BU Obs BCQ Stem-2

BEHRIA UNIVERSITY ISLAMABAD
Multiple Choices Question

PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.10
Description ANTENATAL CARE INCLUDING INVESTIGAITONS

Which group has been successfully targeted for pre-conceptional counseling
regarding the risk of ß thalassemia?
STEM
ITEM A African descent

ITEM B Asian descent
ITEM C Mediterranean descent
ITEM D Jewish descent
ITEM E Europian descent
Correct Answer C
Domain: Recall [√] Interpretation [] Problem solving []
Reference(s) TEN TEACHER PAAGE 145
Prepared by
College Frontier Medical & Dental College, Abbottabad
Name: Dr. Qamoos Razzaq

Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A 27 years old P2 woman came to her doctor for removal of stitches after
caesarean section. She has complaint of episodes of sadness, tear fullness, all
other things are normal. Most likely diagnosis is
STEM
ITEM A Maternity blues

ITEM B Post partum depression
ITEM C Post partum Mania
ITEM D Post partum Psychosis
ITEM E Post operative depression
Correct Answer A
Domain: Recall [] Interpretation [√] Problem solving []
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.15

The most important aim of safe mother hood project is to
STEM
ITEM A Community education for woman

ITEM B Health education & services for adolescents
ITEM C Care by skilled health personal before during & after child birth
ITEM D Prevent & manage unsafe abortion
ITEM E
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.12
Description ROLE OF IMAGING AND RADIOLOGY

Clinical importance of ultrasound in pregnancy
STEM
ITEM A Abdominal ultrasound identifies gestational sac by 6-7 weeks

ITEM B Transvaginal ultrasound identifies gestational sac by 2-3 weeks
ITEM C Correction with serum ß.hcG
ITEM D Confirms ectopic pregnancy
ITEM E Exclude ectopic pregnancy
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.1
Description PHYSIOLOGICAL CHANGES

Most important contributing factor to fluid retention in pregnancy
STEM
ITEM A Stroke volume increases

ITEM B Decrease in thirst threshold
ITEM C Renal blood flow increases
ITEM D Decrease in plasma oncotic pressure
ITEM E Heamatocrit fall
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.1
Description PHYSIOLOGICAL CHANGES IN PREGANCY

Regarding glomerular filtration rate (GFR) in normal pregnancy
STEM
ITEM A GFR increases

ITEM B GFR decreases
ITEM C GFR unchanged
ITEM D Increases in multiple pregnancy
ITEM E Increases only in Pre-Eclampsia
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.1
Description PHYSIOLOGICAL CHANGES IN PREGNANCY

Which is not true for normal pregnancy?
STEM
ITEM A Gut motility increases

ITEM B Gut motility decreases
ITEM C Stomach emptying time increases
ITEM D Absorption of water & salts increases
ITEM E Gastroesophageal reflux is common
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2
Description NORMAL FETAL DEVEOPMENT

First fetal blood cell comes from
STEM
ITEM A Bone Marrow

ITEM B Yolk Sac.
ITEM C Liver
ITEM D Spleen
ITEM E Placenta
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2
Description NORMAL FETAL DEVELOPMENT

Normal umbilical card
STEM
ITEM A Contain two artries

ITEM B Two veins
ITEM C Pulsate at rate equal to maternal pulse rate
ITEM D Is covered by Amnion & chorian
ITEM E Is covered by chorian only
Correct Answer A
Reference(s) TEN TEACHER PAAGE
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description SCREEING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT

Which of the following is not risk factor for Down’s Syndrome?
STEM
ITEM A Maternal age > 35 years

ITEM B Maternal age> 40 years
ITEM C Family history of Down/s Syndrome
ITEM D Diabetes mellitus
ITEM E Increased nuchal thickness on U/S
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description SCREENING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT

Amniocentesis
STEM
ITEM A Must be performed on all woman over 37 years of age

ITEM B Usually performed at 16-18 weeks
ITEM C Carries 5% risk of miscarriage
ITEM D Should not be followed by injection of ant.D
ITEM E Best performed transplacently
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3

What dose of folic acid should be given to prevent neural tube defect recurrence
STEM
ITEM A 5 mg/day
ITEM B 40mg/day
ITEM C 400mg/day
ITEM D 0.5mg/day
ITEM E 0.5µg/day
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description SCREEING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT

Chrionic Villous Sampling
STEM
ITEM A Is usually peformed transabdominally

ITEM B Best performed before 10 week of gestation
ITEM C Usually reveals Karyotype within 24 hours
ITEM D Carries 1% risk of miscarriagae
ITEM E Carries no risk to fetal structured anomalies
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.4
Description ASSESSMENT OF FETAL WELLBEING

Cardotocography (CTG) is
STEM
ITEM A Graphic representation of labour

ITEM B Done by Pinard fetoscope
ITEM C Recorded by cervical dilatation
ITEM D Record of fetal heart rate & uterine contractions
ITEM E Record of fetal heart rate only
Correct Answer D
Reference(s) TEN TEACHER PAGE 69
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.4

A PG admitted to labour room in active phase of labour at term. On
cardiotocography which of the following findings should be present to make it
suspicious
STEM
ITEM A Reduced variability

ITEM B Variable deceleration
ITEM C Normal base line rate
ITEM D Increased variability
ITEM E Acceleration
Correct Answer A
Domain: Recall [√] Interpretation [√] Problem solving []
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.1

G3 P2 A0 presented to labour ward at 36 weeks of gestation with painful profused
vaginal bleeding. Most common cause of maternal death with this condition is
STEM
ITEM A Disseminated intravascular coagulation

ITEM B Antepartum Heamorrhage
ITEM C Post-partum heamorrhage
ITEM D Hypovolemic shock
ITEM E Acute enal failure
Correct Answer A
Reference(s) TEN TEACHER PAGE
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.6
Description RLv ISOIMMUNIZATION

A G4 P2 A1 O negative blood group presented to antenatal clinicat 28 week of
gestaiton for routine check up. Her obstetrician advised anti-D injection to patient
which of the following event is indication for this injection
STEM
ITEM A Anortion
ITEM B Ectopic pregnancy
ITEM C Chrorionic Villous Sampling
ITEM D Antepartum heamorrhage
ITEM E Amniocentesis
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.1
Description APH
Primigravida presented to antenatal clinic at 35 weeks of gestation with
pervaginal bleeding due to placenta preavia. Best management is
STEM
ITEM A Caesarean section immediately

ITEM B Caesarean Hystrectomy immediately
ITEM C Observation for 48 hours, if bleeding serve then do C/Section
ITEM D Uterine massage & packing immediately at 28 weeks of gestation
ITEM E Decide according to bishop score of patient
Correct Answer C
Domain: Recall [] Interpretation [] Problem solving []
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.4

Intrapartum Assessment of fetal well being in high risk pregnancy is done by
STEM
ITEM A Fetal heart sound as cultation by fetoscope

ITEM B Serial ultrasound monitoring
ITEM C Serial laboratory investigations
ITEM D Continuous CTG monitoring
ITEM E Interrupted CTG monitoring
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.5
Description PROLONG PREGNANCY & INDUCTION OF LABOUR

A female with ployhydramios immediately after rupture of membranes developed
server chest pain with dysponea. B.P is 90/60 m of Hg, pulse 140/min. Most
probably she has
STEM
ITEM A Myocardial infarction

ITEM B Pulmonary Embolism
ITEM C Cardiac failure
ITEM D Adult respiratory distress syndrome
ITEM E
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.12
Description PERINATAL INFECITONS

A primigravida delivered a baby boy with microcephaly, chorioretinitis,
deafness, mental retardation. There are presentation of intrauterine infection with
STEM
ITEM A Herpes simplex

ITEM B Coxsachie-B
ITEM C Mumps
ITEM D Rubeolla
ITEM E Rubella
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.1

Breast changes in pregnancy
STEM
ITEM A Size of breast increases due to fat deposition

ITEM B Size of breast increases due to hyperplasia & hypertrophy
ITEM C Enlarged sebaceous glands known as Montgomery’s tubercle
ITEM D Octrogen increases mumber of alveoli
ITEM E Areola become lighter in calour
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.13
Description STATISTICS
Maternal Mortality
STEM
ITEM A Sepsis is most common cause

ITEM B Heamorrhage is most common cause
ITEM C Is same as perinatal mortality
ITEM D Death from cardiac failure is direct cause
ITEM E Induced abortion is most common cause
Correct Answer B
Reference(s) TEN TEACHER PAGE
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.6
Description RLv ISOIMMUNIZATION

G3P2 A0 with negative blood group presented to amenatal booking Best statement
regarding Rhesus isoimmunization is
STEM
ITEM A > 15 m I.U/ml indicate condition

ITEM B Affect usually first pregnancy
ITEM C Senstization is not necessary
ITEM D Rh. Positive mother with Rh. Negative baby
ITEM E Antibody produced does not cross placenta
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.1

A 22 years old G3P1A1 presented to antenatal check up at 28 week of gestational
diagnosed to have placenta preavia type III. Which of the following is less likely
cause of this condition
STEM
ITEM A Previous Ceasarean Section

ITEM B Cigarette Smoking
ITEM C History of abortions
ITEM D Nulliparity
ITEM E Cocain Abuse
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description FETAL DEATH

A patient at 34 weeks of gestation present with 102F° with chills, backache, and
urinary sediment shows many bacteria & WBC. Which is most likely diagnosis
STEM
ITEM A Acute appendicitis

ITEM B Ruptured uterins
ITEM C Pyelonephritis
ITEM D Abruptio placenta
ITEM E Labour
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8
Description NORMAL LABOUR & INTRAPARTUM CARE

Head is said to be engaged when
STEM
ITEM A Head is 5/5 papable abdominally

ITEM B Head is 3/5 pabable abdominally
ITEM C Head is 2/5 palpable abdominally
ITEM D Head is deflexed
ITEM E There is anterior asyuctitism
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

A primigravida presented to labour ward with full dilatation of labour & swollen
Vulva & vagina & carput formation +++.Obstructed labour is common in
STEM
ITEM A Android pelvis

ITEM B Gyneacoid pelvis
ITEM C Arthropoid pelvis
ITEM D Platypus pelvis
ITEM E Primigravida
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8
Description NORMAL LABOUR & INTRAPARTUM Care

A G2 P1 A0 presented to labour ward in latent phase of labour. This phase
STEM
ITEM A Is a phase that follow active phase

ITEM B Is a phase that preceeeds active phase
ITEM C Is associated with deep transverse arrest
ITEM D Is associated with mal-presentations
ITEM E Leads to rapid dilatation of cervix
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

A G2 P2 A0 presented to labour ward with deep transverse arrest. It can be treated
by
STEM
ITEM A Cesarean Section

ITEM B Suprapubic pressure
ITEM C Zanvanelle’s procedure
ITEM D Generous episiotomy
ITEM E Wood screw maneuver
Correct Answer A
Domain: Recall [] Interpretation [] Problem solving [√]
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.16
Description INSTRUMENTAL & OPERATIVE DELIVERY

An obstetrician which doing vaginal breech delivery will specifically use which
of the following pair of forceps for delivery of head
STEM
ITEM A Barton’s forceps

ITEM B Piper’s forceps
ITEM C Keillamd’s forceps
ITEM D Simpson’s forceps
ITEM E Wrigley’s forceps
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.9
Description PRE TERM LABOUR

A G3 P1 A1 presented to anenatal ward with preterm labour at 32 week of
gestation for which she was treated with betamimtic agent can have which of the
following complication
STEM
ITEM A A.V block

ITEM B Hypoghyceamia
ITEM C Pulmonary odema
ITEM D DVT
ITEM E Amniotic fluid embolism
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

On partogram of primigravida secondary arrest of labour diagnosed that is
STEM
ITEM A Failure of descent of fetal head

ITEM B Failue of cervical dilatation beyond 2 cms cervical dilatation
ITEM C Failure of cervical dilatation beyond 3 cms cervical dilatation
ITEM D Failure of cervical dilation beyond 7 cms cervical dilatation
ITEM E Inability to start cervical dilatation
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDES IN PREGNANCY

A primgravida presented to antenatal ward in mid primester for booking has
history of some cardiac problem. Which of the following symptom in
pregnancyis most suggestive of heart disease?
STEM
ITEM A Tachycardia
ITEM B Tachypnea
ITEM C Syncope with exertion
ITEM D Peripheral odema
ITEM E Palpitations
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDERS IN PRGNANCY

A G4 P3 A0 presented to antenatal clinic with palpitation, vertigo & easy
fatigueability at 36 weeks of gestation. Her heamoglobin level is 8 gm/dl. Best
treatment for this patient is :
STEM
ITEM A Double dose oral iron

ITEM B I/V venofer (parenteral iron)
ITEM C 2 Pints of blood transfusion
ITEM D 1 pint of blood transfusion
ITEM E Immediate delivery
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDERS IN PREGNANCY

A G2 P1 A0 DIAGNOSED AS A CASE OF Acute cholestasis of pregnancy. Its
STEM
ITEM A Problem of first trimester

ITEM B Causes sudden intrauterine death
ITEM C Treatment is immediate delivery
ITEM D Surgical intervention required
ITEM E Complex etiology with genetic, environmental, endocrinalagical factory
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.3
Description IUGR
A G2 P1 A0 presented to antenatal clinic at 32 weeks of gestation with sluggish
fetal movements, diagnosed as a care of intrauterine growth restriction. Which of
the following is least likely cause of this condition
STEM
ITEM A Gestational Hypertension

ITEM B Maternal cardiac disease
ITEM C Gestational Diabetes Mellitus
ITEM D Aneamia
ITEM E Intrauterine infections
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.5

A primigravida presented to antenatal clinic with prolonged pregnancy.
Regarding prolonged pregnancy
STEM
ITEM A Pregnancy > 42 weeks gestation

ITEM B Management is elective C/Section
ITEM C Do B.P.P, bishop score & decide
ITEM D Uterine artery Doppler is not required
ITEM E Mode of induction with bishop score 3 is syntrocinon
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.16
Description INSTRUMENTAL & INLUDING NVESTIGATIONS

A primigravida has developed post partum heamorrhage after outlet forceps
delivery. Most probable reason for her instrumental delivery is
STEM
ITEM A Fetal distress in 2nd stage of labour

ITEM B Materal distress in 1st stage of labour
ITEM C Fetal head above pelvic brim
ITEM D Cephalopelvic disproportion
ITEM E Occipitotransve position of head
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.6
Description OBSTETRICAL EMERGENCIS

A house officer doctor is performing spontaneous vaginal delivery of G3 P2 A0 .
Best method of placental delivery to prevent uterine inversion is
STEM
ITEM A Brandt Andrew Method

ITEM B Cord traction method
ITEM C Manual removal method
ITEM D Fundal pressure method
ITEM E Removal under general aneasthesia
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.6
Description OBSTETRICAL EMERGENCIES

A P5 A0 presented to labour ward after home delivery with massive vaginal
bleeding & uterine atony. Which is least likely cause of this condition
STEM
ITEM A Multiple pregnancy

ITEM B Macrosonic baby
ITEM C Multiparity
ITEM D Coagulfoaty
ITEM E Prolonged labour
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

For primigravida in labour which of the following can be
STEM
ITEM A Latent phase is from 0.3 cm cervical dilaation

ITEM B In active phase rate of cervical dilatation is 0.5 cm/hr
ITEM C Active management of 3rd stage of labour is 30 mints syntocinon
ITEM D CGT is graphic presentation of progress of labour
ITEM E Second stage of labour is from active phase to full dilatation of cervix
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

Largest diameter presented by fetal head in labour is
STEM
ITEM A Suboccipito mental

ITEM B Sub occipito pragmatic
ITEM C Occipito pragmatic
ITEM D Occipito vertex
ITEM E Occipito bregmatic
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

Sequence of normal mechanism of an labour is
STEM
ITEM A Descent, engagement, flexion, extension, restitution, external rotation

ITEM B Engagement, descent, flexion, internal rotation, extension, restitution, external
rotation
ITEM C Flexion, descent, engagement, external rotation, internal rotation, restitution
ITEM D Engagement, internal rotation, descent, external rotation, engagement, restitution
ITEM E Flexion, extension, engagement, internal rotation, external rotation, restitution
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.7
Description PAIN RELIEF IN LABOUR

A primigravida in first stage of labour wants entonox (Mixture of Oxdygen &
Nitrous oxide) as analgesia. It is used as
STEM
ITEM A Intravenous route

ITEM B Inhalational route
ITEM C Epidural route
ITEM D Intramuscular route
ITEM E Spinal route
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.7

G5 P4 A0 at 38 weeks of gestation in latent phase of labour requests for epidural
aneasthesia. It is best avoided in
STEM
ITEM A Coagulation disorders

ITEM B Breech delivery
ITEM C Twins delivery
ITEM D Congenital Malformation
ITEM E Occipitoposterior position of head
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.7

A primipara has severe headache on first post operative day after C/Section due
to primibreech in spinal anesthesia. It is because of
STEM
ITEM A Post natal depression

ITEM B Post C/Section
ITEM C Gestational Hypertension
ITEM D Dural puncture
ITEM E Fluid over load
Correct Answer D
Reference(s) TEN TEACHER (19th Edition)PAGE 205
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.8

Pethidine which is given in labour for analgesia is
STEM
ITEM A Non Narcotic Analgesic

ITEM B Nortcotic Analgesic
ITEM C Drug of choice in preeclampsia
ITEM D Inhalational Analgesia
ITEM E Analgesic as well as aneasthetic agent
Correct Answer B
Reference(s) Arshad Chohan TEN TEACHER PAGE 261
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

35 years old poor pregnant lady presented to antenatal clinic with dysponea,
palpitation. On examination pallor is present. Most common type of aneamia can
be
STEM
ITEM A Hemolytic aneamia

ITEM B Iron deficiency Aneamia
ITEM C Megaloblastic Aneamia
ITEM D Aplastic Aneamia
ITEM E Folate deficiency Aneamia
Correct Answer B
Reference(s) ARSHAD CHOHAN PAGE 90
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description ANTMEDICAL DISORDERS IN PREGNANCY

A G3 P2 A0 presented to antenatal clinical with easy fatigueability, palpitation,
vertigo, dysponea & marked pallor. Easier & cheapiest laboratory investigation
for her diagnosis is
STEM
ITEM A Red cell indices

ITEM B Heamoglobin Electro phoresis
ITEM C Heamogloblin estimation
ITEM D Peripheral blood smear
ITEM E Serum ferritin lvel
Correct Answer C
Reference(s) ARSDHAD CHOHAN PAGE 91
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

A primigravida presented to antenatal clinic with severe dysponea & palpitation.
On auscultation you suspect a murmur. Investigation of choice for detection of
structural cardiac anomalies in this lady in pregnancy is
STEM
ITEM A X-ray chest

ITEM B Doppler ultrasound
ITEM C Electrocardiography
ITEM D Echocardiography
ITEM E Cardiotocography
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 1811

A G5 P3 A1 known case of thalaseamia minor presented to antental clinical with
heaoglolin lvel of 6.5 g/dl for which blood transfusion is planned. She is at risk of
developing
STEM
ITEM A Generalized odema

ITEM B Anaphylactic reaction
ITEM C Pulmonary odema
ITEM D Peadal odema
ITEM E Polyhydroamnios
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDER IN PREGNANCY

A P0 A3 with three consecutive first trimester abortion came to you for
vaccination against TORCH. Only infecitn for which vaccine is available is
STEM
ITEM A Rubela
ITEM B Rubeala
ITEM C Cytomegalovirus
ITEM D Hepatitis B virus
ITEM E Hepatitis C virus
Correct Answer A
Reference(s) TEN TEACHERS (19TH Edition) P169AGE
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.12
Description PERINATAL INFECITONS

A G2 P1 A0 developed pustules all over the body with high grade fever, fifteen
days after coming in contact with a child having chicken pox. Most appropriate
treatment for her is
STEM
ITEM A Amoxicillin
ITEM B Paracetamol
ITEM C Aspirin
ITEM D Oral Acycloviv
ITEM E Topical Acyclovir
Correct Answer
Reference(s) TEN TEACHER S (19th Edition) PAGE 173
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10
Description PUERPERAL DISORDER

A postnatal lady is advised not to breast feed her baby. It is most likely due to
STEM
ITEM A Diabetes Mellitus

ITEM B Herpes infection
ITEM C Influenza
ITEM D Enteric fever
ITEM E Autoimmune deficiency syndrome
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

A primigravdia presented to antenatal clinic at 35 weeks of gestation diagnosed
as a case of gestational hypertension, this term applies to
STEM
ITEM A Hypertension alone

ITEM B Hypertension with proteinuria
ITEM C Hypertension with fits
ITEM D Hypertension with diabetes
ITEM E Hypertension with heamolysis
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

G3 P2 A0 with chronic hypertension was advised by her fdoctor to discontinue
antihypertensive drug due to teratogenicity. Most likely she is taking
STEM
ITEM A Labetalal
ITEM B Atenolal
ITEM C Nifidepine
ITEM D Methyldopa
ITEM E Hydralazine
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

A primigravida presented to antenatal clinic with anorexia, vomitings & yellow
discalouration of sclera. Commonest cause of this condition world wide is
STEM
ITEM A Viral hepatitis

ITEM B Acute cholestasis of pregnancy
ITEM C Acute fatty liver of pregnancy
ITEM D Gall stone
ITEM E Hyperemesis gravidarum
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

G3 P2 A0 presented to antenatal clinic with large for dates abdomens. On
examination estimated fetal weight is 4.0 kg. Most likely cause of this condition
is
STEM
ITEM A Obesity
ITEM B Gestational hypertion
ITEM C Gestational diabetes
ITEM D Potter’s Syndrome
ITEM E Gastro esophageal Atresia
Correct Answer C
Reference(s) ARSHAD CHOHAN 77
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

G3 P1 A1 diagnosed as a case of gestational diabetes mellitus. Its management
includes
STEM
ITEM A Oral hypoglyceamic alone

ITEM B Oral hypoglyceamia +Diet control
ITEM C Diet control + Insulin
ITEM D Blood sugar monitoring + Dietary control + insulin therapy
ITEM E Oral hypoglyceamic + Insuling therapy + Diet control
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDERS IN PEGNANCY

P3 A2 with BMI of 35, presented to emergency on 10th post operative day with
swelling & pain in right calf. Most likely cause of this condition is
STEM
ITEM A Cellulitis
ITEM B Insect bite
ITEM C Allergy
ITEM D Varicose veins
ITEM E Deep vein thrombosis
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDERS IN PRGNANCY

An obese G2 P1 A0 with family history of thromboembolic disease needs
prophylaxis for it. Which one of the following most likely can be advised?
STEM
ITEM A Warfarin
ITEM B Streptokinase
ITEM C Aspirin
ITEM D Unfractionated heparin
ITEM E Transexamic Acid
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDCIAL DISORDERS IN PREGNANCY

A primigravida who is known epileptic taking carbamazipine whichs
STEM
ITEM A Safe in pregnancy

ITEM B Cross placenta & teratogenic
ITEM C Cross placenta & non teratgenic
ITEM D No effect on fetus
ITEM E Causes arrythmias in fetus
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

During normal fetal development the umbilical artery carries blood rom fetus to
placenta. It is
STEM
ITEM A Deoxygenated blood

ITEM B Oxygenated blood
ITEM C Both oxygenated & deoxygenated
ITEM D Fresh blood
ITEM E Plasma only
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

During normal fetal development surfactant production in the fetus starts after
STEM
ITEM A 10 weeks of gestation

ITEM B 20 weeks of gestation
ITEM C 25 weeks of gestation
ITEM D 30 weeks of gestation
ITEM E 35 weeks of gestation
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

Most of the heamoglobin in fetus is fetal Hb (hb F) which has
STEM
ITEM A Two gamma & two alpha chains

ITEM B Two beta & two alpha chains
ITEM C Two beta & two delta chains
ITEM D One beta & two delta chains
ITEM E One beta & one delta chains
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

Fetal liver has less ability to conjugate bilirubin because of relative deficiency of
enzyme such as
STEM
ITEM A Alanine transaminase

ITEM B Glucuronyl transferase
ITEM C Alkaline phosphastase
ITEM D Aspartate transaminase
ITEM E Gamma globulins
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

During normal fetal development Primitive gut is present by the end of
STEM
ITEM A 4th week of gestation

ITEM B 10th week of gestation
ITEM C 12th week of gestation
ITEM D 16th week of gestation
ITEM E 18th week of gestation
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2

Ductus arteriosus closes functionally
STEM
ITEM A Within few days after birth

ITEM B After 1 month of birth
ITEM C At 36 weeks of gestation
ITEM D After 1 year of birth
ITEM E Immediately after birth
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.12

A primigravida wants to confirm her pregnancy by ultra sonography. Gestational
sac can be visualized as early as
STEM
ITEM A 4-5 weeks of gestation

ITEM B 6-7 weeks of gestation
ITEM C 7-8 weeks of gestation
ITEM D 9-10 weeks of gestation
ITEM E 10-12 weeks of gestation
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.12

G2 P1 A0 came to antenatal clinic with sluggish fetal movement & small for dates
abdomen. On examination liquor is decreased. You will confirm it by
STEM
ITEM A Amniotic fluid index on ultrasound

ITEM B Umblical artry Doppler ultrasound
ITEM C Cardiotocography
ITEM D Bishop score
ITEM E Uterine artery Doppler U/S
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.12

For fetal wellbeing. An investigation is advised which includes fetal breathing
movements, fetal muscle tone, fetal heart rate, AFI, gross body movements of
fetus. It is called
STEM
ITEM A Doppler ultrasound

ITEM B Bishop score
ITEM C Biophysical profile
ITEM D Serial ultrasongraphy
ITEM E Cardiotocography
Correct Answer
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.12
Description ROLE OF IMAGING AND RADILOGY

An obstetrician sent a hypertensive pregnant patient for umbilical artery Doppler
study as she want to know
STEM
ITEM A Placental function

ITEM B Umbilical cord function
ITEM C Fetal cardiac activity
ITEM D Fetal biometry
ITEM E DVP of amniotic fluid
Correct Answer
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.2
Description ROFLE OF IMAGING AND RADIOLOGY

An un-booked G5 P4 A0 came to you for antenatal booking, is unsure of date.
Which of the following scan is most helpful for determination of exact
gestational age of her fetus
STEM
ITEM A Scan done on 8 weeks of gestation

ITEM B Scan done on 18 weeks of gestation
ITEM C Scan done on 26 weeks of gestation
ITEM D Scan done on 32 weeks of gestation
ITEM E Scan done on 36 weeks of gestation
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.4

A primigravida presented to antenatal clinic at 18th weeks of gestation. She is
worried about quickening which is still not perceived. Fetal wellbeing in this
patient is assessed by
STEM
ITEM A Obstetrical ultrasound

ITEM B Cardiotocography
ITEM C Fundal height assessment
ITEM D Fetal heart by fetoscope
ITEM E Manual palpation of abdomen
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3

A G2 P1 A0 with previous one termination of pregnancy at 34 weeks of gestation
due to some congenital amanaly came to you for early booking. Which is the
most suitable time for detection of it by ultrasonography
STEM

Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description Screening + diagnosis of abnormal fetal development

A primigravida came for antenatal booking, has a child in family with Down’s
Syndrome & she wants screening for it at 12 weeks of gestation which of the
following is most appropriate
STEM
ITEM A Nuchal translucency

ITEM B Anamaly scan
ITEM C Inhibin level
ITEM D Aminocentesis
ITEM E Chorionic villus sampling
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3

A multigravida comes to you for booking as she wants fetal wellbeing &
previous termination of pregnancy due to some congenital malformation at 10
week of gestation which neural tube defect is detected at this gestational age
STEM
ITEM A Meningococle
ITEM B Spina bifida
ITEM C Meningomyocecle
ITEM D Anencephalus
ITEM E Hydrocephalus
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description SCSREEING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT
A couple having previous baby with meningococcal, now presented to this

pregnancy wards now invasive test for detection of recurrence of anomaly which
is best option
STEM
ITEM A Nuchal translucencss

ITEM B Chorionic villous sampling
ITEM C Aminocentesis
ITEM D Ulgtrasonography
ITEM E Pregnancy associated plasma protein A
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3

A G2 P1 A0 presented to antenatal clinic is known case of some collagen vascular
disease, was advised intrauterine fetal echocardiography which can be best done
on
STEM

Correct Answer C
Reference(s) TEN TEACHER S (19th Edition) PAGE
Prepared by
Signature: –––––––––––––––––––––––––––––––
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.
Description SCREENING + DISGNOSIS OF ABNORMAL FETAL DEVELOPMENT

A 35 years old lady presented to antenatal clinic for booking. On ultrasound fetal
anomaly is detected, which is best managed by
STEM
ITEM A Obstetrician only

ITEM B Termination of pregnancy
ITEM C Continuation of pregnancy
ITEM D Multidisciplinary approach
ITEM E Hiding from parents
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.3
Description SCREENING+ DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT

A 22 years old G2 P1 A0 has unplanned pregnancy, not taking any supplements,
presented to antenatal clinic at 19 week of gestation with fetal abnormality. Most
likely anomaly is
STEM
ITEM A Cardiac defects

ITEM B Facial defects
ITEM C Neural tube defects
ITEM D Renal defects
ITEM E Heamatological defects
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.9
Description DYSFUNCTINAL LABOUR

A primigravida was monitored by pastogram in labour ward diagnosed as a case
of poor progress of labor. Most common cause of this condition is
STEM
ITEM A Inadequate uterine contractions

ITEM B Cephalo pelvic disproportion
ITEM C Non-cephalic presentation
ITEM D Uterine leiomyoma
ITEM E Extended head of fetus
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.6
Description OBSTERICAL EMGERNCIES

A multigravida presented to emergency with massive post partum heamorrhage
due to uterine artery. First step in her management is
ITEM A Uterine massage

ITEM B Bimanual compression
ITEM C B.Lynch suture
ITEM D Uterotonics
ITEM E Uterine packing
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.6

A Para 8+0 patient was brought to hospital in comatose condition after delivery
of a macrosonic baby. Most likely cause of this condition is
STEM
ITEM A Simple faint

ITEM B Epileptic fit
ITEM C Massive vaginal bleeding
ITEM D Hypoghyceamic fits
ITEM E Septic shock due to unsterilized instruments
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5
Description ANTENATAL OBSTETRICAL COMPLICATIONS

A Primigravida presented to antenatal clinic for booking. Most common minor
disorder of pregnancy
STEM
ITEM A Carpel tunnel Syndrome

ITEM B Odema worse in hot weather
ITEM C Low backache aggrevated by movements
ITEM D Varicose veins
ITEM E Nose bleed
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

All women who have abortion should be seen for follow up around two weeks.
This visit is essential to
STEM
ITEM A Offer advice on contraception

ITEM B Ensure complete abortion
ITEM C Exclude ongoing pregnancy
ITEM D Check for pelvic infection
ITEM E Assess woman’s emotional state
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.15
Description PERINAANTENATAL CARE INCLUDING INVESTIGATIONS

In clinical management it is mandatory to
STEM
ITEM A To encompass views of staff of all grades

ITEM B Strategy for learning from mistakes & instituting a change
ITEM C All units must become organization with a memory
ITEM D Include data where poor outcome was avoided
ITEM E Multiple meetings for discussion
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.6

A G3 P2 A0 presented to labour ward in active phase of labour has history of
shoulder dystocia in last pregnancy. Factor causing recurrent shoulder dystocia is
STEM
ITEM A Assisted vaginal delivery

ITEM B Macrosomic baby
ITEM C Prolonged first stage
ITEM D Cephalo pelvic disproportion
ITEM E Maternal obesity
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.5.8
Description TWIN PREGNANCY

Discordant sex in twin pregnancy always mean
STEM
ITEM A Monocochorionic
ITEM B Monozygotic
ITEM C Dizygotic
ITEM D Dichorionic
ITEM E Mnoamniotic
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.4

Decelerations in CTG which are mirror image of uterine contractions are called
STEM
ITEM A Type I deceleration

ITEM B Type II deceleration
ITEM C Type III deceleration
ITEM D Type IV deceleration
ITEM E Isolated deceleration
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.13
Description STATISTICS
Maternal mortality rate in UK is
STEM
ITEM A 14 per 100,000 maternities

ITEM B 12 per 100,000 maternities
ITEM C 10 per 100,000 maternities
ITEM D 08 per 100,000 maternities
ITEM E 06 per 100,000 maternities
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A primipara presented to OPD after 5 weeks of delivery. On examination uterine
fundus is palpable at the level of umbilicus which of the following delayed
involution
STEM
ITEM A Full bladder

ITEM B Uterine infection
ITEM C Ovarian cyst
ITEM D Fiboid uterus
ITEM E Retained products of conception
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A P3 A0 presented to OPD with obstetric palsy. Which of the following is less
likely lpresenting symptom of it
STEM
ITEM A Sciatic pain

ITEM B Foot drop
ITEM C Parasthesia
ITEM D Hyperasthesia
ITEM E Muscle wasting
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10
Description PUERPERALDISORDER
A P6 A0 presented in puerperium with waddling gaint & pubic tenderness. Which
of the following is less likely treatment modality
STEM
ITEM A Bed rest

ITEM B Antiinflammatory drugs
ITEM C Physiotherapy
ITEM D Surgical intervention
ITEM E Pelvic corset
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A primipara presented to OPD with puerperial infection. Which of the following
is less likely risk factory for this condition
STEM
ITEM A Operative delivery

ITEM B Prolonged labour
ITEM C Primiparity
ITEM D Prolonged rupture of membranes
ITEM E Instrumental delivery
Correct Answer C
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A P2 A0 presented to OPD on 3rd post natal day. Which of the following is most
common complaint following v vaginal birth
STEM
ITEM A Perineal discomfort

ITEM B Vaginal bleeding
ITEM C Vaginal discharge
ITEM D Bckache
ITEM E Pyrexia
Correct Answer A
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A primigravida presented to OPD in puerperium with some emotional
disturbance. Fallowing disruption should be considered abnormal & require
further assessment
STEM
ITEM A Fatigue
ITEM B Panic attacks
ITEM C Short temperedness
ITEM D Depressed mood
ITEM E Tear fullness
Correct Answer B
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDERSS IN PREGNANCY

A G4 P3 A0 diabetic presented to antenatal clinic which of the following is less
likely factor for poor lpregnancy outcome in diabetes
STEM
ITEM A Suboptimal glycemic control

ITEM B Suboptimal antenatal case
ITEM C Suboptimal fetal surveillance
ITEM D Pre-pregnancy folic acid intake
ITEM E Maternal social deprivation
Correct Answer D
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11

Which of the following cannot be effect of diabetes on pregnancy
STEM
ITEM A Risk of miscarriage

ITEM B Risk of congenital malformation
ITEM C Risk of macrosomic
ITEM D Risk of preeclampsia
ITEM E Risk of nephropathy determination
Correct Answer E
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.10

A postnatal lady is advised not to breast feed her baby. It is most likely due to
STEM
ITEM A Diabetes Mellitus

ITEM B Herpes Infection
ITEM C Influenza
ITEM D Enteric Fever
ITEM E Autoimmune deficiency Syndrome
Correct Answer E
Reference(s) TEN TEACHERS (19th Edition PAGE 181
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:
PROGRAM MBBS
SUBJECT OBSTETRICS
PROF FINAL
TOS – ID 18.11
Description MEDICAL DISORDER

A primigravida presented to antenatal clinic at 35 weeks of gestation diagnosed
as a case of gestational hypertension, this term apply to
STEM
ITEM A Hypertension alone

ITEM B Hypertension with proteinuria
ITEM C Hypertension with fits
ITEM D Hypertension with diabetes
ITEM E Hypertension with heamolysis
Correct Answer A
Reference(s) TEN TEACHER S (19TH EDITION) PAGE 122
Prepared by
Signature: –––––––––––––––––––––––––––––––
Date:

BU Obs BCQ Stem-2

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

BU Obs BCQ Stem-2

Uploaded by

Copyright:

Available Formats

BEHRIA UNIVERSITY ISLAMABAD

Multiple Choices Question

Description ANTENATAL CARE INCLUDING INVESTIGAITONS

ITEM A African descent

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 145

Name: Dr. Qamoos Razzaq

Description ANTENATAL CARE INCLUDING INVESTIGAITONS

ITEM A Maternity blues

Domain: Recall [] Interpretation [√] Problem solving []

Reference(s) TEN TEACHER PAAGE 273

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description ANTENATAL CARE INCLUDING INVESTIGAITONS

ITEM A Community education for woman

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 48

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description ROLE OF IMAGING AND RADIOLOGY

ITEM A Abdominal ultrasound identifies gestational sac by 6-7 weeks

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 62

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description PHYSIOLOGICAL CHANGES

ITEM A Stroke volume increases

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 21

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description PHYSIOLOGICAL CHANGES IN PREGANCY

ITEM A GFR increases

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 29

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description PHYSIOLOGICAL CHANGES IN PREGNANCY

ITEM A Gut motility increases

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 28

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description NORMAL FETAL DEVEOPMENT

ITEM A Bone Marrow

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 44

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description NORMAL FETAL DEVELOPMENT

ITEM A Contain two artries

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description SCREEING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT

ITEM A Maternal age > 35 years

Domain: Recall [√] Interpretation [] Problem solving []

Reference(s) TEN TEACHER PAAGE 79

College Frontier Medical & Dental College, Abbottabad

Name: Dr. Qamoos Razzaq

Description SCREENING + DIAGNOSIS OF ABNORMAL FETAL DEVELOPMENT