4. In shoulder presentation, the portion of the fetus chosen for orientation is:
Anonymous Quiz
3%
a Head
6%
b. Breech.
0%
Ribs.
87%
d Scapula
3%
e Umbilicus.
5. The following is the correct order for the cardinal movements of labor:
Anonymous Quiz
33%
a Descent, engagement, internal fixation, flexion, extension, external rotation, expulsion.
4%
b Descent, flexion, engagement, external fixation, extension, internal rotation, expulsion.
48%
C Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion,
4%
d. Engagement, flexion, descent, internal rotation, straightening, expulsion.
11%
Descent, engagement, flexion, external rotation, extension, restitution, internal rotation.
6. Progress of first stage of normal labor is characterized by:
Anonymous Quiz
14%
a. Engagement of fetal head must occur before full cervical dilatation.
0%
b. Rate of cervical dilatation is the same throughout first stage.
71%
c. In primipara, effacement of the cervix occurs before dilatation.
4%
d. Duration till full cervical dilatation is usually less than 3 hours.
11%
e. Membranes should be intact till full cervical dilatation.
7. A 20-year-old GIP0 at 39wks presents with severe abdominal pains. cx is closed, she is given sedation. 4hrs later, her pain stopped. Her cervix is closed. Most likely diagnosis is:
Anonymous Quiz
93%
False labor
7%
b. Prolonged latent phase.
0%
Prolonged active phase.
0%
d Arrest of latent phase.
0%
e Arrest of the active phase.
8. According to Friedmann, the normal rate of active-phase labor in a multipara is:
Anonymous Quiz
10%
a 1cm/hr.
0%
b 1.2cm/hr.
0%
d. 2cm/hr.
86%
1.5cm/hr.
3%
e 3cm/hr
9. Station 0 describes the relationship between which of the following:
Anonymous Quiz
0%
a BPD and the pelvic outlet
33%
b. BPD and the ischial spines.
15%
C The lowermost portion of the presenting fetal part and the pelvic inlet.
52%
d The lowermost portion of the presenting fetal part and the ischial spines.
0%
e When the head is seen at the vulval ring.
10. The following about the importance of the level of the ischial spine is true, EXCEPT:
Anonymous Quiz
12%
a It is the level of the levator Ani.
60%
b The internal os of the cervix lie at this level.
8%
c. The obstetric axis changes its direction at this level.
12%
d. The head is considered engaged if the vault is felt at or below this level.
8%
e Forceps should not be applied when the fetal head is above that level.
11. The interspinous diameter of a normal pelvis should be at least:
Anonymous Quiz
0%
a. 5.5 cm.
10%
b. 8.5 cm.
55%
C. 10.5 cm.
17%
d. 11.5 cm.
17%
e. 12.5 cm.
12. The head can be compressed as sutures allow the bones to come together and even
Anonymous Quiz
7%
overlap:
0%
a Retention.
11%
b. Caput.
0%
c Distension
79%
d Moulding
4%
e Detention.
13. All the following are causes of non-engagement in the last 4 weeks in PG EXCEPT:
Anonymous Quiz
4%
Contracted pelvis.
11%
b. Pelvic tumors.
78%
Previous CS scar
7%
d. Polydramnios.
14. A partogram is used for assessment of:
Anonymous Quiz
6%
a. Maternal wellbeing.
22%
b. Fetal wellbeing during labor.
0%
c. Fetal condition after delivery.
0%
d. Placental insufficiency.
72%
e Progress of labor
15. A sure evidence of onset of labor is:
Anonymous Quiz
0%
a. Pelvic heaviness.
13%
b. Expulsion of mucus streaked with blood.
5%
Reflex bearing down.
21%
d. Head engagement.
61%
e. Progressive cervical dilatation
14 year-old girl has hepatosplenomegaly, intention tremors, dystonia and she has a several year history of elevated liver enzymes. Which is the best explanation
Anonymous Quiz
67%
Cystic fibrosis
0%
Liver cirrhosis
0%
Wilson disease
33%
a 1 antitrypsin deficiency
You are advised by the obstetrician that the mother of a baby she has delivered is a carrier of hepatitis B surface antigen. Which of the following is the most appropriate action?
Anonymous Quiz
0%
Administration hepatitis B immunoglobulin and hepatitis B vaccine to the infant
100%
Administration hepatitis B immunoglobulin only
0%
Isolate the infant
0%
Screen the infant for HBSAg
8 month old child admitted in emergency department,with a history of recurrent hematemesis for the past 3 days. On examination the baby was very pale + has hepatomegaly
The appropriate initial action
The appropriate initial action
Anonymous Quiz
0%
Abdomina ultrasound
0%
Liver biopsy
100%
Ringer lactate then blood transfusions
0%
Upper endoscopy and injection sclerotherapy
❤1
3-week-old breastfed infant has jaundice, first noticed 12 days ago. On examination,Total bilirubin: 8 mg/dL; direct bilirubin: 4.5 mg/dL. Which of the following is the most likely diagnosis
Anonymous Quiz
0%
Biliary atresia
100%
Breast milk jaundice
0%
Congintal hypothyroidism
0%
Sepsis
10-year-old boy presents with recurrent attacks of hematemesis. Examination reveals abdominal distension, dilated abdominal veins, and ascites. Which one of the following statements is correct?
Anonymous Quiz
100%
Emergency endoscopy is needed
0%
The patient has extrahepatic biliary atresia
0%
The patient has pre hepatic portal hypertension
0%
The patient never presents with melena
A neonate aged 3 weeks develops jaundice at birth, associated with pale clay-colored stools. On examination, the patient has yellowish-green jaundice,and hepatosplenomegaly.
The diagnostic inv.
The diagnostic inv.
Anonymous Quiz
0%
Abdominal ultrasound
100%
ALT , AST , serum bilirubin
0%
Hepatitis markers
0%
TORCH screenings
A 14-day- old infant is jaundiced. The total bilirubin level is 14 mg/dl and the direct bilirubin is 5 mg/dl. Which of the following test is appropriate?
Anonymous Quiz
0%
Blood type anddirect antibodies test on infants blood
0%
Blood type and direct antibodies test on mother blood
0%
Examination of infants blood smear
0%
Urine analysis and culture
Which of the following is true regarding hepatitis A?
Anonymous Quiz
0%
Acute fulminant hepatitis is very rare in children
0%
It’s usually more severe in children than adults
100%
May be complicated by liver cirrhosis
0%
The stools are dark while urine is light in color
Which of the following statements is false about hepatitis-A
Anonymous Quiz
0%
Anorxia and vomiting occurs before apperance of jaundice
33%
Fulminant hepatitis is a rare condition
33%
Onset is usually acute
33%
Serum alkaline phosphates usually show decreased levels of