Recall

5 Not a feature of stein something

a hot flashes

b hyperandrogenism

c bilateral poly cystic ovaries

d Amenorrhea

e Hirsutism and Obesity

55 indications of emergency contraceptives

a sexual assault

b missed pills

C missed periods

d burst condoms

e coitus interruptus

80. Maternal death secondary to mitral stenosis is classified as

a. Direct maternal death

b. Indirect maternal death

c. Accidental maternal death

d. Unclassified

e. Non obstetric death.

99. Which poses a greastest risk of first trimester losses

a. Uti in pregnancy

b. Ectopic pregnancy

c. Malaria in pregnancy

d. Unsafe abortion

Normal Obstetrics conjugate is what?

1. Hager sign in pregnancy

a.Uterine contraction

b.Quickening

c.Bluish coloration of vagina

d.Varicose vein on trught leg

e.Softening of isthmus

51 True about Misopristol

a.Stable at room temperature

b.Prostaglandin E2 analogue

c.Cannot be given after oxytocin infusion

d.Given like misoprostol at all gestational age

A query in on Verez needle

96. Uterine artery is a major branch of

A. Aorta

B. Internal iliac artery

C. External iliac artery

D. Common iliac artery

E. Femoral artery

40. NASG

a. Acts as a gap between definitive managrment and septic shock

b. Fethi own in o&g department is pneumatic

C. Its light weight, simple device, cheap and washable.

D. Designed in vertical segments with pelvic segment containing

E. Contraindicated in ruptured ectopic pregnancy with massive hemoperitoneum.

19. Rise in body temperature after ovulation due to

a. Fsh
b. Prostaglandin

c. Estrogen

d.prolactin

e.LH

17) All are components of bishop score, except

a) dilatation of cervix

b) Effacement of cervix

c) Station of the head

d) consistency of the head

e) cervical length

98. Normal obstetric conjugate measurement

a- 9

b- 10

c- 11

d- 12

e- 13

99. Greatest risk of maternal death in 1st trimester

a- Ectopic pregnancy

b- Induced pregnancy

c- Emesis Gravidarum

d- UTI

e- Malaria

9. Risk factors for cervical dysplasia

a- HIV

b- HPV

c- Multiple sexual partners

d- Nulliparity
e- Early coitarche

81. Most important causes of maternal mortality in pregnancy

Hypertension

Embolism

Infection

DM

Not sure

31. Mediolateral episiotomy

- 3rd and 4th perineal lacerations

-Possibly Extends to the rectum

-Possibly involves the internal and external anal sphincter

-All of the above

-None of the above

11)Folic acid supplementation is to prevent?

Neural tube defects

Gray baby syndrome

Placenta previa

Ectopic pregnancy

I can’t remember the last one

61) Fetal surveillance

4. Causes of secondary amenorrhea

A. Ovarian dys…

B. PCOS

C. Pregnancy

D. Prolactinemia

E.
3. Management of 3rd stage of labour

A. Oxytocin injection

B. Ergometrine injection

C. Uterine massage

D. CCT

E. Brandt Andrew maneuver

53. Which of the following is incorrect about NASG

A. It is a first aid device that reverses hypovolemic shock and stops bleeding

B. It costs $160

C. It is washable and reusable up to 50 times

D. It applies 50-70mmHg of circumferential pressure to the lower body from the ankles all the way to
the level of the diaphragm

E. Ischemia and something are associated or complications

29. 30 year old primigravida in second stage of labour has an incision made from vaginal fourchette
about 2 cm

The above procedure is called

A. Pereniotomy

B. Episiotomy

C. Episiorraphy

D. A and B only

E. B and C only

79. Perinatal mortality rate is gotten by adding perinatal mortality to

A. Number of stillbirths

B. Number of infant deaths

C. Spontaneous abortion

D. All of the above

E. None of the above

10. Wolfian duct gives rise to....

86

What structure does the vestibule develop from?

A. Genital ridge

B. Urogenital tract

C. Mullerian duct

D. Mesonephric duct

E. Wollfian ducts

88

What structure does the upper vagina develop from?

A. Genital ridge

B. Urogenital tract

C. Mullerian duct

D. Mesonephric duct

E. Wollfian ducts

89

What structure does the lower vagina develop from?

A. Genital ridge

B. Urogenital tract

C. Mullerian duct

D. Mesonephric duct

E. Wollfian ducts

14. Lochia is correct order is

A. Rubra, serosa, alba

B. Serosa, rubra, Alva

C. Alba, serosa, rubra

D. Alba, rubra, serosa

E. Serosa, albican, rubra

29. Use this information to answer the questions below: A 28 year old primigravida at term has been
in second stage of labour for 2hours. The head is at the perineum. The cervix is fully dilated, the
membranes are absent. She is having adequate uterine contractions but bearing down efforts are
poor. The fetal heart rate is persistently 114 beats per minute. The Most
important investigation before attempting next line of action in the patient is:
a. Urinalysis

b.Full Blood count

c. Grouping and cross match of blood

d. Fetal PH

e. Crude bed side clotting time

Use this information to answer the questions below.

A 30 year old booked primigravida at term in second stage of labour had an incision performed at her
perineum when the perineum was threatening to tear. The midline incision performed started from
the vaginal fourchette and extended about 2cm to deliver a live male newborn.

The above procedure/incision is known as?

a.1Perineotomy

b. Episiotomy

C. Episiorrhaphy

d. a & b Only

e. b& c Only

99. Greatest risk of maternal death in first trimester a. Ectopic pregnancy b.

Induced abortion c. Emesis gravidarum d. Uti in pregnancy e. Malaria in pregnancy

[02/11, 00:36] +234 815 293 5131: 24 Yr old primigravida at 24 weeks presenting at ANC with 3
episodes of vomiting, fever, chills and rigor, with temp of 38.6°C, FBG of 2.1mmol/L, malaria parasite
of 305,000 (I think).

This is the prequel to questions 36-38 abi 39

74. Following are concerned with aetiology of acquired gynastresia except;

a). Diptheria

b). Measles

c). L. Venerum

d). Insertion of pessary into the vagina

e). Senile vaginitis

24.Following are concern with sexuality except;

a). Sexualization is an integral part

b).sexual intimacy is involved

c).sexual identity is involved

d). Sensuality is involved

e). It is not influenced by law and politics

13. All these are used in cervical ripening except

A. Prostaglandin E2 analogue

B. Oxytocin

C. Misoprostol

D. Prostaglandin E1 analogies

E. I can't remember

Use this information to answer the questions below: A 28 year old primigravida at term has been in
second stage of labour for 2hours. The head is at the perineum. The cervix is fully dilated, the
membranes are absent. She is having adequate uterine contractions but bearing down efforts are
poor. The fetal heart rate is persistently 114 beats per minute.

27. The most likely indication for intervention

A. Prolonged 2nd stage of labor

B. Primigravida with contracted pelvis

C. Fetal distress in 2nd stage of labor

D. Maternal exhaustion with contracted pelvis

E. Cephalopelvic disproportion

77. The term “birth” in Nigeria refers to fetus born weighing at least

A- 250

B- 500

C- 1000

D- 1500

E- 3000

12. Earliest detection of pregnancy by ultrasound

a. Fsh

b. Fetal node

c. Gestational sac

d. fetal skeleton

e. Fetal cardiac activity

62. Some problems of obstetric fistula

a. Ostestis pubic

b. Gynaestria

c. Secondary amenorrhea

d. Depression

e. All of the above

6. The first evidence to confirm pubertal development is:

A) Onset of menarche

B) Appearance of breast buds

C)Appearance of axillary hair

D) Onset of growth spurt

E) Adrenarche
56. A 24 years old primigravida at 37 weeks gestation has a bloop pressure of 150/100 mmhg and
4grams of proteinuria on the preceeding day. The following findings would be expected

A) Raised plasma urate

B) Loss of diurnal variation on Blood pressure

C) A creatinine clearance of 120- 150 ml/min

D) Hyper reflexia

E) High level of FDP