OB

Question 1

Cut off for prolonged latent phase in nulliparous women

Answer 1

> 20h

Question 2

Cut off for prolonged latent phase in multiparous women

Answer 2

> 14h

Question 3

Rate of cervical dilatation in nulliparous women

Answer 3

1.2cm/h

Question 4

Rate of cervical dilatation in multiparous women

Answer 4

1.5cm/h

Question 5

Cardinal movements

Answer 5

E-D-F-I-R-E-E-R-E

Engagement > Descent > Flexion > Internal rotation > Extension > External rotation or restitution > Expulsion

Question 6

Ideal measurement of the following diameters:

1) True/ anatomic conjugate
2) Obstetric conjugate
3) Diagonal conjugate

Answer 6

1) 11cm
2) >10cm
3) >11.5cm

Question 7

At which part of the cardinal movements does the descending head meet resistance?

Answer 7

Flexion

Question 8

Which among the cardinal movements is essential for completion of labor?

Answer 8

Internal rotation

Question 9

At which stage of labor do the cardinal movements occur?

Answer 9

2nd stage of labor

Question 10

Peak of Beta hcG

Answer 10

3mos

Question 11

Hormone important in breast ductal changes

Answer 11

Estrogen

Question 12

Hormone important in lactiferous ducts changes

Answer 12

Progesterone

Question 13

Signs of placental separation

Answer 13

Sudden gush of blood
Globular and firmer fundus
Lengthening of the umbilical cord
Rise of the uterus into the abdomen

Question 14

Maneuver used in the dystocia drill where suprapubic pressure is applied over posterior aspect of anterior shoulder

Answer 14

Mazzanti maneuver

Question 15

Manuever used in the dystocia drill where the anterior shoulder is pushed towards the chest

Answer 15

Rubin maneuver

Question 16

Cephalic replacement

Answer 16

Zavanelli maneuver

Question 17

Most common cause of preterm birth

Answer 17

Placenta previa or abruptio

Question 18

Tocolytic agent of choice for preterm labor

Answer 18

Nifedipine

Question 19

Dosing for betamethasone in premature labor? Dexamethasone?

Answer 19

Betamethasone: 12mg/IM q 24h for 2 doses
Dexamethasone: 6mg/IM q 12h for 4 doses

Question 20

Drug used in treatment of chorioamnionitis with high incidence of NEC

Answer 20

Amoxicillin-clavulanic acid

Question 21

Karyotype of complete H. mole

Answer 21

46, XX

Question 22

Indication for methotrexate/ actinomycin D therapy in H. mole

Answer 22

o Maternal age > 35
o G4 and above
o Uterine size larger than AOG > 6 weeks
o Serum "-hCG titer > 100,000 mIU/ml
o Theca lutein cysts > 6 cm
oMedical complication arising from increased trophoblastic
proliferation
o Repeat molar pregnancy
o Residing in a distant geographical location

Question 23

Most common risk factor for ectopic pregnancy

Answer 23

Chlamydia infection

Question 24

Most common site of ectopic pregnancy

Answer 24

Tubal

Question 25

Gold standard for the diagnosis of ectopic pregnancy most especially tubal

Answer 25

Laparoscopy

Question 26

Boundary threshold for low-lying placenta

Answer 26

2cm

Question 27

Most common obstetric cause of DIC

Answer 27

Abruptio placenta

Question 28

Only well-accepted risk factor for gestational hypertensive disorders

Answer 28

Primiparity

Question 29

Anti-hypertensive with high risk of neonatal thrombocytopenia

Answer 29

Hydralazine

Question 30

Drug of choice for the prevention of seizures in preeclampsia

Answer 30

MgSO4

Question 31

Antidote for magnesium sulfate toxicity

Answer 31

Calcium Gluconate

Question 32

Indications for CS for patients with CV disorders

Answer 32

Dilated aortic root > 4 cm or aortic aneurysm Acute severe CHF Recent MI Severe symptomatic aortic stenosis Warfarin administration within 2 weeks of delivery Need for emergency valve replacement after delivery

Question 33

Most common adverse cardiovascular complication in pregnancy

Answer 33

Arrythmia

Question 34

Fetal response to maternal hypoxemia

Answer 34

Decreased cardiac output

Question 35

Drug of choice for the treatment of bacterial vaginosis

Answer 35

Metronidazole

Question 36

Diagnostic Criteria for bacterial vaginosis

Answer 36

3 out of 4 of the following: o Vaginal pH >4.7 o Presence of clue cells on a gram stain or wet mount of vaginal discharge o Homogenous, milky-white discharge o Release of fishy odor when KOH is added to the discharge

Question 37

Strawberry cervix is seen in?

Answer 37

Trichomonas infection

Question 38

Visualization of pseudohyphae or budding yeasts in discharge

Answer 38

Vulvovaginal candidiasis

Question 39

Complication of PID causing adhesions and liver capsule inflammation

Answer 39

Fitz-Hugh-Curtis Syndrome

Question 40

Culture medium for N. gonorrheae

Answer 40

Thayer Martin Agar

Question 41

Granulomatous lesions, which destroy soft tissue, cartilage and bone and may be an immunological response to treponemal antigens

Answer 41

Gummas

Question 42

FBS cutoff for overt DM

Answer 42

126mg/dL

Question 43

How far along the pregnancy is it recommended to screen for GDM?

Answer 43

24-28 weeks

Question 44

Initial tests for GDM? If with risk factors?

Answer 44

FBS, HbA1c, RBS | If with risk factors, use 75g OGTT at first consult

Question 45

Re-testing if initial test is normal is done at ___ wks AoG?

Answer 45

32 weeks