1) Folic acid supplementation reduces the risk of a) Neural tube defects b) Toxaemia of pregnancy c) Down’s syndrome d) Placenta previa 2) Suction and evacuation can be done upto a) 6 weeks b) 10 weeks c) 16 weeks d) 18 weeks 3) A gravid woman with complaints of slight bleeding and has normal FHR with normal uterine size. The condition is called a) Threatened abortion b) Missed abortion c) Inevitable abortion d) Incomplete abortion 4) A woman with full cervical dilatation and +2 station has late deceleration in FHR. If pelvis is adequate, the mgt is a) Wait for spontaneous delivery b) Forceps delivery c) Vacuum extraction d) Caesarean section 5) A primigravida came with central placenta previa & heavy bleeding but FHR is normal. The best management option is a) Expectant management b) Cesarean section c) Induction and vaginal delivery d) Induction and forceps delivery 6) A gravid woman of 35 weeks pregnancy with hydramnios and marked respiratory distress is best treated with a) Intravenous frusemide b) Saline infusion c) Amniocentesis d) Artificial rupture of membranes 7) A term gravid woman came with c/o abd. pain and bleeding PV. The ut. size is above the level of EDD with no FHR. It is a) Hydramnios b) Concealed haemorrhage c) Active labor d) Uterine rupture 8) Mrs.X with Rheumatic Heart Disease got pregnant. What is not indicated in the management of her labor? a) Giving prophylactic antibiotics b) Apply outlet forceps in 2nd stage of labour c) Give IV frusemide at delivery of placenta d) Give methergin at delivery of anterior shoulder 9) ACE Inhibitor is contraindicted in pregnancy a) True b) False 10) Expand AMTSL a) Acute Meconium in Third stage of labor b) Airway Management in Third stage of labor c) Abdominal Massage in Third stage of labor d) Active Management of Third stage of labor 11) What is the recommended daily pre-conceptual dose of folic acid? a) 4 mg b) 0.4 mg c) 0.4 gm d) 4 gm 12) Abortions in the first trimester is mostly due to a) Incompetent cervix b) Defective genes c) Uterine fibroid d) Intrauterine adhesion 13) Shortening and thinning of cervix during labor is called a) Ripening b) Cornuation c) Effacement d) Dilatation 14) Assessment of progress of labor is best done by a) Station of head b) Rupture of membrane c) Contraction of uterus d) All the above 15) The earliest sign of placental separation is a) Change in shape and consistency of the uterus b) Sudden gush of blood c) Cessations of umbilical cord pulsations d) Increased height of fundus 16) The most common cause of rupture of uterus is a) Brow Presentation b) Shoulder dystocia c) Breech presentation d) Over distention 17) The Commonest cause of breech presentation is a) Prematurity b) Postmaturity c) Diabetes mellitus d) Congenital anomaly 18) Vaginal bleeding in a neonate is due to a) Sarcoma boytroides b) Trauma of delivery c) Hormonal withdrawal d) Congenital anomaly of reproductive system 19) The normal weight of the placenta is compared to a) 1/6th of baby weight b) 1/3rd of baby weight c) 1/4th of baby weight d) 1/5th of baby weight 20) Copper T 380A is used for 10 years. a) True b) False 21) A gelatinous fluid which is found in umbilical cord is a) Vernix caceosa b) Wharton’ jelly c) Amniontic fluid d) Peritoneal fluid 22) Ideal weight gain for a  pregnant woman with normal BMI(20-26) is a) 11-16kg b) 4-7 kg c) 8-10 kg d) 17-20 kg 23) A brownish black pigmented area in the midline stretching from the xiphisternum to the symphysis pubis is a) Striae gravidarum b) Striae albicans c) Melasma d) Linea nigra 24) Identify the technique a) Bimanual compression b) Controlled cord traction c) Tamponade d) External Ballottement 25) Interpret the picture a) Cord Prolapse b) Cord Presentation c) Vaginal Examination d) Stripping of membranes

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