Flashcards in HD 201 E3 Samplex 2016, 2017 Deck (35)
What plane of the pelvis is of particular importance in engagement of fetal head following obstructed labor?
d. False pelvis
What is the smallest diameter of the pelvis
c. Obstetric conjugate
d. Diagonal conjugate
How to measure the transverse diameter of pelvic inlet?
a. Clinical/measured pelvimetry
b. Radiological pelvimetry (X-ray)
c. 1.5-2.0 less than diagonal
Dorsal lithotomy position during 2nd stage of labor to increase:
a. Pelvic outlet by 1-2cm
b. Pelvic inlet by 2-4cm
c. Pelvic midplane
d. Pelvic inlet by 3-5cm
Dorsal lithotomy position during 2nd stage of labor to increase pelvic outlet is due to:
a. Upward gliding of sacroiliac joint
b. Anterior displacement of coccyx
c. Posterior displacement of sacrum
d. Widening of symphysis pubis
Complaint felt by the mother when she said the baby “dropped”.
d. Fetal lie
Lightening due to:
a. Formation of lower uterine segment
b. Decrease in amniotic fluid
c. False labor
d. Change in gravity
Uterine phase where lightening occurs
a. Phase 1
b. Phase 2
c. Phase 3
d. Phase 4
Following factors predominant during phase 3 parturition except
Why do pregnant women limit intake of shellfish and fish such as mackerel or tuna?
a. Increase in omega-3 fatty acids which may be harmful to baby
b. Increase allergenic and the allergy may be passed to baby
c. Increase in mercury content
True statements during active labor EXCEPT:
a. Upper segment is firm during contractions
b. Lower segment is softer and more passive
c. Lower segment contracts, retracts, expels
d. Softened cervix dilates and forms an expanded thinned out tube
The uterine phase of parturition which is characterized by uterine contraction and retraction to prevent puerperal haemorrhage:
a. Phase 1
b. Phase 2
c. Phase 3
d. Phase 4
During labor in occiput posterior position, head has to rotate by how many degrees?
On Leopold’s, cephalic prominence felt on same side as fetal back. How would you describe the fetal head?
A 30 year old primigravid at 38wk AOG with hypertonia and gestational diabetes mellitus was brought to the ER. Cervix dilated, fetal head station +2. How often should the fetal heart tones be auscultated?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes
An 18 y/o G1P1 (1001) patient complained of left breast pain. PE showed cracking of skin in the areola of the left breast.
a. Nipple soreness
c. Breast abscess
This is responsible for suppressing the growth of pathologic bacteria
Main component of milk in terms of quantity
Component of milk important in development of neurons
Component of milk important for the development of muscle mass
A 1-wk-old irritable infant was noted to have whitish plaque on her tongue. Inspection of the mother showed bilateral erythematous breasts on the periareolar area. What is the diagnosis?
a. Tongue tied
b. Oral thrush
c. Dried breast milk
d. Oral herpes
A 4x4 bluish mass at 7’oclock position is observed in a 20 yr old G1P1 (1001). All internal examination was normal. What is the diagnosis?
a. Vulvar hematoma
b. Vaginal hematoma
c. Vulvo-vaginal hematoma
d. Pelvic hematoma
IUD string not found. What can you recommend?
a. Gentle probing using Randall stone clamp
d. Oral contraceptives
True statements about female sterilization EXCEPT:
a. Safer than vasectomy
b. 0.5/100 pregnancy during 1st year of use
c. Effective immediately
d. Increased risk of ectopic pregnancy
Pregnancy after vasectomy may be due to the following EXCEPT:
a. Unprotected sex immediately after ligation
b. Incomplete occlusion of seminal vesicle
d. Sexual intercourse after 5 ejaculation
What is the most commonly used intravenous anesthesia?
What is the most common complication of paracervical block?
a. Local anesthesia toxicity
b. Postpartum meuropathy
c. Parametrial hematoma
d. Fetal bradycardia
When is the best time to administer epidural analgesia?
a. Rupture of membrane
b. 2-3cm dilated
c. Induction of labor
d. When patient feels pain
Prohibited acts EXCEPT
a. Perform tubal ligation with woman’s consent even without husband’s consent
b. Refuse to give reproductive care due to religion
c. Refuse to give reproductive care due to grades
d. Provide incorrect information regarding health care
True statement about the Phase 2 except
A. Uterine changes during the last 10 weeks of pregnancy
B. Most myometrial changes occur in preparation for labor contractions
C. Formation of the lower uterine segment
D. Myometrial oxytocin receptors markedly increased
Painful causes of painful uterine contractions during labor except
A. Hypoxia of the contracted myometrium
B. Compression of the nerve ganglia in the cervix
C. Stretching of the lower uterine segment
True statements about asynclitism
A. Severe degrees are common
B. Severe forms may lead to CPD even in normal sized pelvis
C. Shifting from posterior to anterior aids in internal rotation
D. With extreme posterior asynclitism the anterior parietal bone can be easily palpated
True statements about involution except
A. The uterus has descended into the cavity of true pelvis within 2 weeks
B. The uterus returns to its non-pregnant size within 8 weeks
C. The fundus is palpable below the umbilicus immediately after placental expulsion
D. Complete placental involution up to 6 weeks
21 y/o G1P1 complains of difficulty of urination, delivered via outlet forceps extraction under epidural anesthesia 6 hours ago to a live baby boy 3.5 kg. Her preop haemoglobin is 120. What is the first stage in the management of this patient?
B. Repeat CBC
C. Do internal examination
D. Insert urinary catheter