SECTION ONE: SINGLE BEST ANSWER (SBA) - 100 MARKS 1. The main blood supply of the vulva is: A Inferior hmorthoidal artery. B, Pudendal artery. €. Hioinguinal artery. D, Femoral artery. E. Inferior Hypogastric artery. 2. The second stage of labour involves: ‘A. Separation of the placenta, B. Effacement of the cervi C. Expulsion of the placenta. D. Dilation of the oervin E. Expulsion of the fetus. 3. A patient sustained a laceration of the perineum during delivery, it involved the museles of perineal body but not the anal sphincter. Such a laceration would be classified cond degree C. Third degree D. Forth degree E, Fifth degree 4. Which one of the following is NOT a feature of normal labour? A. Spontaneous onset B, Single cephalic presentation ©, 37-42 weeks gestation D. Oxytocin infusion in first stage E. Retrospective diagnosis 3, Ina face presentation, the position is determined by the relationship of what fetal part to the mother's pelvis? A. Mentum. B. Sacrum. C, Acromium. D. Occiput. E. Sinciput, 6. Methods of determining fetal presentation & position include: A, Cullen's sign.y B. Leopold's maneuver. C. Mauriceau-Smelli-Veit maneuver, D. Carful history taking. E. All the above 7. The relation of the fetal Parts to one another determines: A. Presentation of the fens, B. Lie of the fetus, C. Attitude of the fetus, D. Position of the fetus, E. None of the above, 8. Hyperextension of the fetal head is found in; A. Vertex presentation B, Face presentation C. Shoulder presentation D. Breech presentation E. Hydrocephalic baby 9. The best time for a dating sea A. At around 4-6 weeks B, Between 11 to 14 weeks C. Before 12 weeks using BPD D. At around 18-21 weeks E. A136 to 38 weeks 10. The B-HCG curve in maternal serum in a normal Pregnancy peaks at: A, 6 Weeks of pregnancy, B. 8 weeks of pregnancy. ©. 10 weeks of pregnancy. D. 14 weeks Of pregnancy, E. 18 weeks Of pregnancy 11, What is the uterine blood flow at term? A, 50 ml/min, B. 100 to 150 ml/min, C, 300 0750 mi/min, D. 500 to 750 mi/min. E. [Link]/minwing does NOT cause Oligohydramnios? al agenesis Poor placental perfusion Post term pregnancy _D. Anencephaly E, Urinary obstruction Tn post-term pregnancy which one of the following is NOT true? Associated with meconium stained liquor. ‘The fetus has long nails. fay result in oligohydramnios. lated with respiratory distress syndrome. ‘gestational age beyond 43 weeks. serious maternal complication of 'UFD amnionitise followings isa contraindication 10 * trial of labour ater classical incision. delivery for dystocit- estimation of fetal weight of 35008, delivery for breech hip ip at the hip joint knee joint and extension at the IP joint joint and extension ofthe other ee ape hip pint ication for CesectionsE, Twin pregnancy 24, Which one the following statements fs TRUE ab A. Pale baby gives a score of | B. Minimum total score in 3 (C. A limp baby gives @ score of () D. Strong ery is equal to b E. Pulse of 120 gives a score of | re-celampaia called ELLE syndrome is NOT charicterined by 26, Asyndronie seen in py which one of the following? A. Elevation of Liver enzymes B, Hemolysis. “C. Low plaielet count. Increase fibrinogen level E. None of the above Which of the followings isa known complication of diabetes in pregnancy? Fetal microsormia ligohydrantnics. ron deficiency anemia Fungal infection E. Placenta previa. nt female which of the following depicts we level of iron?a1 33. Which oe of (he following ts true aliout fet 4, The mut commen ease for ‘All Weonnen sheiild be serpened ot bookie i 2 to detwet Hemoglabiopathies = faginal delivery should be aimed mi ; C. Progesizroie-only pill may be used safely after delivery, 1D. Hemoglobin of at least 7 gid “ : eclls Fetal tachycardia cowl result from A. Maternal febrile iliness B. Maternal hypothyroidism C. Labetalol ingestion 1D. Post maturity E. Pethidine injection The resting pulse in pregmancy is; ‘A. Decreased by 20 bpm HB. Decreased by 10) to 1Sbpm. C. Unchanged. 1, Increased by 10 to 15 bpm £, Increased by 20 bpm. al presentation and head diameters? A. Vertes: Occipitofrenul B. Brow presentation: Geeipitomental Cc, Vertex: Subimental-bregnatic D. Fase: Suboecipltal-bregmatle E. All the above: postdale pregnancy iy gestational age.36. With regard to calculating expected date, A. Pregnaney is dated from ion B. The last mensirual period (LMP) is reliable ifthe C. The average length of pregnancy is 280 days. LMP defined dates are more accurate than those ea E, Head circumference may be used to date a pregnancy, 37, Concerning instrumental delivery, A. Cervix fully diluted, B, Ruptured membranes. €. Fetal head engaged D. Fetal head at -2 station. E, Empty catheterized bladder. 38. Which of the following contraceptive methods should NOT be coronary heart disease? A. Combined orn} contraceptive pills B. Male condom . Female condom D. Diaphragm E, Spermicidal agent whieh one of the fo 39. In Secondary infertility: ‘Ac Is frequently due to tubul problems B. The problem is often a chromosomal defect in women. Ce Is frequently due to male factor D. Commonly associated with endometriosis. E, May be due to hypoprolactinacmia ‘40. The presentation of Asherman's Syndrome typically involves: A. Hypomenorrhea and amenorrhea. B. Galactorrhea. Mexorriagi. rhogia. PY Dationt withC. Sheehin’s syndrome, D. Pregnancy. B. Testicular feminization syndrome 42, in patyeystic ovary syndrome patients, whieh ane of the following is’ ‘AL They are usually underweight with low body mass inde B, They have hirsutism. ©, They have oligomenorthea. D, They have high prolactin level. £. They have subfertility. 43. The following conditions are aggravated by coral contraceptive pills A. Hirsutism : B. Endometriosis C. Dysmenorthea D. Pre-menstrual syndrome E. Genital fungal infection 44, Regarding Intra ‘uterine contraceptive device (TUED) ‘A. Reduves pelvic inflammatory disease B. inhibits ovulation . Inerenses incidence of ¢r D. Ifpregnancy occurs there is incr E. Failure rate is 0.1% ndometrial eancet neased risk of ectopic pregnancy. 45. Bacterial Vaginosis ‘A. Israre vaginal infec B. Is always s¥™ tomatic. Cc, Isusually associated with profound inflammatory reaction: 1D. Causes fishy discharge which results from Ipncterlial amine production. E, Istreated with Clotrimazole. 46.nts with caticer of the cervix usually:Short structu QOL DEFINE THE FO! A 30-year-old GSP4 wom vaginal leeding. She dent Hg, heart rate (1) is 80 be: 1, Term pregaancy 2, Missed abortion 3. Fetus 4. Parity Gestational bypertensiom Fetal lie : etal position Biophysical profile ~ 2 9. ‘Transformation 20ne 10, Prematurity 11, Classical cesarean section 12, Complete molar pregnancy 13. Radical hysterectomy 14, Unsafe abortion 45. Labor 16. Puerperal sepsis 1s Secondary post-partum hemorrhage 18. Chignon 19, Indirect maternal death 20. Bishop score ‘an at 33 weeks’ gestation complains of significant bright ted jesuterine contractions, [eakoes of fluid, or trauma. The sly. after she hal et 4 in sexual intercourse, she some vaginal Spotting: Gn examination, her blood pressure is 110/60 mm. ais per minute (bpm), and temperature is 37.2°C. The bean jinutions are normal. The abdomen 15 soft and ulerus pon-tender, Fetal the range of 140 to 150 bpm ext steps? 4 marks eae that 4 weeks preys ‘What is the most likely diagnosis? ‘marks C) What is in support of your diagnosis? 2 marks, ent of this patient? marks cer soresning V! i be the long-term managem ‘and explain methods of cervical cam ailable in Zambian st antenatal visit at {0 weeks gestation, cold primigravida appears for ber fir that will be dane on this visit and their KAMINATION EACH ANSWER SHEET,