Obs & Gynae

1. By definition, pregnancy indiced hypertension develops after _____ gestation

a) 12 weeks
b) 24 weeks
c) 15 weeks
d) 10 weeks
e) 20 weeks
2. With regards to Umbilical artery dopplers, which of the following statements is false?

a) Increasing resistance in the umbilical artery is an indicator of placental failure
b) When the placenta is functioning normally, blood flows fowards (away from the heart) during cardiac diastole
c) When resistance is very high, blood no longer flows forward in diastole (absent end diastolic flow)
d) When the situation is critical blood may flow back towards the heart during diastole (reversed end diastolic flow)
e) Abnormal waveforms in the umbilical artery tend to come after changes in the CTG
3. Which of the following is NOT thought to be related to hypertension in pregnancy?

a) Diabetes
b) Obesity
c) Renal disease
d) If primiparous
e) Smoking
4. What % of women with Post Menopausal Bleeding have Endometrial Cancer?

a) 64
b) 16
c) 32
d) 2
e) 8
5. With regards to "small for gestational age", which of the following statements is FALSE?

a) The vast majority of term SGA infants have appreciable morbidity or mortality
b) Constitutionally small babies show are consistently light-for-dates, but otherwise healthy.
c) IUGR might would indicated by normal growth in early part of pregnancy which later slows in utero by at least 2 measurements
d) SGA babies are those weighing ≤ 2500g if born at term
e) Very low birth weight babies weigh ≤1500g.
6. The period taken for the cervix to completely efface and dilate up to 3cm

a) 1st stage of labour: latent phase
b) 1st stage of labour: active phase
c) 3rd stage of labour
d) Final stage
e) 2nd stage of labour
7. More commonly used for urge incontinence than stress incontinence

a) Duloxetine
b) Physio
c) Oxybutynin, detrusitol, Botox
d) Pelvic floor exercise
e) Surgery: colposuspension, TVT/TOT
8. An antidepressant used to treat sress incontinence

a) Oxybutynin
b) Trimethoprim
c) Botox
d) Detrusitol
e) Duloxetine
9. An abnormal growth of tissue projecting from a mucous membrane

a) Plasia
b) Tumour
c) Fibroid
d) Phytum
e) Polyp
10. From 3cm to full dilitation of the cervix

a) 1st stage of labour: latent phase
b) 1st stage of labour: active phase
c) 3rd stage of labour
d) Final stage
e) 2nd stage of labour
11. Which of the following is NOT an absolute contraindication to induction of labour?

a) Severe cephalopelvic disproportion
b) Twin pregnancy
c) Cervix <4 on bishop's score
d) Severe placenta praevia
e) Transverse fetal lie
12. From full cervical dilitation until the baby is born

a) 3rd stage of labour
b) Final stage
c) 1st stage of labour: latent phase
d) 1st stage of labour: active phase
e) 2nd stage of labour
13. Deep vein thrombosis in pregnancy is approximately

a) 10 times more common in the left leg
b) 10 times more common in the right leg
c) 5 times more common in the left leg
d) Equally common in both legs
e) 5 times more common in the right leg
14. Which of the following is the most common cause of pelvic inflammatory disease?

a) Treponema
b) Trichomonas
c) Chlamydia
d) Bacterial Vaginosis
e) Gonorrhoea
15. Which of the following is not used to induce labour?

a) ARM
b) Stretch and sweep
c) Syntocinon
d) TENS
e) Prostaglandins
16. By what gestational age will a foetal pole and foetal Heart Activity be detectable?

a) 6-7 weeks
b) 12-15 weeks
c) 4-5 weeks
d) 10-12 weeks
e) 8-10 weeks
17. When carrying out foetal blood sampling, which pH would indicate the need for immediate delivery?

a) 7.21
b) 7.25
c) 7.20
d) 7.24
e) 7.22
18. Normal variability in a CTG

a) 1-2bpm
b) 5-15bpm
c) 10-20bpm
d) 2-5 bpm
e) 5-25bpm
19. From delivery of the baby to delivery of the placenta and membranes

a) 1st stage of labour: latent phase
b) 3rd stage of labour
c) Final stage of labour
d) 2nd stage of labour
e) 1st stage of labour: active phase
20. With regards to the triple test, which of the following is FALSE?

a) Usually carried out at 14-17 weeks
b) Oestriol is measured
c) alpha fetoprotein is measured
d) beta hCG is measured
e) Positive results provide a definitive diagnosis of Down's syndrome
21. Which of the following should NOT be considered when treating pre-eclampsia?

a) antihypertensives
b) diuretics
c) Magnesium sulphate
d) Careful monitoring
e) induction of delivery after 34 weeks
22. A risk factor for DVT. People of Mediterranean, Middle Eastern and Asian origin are thought to be at most at risk of developing this condition.

a) Homocystinuria
b) Behcet's disease
c) Protein C deficiency
d) Polycythaemia
e) Antithrombin III deficiency
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