1
OBGYN MCQ
(40questions)
1) A sure evidence of onset of labor is:
a. Pelvic heaviness.
b. Expulsion of mucus streaked with blood.
c. Reflex bearing down.
d. Head engagement.
e.Progressive cervical dilatation.
2) What is the main task of the physician during the 2nd stage of normal labor?
a. Controlled cord traction (Brand Andrew maneuver) to enhance placental
delivery.
b. Jaw flexion shoulder traction to deliver after-coming head in breech
presentation.
c. Controlled head extension with perineal support (Ritgen maneuver).
d. Repeated ergometrine injection to ensure strong uterine contractions.
e.Episiotomy once the cervix is fully dilated.
3) A 24 year old multipara underwent a vaginal delivery of a full term infant. The
placenta wasn’t
delivered spontaneously for about 60 minutes. Next step in management for this
patient is:
a. Repeated fundal pressure to expel the placenta.
b. Hysterotomy.
c. Manual removal of the placenta under anesthesia.
d. Exert marked traction on the cord to pull the placenta out.
e.Cut the cord and leave the placenta for spontaneous autolysis.
4) Commonest cause of decreased hemoglobin concentration level during
pregnancy?
a. Iron deficiency.
b. Folic acid deficiency.
c. B12 deficiency.
d. Physiologic hemodilution.
e.Hemolysis.
5) During an abdominal examination of a 28 weeks PG, fundal level was found to be
at level of the xiphisternum. Choose a possible cause:
a. Polyhydramnios.
,2
b. Fetal growth restriction.
c. Normal finding.
d. Contracted pelvis.
e.P.R.O.M.
, 3
6) Which of the following is considered a warning symptom in pregnancy?
a. Breathing discomfort on exertion
b. Nausea and appetite change
c. Fluid leak from the vagina
d. Increased quickening
e. Constipation
7) Which of the following is commonly associated with cervical incompetence?
a. First trimester abortion.
b. Blighted ovum.
c. Accidental hemorrhage.
d. P.R.O.M.
e.Cervical length equals or less than 3.5 cm by ultrasound.
8) A full term PG with occipito-posterior malposition during labor. At a cervical
dilatation of 7 cm, head was at zero station, membranes ruptured spontaneously
with clear liquor but uterine contractions became infrequent for 1 hour. What is
the best management?
a. Oxytocin infusion.
b. Caesarian section.
c. Forceps application.
d. Vacuum extraction.
e.Epidural anesthesia.
9) Which of the following is encouraging for a trial of vaginal delivery in breech
presentation?
a. Previous breech delivery.
b. Preterm breech
c. Estimated fetal weight is between 3.5 kg to 4.0 kg.
d. Footling presentation
e. Extended fetal head as detected by ultrasound.
10) Contraindications for oxytocin to augment labor include:
a. Past date fetus
b. previous cesarean section
c. maternal hypertension
d. premature rupture of membrane
e.all cases with antepartum hemorrhage
OBGYN MCQ
(40questions)
1) A sure evidence of onset of labor is:
a. Pelvic heaviness.
b. Expulsion of mucus streaked with blood.
c. Reflex bearing down.
d. Head engagement.
e.Progressive cervical dilatation.
2) What is the main task of the physician during the 2nd stage of normal labor?
a. Controlled cord traction (Brand Andrew maneuver) to enhance placental
delivery.
b. Jaw flexion shoulder traction to deliver after-coming head in breech
presentation.
c. Controlled head extension with perineal support (Ritgen maneuver).
d. Repeated ergometrine injection to ensure strong uterine contractions.
e.Episiotomy once the cervix is fully dilated.
3) A 24 year old multipara underwent a vaginal delivery of a full term infant. The
placenta wasn’t
delivered spontaneously for about 60 minutes. Next step in management for this
patient is:
a. Repeated fundal pressure to expel the placenta.
b. Hysterotomy.
c. Manual removal of the placenta under anesthesia.
d. Exert marked traction on the cord to pull the placenta out.
e.Cut the cord and leave the placenta for spontaneous autolysis.
4) Commonest cause of decreased hemoglobin concentration level during
pregnancy?
a. Iron deficiency.
b. Folic acid deficiency.
c. B12 deficiency.
d. Physiologic hemodilution.
e.Hemolysis.
5) During an abdominal examination of a 28 weeks PG, fundal level was found to be
at level of the xiphisternum. Choose a possible cause:
a. Polyhydramnios.
,2
b. Fetal growth restriction.
c. Normal finding.
d. Contracted pelvis.
e.P.R.O.M.
, 3
6) Which of the following is considered a warning symptom in pregnancy?
a. Breathing discomfort on exertion
b. Nausea and appetite change
c. Fluid leak from the vagina
d. Increased quickening
e. Constipation
7) Which of the following is commonly associated with cervical incompetence?
a. First trimester abortion.
b. Blighted ovum.
c. Accidental hemorrhage.
d. P.R.O.M.
e.Cervical length equals or less than 3.5 cm by ultrasound.
8) A full term PG with occipito-posterior malposition during labor. At a cervical
dilatation of 7 cm, head was at zero station, membranes ruptured spontaneously
with clear liquor but uterine contractions became infrequent for 1 hour. What is
the best management?
a. Oxytocin infusion.
b. Caesarian section.
c. Forceps application.
d. Vacuum extraction.
e.Epidural anesthesia.
9) Which of the following is encouraging for a trial of vaginal delivery in breech
presentation?
a. Previous breech delivery.
b. Preterm breech
c. Estimated fetal weight is between 3.5 kg to 4.0 kg.
d. Footling presentation
e. Extended fetal head as detected by ultrasound.
10) Contraindications for oxytocin to augment labor include:
a. Past date fetus
b. previous cesarean section
c. maternal hypertension
d. premature rupture of membrane
e.all cases with antepartum hemorrhage
