Biology — Quiz

A systolic BP rise of > 30mmHg above pre pregnancy level B diastolic BP rise of > 15mmHg above pre pregnancy level C an absolute BP of >140/90 D proteinuria

A molar pregnancy B multigravida C age < 20 years D multiple pregnancy

A seizures are usually self terminating if left untreated but will recur B magnesium sulphate 4gm should be given over 15 minutes for seizure control, then infused at 1gm per hour C. D. magnesium sulphate does not lower BP C the desired BP is a diastolic BP of 90mmHg D magnesium sulphate does not lower BP

A there is status epilepticus B no proteinuria or hypertension C focal neurological signs D it responds to benzodiazapines

A fertility treatment B IUD in situ C Endometriosis D Family history

A 500 B 900 C 1200 D 1600

A 4000 B 5000 C 5500 D 6500

A incidence in the standard population is 20/1000 B the incidence of a hetertopic pregnancy in the standard polulation is 1:4000 C the presence of abdominal or pelvic pain is the most sensitive symptom or sign D the ectopic rate is subsequent pregnancies is 10%

A The chance of a Rh-ve mother developing antiD antibodies to a Rh+ve fetus is less than 20% (even if not given antiD) B Anti D must be given within 24 hours to have any substantial effect C. The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be give C The risk of maternofetal transfusion is very small in a first trimester abortion and thus a smaller dose of anti D could be given D The IgM anti D antibodies cannot cross the placenta but the IgG antibodies can

A it is given IV B The Kleihauer test is done to determine to quantify the fetomaternal hemorrhage and thus the amount of anti D required C If the mother’s serum has antiD antibodies detected in her serum at 24-48 hours after injection then the dosage is adequate D If given from 3-10 days after fetomaternal transfusion is still has some effect

A in an incomplete abortion the cervix may be open or closed B in an inevitable abortion the cervix is open C in a complete abortion the cervix is closed and bleeding and pain minimal D in a threatened abort the cervix is open

A in the normal pregnancy the bHCG increases by 66% every two days B the bHCG should plateau at when it reaches 1-2 million at 20 weeks gestation C the current serum test can detect bHCG at 2-3 days post implantation D a falling bHCG does not rule out the chance of rupture in an ectopic pregnancy

A the resting heart rate increases by 15-20 beats / min by the end of the third trimester B the blood volume increases by 45% C polycythemia develops D there is a leucocytosis up to 18 000

A the minimum exposure known to cause risk o the fetus is <0.1Gy (1000microGy) B a CXR and Pelvic Xray are well below the minimum toxic level C a VQ scan falls well below the toxic level D a CT abdomen falls well below the toxic level

A it is the most common cause of death if the mother survives B the incidence in minor trauma is up to 5% and up to 50% in major trauma C it can occur up to 4 hours post accident D It is characterized by pelvic pain uterine contractions and vaginal bleeding

A it is very rare in the teenage years B it is usually due to anovulatory cycles C oestrogen is used acutely to slow bleeding by contracting the uterine arteries D cyclical progesterone is used if it is a chronic problem

A temp >38.3, abdo pain, vaginal discharge B temp > 38.3, abdominal pain, cervical excitation C adnexal tenderness, vaginal discharge and increased CRP D abdominal pain, cervical excitation and adnexal tenderness

A Metronidazole 400mg b.d orally for 14 days B ceftriaxone 250 mg IM stat dose C augmenten duo forte 875/125 b.d orally for 14 days D doxycycline 100mg b.d orally for 14 days

A 5% B 10% C 20% D 25%

A metronidazole B ciprofloxacin C ceftriaxone D augmented duo forte

A 70% of cases occur in women less than 30 years of age B 20% of cases in women less than 30 are associated with pregnancy C it has an increased incidence in women receiving ovarian stimulation treatment D a tender mass is felt in 10% of cases

A flagella are seen on a wet prep B a strawberry cervix on examination C evidence of other sexually transmitted diseases D treated with doxycycline

A prepubertal . B diabetes C immunosuppression D pregnancy

A prepubertal B diabetes C immunosuppression D it is not sexually transmitted