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1 Which is the least frequent site of an ectopic pregnancy?

A Fallopian tube B Cervix C Ovary D Abdominal cavity

✅ Correct Answer: 4

2 Perforation tends to occur earliest when an ectopic pregnancy is located in whichportion of fallopian tube ?

A Isthmic B Interstitial C Ampullary D Infundibular

✅ Correct Answer: 1

3 Which of the following does not occur in post partum pituitary necrosis :

A signs of hypoglycaemia B Asthenia C Amenorrhoea D Galactorrhoea

✅ Correct Answer: 3

4 The most dangerous symptom during pregnancy is:

A PV bleeding B Ankle swelling C Hyperemesis D Cramps

✅ Correct Answer: 1

5 The Arius-Stella reaction may be seen with all except :

A Ectopic pregnancy B Birth control pills C Abortion D Trophoblastic disease

✅ Correct Answer: 2

6 The passage of decidual cast in cases of ectopic pregnancy usually means :

A Impending tubal rupture B Reabsorption of embryo C Pregnancy was intrauterine D Death of embryo

✅ Correct Answer: 4

7 What is the most common side effect with MTX therapy for ectopic pregnancy

A Transient pelvic pain 3 - 7 days after starting treatment B Stomatitis C Bone marrow suppression D Gastritis

✅ Correct Answer: 2

8 Prenatal diagnosis at 16 weeks of pregnancy can be performed using all of thefollowing, except:

A Amniotic fluid B Maternal blood C Chorionic villi D Fetal blood

✅ Correct Answer: 4

9 A primigravida presents to casualty at 32 weeks gestation with acute pain abdomen for 2 hours, vaginal bleeding and decreased fetal movements. She should be managed by;

A Immediate cesarean section B Immediate induction of labor C Tocolytic therapy D Magnesium sulphate therapy

✅ Correct Answer: 1

10 Placenta previa, all true except :

A Shock out of proportion of bleeding B Malpresentation C Head not engaged D Painless bleeding

✅ Correct Answer: 1

11 A 34wk GA lady presented with vaginal bleeding of an amount more of that of her normal cycle. O/E uterine contracts every 4 min, bulged membrane, the cervix is 3 cm dilated, fetus is in a high transverse lie and the placenta is on the posterior fundus. US showed translucency behind the placenta and the CTG (Cardiotocography) showed FHR of 170, the best line of management is:

A C/S immediately. B give oxytocin. C do rupture of the membrane D amniocentisis

✅ Correct Answer: 1

12 Most important cause of immediate post partum hemorrhage:

A laceration of cervix B laceration of vagina C uterine atony D placental fragment retention

✅ Correct Answer: 3

13 Factors favoring long anterior rotation include all except

A Correction of the deflexion B Adequate pelvis C good pelvic floor D rupture of membranes

✅ Correct Answer: 4

14 All following are indications for CS in OP except

A Persistent oblique op B Long anterior rotation C Deep transverse arrest D Contracted pelvis

✅ Correct Answer: 2

15 Which vitamin deficiency is most commonly seen in a pregnant mother who is on phenytoin therapy for epilepsy?

A Vitamin B6 B Vitamin B12 C Vitamin A D Folic acid

✅ Correct Answer: 4

16 Uterine inertia is due to EXCEPT?

A Over distension of uterus B Presence of fibroid uterus C Fetal malpresentations D Abruptio placenta

✅ Correct Answer: 4

17 Exposure of female fetus to androgens may arrest differentiation of :

A Mullerian duct B Ovary C Urogenital sinus D All of the above

✅ Correct Answer: 3

18 The risk for development of fetal macrosomia is increased in the following,EXCEPT:

A Primiparity. B Diabetes with pregnancy C Post-term pregnancy. D Prior macrosomic infants.

✅ Correct Answer: 1

19 Complications of the third stage of labor include all of the following except :

A Rupture uterus. B Postpartum hemorrhage C Puerperal sepsis. D Retained placenta.

✅ Correct Answer: 1

20 Shock is out of proportion to the amount of bleeding in :

A 1ry postpartum haemorrhage B Retained placenta C Acute puerperal inversion of uterus D Hypofibrinogenemia

✅ Correct Answer: 2

21 The gold standard in diagnosing ectopic pregnancy

A Laparoscopy B Culdocenteris C Beta HCG D US

✅ Correct Answer: 1

22 Which method of terminating a molar gestation is never indicated

A Suction curettage B Prostaglandic C Hypertonicsaline D Hysterotomy

✅ Correct Answer: 3

23 Invasive molar tissue is most commonly found in

A Myometrium B Vaginal wall C Ovary D Liver

✅ Correct Answer: 1

24 A 31-year-old, HIV-positive woman, gravida 3, para 2, at 32-weeks' gestation comes to the physician for a prenatal visit. Her prenatal course is significant for the fact that she has taken zidovudine throughout the pregnancy. Otherwise, her prenatal course has been unremarkable. She has no history of mental illness. She states that she has been weighing the benefits and risks of cesarean delivery in preventing transmission of the virus to her baby. After much deliberation, she has decided that she does not want a cesarean delivery and would like to attempt a vaginal delivery. Which of the following is the most appropriate next step in management?

A Contact psychiatry to evaluate the patient B Perform cesarean delivery at 38 weeks C Perform cesarean delivery once the patient is in labor D Respect the patient's decision and perform the vaginal delivery

✅ Correct Answer: 4

25 A 19-year-old primigravid woman at 42 weeks' gestation comes the labor and delivery ward for induction of labor. Her prenatal course was uncomplicated. Examination shows her cervix to be long, thick, closed, and posterior. The fetal heart rate is in the 140s and reactive. The fetus is vertex on ultrasound. Prostaglandin (PGE2) gel is placed intravaginally. One hour later, the patient begins having contractions lasting longer than 2 minutes. The fetal heart rate falls to the 70s. Which of the following is the most appropriate next step in management?

A Administer general anesthesia B Administer terbutaline C Perform amnioinfusion D Start oxytocin

✅ Correct Answer: 2

26 Which one of the following is a risk factor for developing DVT?

A Family history of thromboembolic disease. B Factor C Sepsis D All of the above

✅ Correct Answer: 4

27 Premature labour.

A is associated with uterine anomaly. B is associated with genital tract infection. C asymptomaticbacteruria is a proven risk factor. D All of the above

✅ Correct Answer: 4

28 A 22-year-old woman in labor progresses to 7 cm dilation, and then has no further progress. She therefore undergoes a primary cesarean section. Examination 2 days after the section shows a temperature of 39.1 C (102.4 F), blood pressure of 110/70 mm Hg, pulse of 90/min, and respirations of 14/min. Lungs are clear to auscultation bilaterally. Her abdomen is moderately tender. The incision is clean, dry, and intact, with no evidence of erythema. Pelvic examination demonstrates uterine tenderness. Which of the following is the most appropriate pharmacotherapy?

A Ampicillin B Ampicillin-gentamicin C Clindamycin-gentamicin D Clindamycin-metronidazole

✅ Correct Answer: 4

29 A 19-year-old nulliparous woman in her 35th week of pregnancy presents with nausea, blurred vision and a weight gain of 4.5 kg per week. Her blood pressure is 160/110 mmHg. Which of the following tests is the most suitable for the assessment of fetal status?

A amniocentesis for the measurement of the lecithin/ sphingomyelin (L/S) ratio B amniocentesis for the measurement of the creatinine level of the amnotic fluid C sonographiccephalometry D a non-stress test (NST)

✅ Correct Answer: 4

30 All of the following can be used in hypertension in Pregnancy except

A Hydralazine B Labetolol C Captopril D Alpha methyl DOP

✅ Correct Answer: 3

31 All are complications of illegal /Septic abortion except

A Cerebral Hemorrhage B DIC C ARF D Bacterial Shock

✅ Correct Answer: 1

32 A 31-year-old woman comes to the physician for follow-up after an abnormal Pap test and cervical biopsy. The patient's Pap test showed a high-grade squamous intraepithelial lesion (HGSIL). This was followed by colposcopy and biopsy of the cervix. The biopsy specimen also demonstrated HGSIL. The patient was counseled to undergo a loop electrosurgical excision procedure (LEEP). Which of the following represents the potential long-term complications from this procedure?

A Abscess and chronic pelvic inflammatory disease B Cervical incompetence and cervical stenosis C Constipation and fecal incontinence D Hernia and intraperitoneal adhesions

✅ Correct Answer: 2

33 Female patient with history of irregular vaginal bleeding tender right iliac fossa , CBC normal , B-HCG positive , most likely to be :

A corpus luteum cyst B appendicitis C ectopic pregnancy D none of the above

✅ Correct Answer: 3

34 Cervical lesion (ectopy):

A It is an ulcer of the cervix. B Should be treated in pregnant females. C Pap smear is advisable before management. D Commonly cause pain, dyspareunia & low back pain.

✅ Correct Answer: 4

35 The foetal well-being can be assessed by all of the following, except ?

A non-stress test B contraction stress test C ultrasound D oxytocin sensitivity test!!!

✅ Correct Answer: 4

36 In which of the following condition vaginal delivery is contraindicated?

A Extended breech B Mento anterior C Twins with one vertex and one breech D all

✅ Correct Answer: 1

37 Which is contraindicated in trial of labour following Caesarian Section ?

A History of Classical CS B Breech C X-ray pelivmetry not available D No previous vaginal delivery

✅ Correct Answer: 2

38 A 20 year old full-term primigravida is brought to the casualty with labour pains for last 24 hours and a hand prolapse. On examination, she has pulse 96/min, BP 120/80 mm Hg, and mild pallor. The abdominal examination reveals the uterine height at 32 weeks, the foetus in transverse lie and absent foetal heart sounds. On vaginal examination, the left arm of the foetus is prolapsed and the foetal ribs are palpable. The pelvis is adequate. What would be the best management option ?

A External cephalic version B Decapitation and delivering the baby vaginally C Internal podalic version D Lower Segment Caesarean section

✅ Correct Answer: 2

39 Which one of the following is diagnosed by Spiegelberg criteria ?

A Molar pregnancy B Ovarian pregnancy C Uterine pregnancy D Twin pregnancy

✅ Correct Answer: 2

40 The presence of a retraction ring at the junction of upper and lower uterinesegment in labour indicates ?

A Prolonged labour B Cervical dystocia C Obstructed labour D Precipitate labour

✅ Correct Answer: 3

41 The indications of an elective caesarean section include all of the following, except ?

A Placenta Praevia B Cephalopelvic disproportion C Previous lower segment caesarean section D Carcinoma Cervix

✅ Correct Answer: 3

42 Hyperemesis gravidarium in 1st trimester is seen with increased frequency in allof the following except:

A H. Mole B Twins C Pre-eclampsia D Primigravida

✅ Correct Answer: 3

43 Most common indication for C/S :

A malpresentations B antepartum hge C prematurity D previous c/s

✅ Correct Answer: 4

44 Which of the follwing is responsible for inability to rotate anteriorly in the occipitoposterior position :

A Moderate size fetus B Gynecoid pelvis C Weak uterine contractions D Good levatorani muscle contractions

✅ Correct Answer: 3

45 Ectopic pregnancy is differentiated from abortion by the fact that in ectopic pregnancy :

A Pain appears after vaginal bleeding B There is slight amount of bleeding C No enlargement of uterus D Histological examination of products of expulsion shows villi

✅ Correct Answer: 4

46 Following a vaginal delivery, a woman develops a fever, lower abdominal pain and uterine tenderness. She is alert, and her blood pressure and urine output are good. Large gram positive rods suggestive of clostridia are seen in a smear of cervix. management should include all except :

A Immediate radiographic examination for gas in uterus B High dose antibiotic therapy C Hysterectomy D close observation for renal failure or hemolysis

✅ Correct Answer: 3

47 Engaging diameter, in fully extended head :

A Mento occipital B Submentobregmatic C Biparietal D Mentovertica

✅ Correct Answer: 2

48 A woman experiencing a molar pregnancy has an increased risk of which of the following in subsequent gestations?

A Stillbirth B Prematurity C Congenital malformations D Recurrent molar gestation

✅ Correct Answer: 4

49 A woman with a complete mole is most likely to present with which of the symptoms?

A Vaginal Bleeding B Excessive uterine size C Hypermesis D Prominent theca lutein cysts

✅ Correct Answer: 1

50 Fetal hyperinsulinemia leads to:

A Fetal macrosomia causes difficult vaginal delivery B Inhibition of pulmonary surfactant causing Intrauterine asphyxia C Decrease serum K causing respiratory distress syndrome D Neonatal hypoglycemia with myocardial injury

✅ Correct Answer: 1

51 The following are eitiological factors of atonic postpartum hge except :

A prolonged labour B overdistension of uterus C full bladder D cervical lacerations

✅ Correct Answer: 4

52 If the foetus is lying accros the uterus, with the head in the flank

A Transverse lie B Cephalic lie C Breech lie D Frank lie

✅ Correct Answer: 1

53 Refers to the part of the foetus that occupies the lower segment of the uterusor pelvic

A The show B The version C The engagement D The presentation

✅ Correct Answer: 4

54 Means the head is at the level of the ischial spines

A Station +1 B Station -1 C Station -2 D Station 0

✅ Correct Answer: 4

55 Engagement is said to occur when.......

A The fetal head is within the maternal pelvis B The biparietal diameter of the fetal head is through the plane of the inlet. C The presenting part is just above the level of ischial spines. D The vertex is in transverse position

✅ Correct Answer: 2

56 The following hormone is not produced by the placenta...

A HCG B HPL C Prolactin D Estriol

✅ Correct Answer: 3

57 Which is the most common cause of abnormal lie?

A Polyhydramnios B Twin pregnancy C Uterine deformity D Pelvic tumour

✅ Correct Answer: 1

58 Which of the following statements regarding vaginal breech birth is FALSE?

A Increased risk if footling B In about 30% there is slow cervical dilatation in the first stage C CTG is advised D Pushing is not encouraged until the buttocks are visible

✅ Correct Answer: 4

59 Refers to a maneuver which attempts to turn a breech baby to a cephalic presentation

A CEV B ECR C EVC D ECV

✅ Correct Answer: 4

60 Refers to the part of the foetus that occupies the lower segment of the uterusor pelvis

A The show B The version C The engagement D The presentation

✅ Correct Answer: 4

61 After what age gestation would abnormal lie warrant hospital admission

A 37 B 40 C 38 D 39

✅ Correct Answer: 3

62 The most common type of breech

A Flexed breech B Explicit breech C Footling breech D Extended breech

✅ Correct Answer: 4

63 At which part of the pelvis are the transverse and anterior-posterior diametermost similar?

A Inlet B Mid-cavity C Outlet D All of the above

✅ Correct Answer: 2

64 Breech presentations occurs in ___ of term pregnancies

A 1% B 3% C 8% D 4-10%

✅ Correct Answer: 2

65 Flexion of the fetal head occurs when it meets resistance from :

A Pelvic floor B Cervix C Pelvic walls D Any of the above

✅ Correct Answer: 1

66 Leopold maneuvers refers to :

A delivery of head B External version C Internal version D Examination of abdomen.

✅ Correct Answer: 4

67 Following changes occur in urinary system during normal pregnancy:

A Increase in renal blood flow B Increase in glomerular filtration rate C Increase in capacity of kidney pelvis D none

✅ Correct Answer: 4

68 Mechanism of labor in abortion stick ( use of stick to induce abortion)is due to

A Necrosis of uterine endometrium and stimulation of uterine contraction B Oxytocin present in the stick C Prostaglandins present in the stick D All of the above

✅ Correct Answer: 1

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Obstetrics MCQs