Obstetrics MCQ 56+

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• Feto-maternal incompatibility occurs when
  ক

  Mothers blood has IgG alloantibody

  খ

  Mothers blood group is 0 & fathers blood group is A or B.

  গ

  Father suffers from autoimmune haemolytic anaemia

  ঘ

  Mother suffers from hereditary haemolytic anaemia

  ঙ

  Mothers blood group is Rh-D negative & fathers blood group is Rh-D-negative
• Premature labour is associated with a greater
  ক

  Risk of cerebral hemorrhage in the fetus

  খ

  Fetal head to body size ratio

  গ

  Risk of maternal complication

  ঘ

  Fat content of the baby’s skin

  ঙ

  Need to feed the baby with milk
• Ultrasonic measurements used to confirm gestational age are
  ক

  Crown-ramp length

  খ

  Biparietal diameter

  গ

  Nuchal pad thickness

  ঘ

  Gestational sac volume

  ঙ

  Yolk sac volume
• Complications of hydatidiform mole include
  ক

  Infection

  খ

  Malignant transformation

  গ

  Diabetes insipidus

  ঘ

  Hyperemesis gravidarum

  ঙ

  Thyroid dysfunction
• Human chorionic gonadotropin is markedly elevated in
  ক

  Hydatidiform mole

  খ

  Multiple pregnancy

  গ

  Choriocarcinoma

  ঘ

  Missed abortion

  ঙ

  Incomplete abortion
• Causes of secondary postpartum hemorrhage are
  ক

  Infection

  খ

  Retained bits of placenta

  গ

  Uterine atony

  ঘ

  Following episiotomy

  ঙ

  Uterine tear
• Ante-partum haemorrhage
  ক

  Can lead to fetal demise

  খ

  Needs blood transfusion

  গ

  Is an important cause of maternal mortality

  ঘ

  Can be prevented by careful antenatal care

  ঙ

  Always due to raised blood pressure
• Post partum hemorrhage
  ক

  Is less likely if oxytocics are administered routinely in the third stage of labour

  খ

  Is common after both placenta praevia and abruptio placentae

  গ

  May require manual removal of the placenta

  ঘ

  Is defined as a blood loss of 1 litre

  ঙ

  Is primary if it occurs with in the first 12 hours
• Placenta praevia is commonly associated with
  ক

  Increased risk of congenital malformation

  খ

  Abnormal foetal presentation

  গ

  Prior caesarean section

  ঘ

  Previous manual removal of placenta

  ঙ

  Nulliparity
• Placenta previa is associated with
  ক

  Twin pregnancy

  খ

  Previous caesarean section

  গ

  Multiparity

  ঘ

  Breech presentation

  ঙ

  Obesity
• Common causes of intra-uterine growth retardation are
  ক

  Pre-eclampsia

  খ

  Chromosomal abnormalities

  গ

  Systemic lupus erythometosus

  ঘ

  Diabetes mellitus

  ঙ

  Post maturity
• Regarding HELLP syndrome
  ক

  Microangiopathic hemolysis is the hall mark of the condition

  খ

  Transaminase level is elevated

  গ

  Management is similar to pre-eclampsia

  ঘ

  Is a variant of chronic hypertension

  ঙ

  Platelet count is elevated
• Pre-eclamptic toxemia is characterized by
  ক

  Increased extracellular sodium

  খ

  Proteinurea

  গ

  Coagulopathy

  ঘ

  Decreased serum uric acid level

  ঙ

  Patchy hemorrhages in the liver
• Risk factors for development of pre-eclampsia are
  ক

  Increasing maternal age

  খ

  Hydatidiform mole

  গ

  Diabetes mellitus

  ঘ

  High parity

  ঙ

  Maternal cardiac disease
• Risk of developing pre-eclampsia increases with
  ক

  Increased maternal age

  খ

  Hydatidiform mole

  গ

  Diabetes

  ঘ

  High parity

  ঙ

  Maternal cardiac disease
• Following factors predispose to pre-eclampsia
  ক

  Multiple pregnancy

  খ

  Hydatidiform mole

  গ

  Multigravidity

  ঘ

  Chronic renal disease

  ঙ

  Anaemia
• There is an increased risk of developing pre-eclampsia with
  ক

  Increased maternal age

  খ

  Hydatidiform mole

  গ

  Diabetes mellitus

  ঘ

  High parity

  ঙ

  Maternal cardiac disease
• Risky patients for development of hypertension disorders in pregnancy are
  ক

  Chronic hypertension

  খ

  Chronic kidney disease

  গ

  Type I or type 2 diabetes

  ঘ

  Chronic liver disease

  ঙ

  Severe anaemia
• Chronic renal disease in pregnancy is associated with an increased incidence of
  ক

  Premature labour

  খ

  Accidental hemorrhage

  গ

  Asymmetric growth retardation

  ঘ

  Placenta previa

  ঙ

  Ectopic pregnancy
• Complications of gestational diabetes mellitus include
  ক

  Intra uterine fetal death

  খ

  Polyhydramnios

  গ

  Congenital fetal anomaly

  ঘ

  Fetal macrosomia

  ঙ

  Oligohydramnios
• Diabetes mellitus in pregnancy is associated with
  ক

  Fetal macrosomia

  খ

  High incidence of vaginal trichomonas infection

  গ

  Increased incidence of congenital defects

  ঘ

  Increased insulin requirements

  ঙ

  Increased risk of placental abruption
• Gestational trophoblastic disease
  ক

  Persistent post partum haemorrhage is a sign of GTD

  খ

  Choriocarcinoma is completely curable disease

  গ

  Cannot occur after normal pregnancy

  ঘ

  After full term pregnancy choriocarcinoma is common

  ঙ

  The incidence of choriocarcinoma following a complete mole is 33%
• Breech presentation is frequent in
  ক

  Fetal neuromuscular disorders

  খ

  Anencephaly

  গ

  Twin pregnancy

  ঘ

  Primigravida

  ঙ

  Gestational diabetes mellitus
• Polyhydramnios occurs in
  ক

  Maternal diabetes mellitus

  খ

  Placental angioma

  গ

  Anencephaly

  ঘ

  Pre-eclampsia

  ঙ

  Renal agenesis of fetus
• Causes of polyhydromnios
  ক

  Diabetes mellitus

  খ

  Esophageal atresia

  গ

  Anencephaly

  ঘ

  Polycystic kidney disease

  ঙ

  Intra uterine growth retardation
• Polyhydramnios is characteristically associated with
  ক

  Oesophageal atresia

  খ

  Meningomyelocele

  গ

  Menternal diabetes mellitus

  ঘ

  Renal agenesis

  ঙ

  Talipes
• Causes of oligohydramnios are
  ক

  Renal agenesis

  খ

  Poor placental perfusion

  গ

  Post term pregnancy

  ঘ

  Diabetes mellitus

  ঙ

  Anencephaly
• Regarding amniotic fluid
  ক

  Origin of amniotic fluid is mixed both from maternal and fetal contribution

  খ

  Amniotic fluid index is used in obstetric practice

  গ

  as a fetal well-being marker

  ঘ

  Deep meconium stained liquour during delivery process

  ঙ

  should draw attention for fetus to avoid fetal Complication

  চ

  When amniotic fluid volume is more than normal called oligohydraminos

  ছ

  Amniotic fluid is acidic in nature
• Amniotic fluid embolism causes
  ক

  Severe dyspnoea

  খ

  Peripheral cyanosis

  গ

  Pulmonary hypertension

  ঘ

  Hypertension

  ঙ

  Bronchodilatation
• Following are the complications of oligo-hydromnios
  ক

  Pulmonary hypoplasia

  খ

  Meconium aspiration syndrome

  গ

  Renal agenesis

  ঘ

  Respiratory distress syndrome

  ঙ

  Cataract