***) The transverse lie in multipara at term in labor best treated by:
External version
Internal version and extraction
Pitocin induction
Cesarean section
Internal version, than oxytocin induction
Answer: D* Cesarean section
***) One of the following is absolute indication for cesarean section:
Brow presentation
Anterior face presentation
Occipito-posterior position
Right occipital presentation
Transverse arrest of the head
Answer: A* Brow presentation
***) In case of face presentation during labor, all of the following are felt on vaginal examination, except:
Chin
Mouth
Nose
Anterior fontanel
Orbital ridge
Answer: D* Anterior fontanel
***) The most common cause of breech presentation is:
Polyhydramnios
Placenta previa
Prematurity
Hydrocephalus
Multiple pregnancy (twin gestation)
Answer: C* Prematurity
***) Breech presentation is associated with the following, except:
Prematurity
Polyhydramnios
Oligohydramnios
Hydrocephaly
Postmaturity
Answer: E* Postmaturity
***) Breech presentation diagnosed antenatally at 37 weeks gestation, is best managed by:
Cesarean section
External cephalic version
X-ray maturity
Ultrasonography and observation
Oxytocin infusion of lower femoral epiphysis are seen by X-ray
Answer: B* External cephalic version
***) Non-engagement of the fetal head in the second stage of labor is due to all of the following, except:
Mal position
Hydrocephaly
Contracted pelvis
Compound presentation
Anencephaly
Answer: E* Anencephaly
***) A high head at term could be due to the following except:
Wrong dates
Cephalopelvic disproportion
Placental abruption
An occipito-posterior position
Placenta previa
Answer: C* Placental abruption
***) In face presentation with head not engaged in mento-posterior position the ideal treatment is:
Forceps delivery as mento-posterior
Forceps rotation to mento-anterior then forceps delivery
Vacuum delivery
Cesarean section
Internal podalic version and breech extraction
Answer: D* Cesarean section
Labor and Delivery OB35-OB38.
Labor and Cervical changes.
***) False labor pains as compared to true labor pains are characterized by all of the following, except:
Contractions occur at irregular intervals
There is demonstrable progressive dilatation of the cervix
They are not intensified by walking
Located chiefly in lower abdomen
Short duration
Answer: B* There is demonstrable progressive dilatation of the cervix
***) Progress of labor is assessed by one of the following criteria:
Frequency of uterine contractions
Intensity of uterine contractions
Softening of the cervix
Effacement of the cervix
Dilatation of cervix
Answer: E* Dilatation of cervix
Labor Stages.
***) All of the following are signs of placental separation in third stage of labor, except:
Appearance of contraction ring
Uterus becomes globular, firm and ballotable
Sudden gush of blood
Rise of uterine fundus
Elongation of the cord
Answer: A* Appearance of contraction ring
***) The third stage of labor follows one of the following:
Rupture of the membranes
Full dilatation of the cervix
Delivery of the fetal head
Delivery of the fetus
Delivery of the placenta
Answer: E* Delivery of the placenta
Obstetric Anesthesia.
***) All the following types of analgesia are used during first stage of labor, except:
Pethidine
Epidural analgesia
Cervical block
Pudendal block analgesia
Inhalation analgesia
Answer: D* Pudendal block analgesia
***) All of the following are indications of epidural anesthesia, except:
Ante-partum hemorrhage
Heart disease
Pulmonary disorders
Premature delivery
Hypertension
Answer: B* Heart disease
