REVISION CLASS

MCQs
• Antenatal care
• Management of labor
• Definitions
• Mechanism of labor
Q1.Which of the following is not a routine
antenatal investigation?
a. Blood group
b.TORCH
c. Urine R & M
d.HIV
Q2. What is not seen during 1st trimester USG?
a. Crown rump length
b.Number of fetuses
c. Location of pregancy
d.Anomalies
Q3. How often do you call an antenatal patient
in the 3rd trimester?
a. Every 14 days
b.Every 14 days till 36 weeks then weekly
c. Every week
d.Whenever the patient goes into labor
Q 4. What advice will you give a patient in the 3 rd
trimester?
a. Strict bed rest
b. Avoid sexual intercourse
c. Can perform daily routine activities
d. Have a low protein diet
Q5. A woman is 8 weeks pregnant with history
of 1 previous abortion and a previous twin
delivery in which 1 baby is alive and 1 died at
3 months of age. What is her parity index?
a. G3P1L1A1D1
b.G3P2L1A1D1
c. G3P1L2A1
d.G3P2L2A1
Q6. What is Nageles formula?
a. 9 months + 6 days = EDD
b.8 months + 7 days = EDD
c. 9 months + 7 days = EDD
d.9 months + 7 days = POG
Q7. The EDD of a patient is on 19/10/09. What is
her POG?
a. 37 weeks
b.36 weeks
c. 40 weeks
d.38 weeks
Q8. What is the duration of the puerparium?
a. 7 days
b.6 weeks
c. 6 months
d.Till the patient resumes her next menstrual
period
Q9. Which vaccine is contraindiacated in
pregnancy?
a. Tetanus toxoid
b.Rubella vaccine
c. Hepatitis B vaccine
d.Rabies vaccine
Q10. What is post term pregnancy?
a. After 40 weeks
b.After 42 weeks
c. Between 40 and 42 weeks
d.After 38 weeks
Q11. What is latent phase of 1st stage of labor?
a. <3cm cervical dilatation
b.<10cm cervical dilatation
c. >3cm but < 10cm cervical dilatation
d.The patient is having contractions but the
cervix is not fully dilated
Q12. Precautions taken in the 2nd stage of labor
are all except?
a. Bring the patient to the edge of the table
b.Paint and drape the genital region
c. Encourage bearing down in the perineal phase
d.Give inj methergin when crowning occurs
Q13. Signs of placental seperation are all
except?
a. Sudden gush of blood
b.Apparent lengthening of the umbilical cord
c. Severe abdominal pain due to contracting
uterus
d.Suprapubic bulge
Q 14. What advice will you not give the patient
in the 1st stage of labor
a. Have a heavy meal as she needs the strength
during labor
b.To frequently empty her bladder
c. Encourage her to walk about if membranes
have not ruptured
d.To lie in left lateral position if membranes
have uptured
Q 15. Which of the following will you not do
when conducting a normal delivery?
a. Prevent sudden extension of the head
b.Good perineal support
c. Episiotomy for every patient at crowning
d.Ensure the bladder is empty
Q16. What is Primary post partum
haemorrhage?
a. Haemorrhage immediately after delivery
b.H’age after delivery but within 24 hrs
c. H’age before placental delivery
d.H’age till 6 weeks from delivery
Q 17. What is fetal bradycardia?
a. FHR < 140 bpm
b.FHR < 100 bpm
c. FHR < 72 bpm
d.FHR < 120 bpm
Q 18. Which is an absolute indication for
episiotomy?
a. All patients during crowning of the head
b.All multigravidas
c. Assisted breech delivery
d.Intrauterine death
Q 19. Which is not cut during an episiotomy?
a. Levator ani
b.Transverse perinei
c. Bulbospongiosus
d.Perineal body
Q 20. When are sutures of an episiotomy
removed?
a. 7th post partum day
b.10th postpartum day
c. They are not removed
d.At 6 weeks postpartum during her postnatal
visit
Q 21. How is ARM done?
a. Using Kochers forceps
b.During PV with the fingers
c. ARM occurs spontaneously
d.With an Allis forceps
Q 22. What are the obstetric maneuvers known
as?
a. Pawliks grips
b.Nageles grips
c. There is no name for them
d.Leopold maneuvers
Q23. What is the most common position of the
fetus?
a. LOA
b.ROA
c. LOP
d.ROP
Q 24. Which is the presenting diameter in a well
flexed head?
a. Mentovertical
b.Occipitofrontal
c. Suboccipito bregmatic
d.Occipito bregmatic
Q 25. What is the measurement of the biparietal
diameter?
a. 10.5cm
b.11cm
c. 8.5cm
d.9.5cm
Q26. What are the steps in mechanism of labor
of LOA?
a. Engagement – Descent – External rotation –
Restitution – Delivery of trunk
b. Engagement – Descent – Int rotation – Extension –
Restitution – ExtRotation – Delivery of trunk
c. Engagement – Descent – Extension – Int rotation –
Restitution- Ext Rotation – Delivery of trunk
d. Engagment – Descent – Restitution – Rotation –
Delivery of the trunk
Q 27. Which is the largest diameter of the pelvic
outlet?
a. Transverse
b.Anteroposterior
c. Oblique
d.They are all equal
Q 28. Which of the following have a mechanism
of labor?
a. Brow presentation
b.Persistent Mentoposterior
c. Occipito anterior
d.Transverse lie
Q29. What is the denominator in a deflexed
head?
a. Occiput
b.Vertex
c. Frontum
d.Mentum
Q 30. What is the Presenting part in a fully
extended head?
a. Vertex
b.Brow
c. Face
d.Occiput
Q31. What drug will you not give in active
management of 3rd stage of labor?
a. Cerviprime
b.Methergin
c. Oxytocin
d.PGF2α
Q32. What movement of the fetal head
corresponds to internal rotation of the
shoulders?
a. Restitution
b.Internal rotation
c. Extension
d.External rotation
Q 33. Duration of 2nd stage of labor in
primigravida and multigravida
a. 1h and 30mins
b.1h and 1h
c. 2h and 1h
d.2h and 30mins
Q34. What is posterior asyclitism?
a. The saggital suture faces posteriorly
b.The saggital suture faces anteriorly
c. The saggital suture is central
d.None of the above
Q35. In left occipito anterior, by how much will
the fetal head rotate during internal rotation?
a. 45°
b.90°
c. 15°
d.It will not rotate
ANSWERS
Q1.Which of the following is not a routine
antenatal investigation?
a. Blood group
b.TORCH
c. Urine R & M
d.HIV
Q2. What is not seen during 1st trimester USG?
a. Crown rump length
b.Number of fetuses
c. Location of pregancy
d.Anomalies
Q3. How often do you call an antenatal patient
in the 3rd trimester?
a. Every 14 days
b.Every 14 days till 36 weeks then weekly
c. Every week
d.Whenever the patient goes into labor
Q 4. What advice will you give a patient in the 3 rd
trimester?
a. Strict bed rest
b. Avoid sexual intercourse
c. Can perform daily routine activities
d. Have a low protein diet
Q5. A woman is 8 weeks pregnant with history
of 1 previous abortion and a previous twin
delivery in which 1 baby is alive and 1 died at
3 months of age. What is her parity index?
a. G3P1L1A1D1
b.G3P2L1A1D1
c. G3P1L2A1
d.G3P2L2A1
Q6. What is Nageles formula?
a. 9 months + 6 days = EDD
b.8 months + 7 days = EDD
c. 9 months + 7 days = EDD
d.9 months + 7 days = POG
Q7. The EDD of a patient is on 19/10/09. What is
her POG?
a. 37 weeks
b.36 weeks
c. 40 weeks
d.38 weeks
Q8. What is the duration of the puerparium?
a. 7 days
b.6 weeks
c. 6 months
d.Till the patient resumes her next menstrual
period
Q9. Which vaccine is contraindiacated in
pregnancy?
a. Tetanus toxoid
b.Rubella vaccine
c. Hepatitis B vaccine
d.Rabies vaccine
Q10. What is post term pregnancy?
a. After 40 weeks
b.After 42 weeks
c. Between 40 and 42 weeks
d.After 38 weeks
Q11. What is latent phase of 1st stage of labor?
a. <3cm cervical dilatation
b.<10cm cervical dilatation
c. >3cm but < 10cm cervical dilatation
d.The patient is having contractions but the
cervix is not fully dilated
Q12. Precautions taken in the 2nd stage of labor
are all except?
a. Bring the patient to the edge of the table
b.Paint and drape the genital region
c. Encourage bearing down in the perineal phase
d.Give inj methergin when crowning occurs
Q13. Signs of placental seperation are all
except?
a. Sudden gush of blood
b.Apparent lengthening of the umbilical cord
c. Severe abdominal pain due to contracting
uterus
d.Suprapubic bulge
Q 14. What advice will you not give the patient
in the 1st stage of labor
a. Have a heavy meal as she needs the strength
during labor
b.To frequently empty her bladder
c. Encourage her to walk about if membranes
have not ruptured
d.To lie in left lateral position if membranes
have uptured
Q 15. Which of the following will you not do
when conducting a normal delivery?
a. Prevent sudden extension of the head
b.Good perineal support
c. Episiotomy for every patient at crowning
d.Ensure the bladder is empty
Q16. What is Primary post partum
haemorrhage?
a. Haemorrhage immediately after delivery
b.H’age after delivery but within 24 hrs
c. H’age before placental delivery
d.H’age till 6 weeks from delivery
Q 17. What is fetal bradycardia?
a. FHR < 140 bpm
b.FHR < 100 bpm
c. FHR < 72 bpm
d.FHR < 120 bpm
Q 18. Which is an absolute indication for
episiotomy?
a. All patients during crowning of the head
b.All multigravidas
c. Assisted breech delivery
d.Intrauterine death
Q 19. Which is not cut during an episiotomy?
a. Levator ani
b.Transverse perinei
c. Bulbospongiosus
d.Perineal body
Q 20. When are sutures of an episiotomy
removed?
a. 7th post partum day
b.10th postpartum day
c. They are not removed
d.At 6 weeks postpartum during her postnatal
visit
Q 21. How is ARM done?
a. Using Kochers forceps
b.During PV with the fingers
c. ARM occurs spontaneously
d.With an Allis forceps
Q 22. What are the obstetric maneuvers known
as?
a. Pawliks grips
b.Nageles grips
c. There is no name for them
d.Leopold maneuvers
Q23. What is the most common position of the
fetus?
a. LOA
b.ROA
c. LOP
d.ROP
Q 24. Which is the presenting diameter in a well
flexed head?
a. Mentovertical
b.Occipitofrontal
c. Suboccipito bregmatic
d.Occipito bregmatic
Q 25. What is the measurement of the biparietal
diameter?
a. 10.5cm
b.11cm
c. 8.5cm
d.9.5cm
Q26. What are the steps in mechanism of labor
of LOA?
a. Engagement – Descent – External rotation –
Restitution – Delivery of trunk
b. Engagement – Descent – Int rotation – Extension –
Restitution – ExtRotation – Delivery of trunk
c. Engagement – Descent – Extension – Int rotation –
Restitution- Ext Rotation – Delivery of trunk
d. Engagment – Descent – Restitution – Rotation –
Delivery of the trunk
Q 27. Which is the largest diameter of the pelvic
outlet?
a. Transverse
b.Anteroposterior
c. Oblique
d.They are all equal
Q 28. Which of the following has a mechanism
of labor?
a. Brow presentation
b.Persistent Mentoposterior
c. Occipito anterior
d.Transverse lie
Q29. What is the denominator in a deflexed
head?
a. Occiput
b.Vertex
c. Frontum
d.Mentum
Q 30. What is the Presenting part in a fully
extended head?
a. Vertex
b.Brow
c. Face
d.Occiput
Q31. What drug will you not give in active
management of 3rd stage of labor?
a. Cerviprime
b.Methergin
c. Oxytocin
d.PGF2α
Q32. What movement of the fetal head
corresponds to internal rotation of the
shoulders?
a. Restitution
b.Internal rotation
c. Extension
d.External rotation
Q 33. Duration of 2nd stage of labor in
primigravida and multigravida
a. 1h and 30mins
b.1h and 1h
c. 2h and 1h
d.2h and 30mins
Q34. What is posterior asyclitism?
a. The saggital suture faces posteriorly
b.The saggital suture faces anteriorly
c. The saggital suture is central
d.None of the above
Q35. In left occipito anterior, by how much will
the fetal head rotate during internal rotation?
a. 45°
b.90°
c. 15°
d.It will not rotate
• Thankyou
• Please study hard.