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Question 1 of 10
1. Question
1.With regards to caesarean section:
A The incidence of postoperative morbidity is increased following classical caesarean section compared to lower segment caesarean section (LSCS)
B The risk of peripartum hysterectomy is quoted to be 1 in 500 with first caesarean section
C Dissection of the bladder is always required while performing classical caesarean section
D A subsequent trial of labour is allowed for women with previous classical caesarean section
E The risk of uterine rupture with vaginal birth after caesarean (VBAC) is less than 1% in women with one previous LSCS
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Question 2 of 10
2. Question
2.With regards to shoulder dystocia:
A Fifty per cent of cases occur in babies weighing less than 4 kg
B It occurs due to obstruction at the pelvic outlet
C It resolves with simple manoeuvres (like McRoberts and suprapubic pressure) in more than 90% of cases
D It is increased in women who receive pethidine for pain relief in labour
E It is definitely a preventable condition
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Question 3 of 10
3. Question
3.The following information should be given to women choosing epidural analgesia:
A It is associated with prolonged second stage of labour
B It is always associated with long-term backache
C Its effectiveness is less than parenteral opioids
D Epidural solutions containing opioids can cross the placenta and cause respiratory distress in the baby
E It is associated with longer first stage of labour
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Question 4 of 10
4. Question
- The following are indications to switch to continuous electronic fetal monitoring (EFM) from intermittent auscultation in low-risk women:
A Maternal pyrexia of 37.1°C on two occasions 2 hours apart
B Oxytocin use for augmentation of labour
C Maternal pyrexia of 38°C on two occasions
D Abnormal fetal heart rate (FHR) detected on intermittent auscultation
E The woman’s request
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Question 5 of 10
5. Question
5.Concerning interventions to reduce perineal trauma during childbirth:
A Perineal massage should be routinely performed in the second stage of labour
B Episiotomy should be carried out for vaginal births
C Episiotomy should be performed to assist instrumental deliveries if necessary
D Unless fetal compromise is suspected, tested effective analgesia should be offered before undertaking episiotomy
E Episiotomy should be routinely offered to women with previous history of third- and fourth-degree tear
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Question 6 of 10
6. Question
6.The third stage of labour is said to be:
A Actively managed if the cord is clamped and cut early
B Actively managed if the placenta is delivered by maternal effort
C Actively managed in the absence of use of oxytocin
D Actively managed if clamping of the cord is withheld until the pulsations cease
E Prolonged if the placenta is not delivered 30 minutes after the birth of the baby with physiological management
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Question 7 of 10
7. Question
- With regards to perineal trauma:
A Injury to the skin is classified as a first-degree tear
B injury to the anal sphincter <50% thickness and anal mucosa is classified as 3B (third-degree tear)
C Injury to the perineal muscles but not the perineal skin is classified as a first- degree tear
D Injury to the perineal muscles but not the anal sphincter is classified as a second-degree tear
E Injury to the perineal muscles and both external and internal sphincter is classified as 3B (third-degree tear)
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Question 8 of 10
8. Question
- With regards to prelabour spontaneous rupture of membranes (SROM) at term:
A Speculum examination should always be done irrespective of the history
B Digital examination should be done to check cervical dilatation in the absence
of contractions
C Women should be informed that 90% will go into spontaneous labour within
24 hours
D Women should be informed that there is a 1% risk of serious neonatal infection
E Lower vaginal swabs should be routinely done in women with SROM
CorrectIncorrect -
Question 9 of 10
9. Question
- With regards to FHR trace on cardiotocograph (CTG):
A It is said to be suspicious if two or more features are classified as non- reassuring
B It is said to be suspicious if there is reduced variability for more than 40 minutes and three accelerations in the last 30 minutes
C It is said to be suspicious if there is reduced variability for more than 90 minutes with baseline FHR of 165 bpm
D It is said to be pathological if it shows recurrent late deceleration down to 60 bpm with slow recovery for 35 minutes
E It is said to be suspicious if the CTG shows recurrent atypical variable decelerations for more than 30 minutes
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Question 10 of 10
10. Question
- With regards to Sheehan syndrome:
A The first sign may be failure of lactation in the puerperium
B The onset may be late with loss of axillary and pubic hair and atrophic vaginal changes
C It can present with hypothyroidism
D It can present with oligomenorrhoea or amenorrhoea
E Hormonal therapy may be used to achieve pregnancy in these women
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