Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Antepartum Care and Fetal Surveillance
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Question 1# Print Question

A patient presents in labor at term. Clinical pelvimetry is performed. She has an oval-shaped pelvis with the anteroposterior (AP) diameter at the pelvic inlet greater than the transverse diameter. The baby is occiput posterior.

The patient most likely has what kind of pelvis?

A. A gynecoid pelvis
B. An android pelvis
C. An anthropoid pelvis
D. A platypelloid pelvis
E. An androgenous pelvis

Question 2# Print Question

Pelvic examination is performed in a 34-year-old P0101 at 34 weeks’ gestation who is in labor. The patient is noted to be 6 cm dilated, and completely effaced with the fetal nose and mouth palpable. The chin is pointing toward the maternal left hip.

This is an example of which of the following?

A. Transverse lie
B. Mentum transverse position
C. Occiput transverse position
D. Brow presentation
E. Vertex presentation

Question 3# Print Question

You are counseling a 36-year-old obese, Hispanic G2P1 at 36 weeks’ gestation about route of delivery. During her first pregnancy, she was induced at 41 weeks’ gestation for mild preeclampsia, and delivered by cesarean as a result of fetal distress during her induction. The patient would like to know if she can have a trial of labor after cesarean (TOLAC) with this pregnancy.

Which of the following is the best response to this patient?

A. No, since she has never had a vaginal delivery
B. Yes, but only if she had a low transverse uterine incision
C. No, because once she has had a cesarean delivery, she must deliver all of her subsequent children by cesarean
D. Yes, but only if her skin incision was a Pfannensteil
E. Yes, but she must wait until she goes into labor spontaneously to have a repeat cesarean

Question 4# Print Question

The patient wants to know about the probability of success if she chooses to undergo TOLAC.

What can you tell her about factors that impact the probability of success in TOLAC?

A. The probability of successful TOLAC is increased for her because she is Hispanic
B. She is likely to have a successful TOLAC because she has never had a vaginal delivery
C. Her weight does not impact her chance for successful TOLAC
D. Her age does not impact her chance for successful TOLAC
E. If she goes into labor spontaneously before 40 weeks, her chance for successful TOLAC will be increased

Question 5# Print Question

The patient has still not gone into spontaneous labor at 41 weeks’ gestation. You see her in clinic and her blood pressure is 150/90 mmHg and she has +3 proteinuria on urine dipstick. You send her to labor and delivery for further evaluation, and her blood pressure remains elevated, consistent with a diagnosis of preeclampsia. You examine her cervix and find that it is closed and thick. She asks whether she can undergo induction of labor at this point.

What should you tell her about induction of labor?

A. She may be induced after using a prostaglandin as a cervical ripening agent
B. Her chance of successful VBAC is just as high with induction of labor as it is with spontaneous labor
C. Prior cesarean delivery is a contraindication to induction of labor
D. She may be induced with a mechanical cervical ripening agent such as a transcervical catheter
E. Her unfavorable cervical exam does not impact her chance of successful TOLAC

Category: Obstetrics & Gynecology--->Antepartum Care and Fetal Surveillance
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