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. When should the fetal heart rate be auscultated during observation for labor?
a. before the contraction
b. during the contraction
C. at the end and immediately after a contraction
d. anytime
A 37 year old woman complains of postcoital leeding . The least likely cause \
of her bleeding would be cervical
A Polyp
B Ectropion
C Carcinoma
D Nabothian cyst
E Infection
At the eights weeks gestation a women has an IUCD and the strings are
visible at the external os. The best management is
A Antibiotics
B Progestrone
C Dilation and curettage
D Removal of IUCD
E Bed rest
Genital prolapse is associated with the following except Chronic
A constipation
B Prolonged second stage
C Unreparied hidden perineal tear
D Improper applied forceps
E The use of HRT at the menpause
Induction of labor at term is contraindicated in
A breech presentation
B GDM
C Placenta previa
D postmaturity
E A and C
Microinvasion of carcinoma of the cervix involves a depth below the base of
the epithelium of no more than
A 1 mm
B 2 mm
C 3 mm
D 4 mm
E 5 mm
Rectal examination in the gynecological practice
A Is useful in the diagnosis of enterocele
B Is useful in suspected pelvic abscess
C Is indicated in the assessment of carcinoma of the cervix
D All of the above
E None of the above
Risk factors for development of cancer cervix include the following except
A Early sexual activity
B Nulliparous
C HPV infection
D Smoking
The best contraceptive method for patients with gestational trophoblastic
disease
A Tubal ligation
B Hystrectomy
C Combined contraceptive pills
D IUCD device
E Subcutaneous implant
E Fetal distress
Epidural anaesthesia
A Does not affect uterine activity
B Is contraindicated in patient with heart valve lesions
C Should be routinely administerted during the first stage of labor
D Increase the risk of PPH
E Should be offered to highly selected cases in labor
The following hormone is responsible for the contraction of the myoepithelial
cells of the breast
A Oxytocin
B Prolactin
C Progestrone
D Placental lactogen
E Estrogen
Maternal mortality refers to the number of maternal deaths that occur as the
result of the reproductive process per
A 1000 births
B 10.000 births
C 100.000 births
D 10.000 live births
E 100. 000 live births
5. What are the cardinal movements of labor (in order)?
a. descent, engagement, flexion, internal rotation, extension, external rotation,
expulsion
b. descent, flexion, engagement, internal rotation, extension, external rotation,
expulsion
c. engagement, descent, flexion, internal rotation, extension, external rotation,
expulsion
d. engagement, flexion, descent, internal rotation, extension, external rotation,
expulsion
126. Which of the following is characteristic of asynclitism?
a. Sagittal suture is not parallel to the transverse axis of the inlet.
b. Sagittal suture lies midway between the symphysis and sacral promontory.
c. Sagittal suture, although parallel to the transverse axis of the inlet, does not
lie exactly midway between the symphysis and sacral promontory.
d. Sagittal suture rotates 45 degrees from the sacral spines.
127. The chin is brought into intimate contact with the fetal thorax during which
cardinal movement of labor?
a. flexion
b. extension
c. engagement
d. descent
1213. During labor in the occiput posterior position, the occiput has to rotate to the
symphysis pubis how many degrees?
a. 45
b. 90
c. 135 !!!
d. 180
1214. What is edematous swelling of the fetal scalp during labor?
a. molding
b. caput succedaneum
c. subdural hematoma
d. erythema nodusum
17. During the third stage of labor, which of the following is NOT a sign of placenta
separation?
a. a gush of blood
b. uterus rises in the abdomen
c. umbilical cord protrudes out of the vagina
D. a sudden, sharp, unrelenting contraction
1318. Which of the following is a complication of the third stage of labor associated
with forced placental separation?
a. endometritis
b. uterine atony
c. Asherman syndrome
D. uterine inversion