13. Pulmonary hypertension is defined in nonpregnant
admit to Obstetrical ICU managed by an
individuals as a resting mean pulmonary pressure of what
level?
a. >10 mm Hg
b. >15 mm Hg (1.04 page 3)
c. >20 mm Hg
d. >25 mm Hg
e. > 30 mm Hg
14. A G1P0 is a known Severe Mitral Stenosis. What is the
final common pathway of pulmonary hypertension?
a. Left heart failure
b. Generalized heart failure
c. Right heart failure (1.04 page 4)
d. Cardiomyopathy
15. This is NOT included in the diagnostic criteria for
peripartum cardiomyopathy.
a. Development of cardiac failure in the second
trimester of pregnancy or within 5 months after
delivery  in the last trimester (1.04 page 4)
b. Absence of an identifiable cause for the cardiac
failure
c. Absence of recognizable heart disease prior to the
last month of pregnancy
d. Left ventricular systolic dysfunction demonstrated by
classic echocardiographic criteria
16. FALSE statement about heart failure in pregnancy.
a. Infection and sepsis syndrome are the most frequent
cause
b. Diuretics help reduce preload
c. Antihypertensives reduce afterload (1.04 page 5)
d. Prophylactic heparin is recommended
17. Major criteria In the diagnosis of Infective Endocarditis.
a. Positive blood culture (1.04 page 5)
b. Osler's nodes
c. Embolic Phenomenon
d. Increased inflammatory markers
18. These are the top causes of ICU admissions during
pregnancy, EXCEPT.
a. Asthma (1.06 page 1)
b. Hemorrhage
c. Hypertension
d. Infection
19. A 45-vear-old Gp2(2002). delivered at home 1 day before
admission, was rushed to the ER due to dyspnea. At the ER.
stretcher borne. On PE, BP 60/40; HR 130s, RR 40s, 02
saturation at 60%, with very weak pulses. You decided to do
intubation to support her breathing. She has a known heart
problem. Which concept of critical care would you admit her
for management?
a. admit in Medical ICU managed by critical care
specialists (not sure – 1.06 page 1)
b. admit at Intermediate care managed by a
cardiologist
c.
anesthesiologist
d. admit to the wards and refer to a cardiologist
20. A 35-vear-old, G3P2(2002), PU 38 weeks AOG was rushed
to the ER due to dyspnea. Her first 2 pregnancies were
delivered vaginally with no complications. She's a known
asthmatic but despite your management, she had
desaturation and you eventually did intubation. After
intubation, her vital signs were stable. Fetal monitoring
showed an un-asphyxiated fetus with, cephalic presentation.
After 4 hours, her BOW ruptured, and upon internal
examination, the head was at station 4-5. How would you
deliver the baby?
a. 000 mmm gee.. call for emergency cesarean section!
b. alright……don't panic.….I will do assisted vaginal
delivery by forceps extraction
c. okay okay... I will ask the mother to bear down, she
should do it
d. d. ahhhh…Let the baby spontaneously deliver
21 Which is a FALSE statement regarding intimate-partner
violence?
a. linked to poverty, poor education, and use of
tobacco, alcohol, and illicit drugs
b. abused women tend to run away from their abusers
 stay with (1.06 page 1)
c. the major risk factor for intimate-partner homicide is
prior domestic violence
d. women seeking pregnancy termination have a higher
incidence of intimate-partner violence
22. A 17-year-old nulligravid was escorted by a Police Officer
to the ER. In your interview, she just married the love of
her life 2 months ago. Their love affair became a
nightmare. She was physically and sexually abused by her
husband. What management will you offer her?
a. Psychological counseling
b. Emergency contraception
c. Antimicrobial prophylaxis
d. B and C
e. A,B and C (1.06 page 2)
23. A 35-year-old Pregnant at 34 weeks was rushed to the ER
from a car accident. Which is not part of the basic rules
of resuscitation?
a. evaluation and stabilization of the gravida
b. ventilation
c. arrest of hemorrhage
d. treatment of hypovolemia with crystalloid and
blood products.
e. emergency delivery of the baby (1.06 page 2)
24. Maternal and fetal outcomes are always directly related
to the severity of the injury.
a. True (not sure – 1.06 page 2)
b. False
c. Maybe
d. Who cares?