Professional Documents
Culture Documents
Davao City
COLLEGE OF MEDICINE
DEPARTMENT OF OB-GYN
OB TEST QUESTIONS FOR PRC
Source: William Obstetrics
21st Edition
Ms. Paraso, 18 year-old, G1P0, 39-40 weeks AOG, was brought to the Delivery Suite because of
labor pains. On admission, BP=110/80; FH=34cm; FHT= 145 bpm. Internal examination: Cervix
3cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were
occurring at every 5-6 minutes interval, 30 seconds duration; mild to moderate contractions.
____ 5. Fetal Heart Rate Patterns suggesting true fetal distress is/are:
A. Zero beat-to-beat variability
B. Severe decelerations
C. Persistent baseline rate changes
D. All of the above
Chapter 14, page 349
____ 6. Which of the following statements regarding drug use in pregnancy is true:
A. Drugs cross the placenta in varying degrees depending on lipid solubility, molecular
size, maternal metabolism, protein binding and storage.
B. Drugs associated with cardiac malformations will exert their effect when ingested
after the eighth week from fertilization.
C. The fetus is safe from drug and substance effects during the fetal period.
D. As a general rule, drugs are safe until proven otherwise.
Chapter 38, page 1007
2
____ 7. A fetus in transverse lie becomes a fetus in oblique lie when the long axis forms a/an:
A. Right angle
B. Obtuse angle
C. Acute angle
D. All of the above
Chapter 12, page 293
____ 8. Choose the correct statement regarding the female reproductive organs:
A. The cardinal ligament of the uterus connects the cervix to the posterior surface of the
pubis
B. The uterine artery crosses over the ureter in its course
C. The ovarian veins (right and left) drain into the inferior vena cava.
D. Lymphatic drainage of the uterus and the upper ¾ of the vagina is directed towards
the pelvic nodes only that from the lower ¼ of the vagina is directed into the
superficial inguinal nodes.
Chapter 3, page 43
____9. The shortest distance between the promontory of the sacrum and the symphysis pubis:
A. Obstetric conjugate
B. Diagonal conjugate
C. True conjugate
D. None of the above
Chapter 3, page 58
____ 10. If the thighs are flexed on the abdomen and the legs upon the thighs, this is a:
A. Incomplete Breech Presentation
B. Complete Breech Presentation
C. Frank Breech Presentation
D. Footling Breech Presentation
Chapter 12, page 293
____ 12. Lacerations that include the skin and mucous membrane, the fascia and the muscles of
the perineal body are classified as:
A. Third-degree laceration
B. Second-degree laceration
C. First-degree laceration
D. Fourth-degree laceration
Chapter 13, page 325
____ 13. A 25-year-old G3P2 (2002) was referred to the hospital for prolonged second stage of
labor. What condition will not favor outlet forceps extraction?
A. The cervix is fully dilated
B. There is no cephalopelvic disproportion
C. The most dependent portion is at the level of the ischial spines
D. the sagittal suture of the fetal head is in the AP diameter
Chapter 21, page 487
3
____ 14. A 29-year-old primigravid was admitted for labor pains. The cervix remained 9 cms.
dilated for 3 hours and the fetal head was at station O in right occiput posterior
position. The correct management is:
A. Forceps extraction
B. Low segment cesarean section
C. Internal podalic version
D. Cesarean hysterectomy
Chapter 18, page 431
____ 15. Of the hematologic changes associated with preeclampsia, the following is the most
common:
A. hemolysis
B. thrombocytopenia
C. decreased plasma clotting factors
D. increase plasma clotting factors
Chapter 24, page 575
____ 16. The most important information that the obstetrician has for a successful management
of pregnancy complicated by hypertension is:
A. knowledge of the gestational age of the fetus
B. knowledge of the weight of the fetus
C. knowledge of the fetal biophysical score
D. knowledge of the maternal-fetal Doppler blood flow studies
Chapter 24, page 591
____17. During puerperium the uterus descends into the cavity of the true pelvis within:
A. one (1) week C. two (2) weeks
B. ten (10) days D. four (4) weeks
Chapter 17, page 404
____ 18. If a woman does not nurse, her menses usually return within:
A. 4-6 weeks C. 8-10 weeks
B. 6-8 weeks D. 3 months
Chapter 17, page 419
____ 19. Antimicrobial regimens for pelvic infection following cesarean delivery proven to have
the greatest efficacy which is widely studied:
A. Ampicillin-Gentamicin
B. extended spectrum PCN
C. extended spectrum Aps
D. Quipenem and cilatasis
Chapter 26, page 677
____ 20. An acute febrile illness with severe multi-system derangement characterized by fever,
headache, mental confusion, macular erythematous rash, subcut, edema, nausea,
vomiting and watery diarrhea and marked hemoconcentration:
A. toxic shock syndrome
B. Group AB-hemolytic strep infection
C. Pelvic abscess
D. Septic pelvis thrombophlebitis
Chapter 26, page 685
____ 22. In the immediate puerperium, in a setting of excessive of vaginal bleeding, the guide to
instituting blood transfusion therapy is:
A. the amount of blood lost
B. the pulse rate
C. the diastolic blood pressure
D. the systolic blood pressure
Chapter 25, page 653
____ 24. Fetal growth is divided into the following 3 consecutive cell growth phases:
A. Hyperplasia, Hypertrophy, Hyperplasia and Hypertrophy
B. Hypertrophy, Hyperplasia and Hypertrophy, Hyperplasia
C. Hyperplasia, Hypertrophy and Hyperplasia, Hypertrophy
D. None of the above
Chapter 29, page 744
____ 25. The following screening and identification of fetal growth restriction should be done:
A. Uterine fundal height
B. Ultrasonic measurements
C. Doppler Velocimetry
D. All of the above
Chapter 29, page 753
____ 26. This placental disorder is associated with certain maternal diseases such as
hypertension wherein there is reduction in functioning placenta, which may lead to
enarteritic thickening and obliteration termed hemorrhagic endovasculitis (HEV):
A. placenta accreta
B. abruptio placenta
C. vasa previa
D. placental infarction
Chapter 32, page 829
____ 28. Which of the following is NOT associated with an increased abortion rate?
A. advanced paternal age
B. Class A1 Diabetes Mellitus
C. Advanced maternal age
D. Pregnancy within 3 months of a live birth
Chapter 33, page 857
____ 29. Which of the following uterine abnormalities has the greatest likelihood of spontaneous
abortions?
A. Asherman's syndrome
B. Bicarnuate uterus
C. Leimyomata
D. Uterine septa
Chapter 33, page 862
5
____ 30. Which of the following signs/symptoms most strongly implies a ruptured ectopic
pregnancy with sizable intraperitoneal hemorrhage?
A. shoulder pain on inspiration
B. Heavy vaginal bleeding
C. nausea and vomiting
D. abdominal mass, unilateral
Chapter 34, page 890
____ 32. Patient is considered at high risk of developing persistent gestational trophoblastic
disease when the following risk factor/s is/are present:
A. theca luteum cyst of 5 cm.
B. age less than 40
C. hCG level> 100,000
D. uterine enlargement of 3 months AOG
Chapter 32, page 839
____ 39. The most accurate and safest method to diagnose heart disease in pregnancy is:
A. electrocardiogram
B. chest x-ray
C. two-dimensional echocardiogram
D. coronary angiogram
Chapter 44, page 1184
Mrs. Williams delivered to a live term baby boy, with no complications noted. On the boy's
second year of life, he was noted that he does not answer when his name is called, and does not
react if other children are shouting in front of him. Maternal history revealed maternal fever and
a three-day generalized maculopapular rash.
____ 42. Prevention of vertical (mother to infant) transmission of HIV infection is/are the
following:
A. Cesarean delivery
B. Antiretroviral therapy and vaginal delivery
C. Antiretroviral therapy and cesarean section
D. Antiretroviral therapy
Chapter 37, page 1503
A 29 years old female, married, G1P0 AOG 16 weeks, complained of vague abdominal
wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was
temporary relieved of symptoms.
A few minutes prior to consultation, she noticed blood tinged urine.
Husband is an overseas worker (Seaman).
____ 45. Which of the following maternal metabolic adaptations does not occur in normal
pregnancy?
A. Decreased insulin secretion
B. Increased resistance to insulin action
C. Relative fasting hypoglycemia
D. Increased plasma lipids
Chapter 51, page 1360
____ 46. Which of the following laboratory tests will help the clinician diagnose
hyperthyroidism in pregnancy?
A. TSH
B. Free T4
C. Free T3
D. All of the above
Chapter 50, page 1341
____ 47. Which among these measures of pulmonary function is expected to increase during
pregnancy?
A. Residual volume
B. Expiratory reserve volume
C. Functional residual capacity
D. Minute ventilation
Chapter 46, page 1225