DNM9 TIMED CAT 2.pptx

EDUCATIVE

1. DNM9 TIMED CAT 2

2. What is the term for the period immediately following childbirth, typically lasting about six weeks? Postpartum depression Neonatal period Puerperium Lactation period

3. 2.Which prenatal test is commonly used to assess the risk of chromosomal abnormalities in the fetus? Amniocentesis Ultrasound Non-stress test Chorionic Villus Sampling (CVS)

4. 3. The placental hormone that’s ensures adequate glucose levels ,in the maternal circulation for fetal use is, Progesterone estrogen Human chorionic gonadotrophin Human placental lactogen

5. 4. During abdominal inspection of an antenatal mother the following are observed EXCEPT; A. Linea nigra B. Fetal movements C. Distended abdomen D. Fundal height

6. One of the following is not a longitudinal diameter of the fetal skull: The sub-occipital frontal (SOF) The occipital frontal (OF) The bi-parietal diameter The sub – mento vertical (SMV)

7. The milk ejection reflex which is experienced by a puepera while breastfeeding her baby is an effect of; Oxytocin Prolactin Progesterone Oestrogen

8. Which of the following is the smallest diameter of the pelvic brim; - Antero-posterior diameter Transverse diameter Oblique diameter Sacro-cotyloid diameter  

9. The main focus during 4 th antenatal visit should be; History taking Fetal growth monitoring To avoid complications Birth preparedness

10. After fertilization, the placenta and the chorion are formed from: - Cytotrophoblast Trophoblast Blastocyst Syncytiotrophoblast

11. The posterior fontanelle of the fetal head closes at: 6 months after birth 18 months after birth 6 weeks after birth 12 months after birth

12. The three layers that make the embryonic plate during the embryonic stage of foetal development include: - The cytoderm, ectoderm, endoderm The ectoderm, mesoderm, endoderm The syncytiotrophoblast , cytotrophoblast, mesoderm The mesoderm, ectoderm and yolk sac  

13. The following is not an advantage of breast milk? Breast milk is clean Breast milk contains protective antibodies Breast milk is thick and yellow Breast milk is a balanced food  

14. What is the purpose of Leopold's maneuvers during a prenatal examination? To assess the fetal heart rate To measure the mother's blood pressure To determine the baby's position and presentation in the uterus To check for signs of preeclampsia

15. The following are physiological changes that occur during adolenscent of a child which one is not? Spermache Menarche Menopause Nocturnal emission/wet dreams

16. At what gestational age does lanugo disappears from the body? 20-24 weeks 32-36weeks 28-32 weeks 36-40 weeks

17. The penis has 3 compartments of erectile tissues which one is not Corpora carvenosa Tunica albiginea Corpus spongiosum Tunica media

18. A mother who experiences a leg cramp during pregnancy will be advised to; Lower the foot of the bed before going to sleep Dorsiflex her foot Wear a support tight before going to bed Increase fruit and vegetables in her diet

19. Osianders’s sign in pregnancy refers to; The sensation experienced by the fingers when a bimanual examination is done A violet blue discoloration of the vaginal membrane Softening of the elongated isthmus that occur in early pregnancy Increased pulsation felt in the lateral vaginal fornices

20. During pregnancy physiological haemodilution reaches its peak at: 10th–12thweek 30th–32ndweek 36th–40thweek 32nd–34thweek

21. The diameter of the fetal skull from below the occipital protuberance to the centre of the anterior fontanele measures :- 8.2 cm 10 cm 9.5 cm 11.5 cm

22. A high maternal viral load in a HIV infected woman is significant in pregnancy because :- The higher the viral load the higher the risk of mother to fetus transmission. The higher the viral load the more the maternal related fetal complications. The mother should be admitted immediately to avoid more complications. The fetal placenta unit is compromised when the viral load is very high.

23. The foetal heart is heard on auscultation at; 8-12 weeks gestation 16-20 weeks gestation 0-4 weeks gestation 12-16 weeks gestation

24. The main substance excreted from the fetus by the placenta is; Bilirubin Urea Dead tissue Carbon dioxide

25. The blastocyst differentiates into; Placenta and chorion Trophoblast and inner cell mass Fetus and amnion Umbilical cord and chorion

26. This placental membrane is opaque, thick ,easy to tear and tears to the edges of the placenta: Amnion Chorion Peritoneum Perimetrium  

27. The relationship of the long axis of the fetus to the long axis of the uterus describes the ____ of the fetus in the uterus . Position Descent Lie Fundal height

28. The yolk sac: Provides nourishment to the developing embryo Develops to form bones and muscles Secrets oestrogen and progesterone Erodes the decidua to provide for implantation

29. The layer of the uterus that becomes the decidua during pregnancy is: The endoderm The myometrium The endometrium The mesoderm

30. Blueing of the vagina, a probable sign of pregnancy in around the 8 th week, is termed: Chadwick’s sign Oiender’s sign Hegar’s sign Homan’s sign

31. The proliferative phase of menstrual cycle is characterized by: Breaking up of endometrium leading to menstruation Increase of cervical mucus to facilitate swimming of spermatozoa Regrowth, re-forming and thickening of endometrium Painful uterine cramps due to muscular contractions

32. An individual’s concept of oneself in terms of whom they are romantically or sexually attracted to is termed as: Sexual orientation Sexual identity Sexuality Sexual behaviour

33. The minor complications of pregnancy include:- Backache, vericosities , pica, vaginal bleeding Vericosities , Pitting ankle Oedema, Ptyalism, morning sickness Morning sickness, Nausea, Maternal anxiety, Fainting Ptyalism , Vericositis , Constipation, Carpal tunnel syndrome  

34. The normal physiological changes in the cardiovascular system during pregnancy lead to: Slight increase in blood pressure High increase in blood pressure Slight drop in blood pressure Great reduction in blood pressure

35. Surfactant production starts at ………….. gestation 32 weeks 36 weeks 24 weeks 20 weeks 

36. The three layers that make the embryonic plate during the embryonic stage of foetal development include:- The cytoderm, ectoderm, endoderm The ectoderm, mesoderm, endoderm The syncytiotrophoblast , cytotrophoblast, mesoderm The mesoderm, ectoderm and yolk sac

37. The uterine ligament that maintains the ante-verted position of the uterus is: The broad ligament The round ligament The utero-sacral ligament The ovarian ligament

38. The following are important landmarks of the pelvic brim:- Sacral promontory, Sacroiliac joint, Iliopectineal line, Iliopectineal eminence, symphysis pubis Sacral promontory, Sacral ala, Sacroiliac joint, Iliopectineal line, ischial spines Sacral promontory, Sacral ala, Sacroiliac joint, hollow of sacrum, Iliopectineal eminence Sacral promontory, symphysis pubis joint, Sacroiliac joint, obturator foramen, Iliopectineal eminence

39. The essential obstetric care entails:- Focused antenatal care, clean and safe delivery, caesarean section services, postnatal care Prevention of complications in pregnancy ,clean and safe delivery, family planning, past abortion care Clean and safe delivery, postnatal care, essential newborn care, post abortion care Focused antenatal care, clean and safe delivery, targated postnatal care, essential newborn care

40. During early pregnancy the syncitiotrophoblastic layer of the chorionic villi is responsible for: Erosion of endometrial wall Secretion of Human Chorionic Gonadotropic hormone Absorption of oxygen and nutrients Elimination of wastes in the placenta

41. The presumptive signs of pregnancy include:- Early breast changes, fetal parts felt, amenorrhoea Bladder irritability, quickening, fetal heart sounds heard Morning sickness, uterine growth, fetal parts felt Bladder irritability, amenorrhoea, early breast changes.

42. The placental hormone mainly responsible ptyalism and morning sickness in early pregnancy is: Oestrogen Progesterone Human chorionic gonadotrophin Human placental lactogen

43. After fertilization, the placenta and the chorion are formed from:- Cytotrophoblast Trophoblast Blastocyst Syncytiotrophoblast

44. The following are characteristics of a gynaecoid pelvis except. Generous fore pelvis A shallow cavity Divergent side walls Round sciatic notch

45. Which of the following is the smallest diameter of the pelvic brim;- Antero-posterior diameter Transverse diameter Oblique diameter Sacro-cotyloid diameter

46. The routine ANC Profile investigations include: HB level, blood group, obstetric ultra sound, HIV testing, urinalysis VDRL, HB testing, full haemogram , urinalysis, Malaria test Blood group, HB estimation, VDRL, Urinalysis, HIV testing Hb estimation, HIV testing, VDRL, Blood sugar tests, urinalysis

47. The spermatozoa invade and erodes the ovum wall for fertilization through a chemical process known as;- Cortical reaction Blastulation Achrosome reaction Compatication

48. After fertilization the layer responsible for the formation of skin and the nervous system is Mesoderm Endoderm Basal layer Ectoderm

49. A pregnant woman’s last menstrual period began on April 8, 2019 and ended on April 13 same year. Estimate date of birth (EDD). January15, 2020 January 20, 2020 July 1, 2020 November 5, 2019

50. During the 28-32 week gestation Lanugo is absent Male testis begins to descend Auscultation of the fetal heart rate is impossible Meconium is absent in the intestines  

51. . Vaginal examination is contraindicated in pregnancy in which situation Cancer of the cervix Per vaginal bleeding Cord prolapse Active labour  

52. A woman presents at the ANC clinic at 16 weeks gestation with a history of one living child and 2 abortions. The midwife will interpret this as; Para 3+1 gravida 4 Para 1+3 gravida 4 Para 2+2 gravida 4 Para 1+ 2 gravida 4

53. The suture that separates the frontal bones from the parietal bones is the; Coronal Frontal Sagittal Lambdoidal  

54. Anterior relations of the uterus include; Pouch of Douglas, bladder Broad ligaments, poach of Douglas Intestines, broad ligaments Bladder, uterovesical poach  

55. On doing a vaginal examination, the examining finger identified a triangular shaped soft depression on the foetal skull. This was mostly likely to be; A. Posterior fontanelle B. Anterior fontanelle C. Coronal suture D. Sagittal suture

56. The hormone that plays a central role in the maintainance of labour is; Oestrogen Progesterone Oxytocinon Prostaglandin

57. Conception is most likely to occur when;  Estrogen levels are low   Lutenising hormone is high  Endometrial lining is thin Progesterone level is low

58. The pelvic joints are 2Sacro-iliac,1scral coccygeal,1symphysis pubis 1Sacro-iliac,1scral coccygeal,2symphysis pubis 1Sacro-iliac,1scral coccygeal, 1symphysis pubis 2Sacro-iliac,2scral coccygeal,1symphysis pubis

59. The main support of the uterus is provided by The round ligament The cardinal ligament The infandilo -pelvic ligament The broad ligament

60. The joint between the two pubic bones is called the: A. Sacroiliac joint. B. Pubis symphysis. C. Sacrococcygeal joint. D. Piriformis.

61. The main blood supply of the vulva is: A. Inferior hemorrhoidal artery. B. Pudendal artery. C. Ilioinguinal artery. D. Femoral artery.

62. The normal lining of the fallopian tube is: A. Squamous epithelium. B. Transitional epithelium. C. Cuboidal epithelium D. Columnar epithelium with cilia.

63. The second stage of labor involves: Separation of the placenta. Effacement of the cervix. Expulsion of the placenta. Expulsion of the fetus.

64. Which is true? Position – cephalic. Station – level of ischial spines. Presentation – flexion.

65. A head of level (one fifth) indicates: Indicates that one fifth of the head is below the pelvic brim. Indicates that the head is engaged. Indicated that forceps may not be used. Indicates that head is at the level of the ischial spines.

66. Signs of Placental separation after delivery include: Bleeding. Lengthening of the umbilical cord. Presentation of the placenta at the cervical os . All of the above.

67. An unstable lie is related to all of the following EXCEPT : Prematurity. Grand multiparty. Placenta previa. Fundal fibroid.

68. The relation of the fetal parts to one another determines: A. Presentation of the fetus. B. Lie of the fetus. C. Attitude of the fetus. D. Position of the fetus.

69. The relationship of the long axis of the fetus to the long axis of the mother is called: A. Lie. B. Presentation. C. Position. D. Attitude.

70. The fetal head may undergo changes in shape during normal delivery. The most common etiology listed is: A. Cephalohematoma. B. Molding. C. Subdural hematoma. D. Hydrocephalus.

71. Methods of determining fetal presentation & position include: A. Cullen's sign. B. Leopold's maneuver. C. Mauriceau-Smelli-Veit maneuver. D. Carful history taking.

72. A primpara is in labor and an episiotomy to be cut. Compared with a mid line episiotomy, an advantage of medio-lateral episiotomy is: Ease of repair Fewer break downs Lower blood loss Less extension of the incision

73. An unstable lie is associated with all the following EXCEPT : Prematurity Grand multiparity Placenta previa Cervical fibroid

74. The heart rate of a normal fetus at term: A. 80-100 bpm. B. 100-120 bpm. C. 120-160 bpm. D. 160-180 bpm.

75. Repetitive late decelerations most commonly indicate: A. Fetal academia. B. Fetal hypoxia. C. Fetal sleep state. D. Fetal efforts of maternal sedation.

76. Which of the following is NOT a characteristic of normal labor: A. Progressive cervical dilation. B. Increasing intensity of contractions. C. Uterine relaxation between contractions. D. Moderate bleeding.

77. Bishop score includes all the followings EXCEPT: A. Dilation of the cervix. B. Position of the cervix. C. The presenting part of the fetus. D. Length of the cervix.

78. Regarding Prostaglandins: A. Maintain the corpus luteum of early pregnancy. B. Have no role in the development of menorrhagia. C. Are involved in the onset of labor. D. Have no rule in the development of dysmenorrhea.

79. The normal cord pH is : 6.1 6.2 7.0 7.2

80. The bishop score is used to predict : A. The state of the fetus at the time of delivery. B. The success rate of the induction of the labor. C. The fetal condition in the uterus. D. The maternal well being in labor.

81. Fetal nutrition is dependent on: Maternal nutrient stores. Maternal diet. Maternal metabolism. All of the above.

82. Which of the following is suggestive of ovulation: A. Basal body temperature drop at least 0.5C in the second half of the cycle B. Day 21 estrogen level is elevated C. Progesterone level on day ten of the cycle is elevated D. Regular cycle with dysmenorrhea

83. The luteal phase of the menstrual cycle is associated with: A. High luteinizing hormone level B. High progesterone levels C. High prolactin level D. Low basal body temperature

84. A sample of cervical mucus is taken on day 12 of the menstrual cycle. The mucus is thin, clear, & stretchy. It placed on a slide and allowed to air dry. When placed under microscopic, what would you expect: A. Calcium citrate. B. Clear fields, devoid of bacteria Cell. C. Thick mucus with background bacteria. D. A fren pattern characteristic of estrogen

85. The following hormones are secreted from the anterior pituitary gland EXCEPT: FSH. HCG. LH. Prolactin.

86. Which of the following is the primary source of estrogen ? A. Theca interna cells. B. Theca externa cells. C. Granulosa cells. D. Interstitial cells.

87. Gonadotropin-releasing hormone (GnRH) stimulates the release of: A. Opiate peptides. B. Adrenocorticotropic hormone (ACTH). C. LH. D. Growth hormone.

88. Estrogen have all of the following actions, EXCEPT: Produce proliferation of the endometrium. Development of secondary sexual characteristics. Increase cervical mucous. Prevention of thrombosis.

89. The following are presumptive skin signs of pregnancy except: A. Chloasma B. Maculo-papular rash C. Linea Nigra D. Stretch Marks

90. The resting pulse in pregnancy is: A. Decreased by 20 bpm. B. Decreased by 10 to 15bpm. C. Unchanged. D. Increased by 10 to 15 bpm.

91. In normal pregnancy, levels of all of the following hormones increases EXCEPT: Parathyroid hormone (PTH) in the 2ND & 3RD trimesters. Free cortisol. Prolactin. Estradiol

92. The increase in blood volume in normal pregnancy is made up of: A. Plasma only. B. Erythrocytes only. C. More plasma than erythroblasts. D. More Erythrocytes than plasma.

93. In the fetus, the most well oxygenated blood is allowed into the systemic circulation by the: A. Ductus arteriosus. B. Foramen ovale . C. Rt. Ventricle. D. Ligamentum teres.

94. The Maternal blood volume in during normal second stage of pregnancy: A. remains stable. B. Decreases 10%. C. Increases 10% D. Increases up to 40%

95. Fetal blood is returned to the umbilical arteries & the placenta through: A. Hypogastric arteries. B. Ductus venosus. C. Portal vein. D. Inferior vena cava.

96. After birth, all of the following vessels constrict EXCEPT: A. Ductus arteriosus. B. Umbilical arteries. C. Ductus venosus. D. Hepatic portal vein.

97. Maternal serum Prolactin levels in pregnancy are highest: A. At the end of gestation just before delivery of the infant. B. Just after the delivery of the infant. C. As the placenta is released. D. The 3RD to 4TH day postpartum.

98. All the following hormones are products of placental synthesis, EXCEPT : A. HCG. B. HPL. C. Prolactin. D. Progesterone.

99. Skin changes during pregnancy should include: Chloasma. Striae. Palmer erythema. All of the above.

100. The second meiotic division of the oocyte is normally completed: at the stage of the primary follicle. At the stage of the Graafian follicle. In the uterus at the time of implantation. After the sperm penetrates the secondary oocyte

101. Sure sign of pregnancy is: A. Amenorrhea B. Hegar's sign C. Nausea and vomiting D. Auscultation of fetal heart