ALSO Pre test

ALSO Pre test question and answers
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Atr26tryear-
oldtrgravidatr2trparatr1trfemaletrattr9trweeks'trestimatedtrgestationaltragetr(bytrlasttrnormaltrmenstr
ualtrperiod)trpresentstrtotrthetrEmergencytrDepartmenttrcomplainingtroftrheavytrvaginaltrbleedin
gtrwhichtrbegantrtwotrhourstrearlier.trShetrdeniestrhavingtranytrsexualtrintercoursetrintrthetrpasttrs
eventrdays.trHertrvitaltrsignstraretrstable.trAtrquantitativetrserumtrhCGtrreturnstrattratrvaluetroftr320
0trmIU/mLtrandtratrtransvaginaltrultrasoundtrrevealstratrmeantrgestationaltrsactrdiametertroftr30m
mtrandtrnotrembryo.trShetrreportstrpassingtrnotrtissuetrandtratrspeculumtrexaminationtrrevealstrth
etrcervixtristrvisuallytrclosed.trIntrcounselingtrthetrpatienttrabouttrhertroptions,trwhichtroftrthetrfollow
ingtrstatementstristrtrue?tr-
trcorrecttranswers-Medicaltrmanagementtrwithtrmisoprostoltristrmoretreffectivetrthantrexpectantt

rmanagementtrCorrect

Whichtroftrthetrfollowingtristratrcontraindicationtrfortrmedicaltrmanagementtroftrantrectopictrpregn
ancytrwithtrmethotrexate?tr-trcorrecttranswers-
PresencetroftrembryonictrcardiactractivitytrCorrect
Atr19-
yotrprimigravidatrattrapproximatelytr40trweeks'trestimatedtrgestationaltragetrcomestrtotrthetrhosp
italtrwithtrpainfultrcontractions.trShetrhastrreceivedtrnotrprenataltrcare.trExamination:trCervixtristr4
trcmtrdilatedtrandtr80%treffacedtrattrstationtr-

1.trBloodtrpressuretristr164/111trmmtrHg,trandtratrurinetrdipsticktrshowstr3+trprotein.trShetrreportstr
havingtrhadtrseveretrheadachestrfortrthreetrdaystrandtrhastrnoticedtrswellingtrintrhertrhandstrandtrf
eet.trMomentstraftertrhertrbloodtristrdrawntrandtrIVtraccesstristrobtained,trshetrhastratrgeneralizedtrt
onic-
clonictrseizure.trWhichtroftrthetrfollowingtristrthetrmosttrappropriatetrimmediatetrcoursetroftraction
?tr-trcorrecttranswers-AdministertrmagnesiumtrsulfatetrsixtrgramstrIVtrovertr15-
20trminutestrCorrect
Atr29tryear-
oldtrgravidatr3trparatr2trfemaletrattr28trweeks'trestimatedtrgestationaltragetristrfoundtrtotrhavetratrpul
monarytrembolus.trShetristrhemodynamicallytrstabletrandtryoutraretrdiscussingtrtherapeutictrant
icoagulationtrwithtrher.trAccordingtrtotrthetr2012trAmericantrCollegetroftrChesttrPhysicianstrGuid
elines,trthetrtreatmenttroftrchoicetrfortrvenoustrthromboembolismtrintrpregnancytristrwhichtronetro
ftrthetrfollowing?tr-trcorrecttranswers-Low-moleculartrweighttrheparintrCorrect
AccordingtrtotrthetrNICHDtrFetaltrHearttrRatetrClassificationtrSystem,trwhichtrcategorytrtracingtrr
equirestrprompttrevaluationtrandtrexpedienttrinterventionstrtotraddresstrthetrpatterntr(astrthetrtra
cingtrintrthistrcategorytristrconsideredtrabnormaltrandtrpredictivetroftrabnormaltrfetaltracid-
basetrstatustrattrthetrtimetroftrobservation)?tr-trcorrecttranswers-
CategorytrIIItrelectronictrfetaltrmonitoringtrtracingtrCorrect
Atrcesareantrdeliverytrmaytrbetrconsideredtrduetrtotrfailedtrinductiontraftertrarresttroftrlabortrintrwhi
chtroftrthetrfollowingtrprimiparoustrlabortrscenarios?tr-trcorrecttranswers-
Aftertrmaximumtroxytocintrdosingtrfortrsixtrhourstrwithtrrupturedtrmembranes,trtheretristrfailuretrtot
rgeneratetradequatetrcontractionstrortrprogresstrattr7trcmtrCorrect

, Whichtroftrthetrfollowingtrdefinestrantrocciputtrposteriortrposition?tr-trcorrecttranswers-
FetaltrocciputtrtowardtrthetrmaternaltrspinetrCorrect
AlltroftrthetrfollowingtraretrtruetrstatementstrregardingtrmultipletrgestationtrpregnanciestrEXCEP
T:tr-trcorrecttranswers-TheretristratrdecreasedtrincidencetroftrcongenitaltranomaliestrCorrect
Atr32-year-
oldtrgravidatr2trparatr1trfemaletrattr40tr6/7trweeks'trestimatedtrgestationaltragetrhastrbeentrfullytrdil
atedtrfortrfourtrhours,trandtrhastrnowtrbeentrpushingtrfortrtwotrhours.trShetristrphysicallytrandtremoti
onallytrexhausted,trsotryoutrhavetratrdiscussiontrwithtrhertrregardingtrassistedtrvaginaltrdelivery.tr
Whichtroftrthetrfollowingtraretrprerequisitestrtotrantrinstrumentedtrdelivery?tr-trcorrecttranswers-
LacktroftrsuspiciontroftrseveretrcephalopelvictrdisproportiontrCorrect
Whichtroftrthetrfollowingtristrantrantenataltrrisktrfactortrfortrshouldertrdystocia?tr-
trcorrecttranswers-MaternaltrobesitytrCorrect

Documentationtrintrthetrmedicaltrrecordtraftertratrdeliverytrwithtratrshouldertrdystociatristrantresse
ntialtrrisktrmanagementtrtool.trWhichtroftrthetrfollowingtrshouldtrbetrdocumentedtrintrthetrmedicaltr
recordtrpertainingtrtotrthetrcircumstancestrthattrtooktrplacetrduringtrthetrshouldertrdystocia?tr-
trcorrecttranswers-

Thetrelapsedtramounttroftrtimetrfromtrdeliverytroftrthetrfetaltrheadtruntiltrcompletetrdeliverytroftrthetr
babytrCorrect
Postpartumtrhemorrhagetristratrcommontrmaternaltrmorbiditytrintrhightrresourcetrcountriestrandtr
istrontrthetrrise.trWhichtronetroftrthetrfollowingtristrthetrmosttrcommontrcausetroftrpostpartumtrhemo
rrhage?tr-trcorrecttranswers-AtonictruterustrCorrect
Youtraretrattendingtrthetrdeliverytroftratr36-year-
oldtrgravidatr6trparatr5trfemaletrattrterm.trHertrpregnancytrhastrbeentruncomplicated,trwithtrthetrex
ceptiontroftrchronictrhypertensiontrtreatedtrwithtrLabetaloltr100trmgtrpotrBID.trAftertratrnormaltrspo
ntaneoustrvaginaltrdelivery,tryoutrnotetratrlargetrgushtroftrblood,trprompttrdeliverytroftrthetrplacent
a,trandtrbrisktrvaginaltrbleeding.trIntradditiontrtotruterinetrmassage,trwhichtroftrthetrfollowingtrutero
tonictragentstrshouldtrnottrbetrusedtrtotrtreattrpostpartumtrhemorrhagetrintrthistrpatient?tr-
trcorrecttranswers-Methylergonovine tr0.2trmgtrIMtrCorrect

Intrmanagingtrantrearlytrpostpartumtrhemorrhage,trwhattrthresholdtrvolumetroftrbloodtrlosstrrequi
restrimmediatetrmaternaltrresuscitationtrmeasurestrusingtrantrinterdisciplinarytrteamtrapproach
trincludingtranesthesia,trlaboratory,trnursing,trsurgery,trandtrbloodtrbanktrstaff?tr-

trcorrecttranswers-1500trmLtrCorrect

Youtraretrcalledtrstattrtotratrpregnanttrpatient'strbedsidetrontrLabortrandtrDeliverytrwhotristrhavingtr
atrtonic-
clonictrseizure.trShetrbecomestrpulselesstrandtristrconfirmedtrtotrbetrintrcardiactrarrest.trCardiopu
lmonarytrresuscitationtristrimmediatelytrinitiated.trHertrprimarytrnursetrreportstrthetrpatienttristrfull
trterm,trandtrwastradmittedtrtwotrhourstragotrfortrlabortrmanagement.trIntrthetrfacetroftrmaternaltrca

rdiopulmonarytrarresttraftertr4trminutestroftradequatetrcardiopulmonarytrresuscitation,tryoutrrec
alltrthetrAmericantrHearttrAssociation'strgoaltristrtotrachievetrdeliverytroftrthetrfetustrviatremergenc
ytrhysterotomytrbytrnotrmoretrthantrhowtrmanytrminutestraftertrthetrmother'strhearttrhastrstoppedtr
beating?tr-trcorrecttranswers-5trminutestrCorrect
Pregnanttrwomentrbeyondtr20trweeks'trgestationtrexperiencingtrminortrtraumatr(suchtrastratrfall,tr
minortrMVC,trortrblunttrabdominaltrtrauma)trshouldtrbetrmonitoredtrbytrcardiotocographtrfortratrmi
nimumtroftrhowtrmanytrhours?tr-trcorrecttranswers-4trhourstrCorrect
IntrdiscussingtrobstetrictremergenciestrwithtratrnewtrregisteredtrnursetrontrLabortrandtrDelivery,tr
youtrinitiatetratrconversationtrreviewingtrthetrcommontrrisktrfactorstrfortrpostpartumtrhemorrhag