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A Hundred Questions in Obstetrics
A Hundred Questions in Obstetrics
2). How many times a year will a healthy 25 year old woman ovulate?
a 5 to 7 times
b 9 to 11 times
c 13 to 14 times*
d 15 to 20 times
a). Laparoscopy
a pregnancy only
b ovulation*
c defecation
d sexual intercourse
6). The increase of the basal body temperature in menstrual cycle is due to:
a hCG
b FSH
c androgen
d estrogen e progesterone*
7). The time between fertilization (occurs in the tubal ampulla) and implantation of the embryo is:
a 4 days
b 7 days*
c 10 days
d 14 days e 31 days
a). 36 to 44 weeks
b). 36 to 42 weeks
c). 38 to 42 weeks*
d). 38 to 46 weeks
...
9). A woman with strong desire for pregnancy falsely believes she is pregnant, this is called:
a pseudocyesis*
b factitious disorder
c dissociative disorder
d somatoform disorder
..........................................................................................................
....
11). During the first trimester of pregnancy the source of elevated both estrogen and progesterone is:
a placenta
b fetal liver
c corpus luteum*
d maternal ovaries
..........................................................................................................
..........................................................................................................
a relaxin
b prolactin
c prostaglandins
..........................................................................................................
a pelvic X ray
b radioisotopic scan
c physical examination
d colposcopy
e ultrasound*
..........................................................................................................
15). Which of the following immunoglobulins crosses the placenta and provides immunity for the newborn?
a IgG*
b IgA
c IgM
d IgD
e IgE
..........................................................................................................
..........................................................................................................
17).A woman who has been pregnant only once giving birth to a set of twins is called:
a puerpera
b nulligravida
c primipara*
d nullipara
e multipara
..........................................................................................................
a primigravida
b nulligravida
c primipara d nullipara***
e multipara
..........................................................................................................
Trimesters
Pre-term<37>
Term 37 to 42 weeks
..................................................................................................................................................
Accurate for gestational age (AGA) with 2SD of mean weight for GA
Large for gestational age (LGA) 2SD>mean weight for GA or > 90th percentile Methods of determining
postnatal GA Assessment at delivery of physical maturity (eg, planter creases, lanugo, ear maturation) and
..........................................................................................................
GTPAL format
1. Gravidity (G) Total number of pregnancies of any gestation These include recurrent pregnancy,
19). A woman has an obstetric history of 5-1-2-3, how many abortions she had?
a5
b1
c 2*
d3
..........................................................................................................
20). A woman has an obstetric history of 5-1-2-3, how many premature deliveries she had?
a5
b 1*
c2
d3
..........................................................................................................
21). 30 yr old Primigravida, at term with twin pregnancy
b). G2 P2
c). G 1 *
d). G2 P1
....
22). A woman who has visible triplet in her first pregnancy is described as:
23). You are taking a history from a 24-year-old mother of three who is currently 10 weeks pregnant and
has had one previous abortion and one previous twin gestation. Which one of the following is her gravidity
and parity?
1) gravida 4, para 1
2) gravida 4, para 2*
3) gravida 3, para 2
4) gravida 2, para 2
24). In an obstetric history of G5P6789, digit 5 stands for the number of:
a). Abortions
b). Pregnancies*
25). In an obstetric history of G5P6789, digit 6 stands for the number of:
a). Abortions
b). Pregnancies
26). In an obstetric history of G5P6789, digit 7 stands for the number of:
a). Abortions
b). Pregnancies
....
a). Abortions*
b). Pregnancies
28). In an obstetric history of G5P6789, digit 9 stands for the number of:
a). Abortions
b). Pregnancies
..........................................................................................................
a). Puberty
b). Pregnancy*
30). A 4 weeks of pregnancy, cyanosis, and softening of the cervix is due to increased vascularity of the
cervical tissue, this is known as:
.......................................................................................................................................................
2. Chadwicks sign bluish discoloration (cyanosis) of the cervix and vagina due to pelvic vasculature
engorgement (6 weeks)
weeks ..
33). At 6 weeks of pregnancy, the uterus softens in the anterior midline along the uterocervical junction,
34). A 7-8 weeks of pregnancy, the uterus becomes flexible at the uterocervical junction, this is known as:
35). At 4-5 weeks of pregnancy, an irregular softening of the uterine fundus develops over the site of
Hegars sign
37). Adler sign (fixed abdominal tenderness on turning the patient) is associated with:
38). In the absence of intra-abdominal abscess the X-ray shows sternocondral widening, this is called:
a 4 weeks of pregnancy
b 8 weeks of pregnancy
c 20 weeks of pregnancy*
d 28 weeks of pregnancy
e 36 weeks of pregnancy
..........................................................................................................................................
40). A lady with 6 months of amenorrhea, pregnancy test positive. She felt fetal movements 2 months back.
................................................................................................................................................
27 weeksType one answer After 20 wks gestational age in weeks corresponds to centimeters e.g, 27 cm =
27 weeks
........................................................................................
1. Non-pregnant uterus enlarged by myomas can be confused with "the gravid uterus but it is usually very
2. Ovarian tumor may be found midline, displacing the nonpregnant uterus to side or posteriorly.
..
.........................................................................
pregnancy ..
43). In the first 100 days of pregnancy, human chorionic gonadotropin titre doubles:
a. every day
b. every week
c. every 2 days*
d. every month
e. every 2 weeks
................................................................................
..........................................................................................................
.............................................................................................
rule of 10s
3. 10,000 IU at term...
45). Pregnancy test is positive from the first day of missed period until:
a 2 weeks of pregnancy
b 20 weeks of pregnancy*
c 37 weeks of pregnancy
.......................................................................................................................................................
........
a ectopic pregnancy
b trophoblastic disease
c spontaneous abortion
.......................................................................................................................................................
...........
a 30%
b 50%
c 70%
d 90%
e 100%*
..........................................................................................................
48). Increased human chorionic gonadotropin (hCG) after pregnancy may suggest the diagnosis of:
e anencephalic pregnancy
.......................................................................................................................................................
............
.......................................................................
1. Ectopic pregnancy
2. Abortion
3. Wrong dates
...................................
a). Seminoma
.....................................................................
Levels higher than expected suggest:
1. Multiple gestations
2. Molar pregnancy
..
a hepatoma
b nonHodgkin's lymphoma
..........................................................................................................
....
52). After the delivery of hydatidiform mole, the woman should have repeated:
a chest X rays
b dilatation/curettage
c hCG titers*
d uterine biopsies
e ultrasound
..........................................................................................................
53). The serum levels of which of the following should be tested in suspected testicular carcinoma?
a). Creatinine
..
a). hCG
b). AFP
c). LDH
55). Tumor markers for testicular tumor include all of the following EXCEPT?
a). AFP
b). LDH
c). AST*
d). hCG
..
56). The incidence of elevated serum hCG is lowest in which of the testicular tumors?
a). Embryonal
b). Seminoma*
c). Choriocarcinoma
d). Teratocarcinoma ..
....
....................................................................
.. .........................
59). Starting at what month of pregnancy the mother feels fetal movements (quickening)?
.........................................................................
First noticed by
..
60). Starting at what month of pregnancy the fetal heartbeat can be heard with stethoscope?
........................................................................................................
..
61). Starting at what month of pregnancy the fetal lungs are capable of breathing air?
..
62). Regarding fetal development, lungs are capable of breathing air at:
....
.........................................................................
vital. ....
....
a). Mammography*
a pseudocyesis*
b factitious disorder
c dissociative disorder
d somatoform disorder
..........................................................................................................
a). Down*
b). hydrocephalus
..........................................................................................................
a 5%
b 10%
c 20%
d 40%*
e 70%
....
....
72). Which of the following disorder is most likely to occur in women in their first trimester of pregnancy?
..............................................................
palsy ....
a). Pregnancy
c). Both*
d). Neither
....................................................
....
a). Pregnancy
c). Hyperthyroidism
e). Pregnancy
....
..........................................................
1. O2 requirement,
elevated diaphragm,
....
..............................................................................................
1. GERD = intra-abdominal pressure + progesterone ( sphincter tone and delayed gastric emptying)
....
b). GFR
...........................................................................
1. urinary frequency
4. Uterus and renal pelvis dilation (R>L) due to progesterone-induced smooth muscle relaxation and uterine
enlargement
....
a). Glioma*
b). Meningioma
c). Neurofibroma
a). Obesity
b). Acromegaly
.......................................................................
....
a obesity
b pregnancy*
c acromegaly
d hypothyroidism
e corticosteroid therapy ....
a). cirrhosis
b). hirsutism*
c). pregnancy
c). Both*
d). Neither
..................................................................
2. Free ionized Ca (i.e active) proportion remains the same due to parathyroid hormone (PTH) which results
3. bone turnover but no loss of bone density because estrogen inhibits resorption
....
.......................................................................................................................................................
....
85). Which of the following are decreased in pregnancy?
................................................................................
2. Enlarging uterus compresses IVC and pelvic veins venous return (risk of hypotension) venous
..........................................................................................................
a). Renin*
c). Creatinine
a). Pregnancy*
b). dehydration
a). Hemoglobin
b). BP
c). WBCs*
...............................................................................
1. Hemodilution apparent in hemoglobin and hematocrit The rise in plasma volume is greater than red cell
3. Gestational thrombocytopenia mild (platelets > 70,000/L) and asymptomatic, normalizes within 2-12
PE....
capacity. ..........................................................................................................
....
a). Hematocrit
b). Hemoglobin
a). Leukemia
b). Pregnancy*
c). Both
d). Neither
....
b. Umbilical arteries
c. Umbilical veins
d. Foramen ovale
..........................................................................................................
b. GFR is decreased
..........................................................................................................
95). During pregnancy, blood flow to which of the following organs is NOT increased?
a. Skin
b. Brain*
c. Breast
d. Kidney
..........................................................................................................
a. Renin
b. Fibrinogen
c Albumin*
d. Prolactin
e. Cholesterol
.........................................................................................................
a Bicarbonate
b Urea
c Uric acid
d Alkaline phosphatase*
e Creatinine
..........................................................................................................
a alkaline phosphatase
b cholesterol
c bilirubin*
d fibrinogen
..........................................................................................................
99). Pregnant women with positive Phalen's test are most likely to have:
a eclampsia
b preeclampsia
c abruptio placentae
..........................................................................................................
a. renin
b. aldosterone *
c. both
d. neither