a high BP , she’s at risk of all of the
following except :

I. Cerebral hemorrhage
II. Placenta previa ***
III. Plumonary edema
IV. Eclampsia

32) In Post partum hemorrhage which of the following is the correct


statement :

I. The most common cause is retained placenta


II. Primary PPH is >500ml blood loss after more than 24 hours
III. Endometritis is a common cause of PPH
IV. Prophylactic oxytocin should be offered to reduce bleeding**
33) Puerperal psychosis is associated with :

I. Family history***

34) Which of the following concerning placenta previa is true :

I. First attack is usually painless and not fatal***

35) Reduced fetal movement is associated with all of the following risk factors
except :

I. IUGR
II. SGA
III. Breech **
IV. Fetal neurological problems