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Казахский национальный медицинский университет им. С.Д. Асфендиярова
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С.Ж.АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ

КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д.АСФЕНДИЯРОВА

КАФЕДРА АКУШЕРСТВА И ГИНЕКОЛОГИИ №2

ТЕСТОВЫЕ ЗАДАНИЯ

«Тактика ведения патологических состояний в акушерстве»

        1. This is not a function of the amniotic fluid of the fetus:

  1. to make space for the movement of the fetus

  2. to protect from mechanical injury

  3. create a temperature balance

  4. transport function and participate in the metabolism

  5. + to onset of labor

        1. Which is usually not the color of amniotic fluid and its elements:

  1. at the beginning of pregnancy yellow

  2. bright and clear after 20 weeks

  3. muddy and opalescent in late pregnancy

  4. has a parish, the cells of the epidermis and syrovidnoy lubrication

  5. + presence of impurities of blood, red

        1. Amniotic fluid (AF) is characterized  high rate of metabolism. Using radioactive isotopes found that AF in the fetal sac is completely changed in:

  1. + 2.9 hours

  2.  2.5 hours

  3. 2 days

  4.   30 days

  5.   does not change completely

        1. The volume of amniotic fluid (AF) depends on the gestational age. The maximum amount of AFwas recorded at 34 weeks gestation, and is as follows:

  1. + 950.0 ml

  2. 1000.0 ml

  3. 500.0 ml

  4. 1500.0 ml

  5. >2000.0 ml

        1. The growth in the infant corresponds to gestational age and body weight decreased. Indicate how this is the type of intrauterine growth retardation:

  1. +hypotrophy

  2. gipostatura

  3. giposomiya

  4. hypoplasia

  5. microsomia

        1. Indicate the placental factor leading to intrauterine growth retardation:

  1. maternal disease

  2. pernicious habits

  3. + abnormalities and thrombosis of the umbilical vessels

  4. genetic and chromosomal diseases

  5. intranatal illness

        1. The external signs of severe perinatal hypoxia DOESN’T include:

  1. dry, scaly skin

  2. frequent diaper rash

  3. stomatitis, thrush

  4. absence of subcutaneous fat

  5. +pemphigus on the palms, soles

        1. For the surfactant is not typical:

  1. during expiration prevents contraction of the alveoli

  2. increases mucociliary clearance

  3. has bactericidal activity

  4. involved in the microcirculation in the lungs

  5. + involved in blood coagulation

        1. A newborn boy was born at term, cried immediately. Weight was 2500.0 grams, height - 54.0 cm,. Weight and growth coefficient - 46. Determine the degree of perinatal malnutrition:

  1. malnutrition is not

  2. degree of malnutrition

  3. degrees of malnutrition

  4. +3 degrees of malnutrition

  5. 4 degrees of malnutrition

        1. The outcome of pneumonia in low birth weight infants DOESN’T happen:

  1. the presence of general symptoms in the clinic

  2. fever is not always

  3. frequent complications

  4. takes place on a background of respiratory distress syndrome

  5. +favorable outcome

        1. Indicate average of the physiological  weight loss  in newborn:

  1. + 10%

  2. 16%

  3. 20%

  4. 25%

  5. 30%

        1. The following factor DOES NOT lead to a breach of infant growth

  1. + younger than 18 years and more than 30 years

  2. professional hazard

  3. smoking, alcohol

  4. drug addiction

  5. malnutrition

        1. Somatic risk factor for fetal growth retardation IS NOT:

  1. specific chronic disease

  2. nonspecific infection

  3.  cardiovascular and kidney diseases

  4. asymptomatic bacteriuria

  5. +malformations of the uterus

        1. The next complication of pregnancy DOES NOT cause fetal growth retardation:

  1. pre-eclampsia, eclampsia

  2. threat of termination of pregnancy

  3. multiple pregnancy

  4. polyhydramnios

  5. +previous pregnancy complication

        1. For the diagnosis of fetal growth retardation DOES NOT apply:

  1. measurement of the height of the uterus

  2. gravidogramma

  3. doppler

  4. +cordocentesis

  5. ultrasonography

        1. For symmetric fetal growth retardation IS NOT typical:

  1. proportional lagging of all sizes on ultrasound

  2. violation of placental blood flow from 20 weeks

  3. oligohydramnios or polyhydramnios

  4. frequent malformations in the fetus

  5. + violation of placental blood flow from 30 weeks

        1. For asymmetric fetal growth retardation is NOT typical:

  1. begins to manifest itself in the third trimester

  2. lagging development of only the size of the stomach

  3. violation of placental blood flow after 30 weeks

  4. oligohydramnios

  5. + violation of placental blood flow from 20 weeks

        1. Severe growth retardation (grade 2-3) was diagnosed on the basis of additional methods of examination. Which of them DO NOT have diagnostic value:

  1. CTG - reduced heart rate variability

  2. CTG - inhibition of motor activity and respiratory

  3. CTG - reduced muscle tone

  4. Doppler - a violation of blood flow in the umbilical artery, aorta, middle cerebralartery

  5. + The density of amniotic fluid

        1. It is NOT a necessary condition for early delivery, if there is a delay in the development of the fetus in pregnancy is less than 37 weeks.

  1. the fetus does not grow for 2 weeks

  2. the motor activity of the fetus reduces

  3. there is subcompensated placental insufficiency(systolic-diastolic ratio of the middle cerebral artery of the fetus is less than 2.2)

  4. there are signs of fetal hypoxia

  5. + fetal lungs are mature

        1. A child is born with signs of growth retardation. There is a need to establish the cause of this pathology.  NOT to do:

  1. determine the weight of placenta

  2.  determine the presence of infarcts, fibrin deposition, arteriovenous malformations

  3.  determine the place of attachment of the umbilical cord

  4. + assess the condition of the placenta and dispose

  5. send the placenta for histological examination

        1. It is NOT a source of amniotic fluid

  1. fetal lungs (pulmonary fluid, transudate)

  2. fetal urine

  3. transudation of plasma through the maternal fetal membranes

  4. catecholamines, vasopressin, prostaglandins, angiotensin 2

  5. +liquid, which the woman drinks

        1. Placental insufficiency is not the case with the following conditions:

  1. If a woman suffered a viral and bacterial infection

  2. pregnancy with premature birth

  3. hypertension during pregnancy

  4. extragenital diseases

  5. + during physiological pregnancy

        1. Placental insufficiency CAN’T be:

  1. primary and secondary

  2. acute and chronic

  3. compensated and decompensated

  4. delayed development of the fetus and no fetal growth retardation

  5. +easy and heavy

        1. Primary cause of placental insufficiency CAN’T BE:

  1. genetic factors

  2. bacterial and viral infections

  3. endocrine factors

  4. enzymatic deficiency decidual tissue

  5. + Incorrect attachment of the placenta

        1. The cause of placental insufficiency can not be:

  1. violation of endovascular trophoblast migration

  2. insufficiency of invasion chorionic villi

  3. violation of the differentiation of placental villi

  4. utero-placental perfusion

  5. + Breach of the blood flow in arteries and veins of the umbilical cord (true node)

        1. What research method is NOT used for the diagnosis of placental insufficiency:

  1. ultrasound

  2. cardiotocography

  3. doppler

  4. determination of fetal biophysical profile

  5. + chorionic villus sampling

        1. What method of research is not informative for the diagnosis of fetal growth retardation

  1. determine the location of the placenta

  2. determination of the thickness of the placenta and its structure

  3. the presence of water shortage

  4.  the presence of polyhydramnios

  5. + determination of alkaline phosphatase, and placental lactogen

        1. When it is necessary to carry out ultrasound screening for the diagnosis of placental insufficiency and fetal growth retardation

  1.  12-20 weeks

  2. +20-24, 30-34 weeks

  3. 32 -36 weeks

  4. 36 - 38 weeks

  5. 39 weeks

        1. With Doppler you can NOT determine the blood flow in arteries and veins:

  1. of uterus

  2. umbilical cord

  3. middle cerebral artery

  4. ovarian artery

  5. inferior vena cava and the jugular vena

        1. The woman, there are signs of placental insufficiency. What condition CAN’T BE a reason for directing the patient to the maternity hospital:

  1. decompensation of placental blood flow (Doppler)

  2. violation of the functional status of the fetus according to the CTG

  3. fetal growth retardation

  4. pre-eclampsia

  5. + mild anemia

        1. Do NOT prevents the growth retardation of fetus and placental insufficiency:

  1. treatment of complications of pregnancy

  2. the exception of alcohol and tobacco

  3. normalization of sleeping

  4. protection against sexually transmitted infections by

  5. + laxatives drugs and neuroleptics

        1. The task of Ultrasound in the 2nd trimester of pregnancy IS NOT:

  1. diagnosis of malformationsd

  2. iagnosis of early forms of fetal growth retardation

  3. assessment of the location and thickness of the placenta

  4. determining the amount of amniotic fluid

  5. +diagnosis of trophoblastic disease 

        1. The task of Ultrasound in the first trimester of pregnancy IS NOT:

  1. diagnosis of uterine pregnancy

  2. the exclusion of ectopic pregnancy

  3. diagnosis of multiple pregnancy

  4. assessment of fetal life

  5. + diagnosis of fetal growth retardation

        1. The classification of violations of uteroplacental and feto-placental blood flow Doppler can NOT be:

  1. I-st A degree

  2. II-nd Б degree

  3. +IV AБ degree

  4. II-nd degree

  5. III-th degree

        1. It ISN’T an indication for Doppler blood flow studies in the mother-placenta-fetus:

  1. hypertension

  2. kidney disease

  3. +breech fetus

  4. growth retardation of fetus

  5. prolongation of pregnancy

        1. The purpose of cardiotocography is:

  1. + functional diagnosis of fetal

  2. oligohydramnios

  3. polyhydramnios

  4. twins

  5. malposition

        1. It is not an indication for CTG during pregnancy: 

  1. isoimmunization

  2.  postmaturity

  3. growth retardation

  4. reduction of motor activity of the fetus

  5. + breech

        1. During the CTG the following indicator ISN’T defined::

  1. basal heart rate

  2. the oscillations

  3. aktseleratsii

  4. decelerations

  5. + flow velocity in the uterine artery

        1. The criteria for normal antenatal Cardiotocography does NOT apply:

  1.  the basal rate of 120-160 per minute.

  2.  the amplitude of the variability of the basal rate of 10-25 per minute.

  3.  the absence of decelerations

  4.  the presence of two or more akseleratsy for 10 min.

  5. + late decelerations

        1. Which of the following indicators is in normal cardiotocography:

  1. basal rate 100 per minute or 180 beats in a minutes.

  2. the amplitude of the variability of the basal rate 5 hits in 1 minute

  3.  pronounced variable decelerations

  4. +basal rate of 120-160 per minute

  5. late decelerations

        1. What complications CAN’T BE during amnioscopy:

  1.  prenatal rupture of membranes

  2. premature detachment of normally situated placenta

  3. perforation of the fetal head

  4. +uterine rupture

  5. injury of the bladder

        1. Screening for chlamydial infection ARE NOT subject to:

  1. women with a purulent discharge from the genital tract

  2. infertile couples

  3. infants born to mothers with chlamydial infection

  4. + patients without any complaints, recovered from chlamydia before pregnancy

  5. sex partners of pregnant patients with chlamydia

        1. The main factor of transmission of hepatitis B virus - blood. The groups at high risk of contracting hepatitis B does not include:

  1. the recipient of donated blood

  2. intravenous drug users

  3. the representatives of commercial sex

  4. + children of the first year after the birth of the physiological

  5. the woman on chronic hemodialysis

        1. Complication of pregnancy in hepatitis B can NOT be:

        1. Growth retardation

        2. the hypertensive condition

        3.  chronic fetal hypoxia

        4.  prenatal rupture of membranes

        5. + fetal macrosomia

        1. Common complication of pregnancy in women with uterine fibromyoma IS NOT:

        1. Growth retardation

        2. rapid growth of the tumor

        3. violation of the blood supply and necrosis of the myoma node

        4. placental insufficiency

        5. + varicose veins of lower extremities

        1. This IS NOT a critical period of fetal development:

        1. 6 weeks is the period of implantation

        2. 8 weeks, the period of active organogenesis

        3. + 38 weeks, beginning the preparation and delivery of the body

        4. 15-20 weeks of increased growth of the brain

        5. 22-24 weeks of fetal development of functional systems

        1. During the pregnancy symptoms associated with increase uterine and placental hormones come. What symptoms require special treatment:

        1.  heartburn

        2. locks

        3. frequent urination

        4. + pain in lower abdomen

        5.  muscle pain in legs

        1. The purpose of physical activity during pregnancy IS NOT:

        1. strengthening the back muscles

        2. increase the elasticity of the muscles of the perineum

        3. the skill of relaxation

        4. reduction of excessive weight gain

        5. + prevention of fetal growth retardation

        1. Narcotic вrugs is not be taken during pregnancy. They cause 4 of 5 below listed complications of pregnancy. Highlight the WRONG answer::

        1. The pathology of the placenta and placental complex

        2. growth retardation

        3. antenatal fetal death

        4. neonatal abstinence syndrome

        5. +intrauterine pneumonia

        1. In the phase of organogenesis for the prevention of neural tube malformations and congenital cretinism  have to use the drug:

        1. Elevit

        2. Magne B6

        3. + Folic acid

        4. Materna

        5. Calcium D3 Nycomed

        1. In pregnant women with 34-35 weeks of gestation diagnosed: “Growth retardation 1-degree”. If a doctor found a violation of Doppler blood flow in the uterine artery 1A. Cardiotocography (CTG) = 1.0. What is the tactic of a doctor?

        1. to continue monitoring in the antenatal clinic under the supervision of CTG

        2. + continue monitoring in the antenatal clinic under the supervision of CTG and Doppler

        3. direct to the hospital for early delivery

        4. designate Aktovegin 10 mg intravenously

        5. designate Fraxiparine, Pentoxifylline

        1. In pregnant woman with 37 weeks of pregnancy diagnosed: "“Growth retardation 1-degree 2-nd degree. Decompensated form of placental insufficiency. " The results of cardiotocography indicate threatened status of the fetus. What is the tactic of a doctor?

        1. appoint a prevention disstres syndrome in the fetus

        2. +make Caesarean sections

        3. begin preparation of the cervix with misoprostol

        4. when mature the cervix produce amniotomy

        5. start induction of labor with oxytocin

        1. 3-times screening to detect fetal growth retardation means - this is an ultrasound on the following dates:

        1. + 12 weeks 22 weeks 32 weeks

        2. 8 weeks 20 weeks 34 weeks

        3. 6 weeks 19 weeks 33 weeks

        4. 6 weeks 25 weeks 35 weeks

        5. 6 weeks 26 weeks 36 weeks

        1. The thickness of the normal mature placenta at 35-36 weeks of pregnancy is:

        1. + 35 mm

        2. 25 mm

        3. 30 mm

        4. 40 mm

        5. 10 mm

        1. 1-th  degree of the placenta is detected during pregnancy:

        1. + in 3-th trimester of pregnancy

        2.  since the late of 3-th trimester of pregnancy

        3. since 20 weeks of pregnancy

        4. at 39-40 weeks of gestation

        5. in the 16 weeks of pregnancy

        1.  A balanced diet is important to prevent following complication  of pregnancy:

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