OBSTETRICS

Dr. Anamika Jha

Name: Date: 25/09/2019

1. Standard 1st trimester obstetric scan includes all except

a. Evaluation of the presence, size, location, and number of gestational sac(s)
b. Evaluation of uterus & adnexa
c. Cardiac activity with M-mode scan
d. Cardiac activity with spectral Doppler.

2. All is true about Nuchal translucency except

a. The fetus must be in the midsagittal plane with image magnified so that it is filled by
the fetal head, neck, and upper thorax.
b. NT measurements should be used in conjunction with serum biochemistry to
determine the risk of having a fetus with aneuploidy or other anatomic abnormalities
such as heart defect.
c. Electronic calipers must be placed on the outer borders of the nuchal line space
d. Electronic calipers must be placed on the inner borders of the nuchal line space

3. All is true about nuchal fold thickness except

a. Measured in Axial plane –level of posterior fossa structures
b. Done in second trimester not >20.6 weeks
c. >5 mm is abnormal
d. >3 mm is abnormal

4. NT should be measured with CRL –

a. 30-70 mm c. 49-94 mm
b. 38-84 mm d. 55-105 mm

5. Plane appropriate for measuring AC is

a. Stomach and Middle third umbilical vein running to portal sinus in the liver
b. Stomach and Cross section of umbilical vein seen close to anterior wall
c. Stomach, kidneys and Cross section of umbilical vein seen close to anterior wall
d. Stomach without umbilical vein included in the plane

6. Normal value of cephalic index is

a. 0.6-0.76 c. 0.8-0.9
b. 0.7-0.86 d. 0.5-0.6

7. Which of the following is recommended to identify fetuses most at risk for poor outcome
and to guide timing of delivery:
 a. Umbilical vein doppler c. MCA doppler
b. Umbilical artery doppler d. Ductus venosus doppler

8. Most common site of ectopic pregnancy is

a. isthmus c. ovary
b. ampulla d. broad ligament

9. Most certain feature among following of ectopic pregnancy is

a. Absence of intrauterine pregnancy
b. Presence of adnexal mass with ring of fire
c. Presence of fluid in POD
d. Presence of live embryo within the adnexal mass.

10. All of the following are features of normal gestation sac –

a. Eccentric location in fundus c. Intradecidual sign
b. Double decidual sac sign d. Growth rate > .8 mm/ day

11. Lemon sign on antenatal ultrasound is a feature of

a. Hydrocephalus c. Dandy walker syndrome
b. Arnold chiari malformation d. Pentology of Cantrell

12. What does banana sign on ultrasound refer to

a. Cerebellar hemispheres compressed with effaced cistern magna
b. Dilated ventricles with hanging choroid plexus
c. Concavity along the frontal bones
d. None of the above

13. Nuchal fold thickness is best evaluated at

a. 11-14 weeks c. 18-22 weeks
b. 16-21 weeks d. 22-26 weeks

14. What are the normal components of ductus venosus waveform

a. s wave c. a wave
b. d wave d. all of the above

15. Which of the following is not true about uterine artery Doppler
a. Done in 1st trimester it can predict preeclampsia
b. Notch in 2nd trimester is abnormal
c. Notch is 3rd trimester is abnormal
d. Normal RI value in 3rd trimester is less than 0.6
16. The most certain way to diagnose monoamniotic twin gestation is
a. Twin’s cord either around the other twin or entangled with the cord of the other twin.
b. T-sign on ultrasound
c. Twin peak sign
d. Lambda sign

17. All of the following statements about twin-twin transfusion syndrome are true except
a. Occurs in about 15 % monochorionic twin pregnancies
b. Occurs due to single shared placenta
c. Donor twin has anemia, hypovolemia, IUGR, and oligohydramnios while recipient
twin has hypervolemia, cardiac overload, polyhydramnios and possibly hydrops
d. None of the above is true

18. Oligohydramnios is defined when

a. Deepest vertical pocket measures less than 2 cm
b. Total amniotic fluid measures less than 12 cm
c. Deepest vertical pocket measures less than 4 cm
d. Deepest vertical pocket measures more than 8 cm

19. Monochorionic monoamniotic twin pregnancy occurs with division of inner cell mass at
a. Upto 3 days post conception c. 8-12 days post conception
b. 4-8 days post conception d. > 13 days post conception

20. Features for diagnosis of IUGR are all except

a. Weight less than 10th percentile c. High resistance umbilical artery
b. Oligohydramnios waveform
d. Maternal hypertension

21. The worst prognostic marker of fetus status in IUGR, implicating immediate delivery
a. Absent end diastolic flow in Umbilical artery
b. Cerebroplacental ratio < 1
c. Reversal of a wave in ductus venosus
d. Bilateral uterine artery pre diastolic notch

22. Most common cause of growth discordance in MCMA twins is

a. IUGR c. Reversed arterial perfusion
b. Twin Twin transfusion syndrome d. Embolisation

23. Most reliable for estimation of gestation age in 3rd trimester in case of IUGR
a. CRL done in 1st trimester c. BPD, HC, AC & FL in 3rd
b. Transcerebellar diameter trimester
d. BPD, AC & FL in 3rd trimester

24. Embryo must be seen on TAS when MSD is –

 a. 8 mm c. 20 mm
b. 16 mm d. 25 mm

25. Features suspicious of early pregnancy failure are all, EXCEPT-

a. Yolk sac more than 7 mm
b. MSD – CRL less than 5 mm
c. Heart rate less than 110 bpm at CRL 5-9 mm
d. Absent cardiac activity at CRL >7 mm
Answer Keys (Obs.)
1. d
2. c
3. d
4. b
5. a
6. b
7. b
8. b
9. d
10. d
11. b
12. a
13. b
14. d
15. b
16. a
17. d
18. a
19. c
20. c
21. c
22. b
23. a
24. d
25. c