Which of the following is NOT a cause of infertility in women

1. In case of Forceps and ventouse delivery: which of the following is correct
(a) AFailure of instrumental delivery is more common with the ventouse
(b) Keilland’s (rotational) forceps have a ‘pelvic curve’ which follows the sacral curve and a ‘cephalic curve’ for the head
(c) If moderate traction with a ventouse does not produce immediate and progressive descent, forceps must be used.
(d) Instrumental delivery can be used once the cervix is 8 cm dilated.

2. Caesarean section: which one of the following is true?
(a) Delivery by Caesarean section occurs in 50% of deliveries in the developed world
(b) The usual operation is a classical Caesarean section
(c) Absolute indications for Caesarean include: breech presentation, twin pregnancy and previous Caesarean.
(d) None of these

3. The Uterine rupture and inversion of uterus is
(a) The principal risk factor for uterine rupture is use of oxytocin in multiparous wo men
(b) Constant lower abdominal pain in labour is common and unlikely to be related to uterine rupture.
(c) Rupture of a LSCS scar most commonly occurs before labour.
(d) Uterine inversion usually follows traction on the placenta and occurs in 1 in 20 000 deliveries.

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4. The most common cause of PPH is
(a) uterine atonicty
(b) cervical tear
(c) vaginal lacerations
(d) coagulation disorder

5. Among the following drugs the one most commonly used to reduce the blood loss in the management of postpartum heamoraghe is
(a) Oxytocin
(b) Methergin
(c) prostaglandins
(d) progesterone

6. The commonest cause of breech presentation
(a) prematurity
(b) hydrocephalus
(c) placenta praevia
(d) polyhydramnios

7. The commonest cause of occipito posterior position of fetal head during labour is
(a) maternal obesity
(b) deflexion of fetal head
(c) multiparity
(d) android pelvis

8. All the following are causes of intruterine growth retardation
(a) Anemia
(b) pregnancy induced hypertension
(c) maternal heart disease
(d) gestational diabetes

9. Injection glucogen is effective for management of persistant hypoglycemia in all except
(a) lage for date baby
(b) galactosemia
(c) infant of diabetic mother
(d) nesidioblastosis

10. Conservative management is contraindicated in a case of placenta praevia under the following situation except
(a) evidence of fetal distress
(b) fetal malformations
(c) mother in a haemodynamic condition
(d) woman in labour

11. In ecclampsia , the treatement regimen that cause minimum effects on the fetus is
(a) diazepam therapy
(b) lytic cocktail regime
(c) MgSo4
(d) phenobarbitone therapy

12. Ectopic pregnancy is best diagnosed by
(a) trans vaginal USG
(b) serial HCG
(c) X-ray
(d) none of these

13. Pregnant woman is found to have excessive accumulation of amniotic fluid .Such polyhydramnios is likely to be associated with all the following conditions except
(a) Twining
(b) Microanecephaly
(c) oesophageal atresia
(d) bilateral renal agenesis

14. Mifepristone is used in
(a) ectopic pregnancy
(b) fibroid uterus
(c) molar pregnancy
(d) none of these

15. Which measure would be least effective in preventing postpartum hemorrhage?
(a) Massage the fundus every hour for the first 24 hours following birth
(b) Teach the woman the importance of rest and nutrition healing
(c) Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
(d) Encourage the woman to void every 2 hours

16. A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which of the following risks associated with placenta previa?
(a) Infection
(b) Hemorrhage
(c) Chronic hypertension
(d) Disseminated intravascular coagulation

17. Prolapse of uterus occurs as a result of
(a) Weakening of the uterine walls
(b) Weakening of the bones
(c) Weakening of the pelvic musculature
(d) All of these

18. A 28 year old woman attends the colposcopy clinic after an abnormal smear test , the smear is reported as severe dyskaryosis and she has an intrauterine contraceptive device in situ . all the statements are likely to be true , apart from
(a) the cervix is microscopically normal
(b) acetic acid is applied and an irregular white area is apparent to the left of the cervical os
(c) lugol’s iodine is applied and the same area stains dark brown while the rest of the cervix stains pale
(d) a biopsy is taken

19. Which of the following is NOT a cause of infertility in women?
(a) ovulation midway through the menstrual cycle
(b) endometriosis
(c) thick cervical mucus
(d) PID (pelvic inflammatory disease)

20. A 48 year old woman presents with intermenstrural bleeding for two month and episodes of bleeding occuring any time in the cycle .there is no associated pain, the differential diagnosis for intermenstrual bleeding does not include :
(a) endocervical polyp
(b) cervical malignancy
(c) endometrial polyp
(d) ovarian teratoma