4th stage question_60

Q20/Regarding Hydropis fetalis All true except : A/Olighydromins B/polyhydromins C/Hepatosplenomegaly D/fetal pericardial effusions E/Generlized skin edema

Q35/ Regarding third stage of labor، which of the following is true A-it include procedure called controlled cord traction B-the placenta delivered by suction C-it associated with heavier bleeding D-the procedure done under general anaesthesia E- it done before cervix is fully dilated Answer/A

One of the following is the clnical features of intrahepatic cholestasis of pregnancy : 1 Maculopapular rash 2 Generilized pururits 3 nausea and vomiting 4 jaundice

One of following can be seen normaly in renal function during pregmancy : 1/glycosuria 24hr 2/increased blood urea 3/ Decrease glomerular filtration rate 4/ decrease serum creatinine due to decrease kidney size 5/severe hydronephrosis

Regarding timing of delivery of IUGR ,what is wrong ? 1/Severity of IUGR 2/Degree of fetal compromise 3/maternal age 4/fetal abnormalities 5/ gestational age

Pregnant woman with mechanical valve which Anticoagulant regimen is the must effective for her to prevent thromboembolic event A. Continue with warfarin until 38 week then change to iv heparin during delivery** B. Start with LMWH then warfarin C. LMWH all the pregnancy D. Start with warfarin in 1st then change to heparin E. Start with warfarin in 1st and 2nd then change to heparin

Mother with dead fetus have risk of all except : A_retained placenta B_DIC C_sepsis D_maternal death E_placenta previa

34_all following indication for 5mg folic acid except: a_History of previous fetus with NTD b_DM c_primery prevention for NTD* d_obesity e_epliepsy with antiepliptic drug

40.All of the following contribute to direct maternal death except 1.hypertension 2.hemorrhage 3.sepsis 4.malignancies✅

All are indication for continous CTG montoring Except : A/maternal pyrxia B/prolong labour C/engaged head of fetus ✅ D/breech presentation E/meconum stained liquor

(15) 19 years old woman had given epidural analgesia for vaginal delivery. 2 days later she was afebrile but she had sever occipital headache, the most accurate diagnosis is: A. Encephalitis. B. Spinal headache.* C. Fluid overload. D. Meningitis. E. Hypertension.

12_All the following are Booking visit investigations except: 1_Full blood count 2_Blood group and Rh 3_mid stream urine 4_ Hepatitis B /HIV 5_ Gestational Diabetes mellitus**

38 week pregnant woman presents to the hospital with abdominal discomfort. Her report shows a healthy baby and her DVP was 15. What's the best option: A-conservative treatment with indomethacin B-induction of labor

Your obstatrical patient admited to the hospital with new onset hypertension week 30 all the fallowing except wich one can evaluate ur patient A maternal wight B cell free DNA fetal blood ** C sonography D proten :creatinin ratio E Neurolagical examination

2)Regarding antiphospholipd Aspirin is not safe during pregnancy Women with antiphospholipid will have the same risk of thromboembolism compare to other women Lmwh can cause bleeding because of throbocytosis Planned delivery may be needed Cause recurrent late miscarriage

All of these are complication of hypothyroidism except. A/diabetes insipidus B/pre eclampsia C/ Fetal loose D/Low birth weight E/ Miscarage

18. All of the following can be diagnosed with invasive tests except: A) Trisomy 21 B) Cystic fibrosis C) Cleft lip D) RhD alloimmunization E) Thrombocytopenia Answer: C

11. In emergency CS of ANH and placintal delivery, discovered the presence retro placental clot and the patient become hypotensive and bleeding noted at the tear margins and IV catheter sites, which of these is not much useful? 1. Cryptoprecipitate 2. Fresh frozen plasma 3. Stored whole blood 4. Frozed whole blood 5. Platelet

Q30. 39 week primigravida , at second stage of labour , spent 2 hours of active pushing ended undelivered , she is crying , exhausted and telling you that she can't push anymore , Her cervix is fully dilated and effaced , the head is direct occiput anterior , at station 3 + , appear between interoitus after every push , the best next step in her management is : A. C/S delivery B. Encourage her to push after short rest C. operative vaginal delivery D. Epidural analgesia E. 4th degree episiotomy

5- the complications of external cephalic version include all the followings except: A- abruptio placenta. B- ruptured uterus. C- intrauterine fetal death. D- post-partum hemorrhage. E- acute fetal distress. Answer : D