Download 2008 In Twins Transfusion Syndrome The donating twin is bigger

2008
1. In Twins Transfusion Syndrome
a. The donating twin is bigger than the receiving one
b. The donating twin is in the placenta with the excess amniotic fluid
c. The donating twin has a lower hemoglobin level
d. The donating twin has polycythemia
e. The incidence is increased with female twins
2. Which of the following sentences is correct regarding twins
a. Biamniotic twins are always bichorionic
b. Bichorionic twins are always Biamniotic
c. Monoamniotic twins are always
d. Biamniotic bicorionic twins are not monozygotic
e. Conjoined twins are always biamniotic
3. All of the following cases deserve consultation and/or treatment prior to pregnancy,
except:
a. hyperthyroidism
b. epilepsy
c. diabetes
d. rubella vaccination
e. alcohol
4. Which of the following statements regarding pre-pregnancy consultation is correct:
a. The consultation is identical for all women.
b. Can be done by obstetrician/gynecologist, family doctor, nurse, and others.
c. pre-natal consultation must be given only as part of visit intended for that
purpose
d. pre-natal consultation is especially important for women before their 1st
pregnancy
e. pre-natal consultation is especially important for women with chronic diseases.
5. The prevalence of early delivery in the population is?
a. 2%
b. 5%
c. 10%
d. 17%
e. 25%
6. Infection of the amniotic fluid and membrane cause all the following except:
a. Transient tachycardia
b. maternal fever
c. Contraction that are not responsive to tocolitic treatment (not sure what that means)
d. Cessation of fetal breathing
e. polyhydramnios
7.”Intrauterine resuscitation” includes all the following except
a. Oxygen administered to the mother
b. Increased fluid drip
c. Stop sdministering oxytocin
d. Resting the mother in trendelenberg position
e. Use devices to avoid labor
9. Which of the statements is correct regarding delivery of the placenta?
A. the main fear is infxn
b. If the placenta is not delivered it is you should pull on it to increase fundal pressure to
speed delivery
c. Usually the placenta seperates and is delivered in 30min
d. If the placenta is delivered you do not need to check if it is whole
e. Oxytoci administration is only advised if there is increased hemorrhage
11. What is the most common reason of heterotropic pregnancy
a. obesity
b. IVF
c. IUD
d. previous c-section
e. infx in the…?
12. All of the following are acceptes ways to diagnose ectopic pregnancy except:
a. serum hcg
b. serum reticulocyte count
c. tap the douglas pouch
d. US
e. Laproscopic
13. Which is true regarding hypopituitarism:
a. FSH is low
b. Giving progesterone will not result in menstruation
c. Estrogen and progesterone will result in menstruation
d. All of choices are correct
e. None of the choices are correct
15. How would you interpret the following fetal monitor: during a 30 min period 8
contractions where observed, 2 accelerations, and 5 decelerations of type-2
a. NST-reactive
b. CST-positive
c. Repeated early deceleration
d. CST-negative
e. Full BPP
16) What is true regarding the prognosis of a woman with repeated
miscarriages?
a) There is no connection between the number of miscarriages and the chance
of a live birth
b) There is no connection to the woman's age
c) There is a connection to the karyotype of the stillborn
d) In general, the prognosis for these women is not good
e) All of the above are correct
17) The main purpose of the nuchal translucency test is:
a) A screening test for Down Syndrome
b) A screening test for Trisomy 18
c) A screening test for heart defects
d) A screening test for Turner's Syndrome
e) All of the above
18) In which of the following defects is the fetoprotein normal?
a) Spina bifida
b) Omphalocele
c) Achondroplasia Type 2
d) Anencephalus
e) Encephalocele
19) Mark the correct answer:
a) In the face presentation the fetus' head is fully flexed (chin against chest)
b) Diagnosis of face presentation is done by ultrasound examination during the
labor
c) When the fetus' chin is positioned posteriorly while in the face presentation, a
vaginal delivery is not possible
d) When the fetus' chin is positioned anteriorly while in the face position but the
labor is not progressing, it is forbidden to use Pitocin for fear of tearing the
uterus
e)
transverse lie is common in term deliveries and accounts for 10%
of deliveries
20) The common reason for dystocia among the "passenger" is:
a) Malpresentation
b) Abnormal lie
c) Breech position
d) Macrosomia
e) Fetal birth defects
21) The follicle that is designated to be ovulated is called the dominant follicle.
Which of the following sentences are correct regarding it?
a) It has fewer FSH receptors and it causes a lower estrogen concentration than
the follicles that will undergo atresia. It will continue to develop despite the
relative reduction in FSH levels.
b) It has more FSH receptors and it causes a higher estrogen concentration than
the follicles that will undergo atresia. It will continue to develop despite the
relative reduction in FSH levels.
c) It has fewer FSH receptors and it causes a higher estrogen concentration
than the follicles that will undergo atresia. It will continue to develop despite
the relative increase in FSH levels.
d) It has more FSH receptors and it causes a lower estrogen concentration than
the follicles that will undergo atresia. It will continue to develop despite the
relative increase in FSH levels.
22) Which of the following that deal with/refer to fertilization is true?
a) If fertilization occurs, the embryo secretes progesterone, which supports the
corpus luteum. The corpus luteum secretes chorionic gonadotropin, which
supports the secretory endometrium and allows the continuation of
pregnancy.
b) If fertilization occurs, the embryo secretes chorionic gonadotropin, which
supports the pregnancy. The corpus luteum secretes progesterone, which
supports the proliferative endometrium and allows the continuation of
pregnancy.
c) If fertilization occurs, the embryo secretes chorionic gonadotropin, which
supports the corpus luteum. The corpus luteum secretes progesterone, which
supports the secretory endometrium and allows the continuation of
pregnancy.
d) If fertilization occurs, the embryo secretes progesterone, which supports the
corpus luteum. The corpus luteum secretes chorionic gonadotropin, which
supports the proliferative endometrium and allows the continuation of
pregnancy.
23) What is true regarding the physiological changes in the cardiovascular
system that occur during pregnancy?
a) The increase in the red cell volume is larger than the increase in the plasma
volume
b) There is an increase in the heart rate
c) There is an increase in systemic vascular resistance
d) There is a decrease in cardiac output
e) There is an increase in colloid osmotic pressure
24) What causes the tendency for hypercoagulability during pregnancy?
a) Increase in the clotting factors
b) Increase in anticoagulants
c) Increase in fibrinolysis
d) Increase in blood viscosity
e) Increase in the platelet count
25) A 20 y/o F in the 38th week of her first pregnancy. The course of the
pregnancy until now was completely normal. 1 hour ago felt some mild pain in
her right upper abdomen and also had mild blurred vision which completely
disappeared after a few minutes. Now she feels great but just to be on the safe
side she comes to the ER.
Her BP is 150/100 in 2 separate measurements. Stick protein is +2.
On vaginal exam the cervix is long, posterior and closed
a) I would offer her hospitalization and labor induction as soon as possible
b) In light of the Bishop score i would recommend that she wait for
development of spontaneous delivery with close supervision during
hospitalization
c) In light of the Bishop score I would recommend that she wait for
development of spontaneous delivery with ambulatory supervision
d) Since she is now asymptomatic there is no indication for ending the
pregnancy or atypical followup
e) The situation demands immediate treatment to reduce BP and wait for
spontaneous delivery
26) All of the following are possible complications of preeclampsia except for:
a) maternal death
b) subcapsular bleeding in the liver
c) placenta previa
d) thrombocytopenia
e) bleeding into the ventricles
27) What is the best measure to estimate the pregnancy age?
a) Date of last menstral period
b) Date pregnancy was detected in urine
c) CRL level in first trimester
d) Head circumference measurement at end of 2nd trimester
e) Abdominal circumference at the start of the 3rd trimester
28) All of the definitions for macrosomia are true except for:
a) Birth weight above the 90th percentile for gestational age/week of pregnancy
b) Abdominal circumference of the fetus above the 90th percentile for
gestational age/week of pregnancy
c) A fetus over 4000 grams
d) A fetus over 4500 grams
29) What is true regarding shoulder dystocia?
a) With weight above 4500 grams, the rate of shoulder dystocia rises above
30%
b) More than 90% of shoulder dystocia cases occur in children born weighing
over 4000 grams
c) If a C-section is done in all cases for which it is estimated that the baby
weighs over 4000 grams, most cases of Erb's palsy could be prevented
d) When the estimated weight of the fetus is over 4000 grams in a woman with
gestational diabetes there is an option to consider performing an elective Csection.
e) 'Difficulty in extracting the shoulders' is defined as the time from when the
head comes out to the time the shoulders come out that is longer than 3
minutes.
30) Of the following pathologies, what can you not see in a x-ray of the uterus
(hysterosalpingography)?
a) Changes in the uterine cavity as a result from maternal treatment with
diethylstilbestrol (DES)
b) Congenital malformation of the structure of the uterine cavity
c) unilateral hydrosalpinx
d) endometriosis
e) Bilateral cornual tube occlusion