MCQs -OBS-1

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Fetus week 9-10

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twee vormen van vasa previa

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Multiple choice questions -Obstetrics -part-1

A-Answer

Choose the one most appropriate answer :

1 Bacterial endotoxin schock is caused by :
A Streptococcus
B Staphylococcus
C E Colii
D All of the above
A-C
2 The most common cause of early abortion is :
A Abnormality of placenta
B Maternal disease
C Foetal abnormality
D Viral disease
E None of the above
A-C
3 The most common cause of neonatal morbidity and mortality is :
A Toxaemia
B Syphilis
C HIV
D Abruptio placenta
A-A
4 Birth rate is defined as the number of births per :
A 10,000 women per year.
B 10,000 Population per year
C 1,000 population per year
E 100 years of exposure
A-C
5 Neonatal death rate is expressed as the number of deaths per :
A 100 live births
B 10,000 live births
C 1,000 live births
D 1,000 births
E 10,000 births
A-C
6 Maternal death rate is expressed as deaths per
A 1,000 live births
B 1,000 pregnancies
C 10,000 live births
D 10,000 pregnancies
E 10,000 population
A-C
7 Neonatal death is defined as the death :
A Within first 24 hrs of life
B Within first 4 weeks of life
C Within first 1 year of life
D Within first 2 weeks of life
E Of at least 28 weeks gestation
A-B
8 Foetal death is defined as the death of :
A A foetus in utero weighing 1000 grams or less
B A non viable foetus before and after death
C An infant weighing 2500 grams or less
D Any conceptus before birth
E A foetus in utero weighing 500 gram or more
A-E
9 Foetal death rate is expressed as the number of fetal deaths per :
A 1,000 live births
B 1,000 births
C 10,000 live births
D 10,000 pregnancies
E 1,000 pregnancies
A-A
10 Perinatal death rate is :
A Sum of the fetal and neonatal death rates
B Sum of the foetal and infant death rates
C difference between pregnancy and birth rate
D Sum of abortion and fetal death rates
E Difference between birth and neonatal death rates
A-A
11 The oxygen consumption of the pregnant uterus , when expressed in terms of unit weight :
A Remains constant throughout the course of pregnancy
B Increases as the fetus becomes alive
C Averages 10cc/100gram per minute
D Is not subject to meaurement
E Averages 25cc/100gram /min
A-A
12 The following changes in carbohydrate metabolism occur during normal pregnancy:
A Increased tendency to glycosuria
B Increased glomerular filtration rate of the sugar
C Decreased sensitivity to administered insulin
D All of the above
E None of the above
A-D
13 The following changes in fat metabolism occur during normal pregnancy:
A increase in plasma lipids
B decrease in nonesterified fatty acids
C Decrease in lipid contents of red blood cells
D All of the above
E None of the above
A-A
14 The gravid woman is in positive nitrogen balance because protein :
A Is used in the enlargement of the uterus
B Is used to form haemoglobin
C Adds to plasma proteins
D All of the above
E None of the above
A-D
15 The following changes occur in blood coagulation factor during normal pregnancy:
A Increase in total serum fibrinogen
B Increase in factor 8
C Increase in factor 9
D All of the above
E None of the above
A-D
16 the total iron content of the term fetus and placenta is about :
A 500 mg
B 300 mg
C 100 mg
D 30mg
E 15 mg
A-B
17 factors which play a role in water retention in pregnancy :
A Increase in intracapillary hydrostatic pressure
B Increase in colloidal osmotic pressure of plasma
C Sodium retention
D All of the above
E None of the above
A-D
18 The following changes in acid-base balance occur in normal pregnancy :
A Decrease in serum hydrogen concentration
B Reduction in plasma bicarbonate
C Increase in total base
D Acidosis
E Increase in organic acids
A-B
19 Progesterone in pregnancy causes relaxation of the smooth muscle of :
A The GI tract
B The uterus
C The ureters
D The blood vessels
E All of the above
A-E
20 The following are the indications of iron deficiency :
A Decrease in serum iron
B Decrease in plasma iron binding capacity
C Decrease in plasma erythrpoetin
D All of the above
E None of the above
A-A
21 The following changes occur in haemodynamics during normal pregnancy :
A Increase in systolic BP
B Increase in diastolic BP
C Increase in anticubital venous pressure
D Increase in femoral venous pressue
E All of the above
A-D
22 The following changes occur in digestive tract during pregnancy :
A Hypochlorhydria
B Increase in gastric motility
C Increase in muscle tone
D Increase in pepsin secretion
E All of the above
A-A
23 Following changes occur in urinary system during normal pregnancy :
A Increase in renal blood flow
B Increase in glomerular filtration rate
C Increase in capacity of kidney pelvis
D All of the above
E None of the above
A-D
24 Flexion of the fetal head occurs when it meets resistance from :
A Pelvic floor
B Cervix
C Pelvic walls
D Any of the above
E None of the above
A-D
25 Separation of placenta occurs in :
A Spongiosa layer of decidua vera
B Compacta layer of decidua basalis
C Spongiosa layer of decidua basalis
D Compacta layer of decidua capsularis
E Muscularis layer of placental site
A-C
26 The neonatal death rate is greatest during :
A Labour
B First 24 hrs of life
C Second week of life
D Third week of life
E First 3 months of gestation
A-B
27 The following minerals are relatively more concentrated on the fetal side of placenta :
A Phosphorus
B Iodine
C Iron
D All of the above
E None of the above
A-D
28 The following cross the placenta poorly :
A Amino acids
B Glucose
C Lipids
D All of the above
E None of the above
A-C
29 The placenta acts as a barrier against :
A Thyroid stimulating hormone
B Growth hormone
C Nucleic acid
D All of the above
E None of the above
A-E
30 The following substances pass through placenta by simple diffusion:
A oxygen
B Amino acids
C Glucose
D All of the above
E None of the above
A-A
31 The main source of energy for growing fetus is :
A Carbohydrate
B Fat
C Amino acids
D Nucleic acids
E Urea
A-A
32 Anomalies usually caused by single umbilical artery include :
A Cardiovascular
B Integumentary
C Respiratory
D All of the above
E None of the above
A-A
33 The average length of umbilical cord is :
A 25 cm
B 40cm
C 55 cm
D 75 cm
E 125cm
A-C
34 If A-P diameter of pelvis is greater than the transverse the pelvis may be classified as :
A Android
B Gynaecoid
C Platypelloid
D All of the above
E None of the above
A-E
35 The following pelvis is usually associated with transverse arrest :
A Anthropoid
B Android
C Gynaecoid
D Platypelloid
E None of the above
A-D
36 Leopold manoeuvre refers to :
A delivery of head
B External version
C Internal version
D Breech extraction
E Examination of abdomen.
A-E

Match the following :

Answer according to the following key :
A If 1,2 and 3 are correct
B If 1 and 3 are correct
C If 2 and 4 are correct
D If only 4 is correct
E If all are correct
37 Pathologic changes of syphilis in the foetus :
1 Hypertrophic cirrhosis of liver
2 Softening of brain
3 Osteochondritis of long bones
4 Duodenal ulcer
A-B
38 Disseminated herpes simplex of the newborn is transmitted :
1 By nasal spray of the obstetrician
2 By transplacental passage
3 From other new born
4 During passage through birth canal
A-C
39 Typical postmature infant has
1 Long nails
2 Abundance scalp hair
3 Diminished vernix
4 Absence of lanugo hair
A-E
40 The human fetal circulation is separated from the maternal circulation by :
1 Villous epithelium
2 Connective tissue
3 Endothelium of fetal capillaries
4 Endothelium of maternal capillaries
A-A
41 The decidua capsularis is that portion of the uterine mucosa which ;
1 Produces steroids
2 Covers the implanted ovum
3 Becomes the placental site
4 Later fuses with decidua vera
A-C
42 Chorionic gonadotrophin :
1 Is detectable in urine of pregnant woman
2 Is detectable in sera of pregnant woman
3 Will prolong luteal function in non pregnant woman
4 Is a glycoprotein
A-E
43 The decidua basalis is composed of the following layers :
1 Spongiosa
2 Compacta
3 Basalis
4 Chorion
A-A
44 The placenta septa :
1 Are maternal in origin
2 Are highly vascular
3 Separate the placental cotyledons
4 Are of fetal origin
A-B
45 Progesterone has been isolated from :
1 The corpus luteum
2 The placenta
3 The adrenal cortex
4 Peripheral venous blood
A-E
46 In late pregnancy blood progesterone is metabolised  :
1 In the liver
2 In the tissue at the site of action
3 by disappearance into depot fat
4 By the fetal adrenal
A-A
47 A positive Aschemic-Zondek test for pregnancy was characterised by :
1 development of ovarian hyperaemia in immature female rats
2 Formation of corpora haemorrhagica in adult female rabbits
3 Deposition of ova by certain species of frogs
4 Formation of corpus luteum in immature mice
A-D
48 In the event of pregnancy the coiled arteries of the endometrium :
1 Become placental arteries
2 Reach the endometrial surface by the time of implantation
3 Uncoil to cover the longer distances in the uterus
4 Atrophy completely
A-A
49 Softening of the cervix during pregnancy is
1 Due to hyperplasia of cervical glands
2 Due to increased vascularity
3 Due to oedema cervix
4 One of the earliest physical signs
A-E
50 Eversion of endocervical epithelium during pregnancy :
1 Contributes to epidermidization of cervix
2 Is probably caused by oestrogen stimulation
3 May be considered as physiological change
4 Requires prompt investigation and treatment
A-E
51 During pregnancy following changes are to be found in ovaries :
1 Repeated ovulation due to high gonadotrophin
2 Decidual like changes changes on surface
3 Absence of primordial follicles
4 Lutenization of atretic follicles
A-C
52 During pregnancy the following changes occur in vagina :
1 Increase in length
2 Increase in secretion
3 Hypertrophy of muscle
4 Increase in vascularity
A-E
53 The following changes occur in bone marrow during normal pregnancy :
1 Increase in megaloblasts
2 Increase in megakaryocytes
3 Increase in immature leukocytes
4 Uniform hyperplasia of erythroid elements
A-C
54 Weight gain during normal pregnancy is due partly to :
1 Acquisition of fat
2 Mammary growth
3 Water retention
4 Protein storage
A-E

Match the following :

They involve quantitative comparisons , answer by using the following key :
A If choice A is of greater magnitude than B
B If B is of greater magnitude than A
C If both are equal
55 uterine response to oxytocin in :
A first trimester
B Second trimester
A-B
56 Frequency of transverse lie :
A In multipara
B In primi
A-A
57 Incidence of cord prolapse :
A In single pregnancy
B In twin pregnancy
A-B
57 Vitamin B12 levels in :
A Cord serum
B Maternal serum
A-A
58 Antepartum haemorrhage with toxaemia :
A placenta praevia
B Abruptio placentae
A-B
59 APH associated with hypofibrinogenemia :
A Placenta praevia
B Abruptio placenta
A-B
60 Oxygen saturation in :
A Fetal blood
B Maternal blood
A-B
61 Oxygen content in :
A Umbilical vein
B Umbilical artery
A-A
62 Oxygen capacity in:
A Fetal blood
B Maternal blood
A-A
63 rate of transfer from fetus to mother of :
A CO2
B O2
A-A
64 Dependance upon the presence of a  viable fetus for the production of :
A Oestriol
B Human placental lactogen
A-A

Case history :

A 16 yr old primi at term , not in labour , has the sudden onset of continuous lower abdominal pain , rapid pulse , no fetal heart tones , low BP and a tender uterus
65 The most likely diagnosis is
A- Abruptio placenta
B Placenta praevia
C Amniotic fluid embolism
D Perforation of uterus by hydatidiform mole
E Simple hypotensive syndrome
A-A
66 The above is commonly associated with :
A Hydroptic fetus
B Hypertensive toxaemia
C Trauma to the abdomen
D Short umbilical cord
E Pressure on inferior vena cava
A-B
67 The immediate maternal complication of this situation is :
A Haemorrhage and shock
B Fibrinogen deficiency
C Couvelaire uterus
D Acute renal failure
E None of the above
A-A
68 This maternal complication is best treated by :
A Fibrinogen
B Blood transfusion
C Hysterectomy
D Mannitol
E Pitocin stimulation of the uterus
A-B

References

  1. MCQs, entrance exam-AIIMS , CPMT , BHU, Carrier guide for medical graduates :by a board of three examiners : scientific book co;Patna : 1979

5 Comments

Comments RSS
  1. meenu

    how do we know the correct answer??

    • bhagia

      A-D are written below , these are the answers

      See below every question there is A means that is the answer like A-B means the answer is option B , got it ?

    • benson bissaya

      very good questions for self assessment, now let me now how to get the answers.

      • bhagia

        they are written on the bottom of each Q

  2. ahmad

    yes bhagia

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