Question 1

Which is the least frequent site of an ectopic pregnancy?
A)Fallopian tube
B)Cervix
C)Ovary
D)Abdominal cavity
E)Between the leaves of broad ligament

Accepted Answer

The abdominal cavity is the least frequent site for an ectopic pregnancy compared to other locations like the fallopian tube, cervix, ovary, and broad ligament.

Question 2

Perforation tends to occur earliest when an ectopic pregnancy is located in which portion of fallopian tube ?
A)Isthmic
B)Interstitial
C)Ampullary
D)Infundibular
E)No difference

Accepted Answer

The isthmic portion of the fallopian tube is narrow and less distensible, leading to earlier rupture in ectopic pregnancies located there.

Question 3

Which of the following does not occur in post partum pituitary necrosis :
A)signs of hypoglycaemia
B)Asthenia
C)Amenorrhoea
D)Galactorrhoea
E)Decreased libido

Accepted Answer

C

Question 4

The most dangerous symptom during pregnancy is:
A)PV bleeding
B)Ankle swelling
C)Hyperemesis
D)Cramps
E)none

Accepted Answer

PV bleeding (per vaginal bleeding) during pregnancy is considered a dangerous symptom as it can indicate serious complications such as miscarriage, ectopic pregnancy, or placental issues, which require immediate medical attention.

Question 5

The Arius-Stella reaction may be seen with all except :
A)Ectopic pregnancy
B)Birth control pills
C)Abortion
D)Trophoblastic disease
E)none

Accepted Answer

The answer of The Arius-Stella reaction may be seen with...

Question 6

The passage of decidual cast in cases of ectopic pregnancy usually means :
A)Impending tubal rupture
B)Reabsorption of embryo
C)Pregnancy was intrauterine
D)Death of embryo
E)none

Accepted Answer

The answer of The passage of decidual cast in cases...

Question 7

What is the most common side effect with MTX therapy for ectopic pregnancy
A)Transient pelvic pain 3 - 7 days after starting treatment
B)Stomatitis
C)Bone marrow suppression
D)Gastritis
E)none

Accepted Answer

The answer of What is the most common side effect...

Question 8

Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following, except:
A)Amniotic fluid
B)Maternal blood
C)Chorionic villi
D)Fetal blood
E)none

Accepted Answer

Fetal blood sampling is typically done later in pregnancy, not at 16 weeks.

Question 9

A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by;
A)Immediate cesarean section
B)Immediate induction of labor
C)Tocolytic therapy
D)Magnesium sulphate therapy
E)none

Accepted Answer

Immediate cesarean section is indicated due to the acute presentation of pain, vaginal bleeding, and decreased fetal movements at 32 weeks gestation, which suggests a possible placental abruption or other obstetric emergency that could compromise the health of both the mother and fetus. Immediate delivery is often necessary in such cases.

Question 10

Placenta previa, all true except :
A)Shock out of proportion of bleeding
B)Malpresentation
C)Head not engaged
D)Painless bleeding
E)none

Accepted Answer

The answer of Placenta previa, all true except :
A)Shock out...

Question 11

A 34wk GA lady presented with vaginal bleeding of an amount more of that of her normal cycle. O/E uterine contracts every 4 min, bulged membrane, the cervix is 3 cm dilated, fetus is in a high transverse lie and the placenta is on the posterior fundus. US showed translucency behind the placenta and the CTG (Cardiotocography) showed FHR of 170, the best line of management is:
A)C/S immediately.
B)give oxytocin.
C)do rupture of the membrane.
D)amniocentisis
E)none

Accepted Answer

The best line of management for a patient presenting with these symptoms and findings (vaginal bleeding, frequent uterine contractions, a high transverse fetal lie, and a posterior fundus placenta with a high fetal heart rate on CTG) is an immediate cesarean section (C/S). The presence of vaginal bleeding, abnormal fetal lie, and the high fetal heart rate suggests fetal distress and potential placental issues, making immediate delivery via C/S the safest option for both the mother and the fetus.

Question 12

Most important cause of immediate post partum hemorrhage:
A)laceration of cervix
B)laceration of vagina
C)uterine atony
D)placental fragment retention
E)none

Accepted Answer

Uterine atony is the most common cause of immediate postpartum hemorrhage, accounting for up to 80% of cases. It occurs when the uterus fails to contract effectively after delivery, leading to excessive bleeding.

Question 13

Factors favoring long anterior rotation include all except
A)Correction of the deflexion
B)Adequate pelvis
C)good pelvic floor
D)rupture of membranes
E)none

Accepted Answer

Rupture of membranes does not favor long anterior rotation as it may reduce the amniotic fluid cushion, potentially affecting fetal movement and rotation.

Question 14

All following are indications for CS in OP except
A)Persistent oblique op
B)Long anterior rotation
C)Deep transverse arrest
D)Contracted pelvis
E)none

Accepted Answer

The answer of All following are indications for CS in...

Question 15

Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?
A)Vitamin B6
B)Vitamin B12
C)Vitamin A
D)Folic acid
E)none

Accepted Answer

Phenytoin therapy during pregnancy is associated with an increased risk of folic acid deficiency. Phenytoin interferes with the body's ability to absorb and use folic acid, which is crucial for the development of the neural tube in the fetus, potentially leading to birth defects.

Question 16

Uterine inertia is due to EXCEPT?
A)Over distension of uterus
B)Presence of fibroid uterus
C)Fetal malpresentations
D)Abruptio placenta
E)repeated interautrine manipulation

Accepted Answer

Abruptio placenta is not a cause of uterine inertia; it is a condition where the placenta detaches from the uterus prematurely, which can lead to other complications but not directly to uterine inertia.

Question 17

Exposure of female fetus to androgens may arrest differentiation of :
A)Mullerian duct
B)Ovary
C)Urogenital sinus
D)All of the above
E)None of the above

Accepted Answer

The answer of Exposure of female fetus to androgens may...

Question 18

The risk for development of fetal macrosomia is increased in the following, EXCEPT:
A)Primiparity.
B)Diabetes with pregnancy.
C)Post-term pregnancy.
D)Prior macrosomic infants.
E)none

Accepted Answer

Primiparity (being pregnant for the first time) does not increase the risk of fetal macrosomia. The other options listed are known risk factors for the development of fetal macrosomia.

Question 19

Complications of the third stage of labor include all of the following except :
A)Rupture uterus.
B)Postpartum hemorrhage.
C)Puerperal sepsis.
D)Retained placenta.
E)Obstetric shock.

Accepted Answer

Rupture of the uterus is more likely to occur during labor or delivery rather than specifically in the third stage of labor, which is focused on the delivery of the placenta and the immediate post-delivery period. The other options listed are recognized complications associated with the third stage of labor.

Question 20

Shock is out of proportion to the amount of bleeding in :
A)1ry postpartum haemorrhage
B)Retained placenta
C)Acute puerperal inversion of uterus
D)Hypofibrinogenemia
E)none

Accepted Answer

The answer of Shock is out of proportion to the...

Quiz 1: Obstetrics and Gynecology: Part A

Which is the least frequent site of an ectopic pregnancy?

Perforation tends to occur earliest when an ectopic pregnancy is located in which portion of fallopian tube ?

Which of the following does not occur in post partum pituitary necrosis :

The most dangerous symptom during pregnancy is:

The Arius-Stella reaction may be seen with all except :

The passage of decidual cast in cases of ectopic pregnancy usually means :

What is the most common side effect with MTX therapy for ectopic pregnancy

Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of the following, except:

A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by;

Placenta previa, all true except :

Most important cause of immediate post partum hemorrhage:

Factors favoring long anterior rotation include all except

All following are indications for CS in OP except

Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?

Uterine inertia is due to EXCEPT?

Exposure of female fetus to androgens may arrest differentiation of :

The risk for development of fetal macrosomia is increased in the following, EXCEPT:

Complications of the third stage of labor include all of the following except :

Shock is out of proportion to the amount of bleeding in :