Gestión de asignaturas

84. Ideal time to perform USG to measure nuchal translucency is…..wks of gestation

a. 8-10 weeks b. 11-13 weeks c. 14-16 weeks d. 18-20 weeks

85. A 32 year old woman is 9 weeks pregnant and has a 10 yr old Downs syndrome child. W hat test would you recommend for the mother so that she can know abt her chances of getting Downs syndr baby in this present pregnancy.How will you assure her abt chances of Downs syndrome in the present pregnancy.

a. Blood test b. USG

c. Chorionic villi sampling

d. Assure her that there is no chance since she is less than 35 years.

86. All of the following can be diagnosed by chorionic week sampling except:

a. Trisomy 21

b. Cleft palate c. Gauchers disease d. Phenylketonuria

87. Most common complication of chorionic villi sampling done at 4 weeks is:

a. Fetal loss b. Infections

c. Limb reduction defects d. Bleeding

88. Minimum hcg level at which gestational sac can be detected by TVS is …..milli IU/ml

a. 500 b. 1000 c. 2000 d. 4000

89. A 17 year old comes to an adolescent clinic with complain of nausea and vomiting.She did a home urine pregnancy test which was positive.She does not remember her date of last menstrual period.USG shows a viable pregnancy of 8 weeks gestation.

Q. Which of the following statements regarding first trimester ultrasound is correct:

a. A gestational sac can be first seen 2 weeks after LMP.

b. The accuracy of determining gestational age using ultrasound begins to decrease after first trimester.

c. Yolk sac is the first sign of pregnancy on USG d. USG can be used to determine the sex of the baby

90. A patient present for her first initial OB visit after performing a home pregnancy test and gives a last menstrual period of about 8 weeks ago. She says she is not entirely sure of her dates, however because she has a long history of irregular menses. Which of the following is the most accurate of way of dating the pregnancy

a. Determination of uterine size on pelvic examination b. Quantitave serum HCG levels

c. Crown rump length on abdominal or vaginal examination d. Determination of progesterone level along with serum HCG level

91. Increased AFP is seen in:

a. Downs syndrome b. Molar pregnancy

c. Overestimated gestational age d. Congenital nephrotic syndrome

92. The finding of a single umblical artery on examination of the cord after delivery is:

a. insignificant

b. Occurs in 10% of newborn

c. An indicator of considerably increased incidence of major malformations of the fetus.

d. E qually common in newborn of dibetic and non diabetic mothers 93. The use of the following drug during pregnancy can lead to mobius syndrome:

a. Warfarin

b. Phenytoin (AIPG2012)

c. Mifepristone d. Misoprostol

94. A syndrome of multiple congenital anomalies including microcephaly, cardiac anomalies and growth retardation has been described in children of women who are heavy users of:

a . A m p h e t a m i n e s b . B a r b i t u r a t e s c . H e r o i n d . M e t h a d o n e e . Ethyl alcohol

95. A 28 yr female G2P1 presents to antenatal clinic at 24 weeks for routine check up. USG shows a normal for gestational age fetus at 24 weeks of gestation in frank breech position, with no other abnormalities.

What is the most appropriate next step in mgt:

a. Glucose challenge test with 50 gms of glucose

b. culture for Neisseria gonorhhea and Chlamydia trachomatis (normally done at initial visit and in certain high risk grps at 32–36 weeks along wid grp B streptococcal screening)

c. ECV

d. immediate LSCS

e. immediate induction and vaginal delivery

96. A 27-year-old G1P0 woman at 37 weeks’ gestation comes to the clinic because she is worried that she has not felt her baby moving for 2 days. She denies any recent trauma or abdominal pain. There has been no leaking of fluid, vaginal bleeding, or contractions. The woman underwent a non-stress test (NST) to test for fetal activity and was found to have a baseline rate of 115 bpm.

Q. Which of the following results would make one concerned about hypoxemia?

a. decelerations at the beginning of contractions b. FHR incr to 140 bom several times during 5 mins

c. FHR incr to 170 bpm on 2 occasions and returning to baseline in a pd of 20 mins

d. FHR ranging from 110-120 bpm over a period of 40 mins 97. Fetal anemia leads to:

a. early decelerations b. variable decelerations c. sinusoidal heart rate pattern d. accelerations.

98. A 27 yr old G3P2002 who is 34 weeks gest. age feeling the decreased fetal movements (once/hr) for past several hrs. She is healthy, has had regular prenatal care, and denies any complications till date.

1. How will you counsel the patient.

a. Instruct the patient to go to labor and delivery for a contraction stress test

b. Reassure the patient that one fetal movement per hr is within normal limits and she does not need to worry

c. Counsel the patient that the baby is probably sleeping and that she should continue to monitor fetal kicks. If she continues to experience

<5 kicks/hr by morning, she should call you back.

e. Instruct the patient to go to labor and delivery for a nonstress test.

99. The patient recieves a score of 8 on her biophysical profile. How should an obstetrician now counsel her

a. The results are equivocal, and should have a repeat BPP within 24 hr

b. The results are abnormal and she should be induced c. The results are normal and she can go home

d. The results are abnormal, and she should undergo emergent CS e. The results are abnormal, she should undergo umbilical artery

doppler velocimetry

100. A 26 yaer old primi patient presents to the prenatal clinic for the first time at 26 weeks of gestation.S he reveals she has been taking cigratte daily and has habit of taking marijuana almost once in 2–3 days. Her past medical history is significant of chlamydia infection-USG (shown below Fig. 1) herniation of cerebellum thru foramen magnum and frontal bossing and lumbosacral kyphosis-Which of the following steps cud have prevented this condition

a. Cessation of marijuana b. Cessation of smoking

c. Taking vitamins before conceiving and continuing them after conceiving

d. Early t/t of chlamydia

Fig. 1