HD 201 E2 Samplex 2017 Flashcards

1
Q

Normal in pregnant patients

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

A

D

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2
Q

The main portion of the uterine wall is composed of

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

A

A

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3
Q

After 12 wks AOG, uterine size related to

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

A

B

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4
Q

AOG uterus ceases to be a pelvic organ

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

C

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5
Q

Results in increased uterine placental blood flow

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

A

B

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6
Q

Cervical mucus caused by

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

A

B

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7
Q

Violet color of vagina

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

A

A

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8
Q

Average weight gain during pregnancy

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

A

B

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9
Q

How much iron is needed for normal pregnancy?

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

B

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10
Q

Amount of blood lost in a normal spontaneous vaginal delivery

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

A

A

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11
Q

CBC 14,000 leukocyte count

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

A

A

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12
Q

In late pregnancy, lying supine causes

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

A

B

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13
Q

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
A

C

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14
Q

Best position a laboring patient can assume for better fetal oxygenation

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

A

B

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15
Q

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

A

D

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16
Q

Elevation of diaphragm causes

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

A

A

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17
Q

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

A

C

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18
Q

Pregnant woman with three previous pregnancies

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

A

B

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19
Q

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
A

C

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20
Q

What is the determining point for vertex presentation?

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

A

A

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21
Q

Violaceous colorations

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

A

A

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22
Q

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

A

C

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23
Q

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

A

A

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24
Q

Vascular angiomas and palmar erythema are caused by:

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

A

B

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25
Q

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

A

D

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26
Q

Memory related memory decline is experienced during

A. First trimester
B. Second trimester
C. Third trimester
D. Labor

A

C

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27
Q

Not included in the WHO definition of Maternal Health Care System

A. Monetary Source
B. Transpo and Communication
C. caregivers
D. Patients

A

D

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28
Q

Which hospital level is emergency hospital

A. Level 1
B. Level 2
C. Level 3
D. NOTA

A

A

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29
Q
72.	Which hospital level is emergency hospital
A. Level 1
B. Level 2
C. Level 3
D. NOTA
A

A

30
Q

[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

A

TRUE

31
Q

Sustains increased plasma volume in late pregnancy

A. Prolactin
B. Parathyroid hormone
C. Placental growth hormone
D. Cortisol

A

D

32
Q

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

A

D

33
Q

Parameters assessed at gestational age are the following except:

A. fundal height
B. thickening
C. ultrasound
D. cervical consistency

A

D

34
Q

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
A

C

35
Q

Multivitamin supplementation recommended during pregnancy in these conditions except:

A. pre-gestation
B. seizure disorder
C. smokers
D. NOTA

A

C

36
Q

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

A

B

37
Q
  1. 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
A

B

38
Q
1.	The main portion of the uterine wall is composed of
A. Muscle fibers
B. Elastic fibers
C. Reticular fibers
D. NOTA
A

A

39
Q
2.	After 12 wks AOG, uterine size related to
A. Progestrone and estrogen
B. Mechanical distension
C. Oxytocin
D. NOTA
A

B

40
Q
3.	AOG uterus ceases to be a pelvic organ
A. 14 weeks
B. 13 weeks
C. 12 weeks
D. 11 weeks
E. NOTA
A

C

41
Q
4.	Results in increased uterine placental blood flow
A. increased elastin content
B. reduced elastin content
C. increased estrogen
D. NOTA
A

B

42
Q
6.	Cervical mucus caused by
A. estrogen
B. progesterone
C. oxytocin
D. NOTA
A

B

43
Q
8.	Violet color of vagina
A. Chadwick's sign
B. Hegar's sign
C. Goodell's sign
D. NOTA
A

A

44
Q
9.	Average weight gain during pregnancy
A. 13.5 kg
B. 12.5 kg
C. 14.5 kg
D. NOTA
A

B

45
Q
16.	How much iron is needed for normal pregnancy?
A. 100 mg
B. 1000 mg
C. 500 mg
D. 750 mg
E. NOTA
A

B

46
Q
17.	Amount of blood lost in a normal spontaneous vaginal delivery
A. 500 ml
B.1000 ml
C.1500 ml
D.2000 ml
A

A

47
Q
20.	CBC 14,000 leukocyte count
A. normal
B. abnormal
C. ridiculous
D. NOTA
A

A

48
Q

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

A

B

49
Q
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
A

C

50
Q
24.	Best position a laboring patient can assume for better fetal oxygenation
A. Standing
B. Lateral Recumbent
C. Supine
D. Lithotomy
A

B

51
Q
  1. 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
A

D

52
Q
  1. Elevation of diaphragm causes
    A. decreased functional residual capacity
    B. increased functional residual capacity
    C. NOTA
A

A

53
Q
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
A

C

54
Q
36.	Pregnant woman with three previous pregnancies
A. gravida 3
B. gravida 4
C. gravida 5
D. NOTA
A

B

55
Q
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
A

C

56
Q
38.	What is the determining point for vertex presentation? 
A. occiput
B. vertex
C. shoulder
D. sacrum
A

A

57
Q
42.	Violaceous colorations
A. Chadwick’s
B. Hegar’s
C. Goodell’s
D. Neagele’s
A

A

58
Q
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
A

C

59
Q
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
A

A

60
Q
50.	Vascular angiomas and palmar erythema are caused by:
A. Hyperprogesteronism
B. Hyperestrogenenism
C. AOTA
D. NOTA
A

B

61
Q
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
A

D

62
Q
53.	Memory related memory decline is experienced during
A. First trimester
B. Second trimester
C. Third trimester
D. Labor
A

C

63
Q
66.	Not included in the WHO definition of Maternal Health Care System
A. Monetary Source
B. Transpo and Communication
C. caregivers
D. Patients
A

D

64
Q
72.	Which hospital level is emergency hospital
A. Level 1
B. Level 2
C. Level 3
D. NOTA
A

A

65
Q

[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

A

TRUE

66
Q

[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.

A

TRUE

67
Q
79.	Sustains increased plasma volume in late pregnancy
A. Prolactin
B. Parathyroid hormone
C. Placental growth hormone
D. Cortisol
A

D

68
Q
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
A

D

69
Q
97.	Parameters assessed at gestational age are the following except:
A. fundal height
B. thickening
C. ultrasound
D. cervical consistency
A

D

70
Q
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
A

C

71
Q
99.	Multivitamin supplementation recommended during pregnancy in these conditions except:
A. pre-gestation
B. seizure disorder
C. smokers
D. NOTA
A

C

72
Q
  1. 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
A

B