• Pregnancy ob02-ob04.

1. Diagnosis of Pregnancy.

***) Signs and symptoms of pregnancy in the 1^st trimester include all of the following, except:

1. Nausea

2. Quickening

3. Frequency of micturition

4. Soreness of breast

5. Hegar's sign

Answer: B* Quickening

***) Which of the following hormones is produced by trophoblast:

1. Luteinizing hormone

2. Follicle stimulating hormone

3. Prolactin

4. Human chorionic gonadotropin

5. Oxytocin

Answer: D* Human chorionic gonadotropin

***) Positive pregnancy test in the urine depends on the presence of:

1. Human chorionic gonadotropin

2. Progesterone

3. Estrogen

4. Calcium

5. Cortisol

Answer: A* Human chorionic gonadotropin

***) A suspicion of pregnancy at 3 wks GA may be confirmed by one of the following:

1. History of morning sickness and nausea

2. Vaginal examination

3. Abdominal examination

4. Immunological pregnancy test (hCG)

5. Breast examination

Answer: D* Immunological pregnancy test (hCG)

***) Which of the following hormones decreases after the first trimester of pregnancy:

1. Progesterone

2. Prolactin

3. Human Chorionic Gonadotropin (HCG)

4. Human Placental Lactogen (HPL)

5. Estrogen

Answer: C* Human Chorionic Gonadotropin (HCG)

2. Pregnancy & Physiological Changes.

***) All of the following statements are true, except:

1. The maximum weight increase in the uncomplicated pregnancy is 12.5 kg

2. The cardiac output has risen markedly by 40 percent during pregnancy

3. There is a slight increase of pulse rate about 15 percent

4. There is a decrease in red cell mass

5. Fibrinogen level increases during pregnancy

Answer: D* There is a decrease in red cell mass

***) Regarding cardiovascular system in normal pregnancy, the following are increased except:

1. Heart rate

2. Stroke volume

3. Plasma volume

4. Hematocrit

5. Red blood cells

Answer: D* Hematocrit

***) Blood volume is increased from the total volume during pregnancy at near term by about:

1. 10%

2. 20%

3. 25%

4. 45%

5. 100%

Answer: D*45%

***) Regarding supine hypotension one of the following is true:

1. Pressure of the gravid uterus on the aorta

2. Pressure of the gravid uterus on vena cava inferior

3. Pressure of the gravid uterus on vena cava superior

4. Constipation during pregnancy

5. Excessive heart burn

Answer: B* Pressure of the gravid uterus on vena cava inferior

***) In pregnancy concerning maternal blood the following are correct, except:

1. Plasma transcortin concentration increase

2. Free cortisol concentration increase

3. Thyroxin binding globulin concentration increase

4. Free thyroxin index increase

5. Release of TSH is not increased

Answer: D* Free thyroxin index increase

***) In the normal pregnancy all of the following increase, except:

1. Plasma volume

2. Hepatic blood flow

3. Platelet count

4. White cells count

5. Cardiac output

Answer: C* Platelet count

***) Pregnancy leads to one of the following:

1. Prolongation of stomach emptying time and increased acidity

2. Shortening of stomach emptying time and increased acidity

3. Shortening of stomach emptying time and decreased acidity

4. Prolongation of stomach emptying time and no affection of acidity

5. Prolongation of stomach emptying time and decrease acidity

Answer: E* Prolongation of stomach emptying time and decrease acidity

***) All of the following occur in alimentary tract during pregnancy, except:

1. The gums become swollen

2. Excessive salivation may occur

3. Heartburn (reflux esophagitis) is common

4. The stomach tends to empty more rapidly

5. Slow peristalsis of the bowel

Answer: D* The stomach tends to empty more rapidly

***) The cause of heartburn in pregnancy is:

1. Increased gastric motility

2. Increased vagal nerve activity

3. Gastro-esophageal reflux

4. Duodeno-gastric reflux

5. Increased gastric emptying

Answer: C* Gastro-esophageal reflux

***) Breast tissue of 2mm nodule is normal for which gestational age:

1. 28 weeks

2. 36 weeks

3. 40 weeks

4. 42 weeks

5. 44 weeks

Answer: A* 28 weeks