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SOAL OBSTETRI I
1. In the primigravida, engagement usually takes place at:
a.
b.
c.
d.
35
36
37
38
weeks
weeks
weeks
weeks
2. During palpation, you find fetal head lies on the fundus of the uterus. This is an
abnormally on:
a.
b.
c.
d.
Lies
Presentation
Attitude
Position
3. You are going to determine whether the fetus flexed or deflexed. Which of the
following Leopold maneuver is used?
a.
b.
c.
d.
L-I
L-II
L-III
L-IV
Lies
Presentation
Engagement
Position
Case
A 40 y.o woman referred to Sardjito hospital by a midwife because of retained placenta
bleeding about 20 minutes after delivery. Examination on the emergency unit revealed
that blood pressure 60/30 mmHg and pulse rate was 132 bpm. RL infusion and 4 L
oxygen were given. She was survived after blood transfusion was given.
6. Which is the most likely diagnosis in such a case?
a.
b.
c.
d.
Primary shock
Impending shock
Secondary shock
Irreversible shock
Dextrose 5% solution
Dextrose 10% solution
Electrolyte solution
Colloid solution
IMU
c. Anaphylactic shock
d. Hypovolemic shock
9. Which of the following is the first sign of hemorrhagic shock?
a.
b.
c.
d.
10. Which of the following is the simplest way to monitor that homeostasis has been
recovered after fluid resuscitation during treatment of hypovolemic shock?
a.
b.
c.
d.
Blood pressure
Urinary output
Respiratory rate
Pulse rate
O2
O2
O2
O2
13. A low 1-min Apgar score helps identify which of the following?
a.
b.
c.
d.
14. What is Apgar Score of a male infant at 5 minutes of life whose respiratory effort
irregular, pulse is 90, who is floppy, cyanotic and with minimal grimaces?
a.
b.
c.
d.
1
3
4
7
Heart rate
Respiratory rate
Color
Amniotic fluid consistency
IMU
18. What hormone that will maintain corpus luteum thorough 1 st four months
a.
b.
c.
d.
hCG
hPL
hCS
Estrogen & progesterone
A 15 y.o G1P0A0 came to emergency room with chief complaint with excessive
vomiting. She was 10 weeks pregnant. Her blood pressure 100/60 mmHg & pulse rate
100 bpm. Her skins turgor was decreased.
21. These statements below are the differential diagnosis of the disease, EXCEPT
a.
b.
c.
d.
e.
Acute pyelonefritis
Gastritis
Hydatidiform mole
Pancreatitis
Bladders stone
22. If you find the fundal height is higher than the expected gestational age, what
should do next to confirm the diagnosis?
a.
b.
c.
d.
e.
Chest X-Ray
USG
MRI
Serial urine -hCG level
CT scan
23. On the physical examination you found flank pain on the right costovertebral
region. She also suffered from high fever. What was the likely diagnosis?
a.
b.
c.
d.
e.
Acute pyelonefritis
Gastritis
Hydatidiform mole
Pancreatitis
Bladders stone
Rehydration
Perform USG
Administer antiemetic
Administer antibiotics
Administer endoscopy
25. These statements below are required to establish the diagnosis, EXCEPT
IMU
a.
b.
c.
d.
e.
Physical examination
Complete blood count
Chemical blood examination
USG
Perform pregnancy test
Lochia
Lochia
Lochia
Lochia
Braxton Hicks
Regular uterine contraction
Bloody show
Rupture of the amniotic membrane
Cervical dilatation
Uterine atonia
Placental retention
Perineal laceration
Cervical laceration
Abnormal coagulation
IMU
a.
b.
c.
d.
e.
36. The LMP was June 30. The expected date of confinement (EDC) is approximately
a.
b.
c.
d.
e.
March 23
April 7
March 28
April 23
March 7
37. Pregnancy may occur during a period of amenorrhea such as during lactation or
following discontinuance of hormonal methods of contraception. In such situation,
determination of the most accurate estimated date of delivery can then be made by:
a.
b.
c.
d.
e.
38. 20 y.o primigravida who is 24 pregnant weeks expresses concern about the
normality of her fetus after learning that a close friend has just delivered an infant with
hydrocephalus. Details about hydrocephalus that should be included in her counseling
include the fact that:
a.
b.
c.
d.
e.
39. Fundal height, part of obstetric examination, is taken of the top of the symphisis
pubis to the top of the fundus. It is measured:
a. By calipers, approximating the weeks of gestation
IMU
b.
c.
d.
e.
40. On the following, the most worry sign or symptom of potentially pathology in late
pregnancy is
a.
b.
c.
d.
e.
Swollen ankles
Constipation
Visual changes
Nocturia
Heartburn
41. Which one gives very accurate estimation of the gestational age can be made
between 7 to 13 weeks?
a.
b.
c.
d.
CRL
BPD
FL
AC
42. When the earliest time we can use BPD to estimate the gestational age?
a.
b.
c.
d.
8 weeks
10 weeks
13 weeks
16 weeks
43. For 1st trimester ultrasonic soft markers of Down Syndrome are
a.
b.
c.
d.
44. False-positive results for diagnosis placenta previa with abdominal ultrasonography
can occur caused by:
a.
b.
c.
d.
Number of fetus
Parity
Scar cause by previous cesarean section
Bladder distention
45. What the anatomical landmarks should must be seen when we measure BPD be
used to estimate gestational age?
a.
b.
c.
d.