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TRY OUT Part I
TRY OUT Part I
TRY OUT Part I
21 . The right ovarian vein empties into which of the folic ing veins?
a. Vena cava
b. Renal vein
c. Internal iliac vein
d. External iliac vein
22 . Ovarian vessels are found in which of the following liga ments?
a. Broad
b. Round
c. Uterosacral
d. Infundibulopelvic
23 . The internal pudendal artery arises from which of the following
vessels?
a. External iliac artery
b. Internal iliac artery
c. Vaginal artery
d. Inferior epigastric artery
24 . The uterine artery is a main branch of which of the following
vessels?
a. External iliac artery
b. Internal iliac artery
c. Common iliac artery
d. Iliolumbar artery
25 . Which of the following bone(s) forms the pelvis?
a. Innominate
b. Sacrum
c. Coccyx
d. All of the above
26. Which of the following is true regarding relaxation of the pelvic joints
at term in pregnancy?
a. It allows for an increase in the transverse diameter of the
midpelvis.
b. It results in marked mobility of the pelvis at term because of a
downward gliding movement of the sacroiliac (SI) joint.
c. Displacement of the SI joint increases outlet diameters by 1.5 to
2.0 cm in the dorsal lithotomy position.
d. It is permanent and not accentuated in subsequent pregnancies.
27 . The shortest anteroposterior diameter of the pelvic inlet is which of
the following?
a. True conjugate
b. Obstetrical conjugate
c. Diagonal conjugate
d. None of the above
28 . The clinical evaluation of the pelvic inlet requires direct
measurement ofwhich diameter?
a. True conjugate
b. Obstetrical conjugate
c. Diagonal conjugate
d. Pelvic inlet transverse diameter
29 . Engagement occurs when the biparietal diameter of the fetal
head descends below the level ofwhich of the following?
a. Midpelvis
b. Pelvic inlet
c. Pelvic floor
d. Ischial tuberosities
30. What is the narrowest pelvic dimension that must be navigated by the
fetal head?
a. Inferior strait
b. Obstetrical conjugate
c. Interspinous diameter
d. Transverse diameter of the pelvic inlet
occurring estrogen?
a. Estriol
b. Estrone
c. Estetrol
d. 17 (3 estradiol)
38 . Which of the following is the endometrial layer that is shed with every
menstrual cycle?
a. Basalis layer
b. Decidual layer
c. Luteinized layer
d. Functionalis layer
39 . Which of the following is the first histological sign of ovulation?
a. Cessation of glandular cell mitosis
b. Vacuoles at the apical portion of the secretory nonciliated cells
c. Secretion of glycoprotein and mucopolysaccharide by secretory
nonciliated cells
d. Subnuclear vacuoles and pseudostratification in the basal portion
of the glandular epithelium
40 . What is the Nitabuch layer?
a. A layer of the decidua composed of large, distended glands
b. An area of the decidua with large, closely packed epithelioid,
polygonal cells
c. A zone of fibrinoid degeneration in which the invading
trophoblasts meet the decidua
d. An area of superficial fibrin deposition at the bottom of the
intervillous space and surrounding the anchor ing villi
41 . Which of the following gives rise to the chorionic struc tures that
transport oxygen and nutrients between fetus and mother?
a. Villous trophoblast
b. Interstitial trophoblast
c. Extravillous trophoblast
d. Endovascular trophoblast
frondosum?
a. Is the same as the chorion laeve
b. Is the maternal component of the placenta
c. Is the avascular area that abuts the decidua parietalis
d. Is the area of villi in contact with the decidua basalis
a. Lymphatics
b. Interstitial collagen
c. Basement membrane
d. Acellular zona spongiosa
48 . The amino acid sequence of the a-subunit of human chorionic
gonadotropin (hCG) is identical in all EXCEP T which of the
following?
a. LH
b. Corticotropin-releasing hormone (CRH)
c. FSH
d. Thyroid-stimulating hormone (TSH)
49 . Abnormally low levels of hC G may be found in which of the following?
a. Down syndrome
b. Ectopic pregnancy
c. Erythroblastosis fetalis
d. Gestational trophoblastic disease
50 . Known biological actions of hC G include all EXCEP T which of the
following?
a. Maternal thyroid stimulation
b. Inhibition of relaxin secretion
c. Sexual differentiation of the male fetus
d. Rescue and maintenance of the corpus luteum
51 . Which of the following has the greatest production rate of any known
human hormone?
a. Progesterone
b. Huma n placental lactogen
c. Chorionic adrenocorticotropin
d. hCG
57. Oxygen, carbon dioxide, and water are transferred across the
placenta via which mechanism?
a. Facilitated diffusion
b. Simple diffusion
c. Active transport
d. Carrier-mediated diffusion
58 . Which of the following hormones blocks maternal pe ripheral uptake
and use of glucose while promoting mo bilization and use of free
fatty acids by maternal tissues?
a. Huma n chorionic gonadotropin (hCG)
b. Human placental lactogen (HPL)
c. Relaxin
d. Leptin
59 . Which of the following statements about placental transport is
true?
a. The placenta concentrates a large number of amino acids.
b. Large proteins are freely transferred across the placenta.
c. Copper levels are higher in fetal plasma than maternal plasma
because of carrier-mediated transfer.
d. Vitamin C crosses the placenta by simple diffusion.
60. Which of the following immunoglobulins crosses the placenta in
large amounts?
a. Immunoglobulin A
b. Immunoglobulin E
C. Immunoglobulin M
d. Immunoglobulin G
61 . Which of the following statements about fetal circulation is
correct?
a. Ventricles of the fetal heart work in series.
b. The oxygen content of the blood entering the left ventricle is
less than that entering the right ventricle.
c. The right atrium directs entering blood to the left atrium or
right ventricle depending on the oxygen content of the
blood.
d. Most of the right ventricular output enters the pulmonary
vasculature.
pregnancy?
a. It has reduced contractility caused by progesterone.
b. It empties more completely.
c. Stasis leads to formation of pyruvate-containing stones.
d. Cholestasis is linked to high circulating levels of progesterone.
78 . Concerning the pituitary gland during pregnancy, which of the
following is true?
a. Pituitary prolactinoma incidence is increased.
b. Compression of the optic chiasm sufficient to reduce visual fields
is rare.
c. Microadenomas usually measure > 15 mm.
d. None of the above
79 . Concerning the thyroid gland during pregnancy, which of the
following is true?
a. It undergoes enlargement through hypertrophy.
b. Free T4 increases its mean value by term.
c. Total T4 increases during pregnancy.
d.
hormone,
has
declining
levels
beginning
at
approximately 20 weeks.
80 . Concerning the parathyroid gland during pregnancy, which of the
following is true?
a. Increase in magnesium concentration stimulates release of
parathyroid hormone (PTH).
b. All markers of bone turnover increase.
c. Estrogen tends to facilitate the action of PT H on bone
resorption.
d. Calcium for the fetal skeleton is derived from exogenous sources.
81 . Concerning the adrenal gland during pregnancy, which of the
following is true?
a. It increases in 15% in size.
b. Its rate of Cortisol secretion increases.
c. It decreases aldosterone secretion significantly at 15 weeks.
d. Maternal plasma levels of androstenedione and testosterone
are increased.
the following?
a. Activation b
b. Involution
c. Quiescence
d. Stimulation
83 . During phase 1 of parturition, which of the following is true regarding
uterine and cervical changes?
a. Rare uterine contractions, cervical ripening
b. Rare uterine contractions, cervical softening
c. Rhythmic uterine contractions, cervical ripening
d. Rhythmic uterine contractions, cervical effacement
84 . Of the following, which is a significant factor in the cervical changes
found during phase 2 of parturition?
a. Smooth muscle atrophy
b. Collagen disorganization
c. Smooth muscle hypertrophy
d. Decreases in low-molecular-weight hyaluronidase levels
85 . Compared with the uterine body, the cervix has a significantly lower
percentage of which of the following?
a. Collagen
b. Proteoglycans
c. Smooth muscle
d. Glycosaminoglycans
86 . Which of the following is the LEAST important to the normal
progress of labor?
a. Cervical position
b. Uterine conttactions
c. Resistance of maternal tissues
d. Maternal intra-abdominal pressure
87. Which of the following are considered plausible causes of uterine
contraction pain?
a. Myometrial hypoxia
b. Uterine peritoneum stretching
c. Compression of nerve ganglia in the cervix
d. All of the above
Uterine contractions
Perineal body elasticity
Levator ani tensile strength
Maternal intra-abdominal pressure
91. During stage 3 of labor, which of the following forces is the primary
mechanism for placental separation?
a. Gravity
b. Maternal pushing
c. Uterine contraction
d. Spiral artery pressure
92. Phase 4 of parturition is known clinically by what name?
a . Involution
b. Puerperium
c. Latent phase of labor
d. Active phase of labor