OB PRELIM EVALUATION 1ST SEMESTER 2015 81.

Induction of labor for the patient except

1 of 2 A. Oxytocin (?)
B. Membrane stripping
C. CS
D. Amniotomy (?)
2. Most frequently encountered chromosomal abnormalities in first trimester E. Hygroscopic dilator
of pregnancy.
A. Chromosomal trisomy- ans
B. Monosomies 86
C. Triploidy Major source of amniotic fluid
A. Fetal kidneys
B. Fetal skin
14. Ballooning of the membranes into a dilated internal os, but with a closed C. Maternal blood
external os D. Fetal.lung
a. Funneling (ans) E. Placenta
b. Dilatation
c. Effacement Answer letter A

33. Intrauterine preg coexisting with a 2ndary preg at an extrauterine true of idiopathic oligohydramnios, except:
location is called:
A. Broad ligament pregnancy a. not caused by chromosomal abnormalities, diabetes, etc.
B. Heterotropic pregnancy (ans) b.
C. Heterotypic pregnancy c.
D. Multifetal preg d. associated with trisomy 18, 21

35. Which symptom strongly implies rupture of ectopic pregnancy?

A. Nausea and vomiting Which of the following symptom implies ruptured ectopic pregnancy with
B. Pain at shoulder (ans) sizable intraperitoneal hemorrhage
C. ... A. Nausae and vomitting
D. ... B. shoulder pain on inspiration answer?

ms flores 18 y.o g1p0, cephlic presentation cervix 3 cm dilatation, 60%

41. Case of hypotension, bradycardia, abdominal pain and evidence of effaced, intact bow, st -3, what phase of labor:
peritoneal irritation. Sonography shows evidence of free water. What is pxs a. latent
most likely dx? b. acceleration
- ruptured ectopic pregnancy - answer. c.
d. deceleration

48. Vagina - s2-s4

Most common tubal milet: ampullary

59. What is the 3rd line of agent for malaria

C. Quinine

63) arrest of dilatation is defined as

A. 1 hr without cervical change
B. 1.5 hour without cervical change
C. 2 hrs without cervical hours
D. None of the above

64.) Factors that affect Latent phase except.

A. Excessive sedation
B. Analgesia
C. False labor
D. Induction of labor

65. Factors contributing to both protraction and arrest disorder are the
following except:
a. Excessive sedation
b. Conduction anesthesia
c. Cephalic presentation
d. Fetal malposition

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 OB PRELIM EVALUATION 1ST SEMESTER 2015 17. Complete h. Mole
A. fluid and edma
2 of 2 B. Invasion
C. Sorry kalimot ko
D. Utro pod

1. Occuring repetitively <20 wks, <500g

- recurrent abortion 18. Chromosomal composition of complete mole. Answer: Diploid

4 Risk factors in GTN after mole evacuation

A. Older age 20. Case: 43f, g5p4, 14 weeks AOG, history of hyperemesis at 10wks, closed
B. Beta hcg greater than 100,000 mIU/ml cervix, min vaginal bleeding. What is the mgt.?
C. Uterine size that is larger for gestational age a. Hysterectomy -??
D. Theca lutein cysts greater than 6 cm b. Suction curettage
E. AOTA (answer) c. D&c
d. Medical management

7. Patient had vag bleeding d/t placental separation and on IE with open
cervix 21. Treatment of placental site trophoblastic tumor?
Ans- incomplete abortion
Ans: hysterectomy

8. Patient was diagnosed with septic abortion. What is the cause?

A. Intrauterine infection 23. Median hcg resolution after removal of complete hmole
B.ascending infection
C. Skin infection
D. Urinary tract infection 25. DIagnostic criteria for gestational troph neoplasia except:
E. Hematogenous A. PLateau of serum hcg
B. RIse of serum hcg
C. Serum hcg remains for 6mos
D. Histologic criteria for H.Mole
9) the following are causes of recurrent abortion,except: E. No exceptions
A) parental chromosomal abnormality
B) antiphospholipid antibody syndrome
C) recurrent uterine infection 26. G1P0, 22 years old presents to clinic after post evacuation of complete
D) uterine abnormality mole. She is asymptomatic. What should be an indication to do
chemotherapy on her? a. Plateau of HCGwithin 1 week b. HCG falls to normal
in 6 weeks c. rise in HCG titer d. liver metastasis
10. Acquired abnormality leading to abortion d/t multiple dilatation and
currettage
28.Common trophoblastic neoplasia after pregnancy and
Answer: asherman syndrome miscarriage?ans:choriocarcinoma

32.) Rupture of ectopic- isthmus

11. Contraindications for cerclage except:
A.bleeding
B.infection 34. Most common symptom of tubal pregnancy?
C. Uterus with contractions A. Pain
D. Rupture of membranes B. Bleeding
C. Abdominal tenderness
D. Hypotension
14. Ballooning of the membranes into a dilated internal os, but with a closed
external os
37. B-hcg level - 1500
a. Funneling (ans)

b. Dilatation
38. Contraceptive that increases ectopic pregnancy
A. IUD
c. Effacement
B. oral contraception
C. Tubal ligation
D. Condom
15. 8 weeks AOG, bleeding, IUD string visible at internal os. Plans to keep the
pregnancy. What is the management?
A. Bed rest
40. Medical management of ectopic pregnancy includes:
B. Antibiotics
A. Etoposide
C. P
B. Methotrexate (ans)
D. R
C. Progesterone

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D. Folic acid Fundal pressure
Delivery of posterior shoulder

44. Best prognosticator in single dose methotrexate administration 80.Most common injury in shoulder dystocia
A.Humerus
Ans. B-hcg B.Clavicle
C.brachial plexus
D.Aota
45. 25yo, primigravid, 5wks aog, complained severe abdominal pain, pelvic
exam: difficult to perform due to guarding, tvs: intrauterine gestational sac,
no adnexal mass, bp: 86/44, hr 120. Perform what? 85. It has been used “off label” for preinduction cervical
A. Culdocentesis ripening and may be administered orally or vaginally
B. Culdotomy A. Dinoprostone
C. Exploratory laparotomy B. Misoprostol (Answer)
D. Laparoscopy C. Oxytocin
D. Nitrix oxide donors
E. Methylergometrine
49. Vagina sensory - S2-S4

86. Copper T/loop prevents

50. Nerve supply of Uterus A. Ovulation
Ans. T10-L2 B. Fertilization
C. Formation of zygote
D. A and B
52. Anesthetic technique for cs and post op pain mgt
A. Subarachnoid block Answer: fertilization
B. Epidural
C. General
D. Paracervical 87. Mild hydramnios: b.8-11

55. the technique that provides anesthesia for spontaneous vaginal delivery 89. At what trimester does the fetus start urinating and swallowing?...2nd
by introducing the drug to the supraspinous ligament and the areas around trimester
it.

90. Pathogenesis of polyhydramnios with anencephalic fetus

60. 24 yo G2P1 painful vaginal bleeding with dark red, with mucus. A. Inc transudation from exposed meninges
A. placenta previa B. ...swallow
B. abruptio placenta C. Osmotic diuresis
C. bloody show D. Inc fetal urine output
D. vasa previa
E. ?
92. main cause of pulmonary hypoplasia- renal agenesis
answer ko C, pero bentots lang yan (Marie Go~ddess)

93. most common cause of oligohydramnios

a. renal agenesis-answer
72. True of hypertonus uterine dysfunction b. idiopathic
A. No uterine hypertonous c. ruptured membranes
B. Uterine contraction gradient is normal d. somethihgsomething
C. Uterine contraction gradient increasing
D. Uterine contraction ........
94. A placenta that has one or more small accessory lobes that may develop
in the membranes at a distance from the main placenta - succenturiate lobe
75. basta ang fetal shoulder against maternal pelvis daw
A. Neglected transverse lie
B. Shoulder dystocia 95. Placental tissue attaches but do not invade the myometrium - Placenta
Accreta

77. Which maneuver is done by cephalic replacement followed by cesarean

section?
A. Zavanelli 99. Most common problem with Tetracycline ingestion during fetal period
B. Wood corkscrew A. Alopecia
C. Suprapubic B. Staining of deciduous teeth (ans)
D. Mcrobert's C. Hypoplastic nails
D. Discoloration of skin

79. Not done for shoulder dystocia

A. Woodscrew maneuver
B. Mcroberts
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100. True regarding high doses of vitamin A during pregnancy.
a. It is a potent teratogen
b. Doses higher than RDA is not advised
c. Increases the rate of early abortion
d. It is given for maternal deficiencies

Vagina - s2-s4

des... uterine malformation??

Tranquilizer drug used to relieve pain during uterine contractions:

A. Meperidine
C. Fentanyl
C. Nalbuphine
D. Promethazine

Earliest week to detect fetal cardiac activity in TVS

A.4-5
B.5-6
C.7-8
D.9

Diagnosis of contracted pelvis

A. Sacral promontary is reached at 11.5 cm

B. Spines are not prominent
C. Sacrosciatic notch is narrow
D. Pelvic walls are not convergent

Face presentation...........
A. Hyperreflex
B. Hyperextend (ans)
C. Retroreflex
D. Retroextend

Highest risk in giving anesthesia... eclavo.. A. Subarachnoid B. Epidural C.

General anesthesia intubation D. Paracervical

The relation of the long axis of the fetus to that of the mother:
a. fetal attitude
b. fetal lie
c. fetal presentation
d. fetal position

Mec Elino
 OB MIDTERM EVALUATION 1ST SEMESTER 2015 14.) classification of forcep delivery at +2.
1 of 2 a. Outlet
b. low
c. middle
d. high
1. Not true of "stargazer" breech fetus
answer: B?
A. Fetal head extreme hyperextension
B. Cervical spine injury
C. Breech extraction best modality- ans
D. 5% of breech fetus 15. Forceps are correctly applied along which diameter of the fetal head?
a. Biparietal
6. The fetus is delivered spontaneously as far as the umbilicus, but the b. Occipitomental
remainder of the body is extracted or delivered with operator traction and c. Occipitobregmatic
assisted maneuvers, with or without maternal expulsive efforts d. Sagittal
A. Spontaneous breech answer: B
B. Partial breech
C. Complete breech
D. Aota
16. Chignon - transient caput
Ans - partial breech

18. which of the following is not a theoretical afvantage of the vacuum

8. Maneuver using index and middle fingers of one hand, applied over the
maxilla, to flex the head while the fetal body rests on the palm of the hand of
the forearm.
MAURICEAU, modified prague, zavaneilli, pinard
extractor over forceps? a. not as much vaginal space required
b. ability to rotate the fetal head without impinging upon maternal soft
tissues
c. less intracranial pressure during traction
d. can be applied at higher stations than forceps (answer)

20. Occipito transverse station +1. Best mode of delivery?

9. Specialized forceps for after upcoming head
A. Simpson Cesarean section
Tucker
Kielland
Piper - ANS 22. Bellies of the rectus abdominis muscles are transected horizontally -
maylard incision
p.591 williams obstetrics 24th ed
10.Trial of labor following cs has d highest incidence of:
A.uterine rupture✔️
B.perinatal mortality
C.maternal mortality 24. Vertical incision into the body of the uterus above the lower uterine
D.thromboembolism segment and reaches the uterine fundus.

Ans: classical incision

10. used for delivery of second twin:

answer: Internal Podalic Version 26. How many hrs when a planned cs should oral intake be stopped? A. 2 b. 6
c. 8 � d. 10

11.Which is not about low forceps delivery?

Ans:The head of the fetus has not reached the pelvic floor. 29. For 4 hours aftr trans
fer to the room (aftr cs), the mother shoul be assess how often?
A. every 20mins
13) These types of forceps are used for rotation from the posterior occiput B. every30mins
position, EXCEPT: C. Every40mins
A. Tucker-McLane D. Every hour
B. Simpson Ans. D.
C. Kielland
D. Piper (ANSWER; page 582- Operative Vaginal Delivery)
31. New onset of hupertension >/= 140/90 without protenuria - gestational
htn

13) These types of forceps are used for rotation from the posterior occiput
position, EXCEPT: 32. About preeclampsia, EXCEPT:
A. Tucker-McLane A. Proteinuria ≥ 2g/24hrs***
B. Simpson B. Proteinuria > 300mg/24hrs
C. Kielland C. Platelet < 100,000/µL
D. Piper (ANSWER; page 582- Operative Vaginal Delivery) D. Elevated serum hepatic transaminase level

Mec Elino
 B resection
35. drug taken during second and third tri that causes hypocalvaria and renal C. Synthetic mesh
dysfunction in fetus: D. Chlorhexidine –this
ans. ACE inhibitors Drug for anaerobes- metronidazole

36. Dietary manipulation which prevents preeclampsia 60.What is the etiology of postpartum episiotomy dehiscence?
A. Low salt A. Postpartum anemia
B. Calcium supplementation B. Poor nutrition
C. Fish oil supplementation C. Infection ( answer)
D. Diuretics D. Poor technique

Ans. D. Diuretics

60. etiology of episiotomy dehiscence

37. Low dose aspirin given to pregnant women will have the ff effects:
A. Inc thromboxane a2✔️ a. anemia
B. Dec prostaglandin b. poor nutrition
C. Dec prostacyclin c. infection (ans)
D. All of the above d. faulty wound repair

42.preferred route to gv nifedipine as anti hypertensive agent

A.oral 66. vacuum cup
B.sublingual
C.IM ans. 3cm above posterior fontanelle
D.IV

important risk factor in infection except: external fetal monitorinh

43) Most common cited factors for chronic hypertension EXCEPT:
Diabetes
Obesity
Ethnicity Flexion point is found..
Smoking-answer A. Sagittal suture 3cm anterior to posterior fontanelle
B. Sagittal suture 1cm posterior to anterior fontanelle?
C.
D.
43) Central acting drug -
methyldopa - answer
labetalol Occipital Blindness – Amaurosis
propanolol
hydralazine
Advantage of tranverse sec. - good cosmetics

45. This antihypertensive drug when given during the 2nd and 3rd trimester
can cause severe fetal malformations including hypocalveria and renal About MgSO4, except: also given for hpn (sorry di na q kahinumdum sa
dysfunction: choices og sa exact questn)
A. Diuretic
B. Adrenergic blocker
C. Calcium Blockers
D. Angiotensin Converting Enzyme Inhibitor – answer
Most persistent fevers after childbirth are usually caused by?
Ans - genital tract infection

58. Characteristic of parametrial phlegmon ans. Frequently limited to the

parametrium at the base of broad ligament . Usual extension is laterally
along the broad ligament. Pg. 687

52, gold standard for pelvic infection ff. Ces. Delivery ans:clinda + genta

51. Frank breech presentation - flexed hips, extended knees, foot close to the
head

57. In in addition to antimocrobials, management for necrotizing fascitis

except
A. Debridement
Mec Elino
 OB MIDTERM EVALUATION 1ST SEMESTER 2015 Class II- slight limitation of physical activity

2 of 2
Risk factors for uterine inversion:
A. Fundal placentation
B. Cord traction before placental separation
C. Placenta accreta
1. Most frequent cause of Ob hemorrhage D. Aota (answer)
Ans. Uterine atony

Eisenmenger...except:MVprolapse...
9) Placenta previa - current classification partially or totally covers the
internal os
postterm: 42 completed weeks
10. Threshold for low-lying placenta
Ans: 2 cm
Drug iv users, most common cause bacteria : ans. staph aureus.

11. late preterm births compose what percentage of all preterm births? A.
35% b. 50% c(ans??). 70% d. 85% #

21. Posterm pregnancy: ans >42 weeks AOG

26 twinning during the frst 72 hours...

di-di

29. Multifetal gestation as compared to singleton pregnancy is at increase

risk of which of the ff:
A. Preeclampsia
B. Postpartum hemorrhage
C. Prolonged pregnancy
D. All of the above
Answer: A and B

37. Hemodynamic stat that doesnt change in pregnancy

A. CO
B. Pulmo resistance
C. Systemic resistance
D. L vent contractility✔️

1st 72 hrs -di, di;

4th-8th day - di, mono.

Painful vulva -vulvar hematoma

Not 2nd line - oxytocin (1st line)

Complete or partial obstruction -placenta previa?

Dangerous combination - nefi + mag sul

Relatively contraindicated for women with prosthetic valves- estrogen

progestin oral contraceptives

Marfan syndrome with aoric dilatation- who risk 2 or 3 depends on individual

case

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OB PREFINAL EVALUATION 1ST SEMESTER 2015 C. Fetal growth restriction
D.All of the above
1 of 2
24. Motor disorder of the muscles of the lower esophageal sphincter
Dr. Ababon’s Quiz (15-item-plus-5-bonus) ACHALASIA
No APC Compilation
Seek Goddess…deadline wed..
26. Adynamic ileus caused by pseudoobstruction characterized by abdominal
distention and right hemicolon dilatation.
# A. Ogilvie sdx �
B. Ulcerative colitis
C. Chron's dse
D. Volvulus
OB PREFINAL EVALUATION 1ST SEMESTER 2015
2 of 2 27. Most case fatalities in acuten hepatitis is due to: FULMINANT
hepatocellular necrosis

29. Hepatitis B route of transmission:

1. Normally increases in pregnancy, except A mother to child
A.vital capacity B sexual transmission
B. Tidal Volume C sharing of infected needles
C. EFR D any of the above
D. Minute Ventilation

Ans. C. 30

what hepatitis b antigen is present during increased viral replication

3)bronchial obstruction, respiratory alkalosis associtated with the presence of hbv dna?
A) FEV1 50-65%
B) PO2 inc a. hbsag
C) PCO2 inc b. hbcag
c. hbeag (*ito man ata)
d. anti hbs
6. The following drugs are contradicated for treatment of postpartum e. anti hbc
hemorrhage in asthmatic patients:
A. Oxytocin
B. Prostaglandin E1 31.Drug given to reduce risk of fetal HBV infection in women with high HBV
C. Prostaglandin E2 viral load
D. Prostaglandin F1 alpha (ANS) -Lamivudine(pg 1091)

8. Pulmonary infection mostly associated with AIDS 32. Infants born to seropositive mothers are given HBIG:
A. Influenza A a. Soon after birth – ans.
B. Histoplasmosis b. 12 hours after birth
C. Pneumocystis Jiroveci - Ans c. 24 hours after birth
D. NOTA d. 1 week after birth

33. This is a defective RNA virus that is a hybrid particle with an HBsAg coat
11) most conmon urinary tract infection and a delta core.
Asymptomatic bacteriuria Ans. Hepatitis D
Cystitis
Pyelonephritis
35. A blood borne infection with a flavivirus like RNA virus that does not
actually cause hepatitis
14. In areas where urine culture cannot be done, the recommended A. C
screening test for ASB is/are: B. D
a. Urinalysis C. E
b. Urine gram staining D. G (ans)
c. Urine dipsticks for leukocyte esterase
d. a & b
36. True of BMI, except:

15.complications of chronic renal dse a. weight (kg)/ Height (m2)

A. Hypertension b. bmi 25 - 29.9 is obese - answer
B. Preterm delivery c. to define and classify obesity
d. also known as quetelet
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 c. fluoroquinolone
d. polypeptide
37. Not true of insulin resistance
A. Responsible for impaired glucose metabolism ANS: B.
B. Predispose to type 2 dm
C. Related to Cardiovascular disease and accelerate its onset
D. Plasma insulin levels lower in women with apple shape �� first line drug for asthma

39. increased obesity leads to increase mortality rates in. b.cardiovascular Contraception for a diabetic px if she does not want to be pregnant again:
disease c. diabetes ?? sterilization

42. 14 yrs type 1 DM, with diabetic nephropathy. White classification? evaluation of the abdomen in pregant (not sure of the exact question). ans:
Ans. F ultrasound

44. (Problem is somewhat like) which of the following maternal history most G1P0 Diabetic patient was subjected to induction of labor at 37 weeks of
likely be diagnosed as GDM? gestation. What should be her insulin dose?
A. Spontaneous rupture of membrane... A) Maintained at her preinduction levels
B. Jaundice....... B) inc by 10-15%
C. Intrauterine fetal death >38 weeks (ANs. not sure) C) decreased by half
D. Previous pre term birth... D) put on a sliding scale with q3-4 blood glucose measurement
E) ?

45. Recommended screening for suspected GDM except:

A. Blood glucose testing at 24-28weeks #
B. 50grams OGC followed by 100 grams OGTT
C. 75g Glucose load regardless of time of time of day or time of last meal
D. 75g oral glucose load after overnight fast

47. Weight of Macrosomic baby?

- >4500 g

50. Contraceptive to use in overtly obese woman with no desire of future

pregnancies.
A. Abstinence
B. Oral Contraceptives
C. Intrauterine Device
D. Puerperal Sterilization ✔️

90. True of NAFLD

A. Cause of chronic liver disease in Western countries
B. Increases insulin resist.ance leading to GDM
C. Hallmark is ectopic lover fat accumulation
D. All of the above (ANS)

Factors worsening renal fxn.

A. Htn
B. Proteinuria

C.UTI
D.A n B
E. Aota

weight of the macrosomic baby is >4000. greater than or equal to >4500 is an

indication for elective CS to patients with GDM.

optimal screening test for asymptomatic bacteuria - urine culture

XDR-TB has resistance to 3 or more of the ff second line drugs except:

a. aminoglycoside
b. rifampicin

Mec Elino