RNC OB INPATIENT OB CERTIFICATION
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. A class of antihypertensive drugs that should be avoided in pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers - ANSWER ACE inhibitors
2. Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life - ANSWER Overt diabetes in later life
3. A sign of symptom that indicates a progression of preeclampsia to eclampsia and
warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
c. persistent proteinuria - ANSWER epigastric pain
4. A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia - ANSWER nulliparity
,5. A women is receiving magnesium sulphate. A sign that the magnesium sulphate is
reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech - ANSWER Slurring of the speech
6. A positive ankle clonus that occurs with preeclampsia is usually a result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema - ANSWER cerebral edema
7. A potentially life saving measure for a fetus that is exposed to chicken pox just prior
to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG) - ANSWER Varicella immune globulin
(VZIG)
8. Following cesarean delivery for abrupt placenta, a clot observation test is initiated.
Placing a small amount of blood in a test tube for 20 minutes yields a soft clot that
dissolves easily. This is consistent with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III - ANSWER Hypofibriongenemia
9. A finding that would indicate a pregnant diabetic patient is at increased risk for giving
birth to an infant with a congenital defect is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
, c. glucose levels above 140 mg/dL in the third trimester - ANSWER an
elevated hemoglobin A1C levels during the first trimeter
10. Which medication when given to a woman with a history of preterm birth, it can
effectively decrease the incidence in a subsequent pregnancy?
a. Corticosteroids
b. Indomethacin
c. Nifedipine
d. Progesterone - ANSWER d. Progesterone
11. Which B-Sympathominetic is approved by the FDA?
a. Ritodrine
b. Terbutaline - ANSWER a. Ritodrine
12. Which is the most common B-Sympathominetic and is B2 selective?
a. Ritodrine
b. Terbutaline - ANSWER b. Terbutaline
13. Identify the Prostaglandin syntheses inhibitors?
a. aspirin
b. ibuprofen
c. indomethacin
d. ketorolac
e. sulindac - ANSWER All listed
14. What is the most common calcium channel blocker for tocolysis?
a. Nifedipine
b. Magnesium Sulphate - ANSWER a. Nifedipine
15. What is not a side effect of calcium channel blockers?
a. Headache
b. Dizziness
c. Excessive Thirst
d. Hypotension - ANSWER c. Excessive Thirst
, 16. What is the gestational age ranges for administration of a corticosteroid to accelerate
fetal lung maturity?
a. 24-34
b. 25-33
c. 26-34 - ANSWER a. 24-34
17. True or False - Prophylactic antibiotic therapy in preterm labor is recommended? -
ANSWER False
18. Why are prophylactic antibiotics used in labor? - ANSWER To prevent GBS
sepsis in a postive cultured mom.
19. Rupture of amniotic membranes before 37 weeks?
a. Prolonged rupture of membranes
b. preterm rupture of membranes
c. premature rupture of membranes - ANSWER b. preterm rupture of
membranes
20. Rupture of amniotic membranes before the onset of labor, regardless of gestational
age?
a. Prolonged rupture of membranes
b. preterm rupture membranes
c. premature rupture of membranes - ANSWER c. premature rupture of
membranes
21. Rupture of amniotic membranes for more that 18 hours?
a. prolonged rupture of membranes
b. preterm rupture membranes
c. premature rupture of membranes - ANSWER a. prolonged rupture of
membranes
22. (PAMG-1) placental alpha microglobulin-1 is a protein found at high levels within
amniotic fluid. Which test is it measured?
a. Nitrazine Test
b. Ferning Test
c. AmniSure Test - ANSWER c. AmniSure Test
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1. A class of antihypertensive drugs that should be avoided in pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers - ANSWER ACE inhibitors
2. Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life - ANSWER Overt diabetes in later life
3. A sign of symptom that indicates a progression of preeclampsia to eclampsia and
warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
c. persistent proteinuria - ANSWER epigastric pain
4. A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia - ANSWER nulliparity
,5. A women is receiving magnesium sulphate. A sign that the magnesium sulphate is
reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech - ANSWER Slurring of the speech
6. A positive ankle clonus that occurs with preeclampsia is usually a result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema - ANSWER cerebral edema
7. A potentially life saving measure for a fetus that is exposed to chicken pox just prior
to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG) - ANSWER Varicella immune globulin
(VZIG)
8. Following cesarean delivery for abrupt placenta, a clot observation test is initiated.
Placing a small amount of blood in a test tube for 20 minutes yields a soft clot that
dissolves easily. This is consistent with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III - ANSWER Hypofibriongenemia
9. A finding that would indicate a pregnant diabetic patient is at increased risk for giving
birth to an infant with a congenital defect is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
, c. glucose levels above 140 mg/dL in the third trimester - ANSWER an
elevated hemoglobin A1C levels during the first trimeter
10. Which medication when given to a woman with a history of preterm birth, it can
effectively decrease the incidence in a subsequent pregnancy?
a. Corticosteroids
b. Indomethacin
c. Nifedipine
d. Progesterone - ANSWER d. Progesterone
11. Which B-Sympathominetic is approved by the FDA?
a. Ritodrine
b. Terbutaline - ANSWER a. Ritodrine
12. Which is the most common B-Sympathominetic and is B2 selective?
a. Ritodrine
b. Terbutaline - ANSWER b. Terbutaline
13. Identify the Prostaglandin syntheses inhibitors?
a. aspirin
b. ibuprofen
c. indomethacin
d. ketorolac
e. sulindac - ANSWER All listed
14. What is the most common calcium channel blocker for tocolysis?
a. Nifedipine
b. Magnesium Sulphate - ANSWER a. Nifedipine
15. What is not a side effect of calcium channel blockers?
a. Headache
b. Dizziness
c. Excessive Thirst
d. Hypotension - ANSWER c. Excessive Thirst
, 16. What is the gestational age ranges for administration of a corticosteroid to accelerate
fetal lung maturity?
a. 24-34
b. 25-33
c. 26-34 - ANSWER a. 24-34
17. True or False - Prophylactic antibiotic therapy in preterm labor is recommended? -
ANSWER False
18. Why are prophylactic antibiotics used in labor? - ANSWER To prevent GBS
sepsis in a postive cultured mom.
19. Rupture of amniotic membranes before 37 weeks?
a. Prolonged rupture of membranes
b. preterm rupture of membranes
c. premature rupture of membranes - ANSWER b. preterm rupture of
membranes
20. Rupture of amniotic membranes before the onset of labor, regardless of gestational
age?
a. Prolonged rupture of membranes
b. preterm rupture membranes
c. premature rupture of membranes - ANSWER c. premature rupture of
membranes
21. Rupture of amniotic membranes for more that 18 hours?
a. prolonged rupture of membranes
b. preterm rupture membranes
c. premature rupture of membranes - ANSWER a. prolonged rupture of
membranes
22. (PAMG-1) placental alpha microglobulin-1 is a protein found at high levels within
amniotic fluid. Which test is it measured?
a. Nitrazine Test
b. Ferning Test
c. AmniSure Test - ANSWER c. AmniSure Test
