Peer teaching (mix of all) Flashcards
1
Q
What is the structure that gives rise to the uterus? A Paramesonephric ducts B Mesonephric ducts C Primitive streak D Metanephros E Cloaca F Mesoderm G Ectoderm H Endoderm
A
A Paramesonephric ducts
2
Q
What is the structure that gives rise to the GI tract? A Paramesonephric ducts B Mesonephric ducts C Primitive streak D Metanephros E Cloaca F Mesoderm G Ectoderm H Endoderm
A
H Endoderm
3
Q
What is the structure from which the lower part of the vagina is formed? A Paramesonephric ducts B Mesonephric ducts C Primitive streak D Metanephros E Cloaca F Mesoderm G Ectoderm H Endoderm
A
E Cloaca
4
Q
What is the structure that gives rise to the kidneys? A Paramesonephric ducts B Mesonephric ducts C Primitive streak D Metanephros E Cloaca F Mesoderm G Ectoderm H Endoderm
A
D Metanephros
5
Q
True or false?
During development of the ovarian follicles the primary oocyte arrests at Metaphase of the first meiotic division
A
False: Prophase of the first meiotic division
6
Q
True or false?
The first polar body is extruded prior to ovulation
A
True: the polar body is produced at the completion of the first stage of meiosis together with a haploid gamete
7
Q
True or false?
Cardiac activity is evident from day 18
A
False: day 22
8
Q
True or false?
hCG is produced by the corpus luteum
A
False: the corpus lute produces progesterone
9
Q
True or false?
the blastocyst begins to form from day 7
A
False: day 5
10
Q
True or false?
Implantation occurs on around day 9
A
True
11
Q
Which of these shunts the blood from the right to left atrium? A Ductus venous B Ductus arteriosus C Foramen ovale D Mitral valve E Umbilical vein F Umbilical artery G Intraventricular septum
A
C Foramen ovale
12
Q
Which of these carries oxygenated blood from the placenta to the foetus? A Ductus venous B Ductus arteriosus C Foramen ovale D Mitral valve E Umbilical vein F Umbilical artery G Intraventricular septum
A
E Umbilical vein
13
Q
Which of these allows blood from the right ventricle to bypass the lungs? A Ductus venous B Ductus arteriosus C Foramen ovale D Mitral valve E Umbilical vein F Umbilical artery G Intraventricular septum
A
B Ductus arteriosus
14
Q
Which of these, if fails to close at birth leads to pulmonary HTN? A Ductus venous B Ductus arteriosus C Foramen ovale D Mitral valve E Umbilical vein F Umbilical artery G Intraventricular septum
A
C Foramen ovale
15
Q
Which of these allows oxygenated blood to bypass the fetal liver? A Ductus venous B Ductus arteriosus C Foramen ovale D Mitral valve E Umbilical vein F Umbilical artery G Intraventricular septum
A
A Ductus venous
16
Q
Which of these suppresses secretion of FSH? A Oxytocin B Cortisol C hCG D Prolactin E Progesterone F Inhibin G TSH
A
F Inhibin
17
Q
hCG shares a common alpha subunit with this hormone? A Oxytocin B Cortisol C hCG D Prolactin E Progesterone F Inhibin G TSH
A
G TSH
18
Q
Which of these is secreted by lactotrophs? A Oxytocin B Cortisol C hCG D Prolactin E Progesterone F Inhibin G TSH
A
D Prolactin
19
Q
Which of these inhibits myometrial cell contractility? A Oxytocin B Cortisol C hCG D Prolactin E Progesterone F Inhibin G TSH
A
E Progesterone
20
Q
Which of these is the hormone required for milk ejection? A Oxytocin B Cortisol C hCG D Prolactin E Progesterone F Inhibin G TSH
A
A Oxytocin
21
Q
Which of these together with the decidua basilis and amnion forms part of the placenta? Cytotrophoblast Cotelydon Amnion Chorion Decidua basilis Syncytotrophoblast Trophoblast Yolk sac
A
Chorion
22
Q
Which of these is the covering of the fetal side of the placenta? Cytotrophoblast Cotelydon Amnion Chorion Decidua basilis Syncytotrophoblast Trophoblast Yolk sac
A
Amnion
23
Q
The double layer of epithelium of the villi comprises of syncytotrophoblast and \_\_\_\_\_\_\_? Cytotrophoblast Cotelydon Amnion Chorion Decidua basilis Syncytotrophoblast Trophoblast Yolk sac
A
Cytotrophoblast
24
Q
The functional unit of the placenta ? Cytotrophoblast Cotelydon Amnion Chorion Decidua basilis Syncytotrophoblast Trophoblast Yolk sac
A
Cotelydon
25
Q
True or false?
The oxyhaemoglobin dissociation curve for the fetus is situated to the left of the mother’s
A
True
26
Q
True or false?
Fetal haemoglobin has a lower affinity for oxygen
A
False
27
Q
True or false?
Alveoli are present in the fetal lungs from 15 weeks
A
False
28
Q
True or false?
Surfactant is produced by Type 1 alveolar cells
A
False
29
Q
True or false?
Oral corticosteroids are given to women in preterm labour to promote fetal lung maturation
A
False
30
Q
True or false?
Transient tachypnoea of the newborn is more common in babies born by elective caesarean section before 38 completed weeks
A
True
31
Q
Deficiency of this vitamin is associated with neural tube defects? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
Folic acid
32
Q
A vitamin deficiency common in women born from outside of the UK who live here and obese women? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
Vitamin D
33
Q
The Combined test screens for which condition? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
Downs Syndrome
34
Q
The Combined test is performed between \_\_\_\_\_\_\_ weeks? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
10 – 14+1 weeks
35
Q
The fetal anatomy scan is usually performed between \_\_\_\_\_\_\_\_ weeks? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
20 – 22 weeks
36
Q
Ultrasound dating of a pregnancy between 8-12 weeks is done by measuring the \_\_\_\_\_\_\_ ? Vitamin D 20 – 22 weeks Vitamin C Folic acid Biparietal Diameter 10 – 14+1 weeks Spina bifida Crown rump length Downs Syndrome
A
Crown rump length
37
Q
What do the results in the combined test mean?
A
In Downs: PAPP-A tends to be low and hCG and NT high
38
Q
When do the diagnostic tests take place?
A
Amniocentesis – 15 weeks+
CVS – 11 to 15 weeks
39
Q
May cause deafness if mother in contact with this virus after 13 weeks? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Rubella
40
Q
Condition caused by a trisomy of chromosome 13? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Patau syndrome
41
Q
This drug increases the risk of ancephaly? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Sodium valproate
42
Q
Most likely to cause a problem to the baby if delivered within 7 days of a non-immune mother becoming infected? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Chicken pox
43
Q
Colloquial name – slapped cheek virus? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Parvovirus
44
Q
Associated with early onset Alzheimers? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Downs syndrome
45
Q
This drug is associated with Ebsteins anomaly ? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Lithium
46
Q
An important cause of neonatal meningitis? Parvovirus Lithium Downs syndrome Azothioprine Rubella Group B Streptococcus Folic acid Patau syndrome Sodium valproate Chicken pox CMV Edwards syndrome
A
Group B Streptococcus
47
Q
A condition screened for at 26-28 weeks in women with a BMI > 30? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Diabetes
48
Q
A condition more common in primips ? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Pre-eclampsia
49
Q
A condition characterised by intense itching? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Cholestasis
50
Q
If first presentation of this condition is in late pregnancy caesarean section is recommended? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospholipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Genital Herpes
51
Q
Associated with macrosomic infants? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Diabetes
52
Q
A seizure after 20 weeks pregnant is assumed to be this condition until proven otherwise? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Eclampsia
53
Q
A condition associated with very preterm deliveries and venous thromboembolism? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Antiphospho-lipid syndrome
54
Q
A maternal disease associated with neural tube defects? Eclampsia Diabetes Asthma Cholestasis Genital Herpes Antiphospho-lipid syndrome Pre-eclampsia Rhesus incompatability Hypothyroidism
A
Diabetes
55
Q
More common in women with pre-pregnancy renal disease? Pre-eclampsia Hyperemesis Eclampsia Pulmonary embolism Haemorrhagic stroke Pulmonary oedema HELLP syndrome Rhesus incompatability Choriocarcinoma
A
Pre-eclampsia
56
Q
Risk of recurrence is reduced by an infusion of magnesium sulphate? Pre-eclampsia Hyperemesis Eclampsia Pulmonary embolism Haemorrhagic stroke Pulmonary oedema HELLP syndrome Rhesus incompatability Choriocarcinoma
A
Eclampsia
57
Q
Likely to occur in a woman with severe pre-eclampsia who is given large amounts of IV fluids? Pre-eclampsia Hyperemesis Eclampsia Pulmonary embolism Haemorrhagic stroke Pulmonary oedema HELLP syndrome Rhesus incompatability Choriocarcinoma
A
Pulmonary oedema
58
Q
Condition specific to pregnancy characterised by deranged AST and ALT, low platelets and anaemia? Pre-eclampsia Hyperemesis Eclampsia Pulmonary embolism Haemorrhagic stroke Pulmonary oedema HELLP syndrome Rhesus incompatability Choriocarcinoma
A
HELLP syndrome
59
Q
True or false?
Women found to have Group B Streptococcus on an HVS in pregnancy should receive antenatal antibiotics
A
False
60
Q
True or false?
The presence of raised bile acids indicates obstetric cholestasis
A
True
61
Q
True or false?
Fetal anaemia may be due to rhesus isoimmunisation
A
True
62
Q
True or false?
Urinary tract infections are very rare in pregnancy
A
False
63
Q
True or false?
Pain due to appendicitis in the third trimester occurs in the RUQ
A
True
64
Q
True or false?
Urinary tract infections can increase the risk of preterm labour
A
True
65
Q
An essential component of the ultrasound at 20 weeks? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Placental localisation
66
Q
A painful, hard woody uterus without vaginal bleeding suggests \_\_\_\_\_\_ ? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Placental abruption
67
Q
A \_\_\_\_\_\_ placenta praevia completely covers the cervical os? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Major
68
Q
This cause of bleeding is associated with pre-eclampsia? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Placental abruption
69
Q
Painless heavy vaginal bleeding can occur with this condition? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Placenta praevia
70
Q
Bleeding after rupture of membranes may be due to this rare condition? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Vasa praevia
71
Q
This finding is very common in pregnancy due to the high oestrogen levels, it causes postcoital bleeding? Fetal sex determination Placental abruption Minor Placental localisation Placenta praevia Major Cervical ectropion Vasa praevia
A
Cervical ectropion
72
Q
This technique used in IVF aims to reduce the risk of multiple pregnancy? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Single embryo transfer
73
Q
The lambda sign on an early pregnancy scan indicates this type of multiple pregnancy? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Diachorionic diamniotic twins
74
Q
This condition occurs when there are placental vascular anastomoses between the two fetoplacental circulations? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Twin to twin transfusion syndrome
75
Q
Various fetal abnormalities are more common with this type of twins? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Monochorionic monoamniotic twins
76
Q
One of the twins can become hydropic with this condition? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Twin to twin transfusion syndrome
77
Q
This pregnancy related condition is increased in a twin pregnancy ? Blastocyst transfer Gestational diabetes Single embryo transfer Monochorionic monoamniotic twins Pre-eclampsia Diachorionic diamniotic twins Twin to twin transfusion syndrome Rhesus isoimmunisation
A
Pre-eclampsia
78
Q
Vaginal infection associated with preterm, prelabour rupture of membranes (PROM)? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Bacterial vaginosus
79
Q
Gestation of ‘viability’ in the UK? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
24 weeks
80
Q
Given to women in preterm labour to improve fetal lung maturation? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Corticosteroids
81
Q
Intrauterine condition associated with preterm labour? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Chorioamnionitis
82
Q
Antibiotics used in the management of premature PROM? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Erythromycin
83
Q
Previous treatment associated with pre-term delivery? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Loop excision of cervix
84
Q
Management aimed at reducing the risk of preterm delivery? Augmentin Erythromycin UTI Cryocautery to cervix Bacterial vaginosus Loop excision of cervix Gestational diabetes 24 weeks Cervical suture 28 weeks Corticosteroids Chorioamnionitis Surfactant
A
Cervical suture
85
Q
Pregnancy specific condition that causes fetal growth restriction? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Pre-eclampsia
86
Q
Condition that increases the chances of the fetus having a large abdominal circumference in comparison to their head circumference? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Gestational diabetes
87
Q
Symmetrical fetal growth restriction is often associated with these abnormalities? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Chromosomal
88
Q
An oedematous fetus may be due to this condition ? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Parvovirus
89
Q
In asymmetric growth restriction the \_\_\_\_\_\_ measurement is the most severe effected ? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Abdominal circumference
90
Q
Often the first indication of fetal growth restriction? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Oligohydraminos
91
Q
Will occur if there is renal agenesis? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Anhydraminos
92
Q
Probably the commonest cause of fetal growth restriction? Parvovirus Pre-eclampsia Head circumference Excess caffeine intake Gestational diabetes Polyhydraminos Chromosomal Anhydraminos Smoking Abdominal circumference Oligohydraminos
A
Smoking
93
Q
Can occur at the time of membranes rupturing ?
Postpartum haemorrhage due to vaginal trauma
Cord prolapse
Placenta abruption
Epileptic seizure
Second degree tear
Amniotic fluid embolism
Postpartum haemorrhage due to poor uterine tone
Eclampsia
Third degree tear
Cord presentation
A
Cord prolapse
94
Q
Severe back pain, uterus firm and tender, small amount of bleeding in a women with pre-eclampsia?
Postpartum haemorrhage due to vaginal trauma
Cord prolapse
Placenta abruption
Epileptic seizure
Second degree tear
Amniotic fluid embolism
Postpartum haemorrhage due to poor uterine tone
Eclampsia
Third degree tear
Cord presentation
A
Placenta abruption
95
Q
A seizure in a woman previously fit and well?
Postpartum haemorrhage due to vaginal trauma
Cord prolapse
Placenta abruption
Epileptic seizure
Second degree tear
Amniotic fluid embolism
Postpartum haemorrhage due to poor uterine tone
Eclampsia
Third degree tear
Cord presentation
A
Eclampsia
