TOTW #14 - Obstetrics and gynaecology Start QuizPage 1 of 25 Which one of the following is not a condition in which pregnancy is absolutely contraindicated for fear of increased maternal mortality? Marfan’s syndrome with aortic root dilatation Severe pulmonary arterial hypertension Infective endocarditis Class III or IV congestive heart failure with a left ventricular ejection fraction of < 40% Page 2 of 25 Which of the following is not a metabolic change during pregnancy? Body temperature increases Blood sugar is lowered Fall in serum cholesterol level Retention of sodium Page 3 of 25 Which is not an indication for amniocentesis? PROM Rh haemolytic disease Down syndrome Haemophilia Page 4 of 25 Which is not a risk factor for gestational diabetes? Maternal weight >100kg Fetal macrosomia on ultrasound Oligohydramnios Previous big baby >4.1kg Page 5 of 25 Which is not a risk factor for fetal macrosomia? Maternal DM Multiparity Post-date pregnancy Female fetus Page 6 of 25 During early pregnancy, colostrum production begins at: 12- 14 weeks 16- 18 weeks 24- 26 weeks Term Page 7 of 25 The softening of the uterine isthmus resulting in compressibility on bimanual examination in early pregnancy is sometimes called? Chadwick’s sign Hegar’s sign MacDonald’s sign Gill’s sign Page 8 of 25 Which one of the following abnormalities is NOT caused by fetal alcohol syndrome? Broad upper lip Microphthalmia Microcephaly Short nose Page 9 of 25 Confirmation of ruptured ectopic pregnancy in the absence of ultrasound can be achieved by? Presence of severe pallor Presence of per vaginal bleeding Paracentesis of clotting blood Culdocentesis of non-clotting blood Page 10 of 25 The most accurate ultrasound measurement to determine gestation age in the first trimester is? Biparietal diameter Crown-rump length Femoral length Abdominal circumference Page 11 of 25 Of the four phases of labor, phase 2 is characterized by which of the following? Uterine activation, cervical ripening Uterine quiescence, cervical softening Uterine contraction, cervical dilatation Uterine involution, cervical remodeling Page 12 of 25 A 23-year-old primigravida presents for induction of labor at 41 weeks gestation. Her cervix is unfavorable with a Bishop score of 4. You proceed with cervical ripening using the agent shown below. Which class of medication does the agent belong to? Oxytocin Beta agonist Prostaglandin NSAID Page 13 of 25 After the cervix is fully dilated, what is the most important force in fetal expulsion? Uterine contraction Intra-abdominal pressure Fetal head descending through the pelvis None of the above Page 14 of 25 What is the initial step that leads to placenta separation following delivery of the infant? Uterine contractions Tension pulls it away from the implantation site Formation of a hematoma behind the placenta with uterine involution None of the above Page 15 of 25 A 34-year-old woman is scheduled to return for her post-partum visit 6 weeks after delivery. Given that birth control will be discussed during that visit, what is the optimum timing of the visit? 6 weeks based on tradition 4 weeks if she is breastfeeding 6 weeks as long as she is breastfeeding 4 weeks because ovulation returns 4-6 weeks after birth Page 16 of 25 A 30-year-old primigravida presents at 39 weeks gestation. She wants to deliver but does not want to be induced. You suggest membrane stripping and inform her that this will lead to a rise in which of the following prostaglandins? I2 E2 H2 F2a Page 17 of 25 Which of the following pathological changes DOES NOT occur in placental malaria? Low quantities of Heat Shock Proteins Deposition of hemozoin Placental detachment Decrease in villous surface area Page 18 of 25 Which of the following normal changes in pregnancy worsens the clinical course of TB? Increase in cardiac output Increase in estriol Increase in thyroid size Hyperinsulinemia and insulin resistance Page 19 of 25 Which of the following is NOT true concerning the diagnosis of gestational diabetes? Fasting before the glucose challenge test Fasting 8 hours before OGTT Testing is done 24-28 weeks of gestation >11.1mmol/L result is confirmatory Page 20 of 25 Premenstrual syndrome (PMS) has a constellation of symptoms. Which of the following would you NOT expect? Abdominal bloating Weight loss Anxiety Constipation Page 21 of 25 A 46-year-old, non-pregnant, morbidly obese woman presents with irregular periods over the past 6 months. Which of the following represents the most appropriate initial management in this setting? Oral contraceptives Dilation and curettage Endometrial biopsy Endometrial ablation Page 22 of 25 Which of the following complications is most commonly associated with vacuum delivery ? Cephalohematoma Fetal skull fracture Erb's Palsy Down's syndrome Page 23 of 25 Lochia is made up of all the following except: Erythrocytes Epithelial cells Placental fragments Decidua Page 24 of 25 Which of the following is used in management of hypertensive crisis in pregnancy? Labetalol Hydralazine Nifedipine All of the above Page 25 of 25 The first evidence of puberty in a female child is: Appearance of breast buds Menarche Axillary hair Public hair Multiple Authors | WebsiteTOTW #26 - MicrobiologyTOTW #25 - PsychiatryTOTW #24 - BiochemistryTOTW #23 - Haematology Previous Post TOTW #13 - Orthopaedics Next Post A 17-year-old with nausea and vomiting
