COPMUTERNO…………………………………………

SECTI
ONA:MULTI
PLECHOI
CEQUESTI
ONS

I
NEACHOFTHEFOLLOWI
NGQUESTI
ONS,ENCIRCLETHELETTER
CORRESPONDI
NGWI
THTHEMOSTAPPROPRIATEANSWER.1MARKEACH.

1.Whi
choft
hef
oll
owi
ngst
ruct
uresi
sfoundi
navi
rgi
n’svagi
na?

a.Hymen

b.Muscl
e

c.Car
ti
lage

d.Pl
ast
ic

2.Whatdoyoucallt
hetwosmal lgl
andst
hatopenintobot
hsi
desoft
hevagi
nal
or
if
icel
yingi
ntheposter
iorpartoft
hel
abiamajora?

a.Bar
thol
insgl
ands

b.Cer
vical
glands

c.Vagi
nalgl
ands

d.Ut
eri
negl
ands

3.Whi
chBl
oodvessel
ssuppl
ythef
emal
eext
ernalgeni
tal
ia?

a.Thei
nter
nalandext
ernalovar
ianar
ter
ies

b.Thei
nter
nalandext
ernalPudendalar
ter
ies

c.Thei
nter
nalPudendalar
ter
iesandt
hei
ngui
nalar
ter
ies

d.Theext
ernalPudendalandi
nter
nalPudendalvei
ns

4.Whi
choft
hef
oll
owi
ngst
ruct
uresar
eknownt
obi
ndt
heper
ineum?

a.Pubi
carch,
Coccyx,
Ischi
opubi
crami
,I
schi
atuber
osi
ty’
sandSacr
o-t
uber
cus
l
igament
s

b.Pubi
car
ch,
Ischi
opubi
crami
,Coccyx,
Pubi
cSymphysi
s,andAnalt
ri
angl
e

c.Pubi
car
ch,
Urogeni
talt
ri
angl
e,anal
tri
angl
e,CoccyxandI
schi
opubi
crami

1
 d.Pubi
car
ch,
Pubi
cSymphysi
s,Ur
ogeni
talt
ri
angl
e,CoccyxandI
schi
opubi
c
rami

5.Whi
choft
hef
oll
owi
ngmal
est
ruct
uresar
epar
ti
all
yvi
sibl
eint
hebody?

a.ThePeni
sandt
heTest
is

b.TheScr
otum andGl
anspeni
s

c.TheGl
anspeni
sandTest
is

d. ThePeni
sandScr
otum

COMPUTERNO……………………………………….

6.Whichoneofthef
oll
owi
ngi
sthecomponentt
hatmakesupani
ndi
vidual
spermat
ozoon?

a.Ahead,
Middl
epi
eceandt
heEndpi
ece

b.ATai
l,
endpi
eceandt
heBody

c.Ahead,
Bodyandal
ongmobi
let
ail

d.AHead,
Bodyandashor
tmobi
let
ail

7.Whatdoyoucal
lthef
ir
stsi
gnofpuber
tywhi
chi
sanoccur
renceoff
ir
stcycl
ic
eventi
nagi
rl
?

a.Menopause

b.Menar
che

c.Pr
egnancy

d.Fer
ti
li
zat
ion

8.Anovar
iancycl
ehast
hree(
3)phases,
all
ofwhi
char
eundert
hecont
rolof
hor
monesnamely

a. Lut
ealphase,
Menst
rualphaseandPr
oli
fer
ati
vephase

b.Lut
ealphase,
Pre-
ovul
ator
yphaseandMenst
rualphase

2
 c.Lut
ealphase,
Menst
rualphaseandPr
imodi
alf
oll
icl
es

d.Menst
rualphase,
Pre-ovul
ator
yphaseandPr
imodi
alf
oll
icl
es

9.Thepel
vicgi
rdl
eisabasi
n-shapedcavi
tyconsi
sti
ngoft
woi
nnomi
nat
ebones
namel
y

a.CoccyxandI
li
um

b.Sacr
um andI
schi
a

c.Sacr
um andCoccyx

d.I
schi
aandPubi
cbone

10.
Howmanyfusedver
tebr
aebonesformt
hesacrum whi
chf
ormthepost
eri
or
wal
loft
hepelvi
sandiswedgedbet
weenthei
nnominat
ebones?

a.4

b.5

c.3

d.6

11.
Adegreeofabdomi
nalpai
nsexper
iencedbyawomandur
ingovul
ati
oni
s
ref
err
edtoas

a.Per
iodpai
ns

b.Qui
ckeni
ng

c.Dysmenor
rheal

d.Mi
ll
elschmer
z

COMPUTERNO……………………………

12.
Abl
ast
ocysthast
hreel
ayer
snamel
y

a.Ect
oder
m mesoder
m andYor
ksac

b.Endoder
m,Embr
yoandEct
oder
m

c.Mesoder
m,Amni
oti
csacandEndoder
m

d.Ect
oder
m,mesoder
m andEndoder
m

3
13.
Apl
acent
aatt
ermi
ssaucerl
ikei
nshapeandmeasur
esabout

a.20-
22cmsi
ndi
amet
erand2.
5cmst
hickatt
hecent
er

b.18-
22cmsi
ndi
amet
erand2.
5cmst
hickatt
hecent
er

c.22-
24cmsi
ndi
amet
erand2.
5cmst
hickatt
hecent
er

d.24-
26cmsi
ndi
amet
erand2.
5cmst
hickatt
hecent
er

14.
Whatconst
it
utesAmni
oti
cfl
uid?

a.99% wat
erand1%di
ssol
vedsol
idmat
ter

b.90% wat
erand10%di
ssol
vedsol
idmat
ter

c.100% wat
erand0%di
ssol
vedsol
idmat
ter

d.89% wat
erand11%di
ssol
vedsol
idmat
ter

15.Whywoul
dyousuppl
yFol
icAci
dtopr
egnantwomen?

a.Pr
event
ionofmal
ari
acompl
icat
ion

b.Pr
event
ionofi
mpai
reddevel
opmentoft
hecent
ralner
voussyst
em

c.Pr
event
ionofAbor
ti
ons

d.Pr
event
ionofanemi
ainpr
egnancy

16.
DuringMagnesium sul
phat
eadmi
nist
rat
iononeoft
hef
oll
owi
ngshoul
dbe
presenti
nordertocomeupwitht
hedose

a.Thepat
ientshoul
dbef
ull
yconsci
ous

b.Theur
ineout
putshoul
dbe30ml
sperhourormor
e

c.Ther
espi
rat
ionsshoul
dbe100br
eat
hspermi
nut
eormor
e

d.Pat
ell
arr
efl
exesshoul
dbeabsent

17.
Theprocessbywhicht
hepr
oductsofconcepti
onar
eexpel
ledfrom t
hebirt
h
t
h
canalaf
tert
he28 weekgestat
ionandbefore36weeksgestat
ionisknownas

a.Abor
ti
on

b.Labor

4
c.Nor
malLabor

d.Pr
e-mat
ureLabor

18.
Thenor
mal
uter
inecont
ract
ionsor
igi
nat
efr
om

a.Cor
nua

b.Fundus

c.I
sthmus

d.Cer
vix

COMPUTERNO…………………………………

19.
Whi
choft
hef
oll
owi
ngdescr
ibest
henor
malposi
ti
onoft
heut
erus

a.Per
pendi
cul
arandAnt
efl
exed

b.Ant
ever
tedandExt
rover
ted

c.Ant
ever
tedandAnt
efl
exed

d.Ext
rover
tedandRet
rof
lexed

20.
Anassessmentt
oolusedt
omoni
torawomani
nact
ivest
ageofl
abour

a.Bi
shopsscor
e

b.Apgarscor
e

c.Par
togr
aph

d.Tr
iage

21.
Thecombineddr
ugofchoicecur
rent
lyusedi
nel
imi
nat
ionofmot
hert
ochi
ld
transmi
ssi
onofHIV/
AIDS

a.Tenof
ovi
r,Ef
avi
rezandEmi
tr
ici
tabi
ne

b.Tenof
ovi
r+Emi
tr
ici
tabi
ne+Lopi
navi
r-
ret
onavi
r

c.Abacavi
r+Nevi
rapi
ne+Ef
avi
renz

d.Tenof
ovi
r,Ef
avi
rezandNevi
rapi
ne

22.
MrsBwal
ya’
slastnor
malmenst
rualper
iodwas01.
03.
2019.Cal
cul
ateher

5
 Expect
eddat
eofdel
iver
y

a.08.
12.
2019

b.10.
12.2019

c.08.
01.2020

d.08.
12.
2020

23.
Inapr
imigr
avi
da,secondstageofl
aborbegi
nsatf
ulldil
atat
ionoft
hecer vi
cal
osandendswit
hcompl et
ebirt
hofthebaby,
thi
sprocessshouldnotexceed

a.2hour
s

b.1hour

c.30-
45mi
nut
es

d.Forasl
ongasbot
hthemot
herandt
hebabyr
emai
nsal
ive

24.
Whi
choft
hef
oll
owi
ngi
sconcl
usi
veoft
hesecondst
ageofLabor
?

a.Spont
aneousr
upt
ureofmembr
ane

b.Sweat
ingandshi
ver
ing

c.Ful
ldi
lat
ionoft
hecer
vix

d.Show

25.Whatdoyouunder
standbyBr
axt
onhi
ckscont
ract
ions?

a.Pai
nfulandr
egul
ar

b.Pai
nlessandi
rr
egul
ar

c.Pai
nfulandi
rr
egul
ar

a.Pai
nlessandr
egul
ar

COMPUTERNO………………………………….

26.
Themostser
ioussi
gnofPr
e-ecl
ampsi
ais

a.Excessi
vewei
ghtgai
n

b.Pr
otei
n

6
c.Occul
t

d.Hyper
tensi
on

27.I
npl
acent
apr
evi
a,t
hepl
acent
ais

a.Abnor
mal
lysi
tuat
edi
ntheupperut
eri
nesegment

b.Nor
mal
lysi
tuat
edi
ntheupperut
eri
nesegment

c.Abnor
mal
lysi
tuat
edi
nthel
owerut
eri
nesegment

d.Nor
mal
lysi
tuat
edi
nthel
owerut
eri
nesegment

28.
Whenapi eceofpl
acent
aisr
etainedint
heut
erus,
itwi
lli
nter
fer
ewi
thpr
oper
uter
inecontr
act
ionandmayresulti
n

a.Thei
nabi
li
tyoft
hewomant
obecomepr
egnantagai
n

b.Pr
olongedpuer
per
alper
iod

c.Post
-par
tum hemor
rhage

d.Devel
opmentofacyst
ocel
e

29.
Prof
il
ingi
nfami
lypl
anni
ngcounsel
ingi
sdoneby

a.Gr
oupi
ngcl
ient
saccor
dingt
opar
it
y

b.Gr
oupi
ngcl
ient
saccor
dingt
orepr
oduct
ivegoal
s

c. Gr
oupi
ngcl
ient
saccor
dingt
othei
rpr
efer
redmet
hods

d.Gr
oupi
ngcl
ient
saccor
dingt
ocar
eergoal
s

30.
Saf
eter
minat
ionofabor
ti
oni
sal
lowedwhen

a.Themot
herdoesnotl
ikeherappear
anceasapr
egnantwoman

b.Thel
if
eoft
hemot
heri
satr
isk

c.Bot
hthemanandt
hewomanar
ebel
ow16year
s

d.Thewomani
sabove35year
sofage.

7
 COMPUTERNO……………………………….

SECTI
ONB-MATCHI
NGI
TEMS.

MATCHTHEABNORMALITI
ESOFTHEPLACENTA,MEMBRANESANDTHECORDIN
COLUMN1WITHTHEAPPROPRI
ATEDESCRIPTI
ONINCOLUMN11.RESPONSESI
N
COLUMN11SHOULDONLYBEUSEDONCE.

COLUMN1 COLUMN11

31.
Lat
erali
nser
ti
on A.Thecor
disi
nser
tedawayf
rom t
hecent
er

oft
hepl
acent
abutnotatt
heedge

32.Bi
par
ti
tepl
acent
a B.Thetr
ophoblast
icvi
ll
ihavepenetr
ated
thr
oughthebasall
ayerofthedeci
duasand
becomeattachedt
othemyomet ri
alcell
s

33.Vel
ament
ousi
nser
ti
on C.Thecor
disi
nser
tedi
ntot
he membr
anes.

34.Ci
rcumval
lat
apl
acent
a D.Twocompl
eteandsepar
atel
obeswher
e
t
he maincor
dbifur
cat
estosuppl
ybot
hpart
s

35.Pl
acent
aAccr
eta E.Anopeqringi
sseenont
hef
etalsur
faceof
thepl
acent
a

F.Asmal lext
ralobepresentthatisseparat
e
from themainplacent
aandj oinedtothe
placentabybloodvessel
sthatr unsthrough
themembr anestoconnectit.

G.Abnor
maldevel
opmentoft
het
rophobl
ast
s.

8
 COMPUTERNO……………………………….
.

MATCHTHEPHYSI
OLOGICALCHANGESINPREGNANCY,I
NCOLUMN1,TO
THEAPPROPRI
ATERESPONSESINCOLUMN11.RESPONSESI
NCOLUMN11
SHOULDONLYBEUSEDONCE

COLUMN1 COLUMN11

36.Car
diovascul
arsyst
em A.Per
ist
alsi
sissl
owed

37.Ur
inar
ysyst
em B.Reducesmet
abol
ism

38.Gast
ro-
int
est
inalsyst
em C.I
nnerl
ini
ngcel
lsbecomevascul
ar

andt
ort
urous.

39.Skel
etalsyst
em D.I
ncr
easei
npl
asmavol
ume

40.Ut
eri
necavi
ty E.I
ncr
easedr
enalt
hreshol
d

F.Sof
teni
ngofl
igament
sand

Muscl
esaches

MATCHTHETYPESOFABORTI
ONSINCOLUMN1TOTHEAPPROPRI
ATE
RESPONSESI
NCOLUMN11.RESPONSESI
NCOLUMN11SHOULDONLYBE
USEDONCE

COLUMN1 COLUMN11

41.Sept
icAbor
ti
on A.Fet
usandpl
acent
aar
eexpel
ledbut

Pl
acent
aisr
etai
ned

42.Compl
eteAbor
ti
on B.char
act
eri
zedbydi
lat
ati
onoft
he

Cer
vicalOs

9
 43.Thr
eat
enedAbor
ti
on C.Heavybl
eedi
ngwi
thorwi
thout

Abdomi
nalcr
ampi
ng

44.I
ncompl
eteabor
ti
on D.Fi
rm wel
lcont
ract
edut
erus

45.I
nevi
tabl
eAbor
ti
on E.Cer
vicalOsi
scl
osed

F.Mat
ernalpyr
exi
a

COMPUTERNO………………………………………

MATCHTHETERMSUSEDTODESCRIBEMENSTRUALDI
SORDERSCOLUMN1
WITHTHEAPPROPRI
ATEDESCRI
PTI
ONINCOLUMN11.RESPONSESI
NCOLUMN
11SHOULDONLYBEUSEDONCE.

COLUMN1 COLUMN11

46.Amenor
rhea A.Pr
esenceofonl
y5orf
ewermenses

Peryear

47.Eumenor
rhoea B.Sever
eUt
eri
necr
amps

48.Cr
ytomenor
rhoea C.Nor
mal
regul
armenses

49.Dysmenor
rheal D.Fai
lur
etomenst
ruat
e

50.Ol
igomenor
rhoea E.Vagi
nalatr
esiaorani
mperfor
ate
hymenpreventi
ngmenst
rualf
low

F.Heavybl
eedi
ng

10
 COMPUTERNO………………………

SECTI
ONC-COMPLETI
ON

COMPLETETHEFOLLOWI
NGSTATEMENTSWI
THONEORTWOMI
SSI
NGWORDS
I
NSPACESPROVIDED.

51.………………………………………………………………..i
sastat
eofcompletephysi
cal
,ment
al,
soci
al
well
bei
ngandnotmer
elyt
heabsenceofr
epr
oduct
ivedi
seaseorinf
ir
mit
y.

52.Int
egrat
edr eproducti
vehealthi
sa…………………………. .
..
..
.approacht
oreproduct
ive
healt
hinar esponset oexpandingneedsar
isi
ngfrom i
ncreaseddemandsforfamil
y
pl
anning,greaterawarenessofmat er
nalmort
ali
tyandmor bidi
ty,
andagrowing
burdenofreproductivei
llheal
th.

53.………………………………………. .i
sessent
ialatal
lst
agesofint
egrat
edrepr
oducti
veheal
th
toensur
eaccount
abi
li
ty,
appropr
iat
enessandsustai
nabil
it
yofrepr
oduct
iveheal
th
progr
ammes.

54.Theendomet
ri
um i
napr
egnancyi
scal
led…………………………………………………

55.……………………………………i
sthef
usi
onoft
hesper
mat
ozoonandt
heovum t
ofor
ma
Zygot
e.

56.Fer
ti
li
zat
iont
akespl
acei
nthe………………………………….
.oft
hef
all
opi
ant
ube.

57.……………………………….isthest
ateofunder
goi
ngf
ert
il
izat
ionandsuccessf
ul
i
mplantat
ionoft
heconcept
us.

58.The…………………………isamuscularpearshapedorgansi
tuat
edi
nthef
emal
epel
vis,
si
tuat
edbehi
ndthebl
adderandi
nf r
ontoftherect
um.

59.Thepr
ocessbywhicht
heZygot
edi
videsi
ntobl
ast
omer
es,
whoset
ransi
ttakes
pl
ace3-4daysi
scal
led………………………….

60.Sper
mat
ogenesi
stakespl
acei
nthe……………………………………………………….
.

11
61.The………………………………………………i sresponsi
blef
ormai
ntai
ningpr
egnancybef
oref
ull
pl
acentalf
unct
ionaf
terf
ert
il
izat
ion.

62.The………………………….i
sanar
rowmuscul
art
ubeext
endi
ngf
rom t
hevul
vat
othe
cervi
x.

COMPUTERNO……………………………….

63.Est
rogeni
spr
oducedbyt
he………………………………….
.int
heovar
ies.

64.Thenor
malposi
ti
onoft
henon-pr
egnantut
erusi
s…………………….
.and………………

65.I
npr
egnancy,
theendomet
ri
um becomest
hickerandmor
evascul
arduet
ohi
gh
l
evel
sofahormoneknownas……………………………………………. .

66.Asmal
lfemaleor
gancorrespondi
ngt
oamal
epenisl
ocat
edatt
hever
ytopoft
he
i
nnerl
abi
ami nor
aiscal
leda………………………………………….

67.At
riangul
arar
eawhi
chisf
oundpost
eri
ort
othel
abi
ami
nor
aandant
eri
ort
othe
anusi
scalledt
he……………………………………………….

68.……………………………………..ar
etwosmallgl
andswhi
chopenoneit
hersi
desoft
he
vagi
nalopeni
ngandl
iesi
nthepost
eri
orpar
toft
helabi
amajor
a.

69.Theaci
dcondi
ti
onoft
hevagi
nai
sar
esul
tofabact
eri
acal
led…………………………

70.……………………………………i sasacofski
n,f
ormi
ngapouchi
nwhi
cht
het
est
isar
e
suspendedout
sidet
hebody

71.The…………………………………..tube,
connect
sthebl
adder
,pr
ost
ateandsemi
nalvesi
cle
totheext
ernalopeni
ngont
hepenis.

72.Br
east
saremammar yglands,cover
edbyski
n,composedofer
ect
il
eti
ssueand
hasacent
ralpr
otuber
ancecall
ed…………………………

73.Thear
eaofl
oosepi
gment
edski
nar
oundt
heni
ppl
eiscal
led………………………….

74.Br
eastsi
zei
slar
gel
ydet
ermi
nedbyt
heamountof
……………………….
present
.

75.Mi
lksecr
eti
ngcel
lsar
eknownas……………………………………………………….

76.The……………………………….
oft
hebr
eastact
sasar
eser
voi
rformi
lkandl
iesunder
neat
h
theareol
a

77.………………………………….i
sawhi
te,
mucoi
dnon-i
rr
it
ati
ngvagi
naldi
schar
gei
na
12
pr
egnantwoman.

COMPUTERNO…………………………………

78.Inpr
egnancyt
heenlar
gedsebaceousgl
andsthatbecomepromi
nentar
oundt
he
pri
maryareol
aandsecr
etesebum t
okeeptheni
pplesupplear
eknownas…………………

79.Duri
ngpregnancy………………………………………i
ssecr
etedbyt
heal
veol
iandexpr
essed
fr
om theni
ppleaft
er16weeksgest
ati
on

80.Theonsetofl
act
ati
ondependsupontheacti
onofthehor
moneknown
as…………………thati
sproducedbytheant
eri
orpit
uit
arygl
and.

81.I
npuer
per
ium br
east
sar
est
imul
atedt
opr
oducemi
lkont
he………t
o…….
.day

82.Contr
actionsoftheplanmusclesofthebreastt
hatmakesthemil
ktobepr
opel
led
fr
om thealveolial
ongthelact
if
erousductsi
ntotheampull
aarefaci
li
tat
edbya
mechanism knownas………………………………………………………………………………r efl
ex

83.Increasedf
requencyofmat
urat
ioni
near
lyandl
atepregnancymaybeduet
othe
growing……………………………………………………………………………pr essi
ngont hebl
adder
.

84.………………………………. .
ist
heprocessinwhicht
hegraaf
infol
li
cles’r
uptur
eand
subsequent
lydi
schar
getheunfer
ti
li
zedovum i
ntheabdominalcavi
ty

85.…………………………isanorganwhichisthi
cki
nthecent
er,
thi
nni
ngt
owar
dst
heedges,
anditf
ormst
heli
nkbetweenthemotherandf
etus.

86.Themat
ernalsur
facehascot
yledonssepar
atedbysmal
lgr
oovesknown
as………………….

87.Theumbi
li
calcor
disusual
lyi
nser
tedcent
ral
lyont
he……………………….
.sur
face.

88.Arough,opaquefet
almembranewhi
cheasil
ytear
sr unscont
inuousl
ywi
tht
he
edgeoftheplacent
aandatt
achedtot
heremaini
ngdeciduasisknownas
………………………

89.At
ough,
shi
nnyf
etalmembr
anenear
estt
othef
etusi
sknownas………………………….

90.…………………………….i
sal
oop-
li
kest
ruct
urewhi
chconnect
sthef
etust
othepl
acent
a

13
91.Bl
oodvessel
soft
hecor
dar
epr
otect
edbyawhi
tej
ell
yknownas……………………

92.Theplacent
aiscompl
etel
yfor
medandf
unct
ioni
ngf
rom………….
.weeksaf
ter
fer
ti
li
zat
ion.

COMPUTERNO…………………………………….

93.Pl
acent
areachesf
ullmat
uri
tybet
ween……………………weeksand…………….
.weeksof
gest
ati
on.

94.Ceasat
ionofmensesduet
opr
egnancyi
scal
led…………………………………………….
.

95……………………………………………i
saur
inet
estdone14dayspastt
hemi
ssedper
iodt
o
conf
ir
m pr
egnancy.

96.………………………………………………….i sawayofor ganizi

ngAntenat
alserviceswit
h
emphasi sonqualit
yrathert
hanquantityofvisi
tsinanatt
emptt oimprovemat er
ial
sati
sfacti
onbyt heprovi
sionofholi
sti
c,indi
vidual
izedcar
eandor ganizedchangein
thepatternofcare.

97…………………………………………..i
ssupervi
sionandmanagementoffer
edtoapr
egnant
womanfrom conf
ir
mat
ionofconcept
iontothebegi
nni
ngoflabour.

98.Acondi
ti
oncausedbyreducedamni
oti
cfl
uid,
result
ingi
naf et
ushavi
nga
defor
medli
mboramput at
ionofali
mbduetoadhesiveamniot
icmembranei
sref
err
ed
toas…………………………………………………………………………………………………………………………

99.……………………………………….inacordar
ecausedbyt
hef
etuspassi
ngt
hroughal
oopof
thecor
dandfor
m aknotonthecor
d.

100.………………………………….i
sthedi
schar
gef
rom t
heut
erust
hrought
hevagi
nalcanal
duri
ngpuer
peri
um?

101.Themucuspl
ugwhichseal
sthecer
vicalcanaldur
ingpr
egnancyi
s
cal
led……………………………………………………………………………………………………………….

102……………………………….
.i
sthei
nter
rupt
ionofpr
egnancybef
or he28thweekof
et
gest
ati
on

103.Hyper
tensi
on,
prot
einur
iaandedemaar
ecar
dinalsi
gnsof…………………………………

104.Seizuresoccur
ri
nginpregnancyaf
t he28thweekofgest
ert ati
onwi
thorwi
thout
anycardinalsi
gnsareref
err
edtoas…………………………………………. .
fi
t.

14
105.Pai
nlessbleedi
ngoccur
ri
ngduetoprematuresepar
ationoft
hepl
acent
awhi
chi
s
wholl
yorparti
allyi
mplant
edint
heloweruter
inesegmentisref
err
edt
oas
……………………………………………………………………………………………………………………………

COMPUTERNO……………………………………

106.Bl
eedi
ngaccompani
edwit
hpainexper
iencedf
rom anar
eaofdet
achmentofa
normal
lysi
tuat
edpl
acent
aisr
efer
redtoas……………………………………………………………….

107.Inplacent
apr evi
atype………………………t
hepl
acent
acover
sthecer
vixbutnotatf
ull
cer
vicaldil
atat
ion

108.Pl
acent
apr
aevi
aischar
act
eri
zedbyf
etal
…………………………………….
inl
atepr
egnancy.

109.Anytypeofpl
acent
apr
aevi
aassociat
edwit
hsever
eheamor r
hageshoul
dbe
del
iver
edby…………………………………regar
dlessoft
hegest
ati
onalage

110.Anabnormaldevel
opmentofthepri
mit
ivechor
ionbegi
nni
ngat6weeksgest
ati
on
andlooksl
ikebunchesofgr
apesiscal
led…………………………………………………………………

111.Ectopi
cpregnancycommonlyoccur
sint
he………………………………….
.duet
obl
ockage
causedbyprevi
ousinfect
ions.

112.Excessi
vevomit
ingexper
iencedbyapregnantwomandur
ingt
hef
ir
stt
ri
mest
er,
charact
eri
zedbynauseaandvomi t
ingi
sknownas………………………………………

113.Awomanwhohasgivenbi
rt
htomor
et hanf
ive(
5)chi
ldr
eni
sref
err
edt
o
as……………………………………………………………………….…………………

114.Awomangi
vingbi
rt
hfort
hef
ir
stt
imei
sref
err
edt
oas……………………………….

115.Signsof…………………labouri
nclude,hi
stor
yofshow,regul
arpai
nsaccompaniedby
backache,pal
pabl
econt
racti
ons,
shor t
eni
ngofthecervi
xandcervi
caldi
lat
ati
on.

116.……………………………………………………. i
saterm usedwhent
hef
etalheadi
sbi
ggerf
ort
he
part
icul
arpel
vist
hroughwhi
chi
thastopass.

117.Acl
osel
ysuper
visedtestofl
abourt
odeter
minewhethersaf
evaginaldeli
ver
ycan
beachi
evedwhenami norormoderat
edegr
eeofcephal
o-pel
vicdi
spr
opor t
ionis
knowntoexi
sti
sref
erredtoas……………………………………………………………………………………….

118.……………………………………………. .isater
m usedwhenprogr
essofl
abouri
simpossi
ble
wit
houtobst
etr
icalassi
stanceduetoimpassabl
ebar
ri
er.

15
119.……………………………………ri
ngisadepr
essi
onacr
osst
heabdomeni
nther
egi
onoft
he
umbil
i
cusinobst
ruct
edl
abour

COMPUTERNO……………………………………….

120.……………………………………………i
sanequi
pmentusedt
odet
ectf
etalhear
tsoundsi
na
pregnantwoman.

121.The…………………………………st
ageofl
abourisastagecharact
eri
zedbysepar
ati
onand
expul
sionoft
hepl
acent
aandmembranes,
beginningassoonasthebabyisexpel
led.

122.Amet hodofplacent
adeli
veryi
nwhich,
itsl
ipst
hrought
hevagi
naandwi
tht
he
fet
alsur
facepresenti
ngisdescri
bedas……………………………………………………………………

123.Amethodofplacent
aldel
iver
ywherepl
acent
alseparat
ionbeginsatthel
ower
edgeofthepl
acent
a,andsli
desdownsidewayssothatt
hemat ernalsurf
aceisseen
i
srefer
redtoas………………………………………………………………………………………………………

124.Theadmi
nist
rat
ionofsynt
ometri
n1mlint
ramuscul
arlyisdonewiththedel
iver
y
ofthe……………………………………………. .pr
ovidedt
hatasecondfetusisnotsuspect
ed.

125.Theassi
stedmet
hodofexpel
li
ngt
hepl
acent
athr
ought
hevagi
nalcanaldur
ing
chi
ldbir
thi
sby………………………………………………………………………………………………

126.An………………………………………i sasur
gicali
nci
sionmadeont
otheper
ineum t
oenl
arge
thevul
valor
if
icedur
ingchi
ldbi
rt
h.

127.………………………………………………. .i
sexcessi
vebl
eedi
ngf
rom t
hegeni
talt
ractaf
tert
he
bi
rthofthebabyofabout500ml
sormore.

128…………………………………………………i
stheexcessi
vebl
eedi
ngoccur
ri
ngwi
thi
n24hour
s
aft
erchi
ldbi
rt
h.

129………………………………………………….
ist
heexcessi
vebl
eedi
ngoccur
ri
ngaf
ter24hour
s
postdel
iver
y.

130…………………………………isfail
ureoft
heut
erust
ocont
ractduet
opoorut
eri
ne
cont
ract
ionsandr
etr
act
ions.

131.Ment
iont
het
wot
ypesofAnt
epar
tum heamor
rhage…………….
..
..
..
..
..
..
..
..
..
..
and……

…………………………………………………………………………………………………………………

132.Ment
iont
wot
ypesofPl
acent
apr
aevi
athatwar
rantcaesar
iansect
ionasamode

16
ofdel
iver
y…………………………………….
.and………………………………………………………………….

COMPUTERNO…………………………………….
.

133………………………………….i
saf ebri
lecondit
ioni
nwhichatemperat
ureof38oC(100.
4oF)
occursononeormor
eoccasionsduringthe14daysf
oll
owingchil
dbir
thor
miscarr
iage.

134.…………………………………..i
saper
iodf
rom t
heexpul
sionoft
hepr
oduct
sofconcept
ion
upto6weekspost
-nat
aly.

135.Anor
malheal
thumbi
li
calcor
dhas………………………ar
ter
iesand………….
.vei
ns

136.Thepr
esenceofasi
ngl
ear
ter
yinanumbi
li
calcor
dissuggest
iveofababy
havi
nga………………………………………………………………………………………………….

137.……………………………………………. .
isameansofqui
ckl
yassessi
ngt
hepresenceor
absenceofanoxi
ainanewbor
ninfantat1mi
nut
eandrepeat
edant5minutespost
del
iver
y.

138.
The…………………………………isaroundedpadoff
atl
yingant
eri
ort
othesymphesi
s
pubi
sandi
tiscover
edwi
thhai
rfr
om puber
ty.

139.A………………………………………i
sthebonycanal
thr
oughwhi
cht
hef
etuspasses
thr
oughdur
ingbi
rt
h.

140.……………………………………….i
sacord-
li
kestr
uctur
econsi
sti
ngoft
hevasdef
erens,
art
eri
es,
vei
ns,ner
vesandl
ymphat
icvessel
s.

141.The…………………………….ser
vesasamal
erepr
oduct
iveor
ganandt
heext
ernalor
gan
forur
inat
ion.

142.Maturespermsarepr
oducedi
nthe………………………………………….andt
hedef
erent
ductunt
ilej
aculat
ion.

143…………………………………….ist
hecessat
ionofcycl
icevent
sandsi
gni
fi
est
heendof
repr
oduct
ionl
if
einawoman’
sli
fe.

144.A28daysregular
,cycl
iceventoccurr
ingi
nawoman’sli
fef
rom puber
tyt
o
menopauseexceptwhenpregnancyinter
venesi
sref
err
edtoanormal……………………

145.………………………………….isanamegivent
ot hephysiol
ogi
calchangest
hatoccuri
nthe
ovari
esessent
ialf
ort
heprepar
ati
onandr
eleaseoftheoocyt
e.

17
 COMPUTERNO……………………………….

146.……………………………………….i st
henamegiventothephysiol
ogi
calchangesthatoccur
i
ntheendometr
iall
ayeroft
heuter
uswhi
char eessent
ialt
orecei
vethefert
il
ized
oocyt
e?

147.Thepl
acent
aandt
hechor
ionar
efor
medf
rom t
he……………………………………

148.Theembr
yo,
amni
onandumbi
li
calcor
ddevel
opf
rom t
he…………………….
oft
he
bl
astocyst
.

149.…………………………………………….ar ef
inger-
li
keproj
ect
ionsoft
hepl
acent
athater
odet
he
maternalvessel
sandembedi
ntheuter
inewall

150.Ther
ati
ooft
hef
etalsi
zet
othatofi
tspl
acent
ais…………………………………………

151.The………………………………………………surfacei
sdar
kredi
ncol
orduet
omat
ernalbl
ood
andpart
ialsepar
ati
onoft
hebasal
deci
dua.

152.…………………………..
isacl
earal
kal
ineandsl
ight
lyyel
lowi
shl
iqui
dcont
ainedwi
thi
n
theamniot
icsac?

153.Thi
sglandinthemal
epr oducesl
ubri
cat
ingal
kal
inef
lui
dwhi
chhel
psneut
ral
ize
aci
dinordertokeepmoti
li
tyofthesper
m? ………………………………………………………….

154.Ani
ncreaseinplasmavolumethanr
edbloodcel
lmassduri
ngphysi
ologi
cal
changei
nthecardiovascul
arsyst
em i
npr
egnancywil
lleadt
ocondi
ti
onknown
as………………………………………………………………………………………………………………………

155.Thelower
edhemogl
obint
hatt
akespl
aceduet
oef
fect
sofpr
egnancyi
s
cal
led…………………………anemia.

156.Thephysi
ologi
cal
changest
hatar
enonl
if
e-t
hreat
eni
ngi
npr
egnancyar
eusual
ly
ref
err
edtoas……………………………………………

157.………………………………………………i scharact
eri
zedbyabnormalgl
ucosetol
erancewi
th
onsetordet
ect
edi
npregnancyusual
lyinthesecondort
hir
dtri
mester
.

158.Whi
chtri
mesterofpregnancyisconsideredtobeappr opr
iat
efort
hei
nit
ial
booki
ngforant
enatal
care?..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.

159.Thet
ermi
nat
ionofpr
egnancyoccur
ri
ngwi
thoutext
ernali
nter
fer
encei
sknown

18
as………………………………………………………………………………………………….

COMPUTERNO……………………………….

160.………………………………………………iswhent
hef
etusdi
esi
nut
eroandi
sret
ainedt
oget
her
wit
htheplacent
aandmembr
anes.

161.Theabor
ti
oninwhichpartofthepr
oduct
sofconcept
ionar
eret
ainedand
bl
eedingi
sprofusei
srefer
redtoas……………………………………………………………………

162.Whatwouldyoucal
lasituat
ionwher
etheyhasbeent
hreeormor
eloosesof
pregnanci
esbef
orevi
abi
li
ty?
…………………………………………………………………………………

163.Whatdoyoucal lacondit
ioninpregnancycausedbypr essureont heinfer
ior
venacava?
...
..
..
..
..
..
..
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..
..
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..
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..
...
..
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..
..
..
..

164.Nameapr
omont
orysi
gnofl
abour
…………………………………………………………

165.Atthebeginni
ngoflabourt
hef
ir
stcar
dinalmovementt
hataf
etusmakesi
na
cephal
icpresentat
ioni
s………………………………………………………………………………….

166.Nameonei
ndi
cat
ionf
ort
ruel
aborpai
n………………………………………………….

167.I
nsteadofaf ul
lydil
atedcervix,whatothersignwouldyouobser vethatt
he
womani sinsecondstageof
l
abor?.
..
..
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..
..
..
..
..
..
..
..

168.Ment
iononesi
gnofpl
acent
alsepar
ati
on…………………………………………………

169.Whati
sthemaxi
mum bl
oodl
ose,
losti
nanor
maluncompl
icat
eddel
iver
y………ml
s

170.Atwhatcervi
caldil
atati
onincentimeter
sdoesami dwifestartpl
otti
ngthe
Part
ograph?
...
..
..
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..
..
..
..
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..
..
..
..
..
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...
..
..
..
..
..
..
..
..
..
..
..
.

171.Afer
ti
li
zedovum i
scanal
sobecal
leda……………………………………….i
nthef
ir
stt
hree
weeksofconcept
ion

172.Atbi
rt
htheembr
yoi
scal
leda…………………………………………………………….

173.I
npr
egnancyqui
ckeni
ngt
akespl
aceat
…………………………………………….
.weeks

174.Anunbor
nbabyr
eachest
erm at……………………………………………………weeks

175.Ki
dneysofanunbor
nbabyst
art
stof
unct
ionat…………………………………weeks

19
176.Sucki
ngandswal
lowi
ngofamni
oti
cfl
uidbyanunbor
nbabybegi
ns
at…………week’
sgest
ati
on.

COMPUTERNO……………………………….
.

177.……………………………i
sanenzymepr
oducedbyt
hel
ungsofanunbor
nbabyf
rom 20
weeksgest
ati
ont
ohel
pinl
ungmatur
it
y

178.Atbi
rt
hthef
inedownyhai
rcover
ingt
hebaby’
sski
niscal
led…………………………….
.

179.Thewhit
ecreamysubstancecover
ingt
henewbor
nski
n,pr
otect
ingi
tfr
om f
ri
cti
on
agai
nstit
sel
fiscal
led………………………….

180.Magnesi
um sul
phat
eiscontr
aindi
cat
edi
npr
egnantwomenwi
th……………………….
and……………………………………conditi
ons

181.DI
Cst
andsf
or?
...
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..
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..
..
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..
..
..
.

182.I
UFDst
andsf
or?
...
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.

183.……………………………………. .i
sawayofgr
oupi
ngcl
ient
saccor
dingt
othei
rrepr
oduct
ive
needsdur
ingacounsel
ingsessi
on.

184.Duri
ngcounseli
ngsessi
ons,
pri
nciplesoff
amil
yplanni
ngusi
ng
acronym…………………andor ……………………..canbeusedtoguidei
ncli
entcounsel
ingf
or
famil
yplanni
ngservi
ces.

185.…………………………………….cont
racept
ivesar
esynt
het
ichor
monesusedt
ost
op
ovul
ati
onther
ebypr
eventpr
egnancy

186.A…………………………..i
saplast
icdevi
cewhichi
spl
acedi
ntheut
erust
opr
event
fer
ti
li
zat
ionbyi
mpedi
ngsper
mt r
ansport
ati
on

187.A…………………………………i
sat
hinl
atexsheat
hwor
novert
hepeni
sdur
ingsexual
i
ntercour
se

188.An……………………………………….
isafl
exi
blepl
ast
iccont
aini
ngsynt
het
ichor
mones
i
nsert
edundert
heski
nonthef
orear
m

189.………………………………. isasur
gicali
nter
vent
iont
hatmechani
cal
lybl
ockst
hef
all
opi
an
tubest
opreventf
ert
il
izati
on

190.…………………………….Isasur
gicalpr
ocedurewhere1-
2cut
saremadei nt
hescr
otum
andthent
hevasdef
erencear
eblockedsothatsper
msarenotej
acul
ated.

191.……………………………….
meansnothavi
nganysexuali
nter
cour
se.

20
 COMPUTERNO………………………….

SECTI
OND:ESSAYTYPEQUESTI
ONS

THEREARE2COMPULSORYESSAYQUESTI
ONS.EACHQUESTI
ONCARRI
ES
50MARKS.

USETHEANSWERBOOKLETPROVI
DEDTOANSWERTHI
SSECTI
ON

WRI
TEEACHESSAYONASEPARATEPAGE.

1.MrsMwaia30yearoldhousewi f
ePar a0Gravi
da3hasbeenadmi ttedt
othe
Gyneacol
ogywardwithhi
storyofsli
ghtvagi
nalbleedi
ng,backacheand
abdominaldi
scomfor
tatsi
xteen(16)weeksgestati
onalage.Adiagnosi
sof
Threat
enedAbort
ionhasbeenmade.

A.Def
inet
hreat
enedAbor
ti
on.(5Mar
ks)
.

B.Wit
ht heaidofawelldrawnandlabel
edsket
ch,
showt
het
ypesofAbor
ti
ons
andtheircl
assi
fi
cat
ion.(20Marks)
.

C.Descri
bethemanagementyouwoul
dgi
veMr
sMwait
il
ldi
schar
ge.(
15
Marks).

D.Outl
ine(5)poi
ntsthatar
especi
fi
ctoMr
sMwai
,thatyouwoul
dincl
udei
nthe
(
IEC)(10Marks).

2.MrsKwaleyel
aa40Yearol
dPara3Gr avi
da4giveshi
stor
yoflabour
.Shehas
beendi
agnosedt
obeinEstabl
ishedLabourandshehasbeenhandedovert
o
youasbeingi
nActi
vephase.

A.Def
ineTr
ueLabor(
4Mar
ks)
.

B.St
atet
hreesi
gnsoft
rueLabor
(6Mar
ks)

C.DiscussthemanagementofMr
sKwal
eyel
adur
ingt
hef
ir
stst
ageusi
ngt
he
partogr
am (30Marks)
.

D.Outl
ineFi
ve(5)acti
vit
iest
hatyouwoul
dobser
vedur
inghercar
etopr
event
i
nfecti
ons(10Marks)

21
GODBLESS.

22