Today’s Quiz 9/1/2022

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obgresource

Question Bank

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1. Q5 VBAC

What is the rate of instrumental delivery in VBAC?

A. 40%

B. 30%

C. 10%

D. 20%

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2. Q3 Analgesia

What is the currrent consensus regarding the safety of Paracetamol use in pregnancy?

A. Associated with increased risk of congenital malformations

B. Safe for use during pregnancy and breastfeeding,

C. Associated with increased childhood asthma

D. Small increase in neural tube defects

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3. Q3 VTE Prevention

A pregnant woman is on long term oral anticoagulation due to previous history of pulmonary embolism. She reports to the maternity triage in early labor. She plans to get epidural analgesia. What is the recommended thromboprophylaxis in peripartum period for women with very high risk of thrombosis?

A. Dalteparin

B. Unfractionated Heparin

C. To stop any form of heparin, and start intermittent pneumatic compression devices or similar device.

D. Low Molecular Weight Heparin

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EMQ 2 Urinary Incontinence-

A. Desmopressin
B.Anticholinergics
C.Duloxetine
D. Sling surgery
E. Botulinum injection
4. F. Transcutaneous sacral nerve stimulation

A 38 years old para 3 presents with Stress urinary incontinence. Supervised PFMT for 12 weeks has not been helpful.

A. D

B. C

C. A

D. E

E. F

F. B

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EMQ 1a

5. A. MRI
B. Serum CA 125
C. Discharge
D. Annual Ultrasound
E. Serum alfa fetoprotein , beta hcg and LDH
F. Refer to Oncologist

A 42 years old, pre menopausal lady comes to the clinic with complaint of vague abdominal pain for 4 weeks. Ultrasound shows a simple cyst 6 cm in right ovary.

A. B

B. C

C. E

D. D

E. F

F. A

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6. Q4 VBAC

What is the rate of anal sphincter injury in women undergoing VBAC?

A. 10%

B. 5%

C. 1%

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7. Urine dipstick test should be done in ALL women presenting with urinary incontinence.

A. False

B. True

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8. Q11 VTE -Acute Management

About what percent of women with PE Have oxygen saturation less than 90%?

A. 10%

B. 90%

C. 50%

D. 3%

According to NICE- Use oxytocin as it is associated with fewer side effects than oxytocin plus ergometrine

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9. Q3 Third Stage of Labor. Which Pharmacological agent is recommended by NICE in Active Management of Third Stage of Labor ?

A. Ergometrine 0.5 mg intramuscular

B. Syntometrine ( Oxytocin+ Ergometrine)

C. Oxytocin 10 IU intramuscular

D. Oxytocin 5 IU Intravenous

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10. Q2 Third Stage of Labor- Check all that apply to physiological Management of Third Stage of labor-

A. Approximate risk of 29 in 1,000 of a haemorrhage of more than 1 litre

B. Approximate risk of 40 in 1,000 of a blood transfusion

C. Approximate risk of 13 in 1,000 of a haemorrhage of more than 1 litre

D. Does not have any risk of nausea and vomiting because no drugs are being used.

E. Approximate risk of 100 in 1,000 of a blood transfusion

F. Nausea and vomiting in about 50 in 1,000 women

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