OBSTETRICS & GYNECOLOGY
QUIZ BANK
1. Which of the following is the correct flow of blood from the uterine wall tothe
endometrium?
A. Uterine artery arcuate artery radial artery
straight & coiled spiral artery
B. Uterine artery radial artery arcuate artery straight&
coiled spiral artery
C. Uterine artery arcuate artery straight artery radial&
coiled spiral artery
D. Uterine artery straight artery arcuate artery radial&
coiled spiral artery
2. What is the functional life span of the corpus luteum?
A. 7 + 2 days
B. 14 + 2 days
C. 21 + 2 days
D. 28 + 2 days
3. What hormone is secreted by the dominant ovarian follicle?
A. estriol
B. estrone
C. estradiol
D. progesterone
4. During the embryonic period, where is the formation of blood first
demonstrable?
A. bone marrow
B. yolk sac
C. liver
D. spllen
5. During the secretory phase, what is the uppermost layer from the uterinecavity
?
A. Zona compacta
B. Zona basalis
C. Zona spongiosa
D. Decidua basalis
6. What stage of human development is implanted in the uterine cavity?
A. blastomeres
B. embryo
C. blastocyst
D. morula
7. How many new primary oocytes are there during puberty?
A. 0
B. 1,000
C. 10,000
, B. Extrusion of the polar body
C. Accumulation of fluid between blastomeres
D. Disappearance of the zona pellucida
9. At what phase does regresson of the corpus luteum occur?
, A. At the end of the proliferative phase
B. At the end of the secretory phase
C. During menstruation
D. After ovulation
10. A 34 year old G4P4 delivered vaginally an 8 lb baby at home assisted by ahilot.
The placenta was delivered without difficulty. However, a few minutes later,
there was profuse vaginal bleeding and the patient wa rushed to the hospital. In
the ER, the patient was hypotensive, tachycardic and pale. On abdominal
examination, the uterine fundus was soft and above the umbilicus. There were no
vaginal or cervical lacerations. What is the most probable diagnosis?
A. uterine inversion
B. retained placental fragments
C. uterine rupture
D. uterine atony
11. A 33 year old G3P2 PU 18 weeks consulted at the ER because of wateryvaginal
discharge accompanied by hypogastric pain. Vital signs were normal. Speculum
exam revealed pooling of watery discharge. I.E. revealed an open cervix,
palpable fetal parts at the os, uterus enlarged to18 weeks AOG. What is the most
probable diagnosis?
A. Recurrent abortion
B. Incomplete abortion
C. Inevitable abortion
D. Threatened abortion
12. At what part of the fallopian tube does tubal rupture occur earliest?
A. Interstitial
B. B. Ampullary
C. Isthmic
D. Fimbria
13. What is the most commonly associated condition for abruption placenta?
A. External trauma
B. Pregnancy- induced hypertension
C. alcohol consumption
D. Short cord
14. Which of the following transvaginal utrasonographic cervical findings
correlate positively with preterm delivery?
A. negative transfundal pressure
B. funneling
C. 2.7 cm cervical length
D. T- shaped cervix
15. Preterm infant is an infant who is:
A. less than 2000 grams at birth
B. less than 2500 grams at birth
C. less than 37 weeks AOG
D. less than 38 weeks AOG
16. A 35 year old G1P0 had an infertility work-up fro which she was prescribed
clomiphene citrate. She got pregnant and was diagnosed tohave twin
pregnancy. What is the most probable type of twinning?
A. Monozygotic
B. Dizygotic
, D. Locked
17. Which of the following is the most important parameter in the assessmentof
patient in true labor?
A. intactness of the amniotic membrane
B. cervical dilatation and effacement
C. presenting part
D. bony pelvis
18. The level of the presenting part in the birth canal described in relationshipto the
ischial spines, which is halfway between the pelvic inlet and the pelvic outlet is
called
A. position
B. B. effacement
C. Dilatation
D. station
19. The characteristic curve pattern of cervical dilatation in a normal labor is
described as:
A. A. hyperbolic
B. sigmoidal
C. diagonal straight
D. horizontal
20. A 30 year old G1P0, term was admitted for labor pains. FH- 34 cm, FHT- 140
bpm. IE- cervix is 4 cm dilated, 60% effaced, cephalic, station -2, rupture BOW.
Uterine contractions every 2-3 mins, moderate. After 2 hours, IE- cervix 4-5 cm
dilated, 70 % effaced, station -2. After 2 hours, IE-cervix is 5-6 cm dilated, 80%
effaced, station -1.Describe the progress of labor.
A. Normally progressing
B. Protracted cervical dilatation
C. Protracted descent
D. Arrest in descent
21. What phase of the active labor reflects the feto-pelvic relationship?
A. latent phase
B. B. acceleration phase
C. phase of maximum slope
D. deceleration phase
22. A 19 year old G1P0 PU 40 weeks, not in labor, was seen at the OPD for
decreased fetal movement. She was hooked to an electronic fetal monitorand
tracing showed: Baseline FHT- 140’s, good variability, with more than2
accelerations of 20 bpm lasting for 20 secs. The tracing is interpreted as:
A. reactive
B. non-reactive
C. positive
D. negative
23. Fetal tachycardia is defined as a baseline heart rate greater than:
A. 140 bpm
B. 150 bpm
C. 160 bpm
D. 170 bpm
QUIZ BANK
1. Which of the following is the correct flow of blood from the uterine wall tothe
endometrium?
A. Uterine artery arcuate artery radial artery
straight & coiled spiral artery
B. Uterine artery radial artery arcuate artery straight&
coiled spiral artery
C. Uterine artery arcuate artery straight artery radial&
coiled spiral artery
D. Uterine artery straight artery arcuate artery radial&
coiled spiral artery
2. What is the functional life span of the corpus luteum?
A. 7 + 2 days
B. 14 + 2 days
C. 21 + 2 days
D. 28 + 2 days
3. What hormone is secreted by the dominant ovarian follicle?
A. estriol
B. estrone
C. estradiol
D. progesterone
4. During the embryonic period, where is the formation of blood first
demonstrable?
A. bone marrow
B. yolk sac
C. liver
D. spllen
5. During the secretory phase, what is the uppermost layer from the uterinecavity
?
A. Zona compacta
B. Zona basalis
C. Zona spongiosa
D. Decidua basalis
6. What stage of human development is implanted in the uterine cavity?
A. blastomeres
B. embryo
C. blastocyst
D. morula
7. How many new primary oocytes are there during puberty?
A. 0
B. 1,000
C. 10,000
, B. Extrusion of the polar body
C. Accumulation of fluid between blastomeres
D. Disappearance of the zona pellucida
9. At what phase does regresson of the corpus luteum occur?
, A. At the end of the proliferative phase
B. At the end of the secretory phase
C. During menstruation
D. After ovulation
10. A 34 year old G4P4 delivered vaginally an 8 lb baby at home assisted by ahilot.
The placenta was delivered without difficulty. However, a few minutes later,
there was profuse vaginal bleeding and the patient wa rushed to the hospital. In
the ER, the patient was hypotensive, tachycardic and pale. On abdominal
examination, the uterine fundus was soft and above the umbilicus. There were no
vaginal or cervical lacerations. What is the most probable diagnosis?
A. uterine inversion
B. retained placental fragments
C. uterine rupture
D. uterine atony
11. A 33 year old G3P2 PU 18 weeks consulted at the ER because of wateryvaginal
discharge accompanied by hypogastric pain. Vital signs were normal. Speculum
exam revealed pooling of watery discharge. I.E. revealed an open cervix,
palpable fetal parts at the os, uterus enlarged to18 weeks AOG. What is the most
probable diagnosis?
A. Recurrent abortion
B. Incomplete abortion
C. Inevitable abortion
D. Threatened abortion
12. At what part of the fallopian tube does tubal rupture occur earliest?
A. Interstitial
B. B. Ampullary
C. Isthmic
D. Fimbria
13. What is the most commonly associated condition for abruption placenta?
A. External trauma
B. Pregnancy- induced hypertension
C. alcohol consumption
D. Short cord
14. Which of the following transvaginal utrasonographic cervical findings
correlate positively with preterm delivery?
A. negative transfundal pressure
B. funneling
C. 2.7 cm cervical length
D. T- shaped cervix
15. Preterm infant is an infant who is:
A. less than 2000 grams at birth
B. less than 2500 grams at birth
C. less than 37 weeks AOG
D. less than 38 weeks AOG
16. A 35 year old G1P0 had an infertility work-up fro which she was prescribed
clomiphene citrate. She got pregnant and was diagnosed tohave twin
pregnancy. What is the most probable type of twinning?
A. Monozygotic
B. Dizygotic
, D. Locked
17. Which of the following is the most important parameter in the assessmentof
patient in true labor?
A. intactness of the amniotic membrane
B. cervical dilatation and effacement
C. presenting part
D. bony pelvis
18. The level of the presenting part in the birth canal described in relationshipto the
ischial spines, which is halfway between the pelvic inlet and the pelvic outlet is
called
A. position
B. B. effacement
C. Dilatation
D. station
19. The characteristic curve pattern of cervical dilatation in a normal labor is
described as:
A. A. hyperbolic
B. sigmoidal
C. diagonal straight
D. horizontal
20. A 30 year old G1P0, term was admitted for labor pains. FH- 34 cm, FHT- 140
bpm. IE- cervix is 4 cm dilated, 60% effaced, cephalic, station -2, rupture BOW.
Uterine contractions every 2-3 mins, moderate. After 2 hours, IE- cervix 4-5 cm
dilated, 70 % effaced, station -2. After 2 hours, IE-cervix is 5-6 cm dilated, 80%
effaced, station -1.Describe the progress of labor.
A. Normally progressing
B. Protracted cervical dilatation
C. Protracted descent
D. Arrest in descent
21. What phase of the active labor reflects the feto-pelvic relationship?
A. latent phase
B. B. acceleration phase
C. phase of maximum slope
D. deceleration phase
22. A 19 year old G1P0 PU 40 weeks, not in labor, was seen at the OPD for
decreased fetal movement. She was hooked to an electronic fetal monitorand
tracing showed: Baseline FHT- 140’s, good variability, with more than2
accelerations of 20 bpm lasting for 20 secs. The tracing is interpreted as:
A. reactive
B. non-reactive
C. positive
D. negative
23. Fetal tachycardia is defined as a baseline heart rate greater than:
A. 140 bpm
B. 150 bpm
C. 160 bpm
D. 170 bpm
