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Category: Obstetrics & Gynecology--->Maternal-Fetal Physiology and Placentation
Page: 3

Question 11#Print Question

During a routine return OB visit, an 18-year-old G1P0 patient at 23 weeks’ gestational age undergoes a urinalysis. The dipstick done by the nurse indicates the presence of trace glucosuria. All other parameters of the urine test are normal.

Which of the following is the most likely etiology of the increased glucose detected in the urine?

a. The patient has gestational diabetes
b. The patient has a urinary tract infection
c. The patient’s urinalysis is consistent with normal pregnancy
d. The patient’s urine sample is contaminated
e. The patient has underlying renal disease


Question 12#Print Question

A 29-year-old G1P0 at 28 weeks’ gestation presents to your office complaining of shortness of breath that is more intense with exertion. She has no significant past medical history and is not on any medication. The patient denies any chest pain. She is concerned because she has always been very athletic and cannot maintain the same degree of exercise that she was accustomed to prior to becoming pregnant. On physical examination, her pulse is 72 beats per minute. Her blood pressure is 90/50 mm Hg. Cardiac examination is consistent with a grade I systolic ejection murmur. The lungs are clear to auscultation.

Which of the following is the most appropriate next step in management of this patient?

a. Refer the patient for a ventilation-perfusion scan to rule out a pulmonary embolism (PE)
b. Perform an arterial blood gas
c. Refer the patient to a cardiologist
d. Reassure the patient
e. Order an electrocardiogram


Question 13#Print Question

A 33-year-old G2P1 is undergoing an elective repeat cesarean section at term. The newborn is delivered without any difficulties, but the placenta cannot be removed easily because a clear plane between the placenta and uterine wall cannot be identified. The placenta is removed in pieces. This is followed by uterine atony and hemorrhage. 

Match the descriptions with the appropriate placenta type. 

a. Fenestrated placenta
b. Succenturiate placenta
c. Vasa previa
d. Placenta previa
e. Placenta accreta


Question 14#Print Question

A 22-year-old G3P2 undergoes a normal spontaneous vaginal delivery without complications. The placenta is spontaneously delivered and appears intact. The patient is later transferred to the postpartum floor where she starts to bleed profusely. Physical examination reveals a boggy uterus and a bedside sonogram indicates the presence of placental tissue.

Match the descriptions with the appropriate placenta type.

a. Fenestrated placenta
b. Succenturiate placenta
c. Vasa previa
d. Placenta previa
e. Membranous placenta


Question 15#Print Question

A 34-year-old G6P5 presents to labor and delivery by ambulance at 33 weeks’ gestational age complaining of the sudden onset of profuse vaginal bleeding. The patient denies any abdominal pain or uterine contractions. She denies any problems with her pregnancy to date but has had no prenatal care. She admits to smoking several cigarettes a day, but denies any drug or alcohol use. The fetal heart rate tracing is normal. There are no contractions on the tocometer.

Match the descriptions with the appropriate placenta type.

a. Fenestrated placenta
b. Succenturiate placenta
c. Vasa previa
d. Placenta previa
e. Placenta accreta




Category: Obstetrics & Gynecology--->Maternal-Fetal Physiology and Placentation
Page: 3 of 3