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The risk of pregnancy loss is around 2% in the first trimester & 3% in the second trimester Chorionic Villus Sampling involves sampling part of the developing placenta Chorionic villus sampling is usually performed between 11 to 13 weeks + 6 days. Chorionic villus sampling is usually performed between 13 to 15 weeks + 6 days. Chorionic Villus Sampling involves sampling the amniotic fluid which surrounds the foetus
Question 2 What is a mothers risk of having a child with Down's syndrome at age 46? 1 in 270 > 1 in 50 1 in 100 1 in 800 1 in 1500
Question 3 In severe Pre-eclampsia women can develop HELLP syndrome which is very serious & life threatening. Which of the following are characteristic findings in the HELLP syndrome? Elevated Potassium Haemolysis Elevated Liver enzymes Elevated Sodium Low platelets
Question 4 At 12 weeks gestation where would you expect to feel the uterine fundus? Half way between umbilicus & xiphisternum Symphysis pubis Xiphisternum Umbilicus
Question 5 What does symmetrical Intra-uterine Growth Restriction (both the head circumference & abdominal circumference are lower than normal) suggest? Chromosomal Disorder Placental insufficiency
Question 6 Which of the following are causes of Intra-Uterine Growth Restriction (IUGR)? Alcohol Pre-eclampsia Hypercholesterolaemia Hypertension Diabetes Smoking
Question 7 Which 3 of the following statements are true about Amniocentesis? Amniocentesis can be carried out from 12 weeks gestation There is a 3% probability of losing a pregnancy as a result of Amniocentesis. Amniocentesis can be carried out from 8 weeks gestation Early amniocentesis (12 weeks gestation) carries a greater risk of pregnancy loss compared to Chorionic Villus Sampling at the same gestation. There is a 0.5-1% probability of losing a pregnancy as a result of Amniocentesis
Question 8 What does asymmetrical Intra-uterine Growth Restriction (Normal head circumference with reduced abdominal circumference) suggest? Placental insufficiency Chromosomal disorder
Which sign is present on this pregnant abdomen? Striae Gravidarum Stria Albicans Linea Nigra
Question 10 Which of the following methods are the correct way to calculate the Estimated Date of Delivery (EDD)? First day of LMP + 8 months & 1 week First day of LMP + 9 months & 1 week Last day of LMP + 8 months & 1 week First day of LMP + 9 months
Question 11 At 22 weeks gestation where would you expect to find the uterine fundus? Half way between umbilicus & xiphisternum Umbilicus Symphysis Pubis Xiphisternum
Question 12 What is the definition of Post Partum Haemorrhage? Loss of >500ml of blood from the genital tract during delivery Loss of >200ml of blood from the genital tract during delivery Loss of >500ml of blood from the genital tract within 24 hours of delivery Loss of >200ml of blood from the genital tract within 24 hours of delivery
Question 13 Which 2 of the following are drugs which can be used to induce labour? Syntocinon Misoprostol Labetalol Nitrogen Oxide
Question 14 Which of the following are indications for induction of labour? Post-term pregnancy >41 weeks Mum wants the baby born on her birthday at 37 weeks gestation IUGR Premature rupture of membranes Risks to the mother of carrying on the pregnancy further e.g. Pre-eclampsia
Question 15 If a baby is found to have Intra-uterine Growth Restriction, what might be the next steps of management? USS scan to look for structural problems which may suggest chromosomal abnormality. Termination of pregnancy Serial growth scans Umbilical artery doppler Delivery if >37 weeks
Question 16 What is a mothers risk of having a child with Down's syndrome at the age of 20? 1 in 1500 1 in 800 1 in 100 1 in 50 1 in 270
Question 17 What is the most common cause of Post Partum Haemorrhage? Uterine rupture Retained placenta Uterine atony Vulval or Vaginal Lacerations
Question 18 Which of the following are complications of induction? IUGR Uterine hyper-stimulation Uterine rupture Prolapsed cord Caesarian section
Question 19 Which of the following symptoms are experienced by women suffering with severe preeclampsia? Increased appetite Epigastric pain Frontal Headache Swollen face, hands & feet Vomiting
Question 20 Which of the following is a prostaglandin commonly used in induction of labour Atenolol Misoprostol Labetalol
Question 21 Which 2 of the following does a membrane sweep" involve? Significant bleeding Use of finger to separate the amniotic membrane from the cervix. Rupture of membranes Release of prostaglandins
Question 22 At 28 weeks gestation where would you expect to feel the uterine fundus? Symphysis Pubis Xiphisternum Halfway between Xiphisternum & Umbilicus Umbilicus
Question 23 Which of the following statements describes the 3rd stage of labour correctly? The third stage begins once the baby & placenta have been expelled from the uterus & ends when the uterus contracts down to it's normal size. The third stage begins once the baby is born and ends once the placenta and membranes have been expelled from the uterus. The third stage begins once the baby is born & ends 24 hours after the time the baby was born.
Question 24 At what stage of gestation would you expect a nulliparous women to begin to feel foetal movements? 14-16 weeks 18-20 weeks 22-24 weeks 10-12 weeks
Question 25 What period of gestation does the 2nd trimester represent? 14-29 10-20 15-30 13-28
Question 26 Which of the following statements are true about Magnesium Sulphate in relation to Preeclampsia & Eclampsia? Magnesium Sulphate acts a membrane stabiliser, reducing the excitability of neurones. Decreased tendon reflexes are an early sign of Magnesium Sulphate overdose Magnesium Sulphate halves the risk of Eclampsia IV Magnesium Sulphate is indicated if there is significant risk of a mother developing Eclampsia. Increased tendon reflexes are an early sign of Magnesium Sulphate overdose
Question 27 What is a mothers risk of having a child with Down's syndrome at the age of 40? 1 in 1500 1 in 50 1 in 100 1 in 800 1 in 270
Question 28 Which of the following are causes of Post Partum Haemorrhage? Retained Placenta Coagulapathy Uterine Atony Vaginal or Vulval lacerations
Question 29 Which of the following statements describe the first stage of labour correctly? Onset of painful contractions to full effacement of the cervix. The membranes are still intact Starts when the effaced cervix is 3cm dilated and ends when the cervix is fully dilated at 10cm. Starts when regular painful contractions begin & ends when the cervix is fully effaced and dilated to 5 cm.
Question 30 Which of the following are drugs used to reduce the high blood pressure associated with Preeclampsia? Nifedipine Labetalol Lisonopril Hydralazine Amiodarone
Question 31 Which of the following need to be present for a women to be diagnosed as having Preeclampsia? Hypertension Hypotension Visual Disturbances Proteinurea Haematuria
Question 32 Which of the following statements about Pre-eclampsia are correct? The only way to cure Pre-eclampsia is by delivering the baby & removing the placenta. If Pre-eclampsia is treated early & aggressively with antihypertensives it can be cured. The main driver of pathological process of Pre-eclampsia is the interaction between the immune system & placenta.
Question 33 Women with mild pre-eclampsia usually present to their doctor due to significant symptoms False True
Question 34 The "Serum Screening" test for Down's syndrome is carried out between 15-20 weeks for those women who presented too late to have the "Combined Test". In the "Quadruple Serum Screening Test" which 4 of the following are measured? Inhibin-A Free Beta hCG Unconjugated Estriol (uE3) Serum insulin Alpha Fetoprotein (AFP)
Question 35 Which of the following are risk factors for Pre-eclampsia? First pregnancy Maternal age > 40 Change of partner Obesity (BMI >35) Family history of pre-eclampsia in mother or sisters
Question 36 Which of the following statements describes the 2nd stage of labour correctly? The second stage begins at full dilatation of the cervix and ends when the baby is born. The second stage begins at full dilation of the cervix and ends once the baby & placenta have been expelled from uterus. The second stage begins when the cervix are 7 cm dilated & ends when the cervix reaches full dilatation.
Question 37 Which of the following is thought to be a cause of Hyperemesis Gravidarum? Underlying infection Psychological issues High levels of circulating HCG Over eating
Question 38 Which of the following are risk factors for Post Partum Haemorrhage? Asian ethnicity Previous endometriosis Previous menorrhagia Multiple pregnancy Placenta praevia Nulliparity Antepartum haemorrhage in current pregnancy Pre-eclampsia
Question 39 At 36 weeks gestation where would you expect to find the uterine fundus? Symphysis Pubis Xiphisternum Halfway between Umbilicus & Xiphisternum Umbilicus
Question 40 What period of gestation does the 1st trimester represent? 1-12 weeks 1-10 weeks 1-11 weeks 1-13 weeks
Question 41 When screening for Down's syndrome which 3 of the following does the "Combined Test" involve? Measurement of Nuchal Translucency Measurement of PAPP-A Measurement of Unconjugated Estriol (uE3) Measurement of Free Beta hCG Measurement of Alpha Fetoprotein (AFP)
Question 42 What period of gestation does the 3rd trimester represent? 27-39 weeks 30-41 weeks 28-40 weeks 29-40 weeks Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 42 questions to complete.