ALARM Course Exam Questions with Correct Answers
Question 1:
Which of the following statements about immediate postpartum hemorrhage is correct? The
most common cause is retained tissue.
Hysterectomy is never required.
Coagulation problems are commonly encountered. Pregnant women compensate well for
blood loss.
Postpartum hemorrhage is a rare cause of maternal morbidity and mortality.
Answer:
d) Pregnant women compensate well for blood loss.
Question 2:
When assessing APH, a digital examination should not be done until placenta previa has been
ruled out. Bleeding is usually accompanied by pain.
The fetal heart is often abnormal or absent. Malpresentation is less common than in abruptio
placenta.
Answer:
b) When assessing APH, a digital examination should not be done until placenta previa has been
ruled out.
Question 3:
Which of the following may indicate uterine rupture in a trial of labour after cesarean birth?
Sudden elevation of the presenting part.
Scar pain.
Atypical / abnormal FHR patterns and/or cessation of contractions. Ease of palpation of fetal
parts.
All of the above.
Answer:
e) All of the above.
Question 4:
Which of the following laboratory investigations are recommended in the initial work-up of a
woman presenting with gestational hypertension and proteinuria?
AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Answer:
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
, Question 5:
Which of the following laboratory investigations are recommended in the initial work-up of a
woman presenting with gestational hypertension and proteinuria?
AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Answer:
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.Electrolytes, serum magnesium and calcium levels. None of the above.Serum ammonia,
electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood glucose.Electrolytes,
serum magnesium and calcium levels. None of the above.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.
Electrolytes, serum magnesium and calcium levels. None of the above.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.
Electrolytes, serum magnesium and calcium levels. None of the above.
Question 6:
Which of the following statements regarding pre-labour rupture of membranes (PROM) is
correct? The latent period is the interval between the rupture of the membranes and delivery.
The incidence of preterm PROM is more frequent than term PROM. Abruptio placenta is a
major cause of PROM.
Sterile speculum examination assists with the diagnosis. Digital exam assists with the diagnosis.
Answer:
d) Sterile speculum examination assists with the diagnosis.
Question 7:
Which of the following situations is an indication for induction of labour? Primigravida, 40+6
wks- cervix long and closed.
Primigravida, 40 wks, uterine height 39 cm, estimated fetal weight 4 kg, cervix 2 cm,
effacement 50%. Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal
weight on ultrasound 2.2 kg, cervix long and closed.
Multigravida, 36 wks, insulin-dependent diabetes, uterine height 39 cm, estimated fetal weight
on ultrasound 3.9kg.
Placenta previa with fetal demise.
Answer:
c) Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal weight on
ultrasound 2.2 kg, cervix long and closed.
Question 1:
Which of the following statements about immediate postpartum hemorrhage is correct? The
most common cause is retained tissue.
Hysterectomy is never required.
Coagulation problems are commonly encountered. Pregnant women compensate well for
blood loss.
Postpartum hemorrhage is a rare cause of maternal morbidity and mortality.
Answer:
d) Pregnant women compensate well for blood loss.
Question 2:
When assessing APH, a digital examination should not be done until placenta previa has been
ruled out. Bleeding is usually accompanied by pain.
The fetal heart is often abnormal or absent. Malpresentation is less common than in abruptio
placenta.
Answer:
b) When assessing APH, a digital examination should not be done until placenta previa has been
ruled out.
Question 3:
Which of the following may indicate uterine rupture in a trial of labour after cesarean birth?
Sudden elevation of the presenting part.
Scar pain.
Atypical / abnormal FHR patterns and/or cessation of contractions. Ease of palpation of fetal
parts.
All of the above.
Answer:
e) All of the above.
Question 4:
Which of the following laboratory investigations are recommended in the initial work-up of a
woman presenting with gestational hypertension and proteinuria?
AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Answer:
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
, Question 5:
Which of the following laboratory investigations are recommended in the initial work-up of a
woman presenting with gestational hypertension and proteinuria?
AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Answer:
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.Electrolytes, serum magnesium and calcium levels. None of the above.Serum ammonia,
electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood glucose.Electrolytes,
serum magnesium and calcium levels. None of the above.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.
Electrolytes, serum magnesium and calcium levels. None of the above.
Serum ammonia, electrolytes, albumin and hemoglobin. Serum bilirubin, amylase and blood
glucose.
Electrolytes, serum magnesium and calcium levels. None of the above.
Question 6:
Which of the following statements regarding pre-labour rupture of membranes (PROM) is
correct? The latent period is the interval between the rupture of the membranes and delivery.
The incidence of preterm PROM is more frequent than term PROM. Abruptio placenta is a
major cause of PROM.
Sterile speculum examination assists with the diagnosis. Digital exam assists with the diagnosis.
Answer:
d) Sterile speculum examination assists with the diagnosis.
Question 7:
Which of the following situations is an indication for induction of labour? Primigravida, 40+6
wks- cervix long and closed.
Primigravida, 40 wks, uterine height 39 cm, estimated fetal weight 4 kg, cervix 2 cm,
effacement 50%. Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal
weight on ultrasound 2.2 kg, cervix long and closed.
Multigravida, 36 wks, insulin-dependent diabetes, uterine height 39 cm, estimated fetal weight
on ultrasound 3.9kg.
Placenta previa with fetal demise.
Answer:
c) Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal weight on
ultrasound 2.2 kg, cervix long and closed.
