| Which medication may be administered to accelerate fetal lung maturation when a preterm delivery is expected? |
Magnesium sulfate |
14 |
14.0 |
| Terbutaline |
6 |
6.0 |
| Nifedipine |
8 |
8.0 |
| Betamethasone |
72 |
72.0 |
| Which diagnostic procedure is contraindicated in the presence of preterm premature rupture of the membranes? |
The nitrazine test |
13 |
13.0 |
| The digital vaginal examination |
41 |
41.0 |
| The sterile speculum exam |
34 |
34.0 |
| The fern test |
12 |
12.0 |
| A 33 weeks pregnant woman is admitted to the obstetric emergency department with severe abdominal pain, a tetanic uterus, no signs of vaginal bleeding and signs of hypovolemic shock. What is the most likely diagnosis? |
Placenta previa |
8 |
8.0 |
| Acute appendicitis |
6 |
6.0 |
| Peripheral placental abruption |
18 |
18.0 |
| Concealed placental abruption |
68 |
68.0 |
| Which is the major complication from ruptured vasa previa? |
Maternal end organ damage |
15 |
15.0 |
| Neonatal sepsis |
11 |
11.0 |
| Maternal mortality |
11 |
11.0 |
| Fetal mortality |
63 |
63.0 |
| Which cardiotocographic finding indicates umbilical cord prolapse during labor? |
Fetal tachycardia |
6 |
6.0 |
| Prolonged fetal bradycardia |
66 |
66.0 |
| Early deceleration |
11 |
11.0 |
| Late deceleration |
17 |
17.0 |
| Which cardiotocographic finding may indicate fetal hypoxia? |
Early deceleration |
14 |
14.0 |
| Late deceleration |
48 |
48.0 |
| Variable deceleration |
34 |
34.0 |
| Acceleration |
4 |
4.0 |
| The mode of delivery in a twin pregnancy does not depend on: |
The presentation of the first twin |
5 |
5.0 |
| The presentation of the second twin |
57 |
57.0 |
| Gestational age |
11 |
11.0 |
| Fetal size |
27 |
27.0 |
| Which presentation from the following cannot result in vaginal delivery? |
Occiput anterior |
5 |
5.0 |
| Occiput posterior |
12 |
12.0 |
| Mentum anterior |
29 |
29.0 |
| Mentum posterior |
54 |
54.0 |
| Which of the following is not a prerequisite for the correct application of the vacuum suction cup? |
Empty bladder |
34 |
34.0 |
| Full cervical dilation |
10 |
10.0 |
| Knowledge of the position/presentation of the fetus |
5 |
5.0 |
| History of uterine atony |
51 |
51.0 |
| Assisted vaginal delivery is indicated in: |
Prolonged second stage of labor |
62 |
62.0 |
| Placenta previa |
9 |
9.0 |
| Unengaged fetal head |
14 |
14.0 |
| Preterm labor <34 weeks of gestation |
15 |
15.0 |
| Following the delivery of the fetal head, you note retraction of the fetal head against the maternal perineum known as “turtle sign”. This sign is suggestive of the presence of: |
Uterine rupture |
12 |
12.0 |
| Cephalopelvic disproportion |
17 |
17.0 |
| Shoulder dystocia |
65 |
65.0 |
| Uterine inertia |
6 |
6.0 |
| In case of shoulder dystocia, which of the following should not be applied? |
Maternal hands and knees position |
17 |
17.0 |
| Fundal pressure |
51 |
51.0 |
| Suprapubic pressure |
23 |
23.0 |
| McRoberts' maneuver |
9 |
9.0 |
| A third-degree perineal laceration does not involve injury to: |
Vaginal mucosa |
11 |
11.0 |
| Perineal muscles |
8 |
8.0 |
| External anal sphincter |
18 |
18.0 |
| Anorectal mucosa |
63 |
63.0 |
| Which of the following is not a complication of the trauma of a fourth-degree perineal laceration? |
Urinary incontinence |
42 |
42.0 |
| Rectovaginal fistula |
16 |
16.0 |
| Faecal incontinence |
13 |
13.0 |
| Dyspareunia |
29 |
29.0 |
| Which is the most common cause of severe postpartum hemorrhage? |
Genital tract lacerations |
14 |
14.0 |
| Coagulation disorders |
4 |
4.0 |
| Uterine atony |
66 |
66.0 |
| Retained placenta |
16 |
16.0 |
| Which of the following should comprise the first action to evaluate the possible cause of postpartum hemorrhage? |
Transabdominal ultrasound |
15 |
15.0 |
| Transabdominal bimanual palpation of the uterus |
52 |
52.0 |
| A computed tomography scan |
9 |
9.0 |
| Laboratory tests (complete blood count. coagulation tests) |
24 |
24.0 |
| How should a pregnant woman be positioned for cardiopulmonary resuscitation? |
Supine position with manual left uterine displacement |
43 |
43.0 |
| Supine position with manual right uterine displacement |
6 |
6.0 |
| Right lateral tilt position |
32 |
32.0 |
| Trendelenburg position |
19 |
19.0 |
| In a woman greater than 20 weeks of gestation, after how many minutes of unsuccessful cardiopulmonary resuscitation should a perimortem cesarean section be performed? |
4-5 minutes |
43 |
43.0 |
| 9-10 minutes |
31 |
31.0 |
| 14-15 minutes |
17 |
17.0 |
| 19-20 minutes |
9 |
9.0 |
| After how many minutes of unsuccessful cardiopulmonary resuscitation in a newborn, may it be reasonable to stop the effort? |
5 minutes |
18 |
18.0 |
| 10 minutes |
26 |
26.0 |
| 15 minutes |
39 |
39.0 |
| 20 minutes |
17 |
17.0 |
| During neonatal cardiopulmonary resuscitation, the ratio of synchronized chest compressions and ventilations in one minute should be: |
30 chest compressions and 15 ventilations |
74 |
74.0 |
| 40 chest compressions and 20 ventilations |
8 |
8.0 |
| 90 chest compressions and 30 ventilations |
12 |
12.0 |
| 120 chest compressions and 60 ventilations |
6 |
6.0 |
