HD 201 E2 Samplex 2018 (No Answers) Flashcards
Hemoglobin/Hematocrit is rechecked at ___ weeks AOG for anemia surveillance in pregnancy.
a. 18-22
b. 23-27
c. 28-32
d. 33-37
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Adverse outcomes linked to smoking include the following, EXCEPT:
a. Abortion
b. Fetal macrosomia
c. Infant death
d. Placental abruption
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Softening of the uterine isthmus during 8 weeks AOG:
a. Chadwick’s Sign
b. Goodell sign
c. Hegar Sign
d. Cullen Sign
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Common concerns of pregnant women that do not have a serious sequelae, EXCEPT:
a. Excessive Vaginal discharge
b. Heartburn
c. Headache during the first trimester
d. Blurring of vision
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Woman who had a previous abortion is a:
a. Nulligravida
b. Nullipara
c. Multigravida
d. Primipara
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A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
a. First
b. Second
c. Third
d. Fourth
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A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
Where can the uterine fundus be palpated?
a. Above the pubic symphysis
b. Midway between the pubic symphysis and umbilicus
c. At the umbilicus
d. Midway between the umbilicus and sternum
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A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
What is her OB score?
a. G3P1 (1011)
b. G4P2 (1111)
c. G4P1 (1021)
d. G3P1 (1101)
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A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
When is her expected date of delivery? (This exam was taken Feb 12, 2014)
a. May 7, 2014
b. April 24, 2014
c. May 31, 2014
d. April 21, 2014
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A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
Physical exam and laboratory findings of the patient are normal. She is advised to come back for her next prenatal visit on her __ weeks AOG.
a. 24
b. 29
c. 30
d. 32
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A gravid woman with a singleton pregnancy and a pre-pregnant BMI of 27 should have a total weight gain (KG) of
a. 12.5-18
b. 11.5-18
c. 7-11.5
d. <7
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When can the fetal heart sounds first be appreciated in most women using a standard stethoscope?
a. 5 weeks AOG
b. 16-19 weeks AOG
c. 21 weeks AOG
d. 22-24 weeks AOG
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Which of the following may be used to assess gestational age?
a. Quickening
b. Cervical Consistency
c. Maternal Weight Gain
d. Onset of Nausea and Vomiting
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How should you advise a pregnant woman in terms of nutrition?
a. She should eat what she wants in amounts she desires and salted to taste.
b. If she has normal BMI, she should gain approximately 40-45 lbs
c. Low salt, low fat, sugar free diet is recommended
d. Vegetarians eat the most nutritious food deemed complete so they don’t need additional supplements
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Which of the following vaccines is recommended to all pregnant women during the pregnancy?
a. Varicella
b. Rubella
c. Influenza
d. Hepatitis B
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Which is not a positive sign of pregnancy?
a. Hegar Sign
b. 3 missed menses
c. Positive Pregnancy test
d. NOTA
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Usually, the earliest age at which the fetal skeleton is visible on x-ray is
a. 2 lunar months
b. 4 lunar months
c. 6 lunar months
d. 8 lunar months
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Positive signs of pregnancy include:
a. Enlargement of uterus
b. Changes in the cervix
c. Ballotment
d. None of the Above
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During pregnancy the uterus increases in size. This is not normally due to:
a. Increase in volume of uterine content
b. Some increase in numbers of muscle cells
c. Muscle cell hypertrophy
d. Growth of intrauterine fibroids
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The relation of the fetal parts to one another determines the:
a. Presentation of the fetus
b. Lie of the fetus
c. Attitude of the fetus
d. Position of the fetus
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The relationship of the long axis of the fetus to the long axis of the mother is call the ___.
a. Lie
b. Presentation
c. Position
d. Attitude
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Of the following methods, which determine fetal presentations:
a. Cullen’s maneuver
b. Leopold’s maneuver
c. Mauriceau-Smellie-Velt maneuver
d. McDonald’s maneuver
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Sonography is valuable is pregnancy except in
a. Diagnosing early preganancy
b. Determining pelvic adequacy
c. Identifying fetal anomalies
d. Localizing the placenta
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Braxton Hick’s Contraction is not:
a. Palpable
b. Painless
c. Irregular
d. Purposeful
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Chadwick’s sign of pregnancy is:
a. Softening of the isthmus uteri
b. Bluish discolouration of cervix and vagina
c. An enlargement of the fundus of the uterus
d. An irregularity of the uterine fundus during pregnancy
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Softening of the isthmus
a. Hegar’s Sign
b. Cullen’s Sign
c. Goodell’s Sign
d. Hick’s Sign
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At the 12th weeks of gestation the uterus in a normal pregnancy is:
a. Not palpable abdominally
b. Palpable just above the symphysis pubis
c. Palpable midway between the umbilicus and the sternum
d. Palpable at the level of the xiphoid
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Pregnant uterus has the following characteristics:
a. Contracts only at the onset of labor
b. Can markedly enlarge and return to normal size
c. Has the most marked growth in the lower uterine segment
d. Both A and C
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Anemia for both mother and fetus is most commonly found in the following EXCEPT:
a. Early Pregnanct
b. Patients of high parity
c. Young gravidas
d. Inadequate prenatal care
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Large uterine blood vessels from pregnancy normally undergo changes post partum. These changes include all, EXCEPT:
a. Thrombosis
b. Slow Reabsorption
c. Hyalinization
d. Calcification
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Which of the following is normally found in the immediate post partum period?
a. Leucopenia
b. Elevated erythrocyte sedimentation rate
c. Rapid fall of plasma fibrinogen
d. All of the Above
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Normal ovarian changes during pregnancy incude:
a. Luteoma
b. Decidual reaction on the surface
c. Corpus Luteum of pregnancy
d. AOTA
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The corpus luteum of pregnancy functions maximally during
a. 4-5 weeks AOG
b. 5-6 weeks AOG
c. 6-7 weeks AOG
d. 7-8 weeks AOG
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Which of the following coagulation factors remain unchanged during pregnancy?
a. Clotting time
b. D-dimer concentration
c. Plasma Fibrinogen levels
d. Platelet count
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The following increases are noted in pregnancy EXCEPT:
a. Erythropoietin levels
b. Hemoglobin and hematocrit
c. Plasma and RBCs
d. Reticulocyte count
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Pregnancy induced hypervolemia serves to
a. Protect the mother against blood loss during parturition
b. Meet the demands of the enlarged uterus with its greatly hypertrophied vascular system
c. Protects the mother and fetus against the effects of impaired venous return in supine and erect positions
d. AOTA
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