HD 201 E2 Samplex 2017

Question 1

Normal in pregnant patients

A. Mild fasting hyperglycemia
B. Postprandial hypoglycemia
C. Hypoinsulinemia
D. Greater suppression of glucagon

Answer 1

D

Question 2

The main portion of the uterine wall is composed of

A. Muscle fibers
B. Elastic fibers
C. Reticular fibers
D. NOTA

Answer 2

A

Question 3

After 12 wks AOG, uterine size related to

A. Progestrone and estrogen
B. Mechanical distension
C. Oxytocin
D. NOTA

Answer 3

B

Question 4

AOG uterus ceases to be a pelvic organ

A. 14 weeks
B. 13 weeks
C. 12 weeks
D. 11 weeks
E. NOTA

Answer 4

C

Question 5

Results in increased uterine placental blood flow

A. increased elastin content
B. reduced elastin content
C. increased estrogen
D. NOTA

Answer 5

B

Question 6

Cervical mucus caused by

A. estrogen
B. progesterone
C. oxytocin
D. NOTA

Answer 6

B

Question 7

Violet color of vagina

A. Chadwick’s sign
B. Hegar’s sign
C. Goodell’s sign
D. NOTA

Answer 7

A

Question 8

Average weight gain during pregnancy

A. 13.5 kg
B. 12.5 kg
C. 14.5 kg
D. NOTA

Answer 8

B

Question 9

How much iron is needed for normal pregnancy?

A. 100 mg
B. 1000 mg
C. 500 mg
D. 750 mg
E. NOTA

Answer 9

B

Question 10

Amount of blood lost in a normal spontaneous vaginal delivery

A. 500 ml
B.1000 ml
C.1500 ml
D.2000 ml

Answer 10

A

Question 11

CBC 14,000 leukocyte count

A. normal
B. abnormal
C. ridiculous
D. NOTA

Answer 11

A

Question 12

In late pregnancy, lying supine causes

A. increased cardiac output
B. decreased cardiac output
C. NOTA

Answer 12

B

Question 13

Normal cardiac findings in pregnancy except

A. pericardial effusion
B. lateral displacement of apex
C. severe cardiomegaly
D. increased cardiac silhouette 
E. NOTA, all are normal

Answer 13

C

Question 14

Best position a laboring patient can assume for better fetal oxygenation

A. Standing
B. Lateral Recumbent
C. Supine
D. Lithotomy

Answer 14

B

Question 15

True in pregnancy

A. transverse diameter of thoracic atrium is increased by 3.5 cm
B. transverse diameter of thoracic atrium is increased by 3 cm
C. transverse diameter of thoracic atrium is increased by 2.5 cm
D. transverse diameter of thoracic atrium is increased by 2 cm
E. NOTA

Answer 15

D

Question 16

Elevation of diaphragm causes

A. decreased functional residual capacity
B. increased functional residual capacity
C. NOTA

Answer 16

A

Question 17

Date of Consult: 12 Feb 2013
LNMP: 8 Dec 2012
AOG?

A. 7 weeks & 1 day
B. 8 weeks & 0 days
C. 9 weeks & 3 days
D. 10 weeks & 6 days

Answer 17

C

Question 18

Pregnant woman with three previous pregnancies

A. gravida 3
B. gravida 4
C. gravida 5
D. NOTA

Answer 18

B

Question 19

First pregnancy: abortion at 8 weeks AOG
Second pregnancy: twins, delivered abdominally at 30 weeks AOG due to malpresentation but only one survived
Third: delivered at 39 weeks
Is currently pregnant

What is the obstetric score?

A. G3P2 (1,2,1,2)
B. G4P2 (1,1,1,2)
C. G4P2 (1,2,1,2)
D. G3P2 (1,1,1,2)
E. NOTA

Answer 19

C

Question 20

What is the determining point for vertex presentation?

A. occiput
B. vertex
C. shoulder
D. sacrum

Answer 20

A

Question 21

Violaceous colorations

A. Chadwick’s
B. Hegar’s
C. Goodell’s
D. Neagele’s

Answer 21

A

Question 22

What do you call the softening of the cervix as a physiologic part of pregnancy?

A. Chadwick’s
B. Hegar’s
C. Goodell’s
D. Neagele’s

Answer 22

C

Question 23

What do you call the relation of the longitudinal axis of the fetus to that of the mother?

A. Lie
B. Presentation
C. Attitude
D. Position

Answer 23

A

Question 24

Vascular angiomas and palmar erythema are caused by:

A. Hyperprogesteronism
B. Hyperestrogenenism
C. AOTA
D. NOTA

Answer 24

B

Question 25

The increase in joint laxity is due to an increase in which levels of which hormone during pregnancy? A. Progesterone B. Estrogen C. Relaxin D. None of the above

Answer 25

D

Question 26

Memory related memory decline is experienced during A. First trimester B. Second trimester C. Third trimester D. Labor

Answer 26

C

Question 27

Not included in the WHO definition of Maternal Health Care System A. Monetary Source B. Transpo and Communication C. caregivers D. Patients

Answer 27

D

Question 28

Which hospital level is emergency hospital A. Level 1 B. Level 2 C. Level 3 D. NOTA

Answer 28

A

Question 29

``` 72. Which hospital level is emergency hospital A. Level 1 B. Level 2 C. Level 3 D. NOTA ```

Answer 29

A

Question 30

[T/F] CeMONCs are public or private facilities considered to be end referral facilities for maternal, prenatal and child health, and nutrition strategy of the government

Answer 30

TRUE

Question 31

Sustains increased plasma volume in late pregnancy A. Prolactin B. Parathyroid hormone C. Placental growth hormone D. Cortisol

Answer 31

D

Question 32

The following fetal parameters are always be checked at each return prenatal checkup except: A. BP B. weight C. danger signs and symptoms D. vaginal exam

Answer 32

D

Question 33

Parameters assessed at gestational age are the following except: A. fundal height B. thickening C. ultrasound D. cervical consistency

Answer 33

D

Question 34

Gravid woman, single pregnancy, pre-pregnant BMI of 18 should have a total weight gain of ``` A. 12-14 kg B. 14-18 kg C. 12-18 kg D. 14-20 kg E. NOTA ```

Answer 34

C

Question 35

Multivitamin supplementation recommended during pregnancy in these conditions except: A. pre-gestation B. seizure disorder C. smokers D. NOTA

Answer 35

C

Question 36

# Choose the correct statement regarding vitamin and mineral supplementation for pregnancy: A. A diet with adequate calories and proper weight gain will be enough to cover for all... B. Mid-pregnancy iron requirements imposed by pregnancy and maternal excretion total approximately 7 mg/day C. Iron supplement best taken after meal to lessen nauseous side effect D. Iron supplement should be started during pre-conception to maximize benefits for both mother and fetus

Answer 36

B

Question 37

100. Choose the correct statement regarding vitamin and mineral supplementation for pregnancy: A. A diet with adequate calories and proper weight gain will be enough to cover for all... B. Mid-pregnancy iron requirements imposed by pregnancy and maternal excretion total approximately 7 mg/day C. Iron supplement best taken after meal to lessen nauseous side effect D. Iron supplement should be started during pre-conception to maximize benefits for both mother and fetus

Answer 37

B

Question 38

``` 1. The main portion of the uterine wall is composed of A. Muscle fibers B. Elastic fibers C. Reticular fibers D. NOTA ```

Answer 38

A

Question 39

``` 2. After 12 wks AOG, uterine size related to A. Progestrone and estrogen B. Mechanical distension C. Oxytocin D. NOTA ```

Answer 39

B

Question 40

``` 3. AOG uterus ceases to be a pelvic organ A. 14 weeks B. 13 weeks C. 12 weeks D. 11 weeks E. NOTA ```

Answer 40

C

Question 41

``` 4. Results in increased uterine placental blood flow A. increased elastin content B. reduced elastin content C. increased estrogen D. NOTA ```

Answer 41

B

Question 42

``` 6. Cervical mucus caused by A. estrogen B. progesterone C. oxytocin D. NOTA ```

Answer 42

B

Question 43

``` 8. Violet color of vagina A. Chadwick's sign B. Hegar's sign C. Goodell's sign D. NOTA ```

Answer 43

A

Question 44

``` 9. Average weight gain during pregnancy A. 13.5 kg B. 12.5 kg C. 14.5 kg D. NOTA ```

Answer 44

B

Question 45

``` 16. How much iron is needed for normal pregnancy? A. 100 mg B. 1000 mg C. 500 mg D. 750 mg E. NOTA ```

Answer 45

B

Question 46

``` 17. Amount of blood lost in a normal spontaneous vaginal delivery A. 500 ml B.1000 ml C.1500 ml D.2000 ml ```

Answer 46

A

Question 47

``` 20. CBC 14,000 leukocyte count A. normal B. abnormal C. ridiculous D. NOTA ```

Answer 47

A

Question 48

In late pregnancy, lying supine causes A. increased cardiac output B. decreased cardiac output C. NOTA

Answer 48

B

Question 49

``` 23. Normal cardiac findings in pregnancy except A. pericardial effusion B. lateral displacement of apex C. severe cardiomegaly D. increased cardiac silhouette E. NOTA, all are normal ```

Answer 49

C

Question 50

``` 24. Best position a laboring patient can assume for better fetal oxygenation A. Standing B. Lateral Recumbent C. Supine D. Lithotomy ```

Answer 50

B

Question 51

26. True in pregnancy A. transverse diameter of thoracic atrium is increased by 3.5 cm B. transverse diameter of thoracic atrium is increased by 3 cm C. transverse diameter of thoracic atrium is increased by 2.5 cm D. transverse diameter of thoracic atrium is increased by 2 cm E. NOTA

Answer 51

D

Question 52

27. Elevation of diaphragm causes A. decreased functional residual capacity B. increased functional residual capacity C. NOTA

Answer 52

A

Question 53

``` 34. Date of Consult: 12 Feb 2013 LNMP: 8 Dec 2012 AOG? A. 7 weeks & 1 day B. 8 weeks & 0 days C. 9 weeks & 3 days D. 10 weeks & 6 days ```

Answer 53

C

Question 54

``` 36. Pregnant woman with three previous pregnancies A. gravida 3 B. gravida 4 C. gravida 5 D. NOTA ```

Answer 54

B

Question 55

``` 37. First pregnancy: abortion at 8 weeks AOG Second pregnancy: twins, delivered abdominally at 30 weeks AOG due to malpresentation but only one survived Third: delivered at 39 weeks Is currently pregnant What is the obstetric score? A. G3P2 (1,2,1,2) B. G4P2 (1,1,1,2) C. G4P2 (1,2,1,2) D. G3P2 (1,1,1,2) E. NOTA ```

Answer 55

C

Question 56

``` 38. What is the determining point for vertex presentation? A. occiput B. vertex C. shoulder D. sacrum ```

Answer 56

A

Question 57

``` 42. Violaceous colorations A. Chadwick’s B. Hegar’s C. Goodell’s D. Neagele’s ```

Answer 57

A

Question 58

``` 43. What do you call the softening of the cervix as a physiologic part of pregnancy? A. Chadwick’s B. Hegar’s C. Goodell’s D. Neagele’s ```

Answer 58

C

Question 59

``` 44. What do you call the relation of the longitudinal axis of the fetus to that of the mother? A. Lie B. Presentation C. Attitude D. Position ```

Answer 59

A

Question 60

``` 50. Vascular angiomas and palmar erythema are caused by: A. Hyperprogesteronism B. Hyperestrogenenism C. AOTA D. NOTA ```

Answer 60

B

Question 61

``` 52. The increase in joint laxity is due to an increase in which levels of which hormone during pregnancy? A. Progesterone B. Estrogen C. Relaxin D. None of the above ```

Answer 61

D

Question 62

``` 53. Memory related memory decline is experienced during A. First trimester B. Second trimester C. Third trimester D. Labor ```

Answer 62

C

Question 63

``` 66. Not included in the WHO definition of Maternal Health Care System A. Monetary Source B. Transpo and Communication C. caregivers D. Patients ```

Answer 63

D

Question 64

``` 72. Which hospital level is emergency hospital A. Level 1 B. Level 2 C. Level 3 D. NOTA ```

Answer 64

A

Question 65

[T/F] CeMONCs are public or private facilities considered to be end referral facilities for maternal, prenatal and child health, and nutrition strategy of the government

Answer 65

TRUE

Question 66

[T/F] The designation of a BMOC or CMOC facility is based primarily on the service capacity of the hospital, RHU, and/or private facilities.

Answer 66

TRUE

Question 67

``` 79. Sustains increased plasma volume in late pregnancy A. Prolactin B. Parathyroid hormone C. Placental growth hormone D. Cortisol ```

Answer 67

D

Question 68

``` 95. The following fetal parameters are always be checked at each return prenatal checkup except: A. BP B. weight C. danger signs and symptoms D. vaginal exam ```

Answer 68

D

Question 69

``` 97. Parameters assessed at gestational age are the following except: A. fundal height B. thickening C. ultrasound D. cervical consistency ```

Answer 69

D

Question 70

``` 98. Gravid woman, single pregnancy, pre-pregnant BMI of 18 should have a total weight gain of A. 12-14 kg B. 14-18 kg C. 12-18 kg D. 14-20 kg E. NOTA ```

Answer 70

C

Question 71

``` 99. Multivitamin supplementation recommended during pregnancy in these conditions except: A. pre-gestation B. seizure disorder C. smokers D. NOTA ```

Answer 71

C

Question 72

100. Choose the correct statement regarding vitamin and mineral supplementation for pregnancy: A. A diet with adequate calories and proper weight gain will be enough to cover for all... B. Mid-pregnancy iron requirements imposed by pregnancy and maternal excretion total approximately 7 mg/day C. Iron supplement best taken after meal to lessen nauseous side effect D. Iron supplement should be started during pre-conception to maximize benefits for both mother and fetus

Answer 72

B