Obstetrics

Obstetrics
Text Tests
1. What is determined by the first Leopold maneuver in breech presentation?
A. position of fetus;
B. the lie and position of fetus;
C. presentin part of fetus;
!. "head of the fetus;
#. breech end of fetus.
$. What is the first moment of biomehanism of labor in breech presentations?
A. flexion of head;
B. "internal rotation of breech;
C. flexion of trun%;
!. internal rotation of shoulders and external rotation of trun%;
#. internal rotation of head.
&. What term of prenancy is possible to conduct the prophylactic rotation of fetus on a head in breech
presentations?
A. in $'(&$ )ee%s;
B. "in &*(&+ )ee%s;
C. in &+(&' )ee%s;
!. in &$(&' )ee%s;
#. )ithout limitation of term.
*. What is contraindication for the external rotation of fetus in breech presentations?
A. early estosis;
B. contracted pelvis , deree;
C. %idney disease of prenant )oman;
!. "scar on the uterus;
#. all of the above
-. Which aid is iven in the labor at fran% breech presentation?
A. classic manual aid;
B. "Tsovianov. , manual aid;
C. caesarean section;
!. perineum protective maneuvers;
#. the /uller. maneuver is used.
+. What the aim of the Tsovyanov. manual aid at fran% breech presentation consists in?
A. in providin of slo) and radual advancement of fetus;
B. in perineum protection from in0ures;
C. in the safe delivery of shoulders of fetus;
!. in the safe delivery of fetal head;
#. "in the savin of correct fetal attitude.
1. What is the aim of the classic manual aid?
A. perineum protective maneuvers from in0ures;
B. providin of slo) and radual advancement of fetus;
C. "delivery of the fetal arms and head;
!. delivery of fetal breech;
#. savin of correct fetal attitude.
'. 2o) often the breech presentations are there?
A. in 134
B. "in &(*4
C. in 1($4
!. in 1$(1*4
#. in +('4
5. To the reasons6 )hich caused the breech presentations belon all6 except for7
A. polyhydramnion
B. olihydramnion
C. anomalies of development of uterus
!. the decreased uterine tonus
#. "fetal hypoxia
13. By the third Leopold. maneuver in breech presentations is palpated7
A. the posterior of fetus
B. "the breech of the fetus
C. head of the fetus
!. the level of uterine fundus
#. position of fetus
11. By the second Leopold. maneuver in breech presentations is palpated7
A. fetal extremities
B. breech of fetus
C. head of fetus
!. les and buttoc%s of the fetus
#. "position of fetus
1$. At 88 position of breech presentation the fetal heart is listened at7
A. on the left at the level of umbilicus
B. riht side belo) than umbilicus
C. on the left belo) than umbilicus
!. on the left hiher than umbilicus
#. "riht side hiher than umbilicus
1&. At the internal obstetric examination the doctor palpates above the pelvic inlet only the breech of fetus.
What is the type of breech presentation?
A. complete breech;
B. %nee;
C. incomplete breech
!. "fran% breech;
#. transversal.
1*. !urin the labor at internal obstetric examination the doctor palpates above the pelvic inlet only one foot
of the fetus. What is the type of breech presentation?
A. complete breech;
B. %nee;
C. "incomplete footlin
!. fran% breech;
#. complete footlin.
1-. What complications occur in the first stae of labor in breech presentation more fre9uent?
A. "early ash of amniotic fluid
B. preeclampsia
C. bleedin
!. arrested fetal shoulders
#. stron uterine contractions
1+. What is the reason of the early ash of amniotic fluid in breech presentation?
A. the lare presentin part
B. "absence of the irdle of contact
C. lost tonus of lo)er sement
!. the abnormal tonus of uterus
#. arrested fetal shoulders
11. What is the third moment of biomehani:m of labor in breech presentation?
A. flexion of head;
B. internal rotation of breech;
!. "internal rotation of shoulders and external rotation of trun%;
#. internal rotation of head.
1'. What is the last moment of biomehani:m of labor in breech presentation?
A. "flexion of head;
B. internal rotation of breech;
!. internal rotation of head.
#. internal rotation of shoulders and external rotation of trun%;
15. ,n relation to labor in fran% breech presentation all assertions are correct6 except for7
A. the les of fetus lies alon a trun%
B. the fetal arms are crossed on a chest
C. circumference of the fetal thorax toether )ith arms and les is more than head
!. "labor in fran% breech presentation is more favourable6 than in cephalic
#. manual aid by Tsov.yanov is iven
$3. All of the belo) are indications for cesarean section in breech presentation #;#<T7
A. "<robable fetal )eiht less &333
B. Breech presentation of the first fetus in multiple prenancy
C. Breech presentation and infertility
!. =oot lin% presentation
#. <robable fetal )eiht more &133
$1. What the purpose of the manual aid by Tsovianov.,, method in footlin presentation consists in?
A. in perineum protective maneuvers from in0urin;
B. in providin of slo) and radual advancement of fetus;
C. in delivery of shoulders of fetus;
!. "to transform the footlin presentation to the incomplete breech;
#. in savin of correct fetal attitude.
$$. Which type of presentation appear as a result of correct applyin of the Tsov>yanov. method in footlin
presentation?
A. "incomplete breech
B. fran%
C. incomplete footlin
!. complete footlin
#. complete breech
$&. Which method of delivery in breech presentations is the best for minimi:in of the infant mortality?
A. "cesarean section
B. obstetric forceps
C. Tsovyanov. method
!. classic manual aid
#. breech extraction
$*. What the type of presentation is if the fetal buttoc%s are palpable7
A. "=ran% breech presentation;
B. Complete breech;
C. ,ncomplete breech presentation;
!. =ootlin ;
#. ?neelin presentation.
$-. What the estimated )eiht of the fetus in breech presentation in )hich fetus considered to be lare?
A. $-33 ;
B. &333 ;
C. "&133 and more;
!. *333 .
#. &'33
$+. What type of the manual aids need the patients )ith a footlin presentation?
A. /anual aid by Tsovyanov ,;
B. "/anual aid by Tsovyanov ,,;
C. Classic manual aid;
!. Breech extraction.
#. All of the above
$1. What type of the manual aids need the patients )ith a fran% breech presentation?
A. "/anual aid by Tsovyanov ,.
B. /anual aid by Tsovyanov ,,;
C. Classic manual aid;
!. Breech extraction.
#. All of the above
$'. ,n )hich plane of true pelvis internal rotation of the fetal head in the occipital presentation is finished?
A. <elvic inlet
B. "<elvic outlet
C. <lane of the reatest diameter
!. <lane of the least diameter
#. Correct ans)er is absent
$5. What is edematous s)ellin of the fetal scalp durin labor?
A. /oldin
B. "Caput succedaneum
C. @ubdural hematoma
!. #rythema nodusum
#. #pidural hematoma
&3. What are the reasons of deflexed presentation7
A. contracted pelvis
B. relaxation of perineum mussels
C. small or lare si:es of fetus head
!. thyroids tumor of fetus
#. "all ans)ers are correct
&1. 2o) can )e dianose the bro) presentation7
A. Altrasound examination
B. Leopold. manuvers
C. "Bainal examination
!. ;(ray examination
#. <elvic examination
&$. !urin vainal examination fetal chin and nose )as dianosed. What is the presentation?
&&. The characteristics of caput succedenum include all of the follo)in except7
A. Crosses midline
B. Crosses the suture line
C. ",t does not disappear )ithin $(& days
!. ,t is a diffuse edematous s)ellin of the soft tissues of the scalp
#. none
&*. What is the diaonal con0uate in )omen )ith normal pelvis?
A. '.3 cm
B. 5.- cm
C. 11.- cm
!. "1&.3 cm
#. 1- cm
&-. What is the true con0uate in )omen )ith diaonal con0uate 1& cm?
A. "11 cm
B. 5.3 cm
C. 1$.3 cm
!. 13.3 cm
#. 1- cm
&+. What is the true con0uate in )omen )ith external con0uate $3 cm?
A. "11 cm
B. 5.3 cm
C. 1$.3 cm
!. 13.3 cm
#. 1- cm
&1. What is the averae biparietal diameter of term infants?
A. '.- cm
B. 5.3 cm
C. "5.- cm
!. 13.3 cm
#. 11.3 cm
&'. What is the main cause of fetopelvic disproportion?
A. rachitis
B. "fetal macrosomia
C. preterm labor
!. t)ins
#. fetal distress
&5. What may be a result of excessive compression of birth canal. soft tissues?
A. uterine rupture
B. cervical rupture
C. "vesicovainal fistules
!. perineal rupture
#. Bainal rupture
*3. What may be a result of labor in patients )ith fetopelvic disproportion?
A. "uterine rupture
B. cervical rupture
C. vesicovainal fistules
!. perineal rupture
#. Bainal rupture
*1. The patholoical contractile rin is a sin of7
A. anatomically contracted pelvis
B. fetal distress
C. fetal macrosomia
!. "daner of uterine rupture
#. all of above
*$. What is the manaement in the case of the clinically contracted pelvis?
A. normal vainal delivery
B. "cesarean section
C. obstetrical version
!. fetal destroyin operation
#. #xternal cephalic version
*&. The pelvic formula of the patient is $- C $' C &1 C $3 cm. What is the pelvic type?
A. "normal pelvis
B. enerally contracted pelvis
C. flat pelvis
!. flat rachitic pelvis
#. Transverse contracted flat pelvis
**. What is the difference bet)een the diaonal con0uate and the obstetrical con0uate?
A. 1 to $ cm loner
B. & to * cm loner
C. "1 to $ cm shorter
!. both the same si:e
#. & to * cm shorter
*-. 2o) is macrosomia defined?
A. "Birth)eiht D *333
B. Birth)eiht D *133
C. Birth)eiht D *-33
!. Birth)eiht D -333
#. Birth)eiht D -133
*+. Which of the follo)in is a ris% factor for macrosomia?
A. "!iabetes
B. <renancy induced hypertension
C. /aternal anemia
!. Eestational ae D *$ )ee%s
#. <reterm labor
*1. Which cervical dilation indicates - cm contractile rin station above the symphysis?
A. 1 cm
B. $ cm
C. "- cm
!. & cm
#. * cm
*'. Cesarean section undero all types of multiple prenancies #;C#<T7
A. Breech C breech presentation
B. Breech C transverse presentation
C. "cephalic C cephalic presentation
!. breechC cephalic presentation
#. Transverse C transverse
*5. 2o) is fetus iant defined?
A. Birth)eiht D *333
C. Birth)eiht D *-33
!. "Birth)eiht D -333
-3. Which of the follo)in is FGT a complication of macrosomia?
A. "placenta abruption
B. Brachial plexus in0ury
C. @houlder dystocia
!. Cephalopelvic disproportion
#. Aterine rupture
-1. Which of the follo)in is suestive of dichorionic diamnionic t)in prenancy?
A. !iscordance
B. @onoraphic measurement of the dividin membranes thinner than 1 mm
C. "T)o separate placentae
!. none of the above
#. all of the above
-$. @pantaneous vainal delivery underoes all types of clinical situations #;C#<T7
A. Cephalic Ccephalic presentation
B. Cephalic Cbreech presentation
C. "Breech C cephalic presentation
!. Cephalic C transverse presentation
#. All of the above
-&. 2o) is macrosomia in breech presentation defined?
A. Birth)eiht D *333
C. Birth)eiht D &-33
!. "Birth)eiht D &133
-*. What is the best manaement of labor in breech C breech presentation?
A. vainal delivery
C. vacuum extraction
!. forceps application
--. What is the best manaement of labor in breech Ccephalic presentation?
A. vainal delivery
C. vacuum ectraction
-+. What is the best manaement of labor in cephalic C breech presentation?
A. "vainal delivery
B. cesarean section
-1. What is the best manaement of labor in cephalic C cephalic presentation?
A. "vainal delivery
B. cesarean section
-'. What is the best manaement of labor in breech C transverse presentation?
A. vainal delivery
-5. A t)in fetus is at ris% for each of the follo)in complications #;C#<T7
A. stillbirth
B. anomalies
C. "macrosomia
!. malpresentation
#. umbilical cord entanlement
+3. All of the belo) are patients at ris% for macrosomic fetus #;C#<T7
A. endocrine disorders
B. "multiple prenancy
C. obesity
!. diabetes mellitus
#. excessive nutrition
+1. Which of the follo)in is associated )ith meconium(stained amniotic fluid?
A. fetal macrosomia
B. vainal delivery
C. al%alemia
!. chorioamnionitis
#. "fetal distress
+$. What is present as compounds in the amnionic fluid only?
A. "vernix and ectodermal fetal cells
B. mononuclear cells and macrophaes
C. lymphocytes and polymorphonucleocytes
!. eosinophils and vernix
#. erytyhrocytes
+&. What conenital anomaly is associated )ith polyhydramnion?
A. ventral septal defect
B. "spina bifida
C. omphalocele
!. hypoplastic %idneys
#. fetal anemia
+*. At )hat point in normal estation the amnionic fluid volume is approximately 1(16- mL?
A. 1+ )ee%s
B. $' )ee%s
C. "&+ )ee%s
!. *3 )ee%s
#. *$ )ee%s
+-. <olyhydramnios defines as increasin of amniotic fluid more than7
A. 1333 mL
B. 1*33 mL
C. 1+33 mL
!. 1'33 mL
#. "$333 mL
++. Which of the follo)in anomalies are not associated )ith polyhydramnios?
A. central nervous system abnormalities
B. duodenal atresia
C. esophaeal atresia
!. "renal aenesis
#. immune hydrops
+1. What is the ma0or source of amnionic fluid?
A. "amnionic epithelium
B. fetal urination
C. fetal s)allo)in
!. fetal inspiration
#. placental production
+'. What is the most li%ely cause of polyhydramnion?
A. maternal anemia
B. maternal cardiac diseases
C. decreasin of maternal urination
!. increased blood pressure
#. "maternal infections
+5. Which of the follo)in maternal symptom is FGT associated )ith acute hydramnios?
A. edema
B. respiratory distress
C. enlared abdomen
!. preterm labor
#. "normal maternal condition
13. What is a fre9uent maternal complication of hydramnios?
A. preeclampsia
B. hypertonic uterine activity
C. "placental abruption
!. postterm prenancy
#. anemia
11. Which contractile rin station above the symphysis indicates *cm cervical dilation?
A. 1 cm
B. $ cm
C. ' cm
!. + cm
#. "* cm
1$. What is the most common cause of oliohydramnios?
A. renal anomalies
B. fetal ro)th retardation
C. t)inCt)in transfusion
!. "premature rupture of fetal membranes
#. !iabetus mellitus
1&. What is recommended for labor. induction in patients )ith polyhydramnion?
A. stimulation of uterine contractions
B. episiotomy
C. cesarean section
!. "early amniotomy
#. obstetrics forceps
1*. <olyhydramnion is a ris% factor of 7
A. postpartum infections
B. "early postpartum bleedin
C. fetal macrosomia
!. fetal malformations
#. <renancy induced hypertension
1-. Which complication is typical for , stae of labor in patients )ith polyhydramnion?
A. placenta previa
B. bleedin
C. maternal infection
!. fetal distress
#. "hypotonic uterine contractions
1+. What is the normal averae baseline fetal heart rate at term?
A. 133 to 1*3 bpm
B. 113 to 1-3 bpm
C. "113 to 113 bpm
!. 1$3 to 1*3 bpm
#. 1+3(115 bpm
11. What is bradycardia?
A. baseline fetal heart rate H 1&3 for D - min
B. baseline fetal heart rate H 1*3 for D 1- min
C. baseline fetal heart rate H 1$3 for D - min
!. "baseline fetal heart rate H 113 for D 1- min
#. baseline fetal heart rate H 1$3 for D & min
1'. Which of the follo)in is FGT associated )ith fetal bradycardia?
A. head compression
B. conenital heart bloc%
C. fetal distress
!. "estational pyelonephritis
#. placental abruption
15. 2o) are accelerations defined?
A. increase in fetal heart rate of 13 bpm for 13 sec
B. increase in fetal heart rate of 1- bpm for 13 sec
C. increase in fetal heart rate of 13 bpm for 1- sec
!. "increase in fetal heart rate of 1- bpm for 1- sec
#. increase in fetal heart rate of - bpm for 1- sec
'3. What is a radual6 smooth descent of the fetal heart rate &3 sec after the contraction called?
A. early deceleration
B. "late deceleration
C. variable deceleration
!. acceleration
#. accomodation
'1. What is the definition of asphyxia?
A. fetal distress
B. "hypoxia leadin to acidemia
C. acidemia alone
!. severe variable decelerations
#. absence of breath
'$. !irect electro fetal heart rate monitorin is made7
A. durin prenancy
B. in labor
C. durin prenancy and un the first stae of labor
!. in the second stae of labor
#. "after releasin of amniotic fluid
'&. Which method is the best for evaluation of fetal )ell(bein7
A. amnioscopy
B. ultrasonoraphy
C. fetal heart rate monitorin
!. "biophysical profile
#. determination of a(fetoprotein in amniotic fluid
'*. 2o) many minutes do you need for fetal heart rate monitorin?
A. 13
B. $3
C. "&3
!. *3
#. -3
'-. Fonstress test C is7
A. amount of amniotic fluid
B. "response of the fetal heart rate to the fetal movement
C. response of the fetal heart rate to physical irritation
!. response of the fetal heart rate to contractile drus
#. response of the fetal heart rate to spasmolytics
'+. Ieactive nonstress test is7
A. "increasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
B. increasin of fetal heart rate at least 1 bpm over a period 1 seconds follo)in a fetal movement
C. decreasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
!. decreasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
#. absence of accelerations in response of fetal movement
'1. Fonreactive nonstress test is7
A. increasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
B. increasin of fetal heart rate at least 1 bpm over a period 1 seconds follo)in a fetal movement
C. decreasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
!. decreasin of fetal heart rate at least 1- bpm over a period 1- seconds follo)in a fetal movement
#. "absence of accelerations in response of fetal movement
''. 2o) many parameters of fetal )ell bein are presented in determination of biophysical profile?
A. $
B. &
C. *
!. "-
#. +
'5. All of the belo) are the parameters of biophysical profile #;C#<T7
A. amount of amniotic fluid
B. fetal tone
C. reactive nonstress test
!. "fetal urine output
#. fetal breathin movements
53. 2o) can you estimate of the biophysical profile?
A. durin fetal heart rate monitorin
B. "in ultrasonoraphy
C. in cordocentesis
!. in amnioscopy
#. in amniocentesis
51. 2o) many points of biophysical profile is considered to be normal?
A. 1($
B. &(*
C. -(+
!. 1( '
#. "' ( 13
5$. A reactive nonstress test JF@TK is characteri:ed by a fetal heart rate increase of ho) many beats per
minute7
A. "1-
B. $-
C. -3
!. -
#. --
5&. ,n )hich estational ae does the second ultrasonoraphy is recommended?
A. 1$(1* )ee%s
B. "1+ C $1 )ee%s
C. $$($& )ee%s
!. $*($+ )ee%s
#. $+($' )ee%s
5*. All of the belo) complications should be present durin amniocentesis #;C#<T7
A. maternal trauma
B. fetal trauma
C. infection
!. abortion
#. "placenta previa
5-. Cordocentesis C is7
A. puncture of amniotic sac
B. "percutaneous umbilical blood samplin
C. s%in sample
!. chorionic villus samplin
#. fetoscopy
5+. Which si:e of pelvis is normally $3($1 cm?7
A. distancia spinarum
B. "external con0uate
C. distancia trochanterica
!. distancia cristarum
#. true con0uaete
51. !ecrease in fetal heart rate above baseline is called as7
A. feceleration
B. acceleration
C. doceleration
!. perceleration
#. "deceleration
5'. Bariable decelerations are closely connected )ith7
A. "umbilical cord occlusion
B. placental abruption
C. placental previa
!. diabetes mellitus
#. prenancy induced hypertension
55. What is the normal perception of fetal movement by prenant )oman?
A. "more than 13 movements durin 1$ hours
B. $ movements for $ hours
C. & movements in 1 hour
!. - movements in &3 minutes
#. 1 movement for $* hours
133. 2o) many minutes do you need for estimation of biophysical profile?
A. 1-
B. $3
C. $-
!. "&3
#. *3
131. All of the belo) are the complications )hich should be present durin cordocentesis #;C#<T7
A. "oliohydramnios
B. fetal trauma
C. fever
!. abortion
#. placenta abruption
13$. Biophysical profile of the fetus determines from7
A. "$' )ee% of estation
B. 1+ )ee% of estation
C. 1$ )ee% of estation
!. *3 )ee% of estation
#. &* )ee% of estation
13&. <hysioloical fetus heart rate is7
A. 1$3(1*3 per min.
B. "113(113 per min.
C. 1*3(1+3 per min.
!. 1$3(1+3 per min.
#. 113(1+3 per min
13*. Accordin )ith the biophysical fetus profile6 doubtful fetus condition is in case7
A. * points and lo)er
B. "-(+ points
C. 1(13 points
!. &(+ points
#. -(13 points
13-. Accordin )ith the biophysical fetus profile6 patholoical fetus condition is in case7
A. "* points and lo)er
B. -(+ points
C. 1(13 points
!. &(+ points
#. -(13 points
13+. ,n case of patholoical result of biophysical fetus condition7
A. "We decide to deliver this patient immediately
B. To continue observation
C. To stop delivery stimulation
!. To perform ultrasonoraphy
#. Fot necessary to do anythin
131. To dianose fetus distress condition durin labor )e use all exept7
A. =etal heart rate assessment by obstetric stetos%ope
B. #lectronic =etal heart rate asessment
C. <resence of meconium in amniotic fluid
!. "Assessment of the labor activity
#. There is no correct Ans)er7
13'. ,n case of fetus distress condition in labor )e undero all belo) prescriptions #;#<T7
A. Avoid supine position of the patient
B. @top oxytocin droppin
C. Bacuum extraction
!. =orceps delivery
#. "Continue oxytocin droppin
135. ,n case of fetal distress )e7
A. Avoid supine position of the patient
B. @top oxitocin droppin
C. Avoid prone position
!. Allo) patient to stay in supine position
#. "Ans)er7s A and B
113. ,n case of fetal distress )ithin the first period of labor7
A. "<erform Cesarean section immediately
B. To continue observation
C. Continue oxitocin droppin
!. Continue labor throuh the natural pass)ay
111. Which cervical delation indicates $cm contractile rin station above the symphysis7
A. - finers
B. "1 finer
C. * finers
!. & finers
#. $ finers
11$. ,n case of fetal distress )ithin the second period of labor in breach presentation7
A. <erform Cesarean section immediately
B. "To perform breech extraction of the fetus
C. Continue oxitocin droppin
!. Continue labor throuh the natural pass)ay
11&. There are L derees of fetus retardation7
A. $
B. "&
C. *
!. -
#. +
11*. The first deree of fetus retardation matches )ith7
A. "$ )ee%s retardations
B. & )ee%s retardations
C. * )ee%s retardations
!. - )ee%s retardations
#. 1 )ee%s retardations
11-. The second deree of fetus retardation matches )ith7
A. $ )ee%s retardations
B. + )ee%s retardations
C. "&(* )ee%s retardations
!. - )ee%s retardations
#. 1 )ee%s retardations
11+. The third deree of fetus retardation matches )ith7
A. $ )ee%s retardations
B. & )ee%s retardations
C. * )ee%s retardations
!. 1 )ee% retardations
#. "more than * )ee%s
111. The first deree hypotrophy of the ne)born is7
A. "1-($34 )eiht deficit of normal.
B. $1(&34 )eiht deficit of normal
C. &14 and more )eiht deficit of normal
!. *14 and more )eiht deficit of normal
#. -(134 )eiht deficit of normal
11'. The second deree hypotrophy of the ne)born is7
A. 1-($34 )eiht deficit of normal.
B. "$1(&34 )eiht deficit of normal
C. &14 and more )eiht deficit of normal
115. The & deree hypotrophy of the ne)born is7
A. 1-($34 )eiht deficit of normal.
B. $1(&34 )eiht deficit of normal
C. "&14 and more )eiht deficit of normal
1$3. /atured ne)born has7
A. "*1 cm heiht and $-33 )eiht and more
B. *- cm heiht and $&33 )eiht
C. *+ cm heiht $*-3 )eiht
!. *3 cm heiht and $333 )eiht
#. *- cm heiht and $*-3 )eiht
1$1. Fonmatured ne)born has7
A. "*- cm heiht and $*55 )eiht and less
B. *- cm heiht and $+33 )eiht and less
C. *+ cm heiht $133 )eiht
!. *1 cm heiht and $+33 )eiht
#. *- cm heiht and $+-3 )eiht
1$$. =eto(placental insufficiency is7
A. "acute and chronic
B. acute6 chronic and hidden
C. liht and severe
!. liht6 severe and moderate
#. /oderate and severe
1$&. ,n case of normal prenancy )idth of the placenta on the $'th )ee% of estation is7
A. "$' mm
B. &1 mm
C. $+ mm
!. $- mm
#. &- mm
1$*. There are L.. derees of placental maturity7
A. &
B. "*
C. -
!. $
#. 1
1$-. We perform auscultation of the fetus heart rate from the7
A. $3th )ee% of prenancy
B. 1-th )ee% of prenancy
C. "$&($*th )ee% of prenancy
!. $'th )ee% of prenancy
#. &3th )ee% of prenancy
1$+. We perform the first ultrasonoraphy of the fetus in the7
A. "11th )ee% of prenancy
B. -th )ee% of prenancy
C. 'th )ee% of prenancy
!. $3th )ee% of prenancy
#. $*
th
)ee% of prenancy
1$1. ,n case of normal prenancy )idth of the placenta on the &1th )ee% of estation is7
A. $' mm
B. "&1 mm
C. $+ mm
!. $- mm
#. *3mm
1$'. ,n case of normal prenancy )idth of the placenta on the &+th )ee% of estation is7
A. $' mm
B. &1 mm
C. $+ mm
!. "&+ mm
#. *3mm
1$5. We perform ultrasonoraphy of the fetus in case of normal prenancy7
A. & times
B. "$ times
C. * times
!. - times
#. + times
1&3. We perform ultrasonoraphy of fetus in case of normal prenancy7
A. on the 1+(1'th )ee% and &+th )ee% of estation
B. "on the 5 ( 11th )ee% and 1+ ( 1'th )ee% of estation
C. on the $1th )ee% and &+th )ee% of estation
!. on the 1+(1'th )ee% and $+th )ee% of estation
#. on the $*($'th )ee% and &3th )ee% of estation
1&1. =etal heart beatin and movement )e can see on ultrasonoraphy startin from the7
A. 13(11th )ee%
B. 11(1'th )ee%
C. "1('th )ee%
!. *(-th )ee%
#. 1-(1+th )ee%
1&$. <uncture of the fetal cord vessels is7
A. Amnioscopy
B. =etoscopy
C. "Cordocentesis
!. Amniocentesis
#. Culdocentesis
1&&. =etal visualisation in the intrauterus space is called7
A. Amnioscopy
B. "=etoscopy
C. Cordocentesis
!. Amniocentesis
#. 2ysteroscopy
1&*. Assessment of the lo)er part of the fetal sac is called7
A. "Amnioscopy
B. =etoscopy
C. Cordocentesis
!. Amniocentesis
#. 2ysteroscopy
1&-. Assessment of the lo)er part of the fetal sac is called7
A. Amnioraphy
B. =etoscopy
C. Cordocentesis
!. Amniocentesis
#. "There is no correct Ans)er
1&+. What is the averae of transverse diameter of the pelvic inlet?
A. 11.3 cm
B. 13.3 cm
C. 13.- cm
!. "1&.3 cm
#. 1$.3 cm
1&1. All of the belo) are the indications to hospitali:ation to patholoic prenancy department #;#<T7
A. <renancy induced hypertension;
B. Anemia;
C. <lacental dysfunction
!. "@yphilis;
#. <yelonephritis
1&'. The obstetric(ynecoloical center consists of7
A. obstetric hospital6 female dispensary.
B. female dispensary6 ynecoloical department.
C. "obstetric hospital6 female dispensary6 ynecoloical department.
!. surical department.
#. obstetric hospital6 female dispensary6 department of ne)(born.
1&5. What basic function of admittin office?
A. medical help to the patient in the case of necessity.
B. eneral inspection of the patient.
C. measurin of temperature.
!. fillin of passport part of history of labor.
#. "all of the above.
1*3. All of the belo) are the indications to hospitali:ation to patholoic prenancy department #;#<T7
A. <renancy induced hypertension;
B. Anemia
C. Elomerulonephtitis
!. "Tuberculosis
#. !iabetus mellitus
1*1. What of the follo)in is not an indication for hospitali:ation to the second obstetric department?
A. the death of fetus.
B. rise of temperature of body..
C. tuberculosis.
!. "diabetes.
#. syphilis.
1*$. What of the follo)in is an indication for hospitali:ation to the second obstetric department?
A. "antenatal death of fetus.
B. preeclampsia of ,,, deree.
C. bleedin.
!. diabetes.
#. fetal malpresentation
1*&. Which of the follo)in is FGT a component of the bony pelvis?
A. coccyx
B. sacrum
C. ischium
!. "femoral head
#. lumbal part of vertebrae
1**. Which of the follo)in is FGT a part of the superior boundary of the true pelvis?
A. linea terminalis
B. "linea interspinalis
C. promontory of the sacrum
!. pubic bones
#. no correct ans)er7
1*-. The true pelvis is bounded belo) by )hich of the follo)in structures?
A. sacral promontory
B. alae of sacral
C. "pelvic outlet
!. upper marins of pelvic bone
#. linea interspinalis
1*+. What is the averae of transverse diameter of the pelvic outlet?
A. "11.3 cm
B. 13.3 cm
C. 13.- cm
!. 11.- cm
#. 1$ cm
1*1. What is the averae of interspinous diameter?
A. '.3 cm
B. 13.3 cm
C. "13.- cm
!. 1$.3 cm
#. 5.3 cm
1*'. Which of the follo)in is distantia spinarum?
A. "the distance bet)een anterior superior iliac spines from the both sides
B. the distance bet)een iliac crista from the both sides
C. the distance bet)een iliac spines
!. the distance bet)een trochanter ma0or from the both sides
#. the distance bet)een ishiadic spines
1*5. Which of the follo)in is distantia cristarum?
A. the distance bet)een anterior superior iliac spines from the both sides
B. "the distance bet)een iliac crista from the both sides
C. the distance bet)een iliac spines
!. the distance bet)een trochanter ma0or from the both sides
#. the distance bet)een ishiadic spines
1-3. Which of the follo)in is distantia trochanterica?
A. the distance bet)een anterior superior iliac spines from the both sides
B. the distance bet)een iliac crista from the both sides
C. the distance bet)een iliac spines to the crista ilii
!. "the distance bet)een trochanter ma0or from the both sides
#. the distance bet)een trochanter minor from the both sides
1-1. Which si:e of pelvis have normally $-($+ cm?
A. true con0uate
B. "distantia spinarum
C. distantia cristarum
!. distantia trochanterica
#. external con0uate
1-$. Which si:e of pelvis have normally $'($5 cm?
A. true con0uate
B. distantia spinarum
C. "distantia cristarum
!. distantia trochanteric
1-&. Which external si:e of pelvis have &3(&1 cm?
A. true con0uate
!. "distantia trochanterica
1-*. Which si:e of pelvis have normally $3($1 cm?
A. obstetric con0uate
!. distantia trochanterica
#. "external con0uate
1--. What is the averae diameter of the obstetrical con0uate?
A. '.3 cm
B. 5.3 cm
C. 13 cm
!. 1$.3 cm
#. "11 cm
1-+. 2o) is the obstetric con0uate determined?
A. add 1.- cm to the diaonal con0uate
B. subtract 1.- cm from the external con0uate
C. the diaonal and true con0uate are e9ual
!. add 1.-($ cm to the true con0uate
#. "subtract 1.-($ cm from the diaonal con0uate
1-1. What is the averae of @olov0ov. index?
A. 13(1$ cm
B. 1$(1* cm
C. "1*(1+ cm
!. 1+(1' cm
#. 11(15 cm
1-'. Which is the obstetric con0uate in patient )ith con0uate externa $1 and @olov0ov. index 1- cm?
A. "1$ cm
B. 11 cm
C. 13 cm
!. 5 cm
#. ' cm
1-5. Which of the follo)in is FGT a part of the uroenital diaphram?
A. urethral sphincter
B. "m. transverses perinei profundus
C. middle perineal fascia
!. superficial perineal fascia
#. sphincter ani
1+3. What is the shortest diameter of the pelvic cavity?
A. transverse diameter of the pelvic inlet
B. obstetric con0uate
C. true con0uate
!. diaonal con0uate
#. "interspinosus
1+1. Bet)een )hich bones does saittal suture is located?
A. t)o frontal
B. t)o occipital
C. "t)o parietal
!. t)o temporal
#. no correct ans)er7
1+$. Which suture is the most important for the reconition of the fetal position durin labor?
A. frontal
B. coronal
C. lambdoid
!. "saittal
#. transversal.
1+&. Which is the averae of suboccipitobrematic diameter?
A. "5.-
B. 13.3
C. 13.-
!. 11.3
#. 11.-
1+*. The anterior fontanel is bounded by follo)in bones #;C#<T?
A. "occipital
B. frontal
C. left parietal
!. riht parietal
#. no correct ans)er
1+-. ,n the fetus or neonate6 )hat are the t)o sutures bet)een the frontal and parietal bones?
A. frontal
B. saittal
C. lambdoid
!. "coronal
#. occipital.
1++. The posterior fontanel is bounded by follo)in bones6 #;C#<T?
A. occipital
B. "frontal
C. left parietal
!. riht parietal
1+1. Which is the diameter of fetal shoulders?
A. 5 cm
B. 13 cm
C. 11 cm
!. "1$ cm
#. 1& cm
1+'. Which of the follo)in diameters is the reatest?
A. occipitofrontal
B. biparietal
C. "occipitomental
!. suboccipitobrematic
#. suboccipitomental
1+5. Which suture is FGT composed the anterior fontanel?
A. coronal
B. "lambdoid
C. saittal
!. frontal
#. all of the above
113. Which is the diameter of fetal pelvic part?
A. '.- cm
B. 5 cm
C. "5.- cm
!. 13.- cm
#. 11 cm
111. Which si:e of the pelvis is normally $-($+ cm?
A. "spinarum
B. external con0uate
C. true con0uate
!. trochanterica
#. cristarum
11$. Which from the follo)in diameters represents the smallest circumference of the head?
A. occipitofrontal
B. suboccipitofrontal.
C. bitemporal
!. biparietal
#. "suboccipitobrematic
11&. When the production of amniotic fluids bein?
A. "from a 1$ day of prenancy
B. from the $*th day of prenancy
C. from 1$ )ee%s of prenancy
!. from $3 )ee%s of prenancy
#. from $* )ee%s of prenancy
11*. When the fertili:ed ovum is called Mconceptus>?
A. 1 )ee% after fertili:ation;
B. "$ )ee%s after fertili:ation;
C. durin all prenancy.
!. & )ee%s after fertili:ation;
#. - )ee%s after fertili:ation.
11-. What stae of development does an embryo et on in an uterus?
A. $ blastomers;
B. * blastomers;
C. morula;
!. "blastocyst.
#. embryo.
11+. What )ee% of fetal development transition to placental circulation of blood is completed on?
A. "on a 1$(1* )ee%;
B. on a 13(1$ )ee%;
C. on a '(13 )ee%;
!. on a +(' )ee%;
#. on a *(+ )ee%.
111. !urin )hat time of development the result of conception is named an embryo?
A. from the moment of fertili:ation to the moment of placentation;
B. from the $nd )ee% of development to 1$(1*th )ee%;
C. "from the &rd )ee% of development to 13th one;
!. from a *th )ee% to 'th one.
#. from the moment of implantation to the 1$th )ee%.
11'. What composition of amniotic fluids from composition of plasma of the maternal blood differs by?
A. by the hiher level of proteins
B. "by lo)er level of proteins
C. by the hiher level of estroens
!. by more lo) level of estroens
#. by the hiher level of proesteron
115. What parts of the feto(placental complex stay in uterus after the fetal birth?
A. "placenta6 membranes6 umbilical cord6 decidua;
B. placenta6 amniotic fluids6 umbilical cord;
C. placenta6 decidua6 umbilical cord;
!. placenta6 amnion and chorion membranes6
#. all of the above
1'3. Gn )hich day after fertili:ation implantation occur?
A. on &(*th day;
B. on -(+ day;
C. "on 1(' day
!. on 5(13 day.
#. on 13(1$ day
1'1. What is the acrosomic reaction?
A. increasin of hih motive activity of spermato:oa;
B. process of capacity;
C. process of confluence of amete nucleus;
!. "possibility to the penetration membranes of ovum
#. loss of motive activity.
1'$. The amniotic fluid execute such functions #;C#<T7
A. an umbilical cord is protected from the compression;
B. fluid are created conditions for development and motions of fetus;
C. aidin to dilatation of cervix;
!. "the feedin of the fetus is provided;
#. a fetus is protected from the mechanical damae6
1'&. Fame the fetal membranes6 beinnin from uterus7
A. "decidua6 chorion6 amnion;
B. decidua6 amnion6 chorion;
C. amnion6 decidua6 chorion;
!. amnion6 chorion6 decidua;
#. chorion6 decidua6 amnion.
1'*. What 9uantity of amniotic fluids is considered normal on the &'th )ee% of prenancy?
A. less than 36-;
B. 36-(36' l;
C. 36-(163 l;
!. "163(16- l;
#. 16-($6- l.
1'-. What process is typical for the nervous system at prenant?
A. depression
B. emotional instability
C. the dominant of prenancy is formed
!. the chanes of the taste
#. "all ans)ers are correct
1'+. What process is typical for adaptation of the cardiac system to prenancy?
A. reduction of blood volume
B. "increase of volume of blood on &3(-34
C. reduction of plasma volume
!. increase of blood volume on 13($34
#. increase of blood volume on +3(134
1'1. What level of aemolobin is considered normal for prenant?
A. 1&3(1*3 Nl
B. 1$3(1&3 Nl
C. "113(1*3 Nl
!. 133(113 Nl
#. 1$3(1+3 Nl
1''. What amount of leucocytes is considered as a normal in prenant?
A. -(16-O135
B. 16$(136+O135
C. *('6'O135
!. "-63(1$O135
#. 161(1-6+O135
1'5. What blood chanes arise up at prenant before the labor?
A. the level of leucocytes rises
B. "coaulative properties of blood rise
C. the level of red blood cells rises
!. the volume of circulatory blood oes do)n
#. hypovolemia increases
153. What is the reason of heartburn at prenant?
A. rise of astric 0uice acidity
B. "decreasin of tone of cardial sphincter of stomach
C. rise of stomach activity
!. violation of diet
#. disease of stomach
151. What factors assist to fre9uent development of pyelonephritis at prenant?
A. shortenin of ureters
B. "ve:ico(ureteral reflux
C. fre9uent urination
!. all ans)ers are correct
#. the correct ans)er is not present
15$. What hormone provides the Mmuscular relax> of uterus?
A. estroens
B. "proesteron
C. prolactin
!. oxytocin
#. placental lactoen
15&. What is the )eiht of uterus at the end of prenancy?
A. *33(-33
B. -33('33
C. '33(1333
!. "1333(1-33
#. 1-33($333
15*. What hormone stimulates the appetite at prenant?
A. proesteron
B. estroens
C. "insulin
!. prolactin
#. lactoen
15-. What is the normal )eiht ain in prenant?
A. on -(1 %
B. on 1(' %
C. "on '(1$ %
!. on 13(1+ %
#. individually
15+. Which sources of calcium are the best for prenant. diet?
A. arden fruits
B. "cheese and mil%
C. fish
!. bread
#. meat and liver
151. Which sources of iron are the best for prenant. diet?
A. "meat and liver
B. apricots
C. the ba%ed potatoes
!. mil%
#. all of the above
15'. What 9uantity of li9uid is used by prenant in the second half of prenancy?
A. as fe) as possible
B. 36'(1 l
C. "1(16$ l
!. 16-($ l
#. )ithout limitations
155. What period a fetus is the most sensible to the harmful factors?
A. in a 1(1 day after the implantation
B. "from &th to the 'th )ee% of prenancy
C. from - to a 1+ )ee% of prenancy
!. from &$th to the &+th )ee% of prenancy
#. durin all prenancy
$33. What is important durin conductin of test on prenancy in early terms?
A. "to use mornin portion of urine
B. sterility of urine
C. to collect urine after the careful hyiene of external enitalia
!. before conductin of test a )oman must not use fat food
#. all ans)ers are correct
$31. @tandard urine prenancy test is positive arproximately
A. 1($ )ee% after last menstrual period
B. 1$ day after last menstrual period
C. & )ee%s after last menstrual period
!. "* )ee%s after last menstrual period
#. 1+ days after last menstrual period
$3$. =rom )hat )ee% by means the ultrasound it is possible to expose cardiac activity of fetus?
A. on a $(& day after the implantation
B. on $ )ee%s of prenancy
C. on & )ee%s of prenancy
!. on * )ee%s of prenancy
#. "on a ' )ee% of prenancy
$3&. What information about the menstrual function of )oman )ill help to set the term of prenancy?
A. ae of beinnin of menstruations
B. reularity of menstruations
C. duration of menstrual cycle
!. "date of the first day of the last menstruation
#. all the above
$3*. What 9uestion is more important only at collection of anamnesis on a enital function?
A. 9uantity of prenancies
B. 9uantity of labors
C. 9uantity of abortions
!. presence of complications durin previous prenancies
#. "all the above
$3-. What term of prenancy does a multipara feel the first motions of fetus?
A. in 11 )ee%s of prenancy
B. "in 1' )ee%s of prenancy
C. in $3 )ee%s of prenancy
!. at $$ )ee%s of prenancy
#. at $* )ee%s of prenancy
$3+. What form of external cervical os at a nulliparous )oman?
A. "round
B. transversal
C. irreular form
!. a riht ans)er is not present
#. riht ans)ers B also C
$31. ,t is exposed at bimanual examination6 that the isthmus of uterus is softened; the ends of finers are
easily touch toether. Who described this sin?
A. Eenter;
B. Eoubarev;
C. <iscachec;
!. @neirov;
#. "neither of the above authors.
$3'. !urin bimanual research a doctor exposed considerable softenin the uterine isthmus. What scientist
described this sin?
A. "Eear;
B. Eenter;
C. <iscache%;
!. @neirov;
#. neither of above
$35. @in Eorvits(Eear C this7
A. easy displacement of uterus
B. "softenin of isthmus of uterus
C. appearance of asymmetry of uterus
!. appearance of the thic%ness on the front surface of uterus
#. easy chaneability of consistency of uterus
$13. The Eear. sin becomes manifest at7
A. in *(- )ee%s of prenancy
B. "in -(+ )ee%s of prenancy
C. in +(' )ee%s of prenancy
!. in '(13 )ee%s of prenancy
#. in 1$ )ee%s of prenancy
$11. What functions are executed by a placenta?
A. interchane of ases;
B. trophic;
C. excretic;
!. protects an umbilical cord from the compression;
#. "all the above
$1$. What sin of prenancy belons to probable?
A. nausea6 vomitin;
B. palpation of fetal parts in uterus;
C. "uterine enlarement;
!. chanes of taste;
#. all the above
$1&. What sin of prenancy does not belon to presumptive?
A. "auscultation to fetal heart rate ;
B. nausea6 vomits in the mornin;
C. chane of taste;
!. fatiue;
#. all the above.
$1*. What sin of prenancy belons to positive?
A. chane of taste;
B. stoppin of menstruations;
C. cyanosis of uterine cervix;
!. uterine enlarement;
#. "neither of above.
$1-. What sin of prenancy does not belon to positive?
A. palpation of fetal parts ;
B. "stoppin of menstruations;
C. auscultation to fetal heart rate ;
!. presence of motions of fetus;
#. all the above
$1+. What sin of prenancy does not belon to positive?
A. palpation of fetal parts in an uterus;
B. auscultation to fetal heart rate ;
C. results of ultrasonic examination;
!. "stoppin of menstruations;
#. all the above.
$11. What sin of prenancy belons to positive?
A. increase of abdomen;
B. stoppin of menstruations;
C. "auscultation to fetal heart rate;
!. uterine enlarement;
#. all the above;
$1'. Term PlonitudinalP lie of fetus in uterus is called as?
A. habitus flexus
B. "situs lonitudinalis
C. situs obli9us
!. presentatio cerhalica
#. positio ,
$15. What term Mobli9ue lie> of fetus in uterus is determined by?
A. habitus obli9us
B. situs lonitudinalis
C. "situs obli9us
!. presentatio obli9ua
#. positio obli9ua
$$3. A fetus is situated in the first position6 if7
A. "its bac% is to the left )all of uterus;
B. its bac% is to the riht )all of uterus;
C. its bac% is to the front )all of uterus;
!. its bac% is to the bac% )all of uterus.
$$1. The fetal attitude7
A. "relation of head and extremities of fetus to its trun%
B. attitude of vertical axis of fetus to)ard the axis of uterus
C. attitude of axis of fetus to)ard the axis of pelvis
!. attitude of the bac% of fetus to)ard the lateral )alls of uterus
#. attitude of head to)ard the entrance in a pelvis
$$$. ,f the axis of fetus and uterus are perpendicular6 head to the riht6 this is7
A. lonitudinal lie
B. obli9ue lie6 , position
C. obli9ue lie6 88 position
!. transversal lie6 , position
#. "transversal lie6 88 position
$$&. Where is the best place for auscultation of the fetal heart rate at lonitudinal lie6 cephalic
presentation6 88 position6 anterior variety?
A. riht side6 hiher than umbilicus;
B. on the left6 hiher than umbilicus;
C. on the left6 belo) than umbilicus;
!. "riht side6 belo) than umbilicus.
#. at the level of umbilicus6 on the left
$$*. Where is the best place for auscultation of the fetal heart rate at lonitudinal lie6 breech presentation6 ,
position6 anterior variety?
B. "on the left6 hiher than umbilicus;
!. riht side6 belo) than umbilicus.
$$-. Where is the best place for auscultation of the fetal heart rate at lonitudinal lie6 breech presentation6
88 position6 anterior variety?
A. "riht side6 hiher than umbilicus;
$$+. All of the belo) can determine by the second Leopold. maneuver #;#<T7
A. "heiht of standin of uterine fundus
B. variety of the fetus
C. position of fetus
!. =etal movements
#. 9uantity of amniotic fluid.
$$1. Where is the best place for auscultation of the fetal heart rate at transversal lie6 , position6 anterior
variety?
#. "at the level of umbilicus6 on the left
$$'. What )e determine by the third Leopold. maneuver?
A. heiht of standin of uterine fundus;
B. "presentin part;
C. variety and position of fetus;
!. attitude of fetus to)ard the entrance in a pelvis.
$$5. What )e determine by the fourth Leopold. maneuver?
A. heiht of standin of uterine fundus;
B. presentin part;
C. variety and position of fetus;
!. "attitude of fetus to)ard the entrance in a pelvis.
$&3. What reference points the abdominal circumference in prenant is measured at?
A. at the level of spina iliaca posterior(inferior and umbilicus
B. at the level of spina iliaca anterior(superior and umbilicus
C. "at the level of spina iliaca posterior(superior and umbilicus
!. at the level of middle spina iliaca and umbilicus
#. at the level of the bac% sacrum os and umbilicus
$&1. What term of prenancy6 if the uterine fundus is found at the level of umbilicus?
A. 1+ )ee%s;
B. "$* )ee%s;
C. $' )ee%s;
!. &3 )ee%s.
#. &+ )ee%s
$&$. What term of prenancy6 if the uterine fundus is found at the level of pubis?
A. "1$ )ee%s;
B. 1* )ee%s;
C. 1+ )ee%s;
!. 1' )ee%s.
#. $3 )ee%s
$&&. ,ndicate term of prenancy )hen uterine fundus is found at the level of umbilicus?
A. 1+ )ee%s;
B. "$* )ee%s;
C. $' )ee%s;
!. &3 )ee%s.
#. &+ )ee%s
$&*. ,n Which Leopold. maneuver the presentin part of fetus is determined?
A. first;
B. second;
C. "third;
!. fourth.
#. any
$&-. ,n )hich Leopold. maneuver the level of uterine fundus is determined?
A. "first;
B. second;
C. third;
!. fourth.
#. any
$&+. The last menstruation at a )oman )as 1$.31. $31$. !efine the date of the expected labor6 usin a
formula Feele.
A. "15.3*.1&
B. 15.3&.1&
C. -.3*.1&
!. 1$ 3*.1&
#. -.13.1&
$&1. What percentaes of fetuses are born in the occiput presentation at term?
A. '3
B. '-
C. 53
!. "5-
#. 55
$&'. What is the most common presentation of the fetus?
A. posterior occiput
B. breech
C. face
!. bro)
#. "anterior occiput
$&5. !urin )hich cardinal movement of labor the fetal head delivered in anterior occiput presentation?
A. "extension
B. internal rotation
C. external rotation
!. expulsion
#. flexion
$*3. When the internal rotation of the fetal head does bein?
A. in the plane of pelvic inlet
B. in the reatest pelvic dimension
C. in the plane of the least pelvic dimension
!. ")hen the head descents from the plane of the reatest pelvic dimension to the plane of the least
pelvic dimension
#. on the pelvic floor
$*1. Where the internal rotation of the fetal head is complete?
A. in the plane of pelvic inlet
B. in the reatest pelvic dimension
C. in the plane of the least pelvic dimension
!. )hen the head descents from the plane of the reatest pelvic dimension to the plane of the least pelvic
dimension
#. "on the pelvic floor
$*$. The anterior shoulder appears under the symphysis durin )hich cardinal movement of labor?
A. extension
B. expulsion
C. "external head rotation
!. descent
#. internal head rotation
$*&. The base of the occiput is brouht into contact )ith the inferior marin of the symphysis durin
)hich cardinal movement of labor?
A. "extension
B. expulsion
C. descent
!. flexion
#. external rotation
$**. What is the leadin point in the anterior occiput presentation?
A. fossa occipitalis
B. tuber occipitalis
C. the area of the border of the hair part
!. the midpoint of saittal suture
#. "small fontanel
$*-. 2o) much centimetres does the suboccipitobrematicus diameter have?
A. 1* cm
B. "56- cm
C. 1$ cm
!. 11 cm
#. 13 cm
$*+. Which diameter of the fetal head presents in the anterior occiput presentation?
A. fronto(occipitalis
B. "suboccipitobrematic
C. biparietal
!. saittal suture
#. bitemporal
$*1. What is the presentation if Leopold maneuvers reveal the follo)in7 J1K breech in fundus6 J$K
resistant plane palpated throuh mother.s riht flan%6 J&K head movable6 J*K cephalic prominence on
maternal left?
A. breech presentation6 , position
B. breech presentation6 ,, position
C. occiput presentation6 , position
!. "occiput presentation6 ,, position
#. transversal presentation
$*'. What are the cardinal movements of labor in anterior occiput presentation Jin orderK?
A. descent6 flexion6 internal rotation6 extension6 expulsion
B. flexion6 enaement6 internal rotation6 external rotation
C. "flexion6 internal rotation6 extension6 external rotation of the head6 internal rotation of the body
!. flexion6 descent6 internal rotation6 extension6 expulsion
#. internal rotation6 extension6 external rotation6 flexion
$*5. What are the cardinal movements of labor in posterior occiput presentation Jin orderK?
A. descent6 flexion6 internal rotation6 extension6 expulsion
B. flexion6 enaement6 internal rotation6 external rotation
C. flexion6 internal rotation6 extension6 external rotation
!. "flexion6 internal rotation6 additional flexion. extension6 expulsion
#. additional flexion6 internal rotation6 extension6 additional extension6 external rotation
$-3. Which circumference the fetal head is delivered in anterior occiput presentation?
A. "&$ cm
B. && cm
C. &* cm
!. &+ cm
#. &' cm
$-1. Which of the follo)in is essential for the eneration of uterine contractions?
A. prostalandins
B. calcium
C. estroen
!. oxytocin
#. "all of the above
$-$. Where is oxytocin primarily synthesi:ed?
A. adrenal land
B. placenta
C. anterior pituitary
!. ovary
#. "posterior pituitary
$-&. All processes play the part in the labor initiali:ation #;#<T
A. "proesterone increases
B. prostalandins increase
C. oxytocin increases
!. estroens increases
#. serotonin increases
$-*. The basic elements involved in the uterine contractile system6 #;#<T
A. actin
B. myosin
C. adenosine triphospate
!. calcium
#. "estroens
$--. What is the most important in the characteristic of the uterine contractions?
A. stron
B. "reular
C. moderate
!. painful
#. strenht
$-+. Which labor forces are present in , stae of labor?
A. false uterine contractions
B. "true uterine contractions
C. uterine contractions and pushin
!. pushin
#. all of the above
$-1. Which labor forces are present in ,, stae of labor?
B. true uterine contractions
C. "uterine contractions and pushin
!. pushin
#. all of the above
$-'. Which labor forces are present in ,,, stae of labor?
B. true uterine contractions
C. "uterine contractions and pushin
!. pushin
#. all of the above
$-5. Which moment is the beinnin of , stae of labor?
A. "onset of reular uterine contractions
B. complete dilatation of cervix
C. rupture of amniotic sac
!. onset of pushin
#. delivery of the fetus
$+3. Which moment is the end of ,, stae of labor?
A. onset of uterine contractions
!. complete cervical effacement
#. "delivery of the fetus
$+1. Which moment is the beinnin of ,,, stae of labor?
A. "separation of placenta
!. complete cervical effacement
#. delivery of the fetus.
$+$. Which moment is the end of & stae of labor?
A. onset of pushin
C. separation of placenta
!. "expulsion of placenta
#. delivery of the fetus
$+&. Which of the follo)in is FGT associated )ith ,, stae of labor?
A. uterine contractions
B. "placental separation
C. fetal expulsion
!. pushin
#. fetal internal rotation
$+*. Which of the follo)in is FGT associated )ith ,,, stae of labor?
B. placental expulsion
C. placental separation
!. pushin
#. "fetal internal rotation
$+-. Which of the follo)in characteri:es , stae of labor?
A. myometrial relaxation
B. uterine a)a%enin
C. fetal expulsion
!. pushin
#. "cervical dilatation
$++. Which contraction duration JsecK characteri:es active labor?
A. $3
B. &3
C. "+3
!. 53
#. 133
$+1. What is the minimal dilatation durin the first stae of labor in multiparous?
A. 36-(36' cmNhour
B. 36'(1.3 cmNhour
C. 1.3(1.$ cmNhour
!. "1.$(1.- cmNhour
#. $.3($.- cmNhour
$+'. What is the most important measure of labor proression?
A. contraction fre9uency
B. contraction intensity
C. contraction duration
!. "cervical dilatation
#. cervical effacement
$+5. Which of the follo)in characteri:es phase $ of labor?
A. "fetal expulsion
B. uterine a)a%enin
C. cervical effacement
!. cervical dilatation
#. placental separation
$13. Which of the follo)in characteri:es ,,, stae of labor?
A. myometrial tran9uility
B. fetal expulsion
C. cervical effacement
!. cervical dilatation
#. "placental separation
$11. Where are prostalandins synthesi:ed?
A. adrenal land
B. placenta
C. posterior pituitary
!. ovary
#. "decidua
$1$. Which of the follo)in is characteristic the , stae of true labor?
A. irreular contractions
B. discomfort in lo)er abdomen
C. "cervical dilatation
!. discomfort relieved by sedation
#. fetal expulsion
$1&. 2o) often should the fetal heart rate be auscultated durin the second stae of labor?
A. - min
B. 13 min
C. 1- min
!. &3 min
#. "after every uterine contraction
$1*. What is the maximal duration of the second stae of labor in primiparas?
A. - min
B. $3 min
C. -3 min
!. 133 min
#. "1$3 min
$1-. What is the station )here the presentin part is at the level of the ischial spines?
A. ($
B. (1
C. "3
!. Q1
#. Q$
$1+. What is the station )here the presentin part is at the level of the pelvic inlet?
A. "($
B. (1
C. 3
!. Q1
#. Q$
$11. When the cervix and vaina should be inspected for lacerations?
A. after first sins of placental separation
B. after fetal delivery
C. "after placental delivery
!. after suturin of the lacerations of vaina
#. $ hours after delivery
$1'. Which is the first of perineal protective maneuver?
A. the decreasin of perineal tension
B. the delivery of the fetal head out of the pushin
C. delivery of the shoulders
!. "prevention of preterm fetal extension
#. reulation of maternal efforts
$15. Which is the second of perineal protective maneuver?
B. "the delivery of the fetal head out of the pushin
!. prevention of preterm fetal extension
$'3. Which is the third of perineal protective maneuver?
A. "the decreasin of perineal tension by borro)in tissues
$'1. Which is the fourth of perineal protective maneuver?
#. "reulation of maternal efforts
$'$. Which is the fifth of perineal protective maneuver?
C. "delivery of the shoulders
$'&. What is the most reliable indicator of rupture of the fetal membranes?
A. fluid per cervical os
B. positive nitra:ine test
C. positive fernin test
!. membranes are not palpated
$'*. Which moment of the fetal membranes rupture is considered as a normal?
A. before the beinnin of uterine contraction
B. at the beinnin of , stae of labor
C. at the end of , stae of labor
!. at the beinnin of ,, stae of labor
$'-. What is the maximal duration of the third stae of labor?
A. - min
B. $3 min
C. "&3 min
!. -3 min
#. 1$3 min
$'+. 2o) often durin the first stae of labor should the fetal heart rate be auscultated in a lo)(ris%
prenancy?
A. every - min before a contraction
B. "every 1- min after a contraction
C. every *3 min before a contraction
!. every *- min after a contraction
#. after every uterine contraction
$'1. The prenant )oman at term complaints on the irreular lo)er abdomen pains. The cervix is not
effaced6 close. What is the dianosis?
A. second stae of labor
B. the beinnin of the first stae of labor
C. the end of the first stae of labor
!. "the false labor
#. third stae of labor
$''. The prenant )oman at term complaints on the reular lo)er abdomen pains. The cervix is effaced6
dilated on $(& cm. What is the dianosis?
A. second stae of labor
B. "latent phase of first stae of labor
C. the end of the first stae of labor
!. the false labor
#. third stae of labor
$'5. The baby )as born - min ao. The sins of placental separation are neative. The bleedin beins.
The blood lost is *-3 ml. What is the doctor.s tactic?
A. to continue the observation
B. "to perform the manual placental separation
C. to propose the patient to push
!. to pull on the umbilical cord
#. to perform the massae of the uterus
$53. What factor is determinin the formin of pain intensity durin labor?
A. level of oxytocin in the oranism;
B. "level of pain sensitiveness;
C. force of cerebral impulses;
!. force of uterine contractions;
#. patient.s behavior.
$51. What condition is obliatory for the beinnin of the medicinal anaestheti:in of labor?
A. "openin of uterine cervix on &(* cm;
B. normal feto(pelvic proportions;
C. physioloy duration of labor;
!. the fluid ash;
#. primapara.
$5$. What method of anaestheti:in is used in , and 88 stae of preterm labor?
A. "epidural anesthesia;
B. inhalation anesthesia;
C. intravenous anesthesia;
!. local anaestheti:in;
#. spa:molitics.
$5&. What middle )eiht of uterus at once after labor?
A. 133($33 ;
B. &33(*33 ;
C. -33(+33 ;
!. 133('33 ;
#. "533(1333 .
$5*. 2o) lon is the early puerperium?
A. &3 min;
B. & days
C. 1$ days;
!. "$ hours
#. +(' )ee%s.
$5-. Lochia rubra consist of all the follo)in6 #;#<T
A. blood
B. shreds of the membranes
C. "parts of placenta
!. decidual membrane
#. erythrocytes.
$5+. Lochia alba consist of all the follo)in6 #;#<T
A. "blood
B. mucus
C. leucocytes
!. decidual cells
#. erythrocytes.
$51. What level the fundus of uterus on the 1 day after labor is found at?
A. "on a 1 transversal finer belo) than umbilicus;
B. on $ transversal finers belo) than umbilicus;
C. on $ transversal finers hiher than pubis;
!. on a middle bet)een a umbilicus and pubis;
#. at the level of pubis.
$5'. What level the fundus of uterus on a *th day after labor is found at?
A. on a 1 transversal finer belo) than umbilicus;
B. on $ transversal finers belo) than umbilicus;
C. "on a middle bet)een an umbilicus and pubis;
!. on $ transversal finers hiher than pubis;
#. at the level of pubis.
$55. What character does lochia in first & days after labor have?
A. "bloody;
B. bloody(serosal;
C. serosal(bloody;
!. serosal;
#. mucousal.
&33. What character does lochia on a 1(5 day after labor have ?
A. bloody;
B. bloody(serosal;
C. serosal;
!. "serosal(bloody;
#. mucous.
&31. What character does lochia on a 13 day after labor have?
A. bloody;
B. bloody(serosal;
C. serosal(bloody;
!. "serosal;
#. mucous.
&3$. What affirmation in relation to the state of cervix 0ust after labor is correct?
A. the cervix is closed;
B. the cervix admits a 1 transversal finer;
C. the cervix admits &(* transversal finers;
!. the cervix is formed.
#. "the cervix admits a hand;
&3&. What assertion in relation to the state of cervix on a 5 day after labor is correct?
A. the cervix is closed;
B. "the cervix admits a 1 transversal finer;
C. the cervix admits &(* transversal finers;
!. the cervix admits a hand;
#. the cervix is formed.
&3*. What hormone response for proliferation of secretory tissue of breast ?
A. prolactin;
B. lyoteini:ied hormone;
C. "estroens;
!. prostalandins;
#. corticosteroids.
&3-. What factor can be neatively reflected on the emodinamic parameters of puerperal )oman at first
hours of puerperium?
A. fatiue after the labor;
B. beinnin of lactation;
C. contraction of uterus;
!. perineal ruptures;
#. "stoppin of functionin of utero(placental circle of blood circulation and related to it redistribution
of blood.
&3+. What complications can develop due to the incorrect suturin of cervical rupture in a future?
A. "cervical ectropion;
B. violation of function of pelvic muscles;
C. prolaps of uterus;
!. endometritis;
#. bleedin.
&31. <hysioloical blood lost of puerperal )oman by mass 1+ % is7
A. $+3 ml;
B. "&'3 ml;
C. &$3 ml;
!. $*3 ml;
#. *-3 ml.
&3'. What assertion is )ron in relation to a colostrum?
A. the producin started on $nd day after labor;
B. is the yello) li9uid;
C. "the producin started on *(-th day after labor;
!. contains the hih 9uantity of fats;
#. contains albumens and antibodies.
&35. =or a valuable lactation there are the necessary follo)in factors6 except for7
A. early applyin of child to the breasts;
B. correct techni9ue of applyin the baby to the breasts;
C. rational feedin of the mother;
!. feedin of child Mon call>;
#. "feedin of child exactly on hours.
&13. The physioloycal blood lost of puerperal )oman by mass +* % is7
A. $+3 ml;
B. &'3 ml;
C. "&$3 ml;
!. $*3 ml;
#. *-3 ml.
&11. What hormone is produced by a pituitary land under the act of nipple compression at feedin of
child?
A. oxythocin;
B. vasopressin;
C. proesteron;
!. "prolactin;
#. estradiol.
&1$. All of belo) is recommended for the diet of lactatin )oman6 except7
A. "plenty of fluids;
B. ade9uate amount of protein
C. plenty of vitamins6 fat6 minerals
!. limitation of the use of li9uid;
#. hih calories.
&1&. What is excluded from the diet of lactatin )oman?
A. plenty of fluids;
B. ade9uate amount of protein
C. "chocolate
!. mil%;
#. meat.
&1*. What the uterine subinvolution is?
A. "deceleration of process of uterine involution;
B. speed(up of the uterine involution;
C. delay of lochia in the uterine cavity;
!. initial stae of endometritis;
#. slo) closin of cervix.
&1-. At )hich time of puerperium does mil% become mature?
A. on $(&;
B. "on -(+;
C. on '(13;
!. on 13(1$;
#. on 1-(1+.
&1+. Whant is the maximal physioloycal blood lost in labor?
A. 361 4 from body )eiht
B. 36& 4 from body )eiht
C. "36- 4 from body )eiht
!. 361 4 from body )eiht
#. 1 4 from body )eiht
&11. <hysioloycal blood lost of puerperal )oman by mass +' % is7
A. $+3 ml;
B. &'3 ml;
C. &+3 ml;
!. "&*3 ml;
#. *$3 ml.
&1'. What hormone initiates lactoenesis?
A. "prolactin;
B. proesteron;
C. estradiol;
!. oxytocin;
#. luteotropin.
&15. When a baby is at the first time put to the mother. breasts?
A. $ hours after birth;
B. "durin the first &3 minutes after birth;
C. after $ days after birth;
!. after ad0ustin of lactation at a mother;
#. in $(& days after birth.
&$3. What is contraindicated at the breasts feedin of baby?
A. "the use of babyRs dummy;
B. feedin Mon call of> baby;
C. fre9uent feedin of child;
!. early beinnin of the breasts(feedin.
#. rational feed of mother.
&$1. Which of the follo)in is characteristic of true labor?
A. ,rreular contractions
B. !iscomfort in lo)er abdomen
C. "Cervical dilatation
!. !iscomfort relieved by sedation
#. <assae of the blood(tined
&$$. When should the fetal heart rate be auscultated durin observation for labor in the ,, stae?
A. Before the contraction
B. !urin the contraction
C. "At the end and immediately after a contraction
!. Any time
#. After delivery
&$&. What is the station )here the fetal head is visible at the introitus?
A. Q$
B. "Q&
C. Q*
!. Q-
#. 3
&$*. What is the most reliable indicator of rupture of the fetal membranes?
A. =luid per cervical os
B. <ositive nitra:ine test
C. "<ositive fernin
!. <ositive oncofetal fibronectin
#. Bloody dischare
&$-. What is the station )here the presentin part is at the level of the ischial spines?
A. ($
B. (1
C. "3
!. Q1
#. Q$
&$+. !urin the third stae of labor6 )hich of the follo)in is FGT a sin of placenta separation?
A. A ush of blood
B. Aterus rises in the abdomen
C. Ambilical cord protrudes out of the vaina
!. "A sudden6 sharp6 unrelentin contraction
#. Cessation of umbilical vessels pulsation
&$1. What is the primary mechanism of placental site hemostasis?
A. Basoconstriction by contracted myometrium
B. Gxytocin
C. "#ronovine maleate
!. /ethyleronovine
#. <rostalandines
&$'. What is edematous s)ellin of the fetal scalp durin labor?
A. "/oldin
B. Caput succedaneum
C. @ubdural hematoma
!. #rythema nodusum
#. #pidural hematoma
&$5. What is the minimal physioloic blood loss in labor?
A. 133 ml
B. "$-3 ml
C. &33 ml
!. &-3 ml
#. *-3 ml
&&3. Level of contractile rin above the symphysis $ finers suests about7
A. "* cm cervical dilation
B. $ cm cervical dilation
C. + cm cervical dilation
!. Amniotic fluid ush
#. Complete cervical dilation
&&1. Level of contractile rin above the symphysis - finers suests about7
A. * cm cervical dilation
!. Amniotic fluid ush
#. "Complete cervical dilation
&&$. Which uterine contractions in the beinnin of the first stae of labor are called as reular7
A. "1( $ uterine contractions every 13(1- minutes by duration 1-($3 seconds
B. 1 uterine contraction every 13(1- minutes by duration 13 seconds
C. $( & uterine contractions every -(+ minutes by duration 1-($3 seconds
!. $ uterine contractions every $-(&3 minutes by duration -(13 seconds
#. * uterine contractions every 13 minutes by duration -(13 seconds
&&&. ,n )hich cervical dilation of normal labor releasin of amniotic fluid ush is presented7
A. * cm cervical dilation
!. 1 cm cervical dilation
#. "'(13 cm cervical dilation
&&*. Where does the fetal head is located in full cervical dilation?
A. $ station
B. 1 station
C. "3 station
!. Q1 station
#. Q$ station
&&-. <ositive Alfeld. sin in the placental stae of labor is7
A. "Lenhtenin of the umbilical cord
B. A ush of blood
C. Aterus rises in the abdomen
!. A sudden6 sharp6 unrelentin contraction
&&+. <ositive @hreder. sin in the placental stae of labor is7
A. Lenthenin of the umbilical cord
B. A ush of blood
C. "Aterus rises in the abdomen
&&1. <ositive @trasman. sin in the placental stae of labor is7
A. Lenthenin of the umbilical cord
B. A ush of blood
#. "Cessation of umbilical vessels pulsation
&&'. <ositive Chu%alov (?ustner. sin in the placental stae of labor is7
A. "umbilical cord doesn.t chane its lenth in pressin by palm above the symphysis
B. A ush of blood
!. <ainful uterine contraction
&&5. 2o) do you called the sin in the placental stae of labor if umbilical cord doesn.t chane its lenth
in pressin by palm above the symphysis
A. "<ositive Chu%alov (?ustner. sin
B. Feative Chu%alov (?ustner. sin
C. <ositive @trasman. sin
!. <ositive @hreder. sin
#. <ositive Alfeld. sin
&*3. Cessation of umbilical vessels pulsation in the placental stae of labor is7
A. <ositive Chu%alov (?ustner. sin7
B. <ositive Basten sin
C. "<ositive @trasman. sin
&*1. Aterus rises in the abdomen in the placental stae of labor is7
A. <ositive Chu%alov (?ustner. sin
!. "<ositive @hreder. sin
&*$. Lenthenin of the umbilical cord in the placental stae of labor is7
A. <ositive Chu%alov (?ustner. sin
#. "<ositive Alfeld. sin
&*&. Cervical effacement ( is7
A. A ush of blood
B. "Thinnin of the cervix
C. Braxton( 2ic%s contractions
!. <assae of the blood(tined mucus
#. ,ncreasin of the cervix
&**. 2o) many staes does the placental stae of labor have?
A. "$
B. &
C. *
!. -
#. 1
&*-. What is the averae duration of the second stae of labor in nulliparous )omen?
A. "$3 min( $ hours
B. $ hours
C. 1- C $3 minutes
!. H 1- minutes
#. $( & hours
&*+. What is the averae duration of the placental stae of labor in nulliparous )omen?
A. "-( $3 minutes
B. H -( $3 minutes
C. -( $3 minutes
!. $(& minutes
#. 1 hour
&*1. All of the belo) are the main compounds of pushin efforts #;C#<T7
B. contractions of prelum abdominale
C. pelvic floor muscles contractions
!. contractions of the diaphram
#. "contractions of the pharynx
&*'. Where does the fetal head is located in the beinnin of the pushin efforts?
A. in the pelvic inlet
B. in the plane of the reatest dimension
C. in the mid pelvisleast plane Q*
!. "in the outlet
#. above the pelvic inlet
&*5. Cervical stae of labor starts from7
A. reular uterine contractions till * cm dilation of the cervix
B. irreular uterine contractions till + cm dilation of the cervix
C. "reular uterine contractions till 13 cm dilation of the cervix
!. reular uterine contractions till + cm dilation of the cervix
#. reular uterine contractions till releasin of the amniotic fluid
&-3. =etal stae of labor starts from7
A. reular uterine contractions till * cm dilation of the cervix
B. "full dilation of the cervix till delivery of the fetus
C. full dilation of the cervix till delivery of the placenta
!. + cm dilation of the cervix till delivery of the placenta
&-1. <lacental stae of labor starts from7
A. delivery of the placenta till $ hours
B. full dilation of the cervix till delivery of the fetus
C. full dilation of the cervix till delivery of the placenta
!. "delivery of the fetus till delivery of the placenta
&-$. 2o) often durin the first stae of labor the vainal examination should the performed in the case of
normal duration of labor?
A. #very &3 min
B. #very *- minutes
C. #very $ hours
!. "#very * hours
#. Gnce in a hour
&-&. Latent phase of the first stae of labor starts from7
A. "reular uterine contractions till &(* cm dilation of the cervix
B. irreular uterine contractions till + cm dilation of the cervix
C. reular uterine contractions till 13 cm dilation of the cervix
&-*. Active phase of the first stae of labor starts from7
A. reular uterine contractions till &(* cm dilation of the cervix
B. reular uterine contractions till + cm dilation of the cervix
C. reular uterine contractions till 13 cm dilation of the cervix
#. "&(* cm dilation of the cervix till full cervical dilation
&--. 2o) do you called the peripheral )ay of the placenta separation from the uterine )all?
A. Abulad:e
B. 2enter.s
C. ?rede( La:arevich
!. "!un%an
#. @hultse
&-+. 2o) do you called the central )ay of the placenta separation from the uterine )all?
A. Abulad:e
B. 2enter.s
!. !un%an
#. "@hultse
&-1. 2o) do you called the method of separated placental removal7 MThe uterus is situated in the midline
position. The abdominal )all is rasped by the finers in the lonitudinal fold an as%ed the )oman to
push>.
A. "Abulad:e
B. 2enter.s
!. !un%an
#. @hultse
&-'. 2o) do you called the method of separated placental removal7 MThe uterus is situated in the midline
position. T)o firsts are located in the uterine fundus and a doctor LLLL>.
A. "Abulad:e
B. 2enter.s
!. !un%an
#. @hultse
&-5. 2o) do you called the method of separated placental removal7 MThe uterus is situated in the midline
position. Catheheri:ation of urinary bladder is performed. Lare finer is located in the anterior uterine
)all6 the rests C on the posterior one. The uterus is rasped in the anterior(posterior direction.
A. Abulad:e
B. "2enter.s
!. !un%an
#. @hultse
&+3. Which method of manual removal of the sepatared placenta is the least traumatic?
A. "Abulad:e
B. 2enter.s
!. !un%an
#. @hultse
&+1. Which of the follo)in is true of blindness in con0unction of prenancy induced hypertension?
A. "occur in severe preeclampsia
B. occur in moderate preeclampsia
C. occur in mild preeclampsia
!. is not present in prenancy induced hypertension
#. there is no correct ans)er
&+$. Which of the follo)in is FGT a sin of severe prenancy(induced hypertension?
A. upper abdominal pain
B. oliuria
C. "polyuria
!. fetal ro)th retardation
#. visual disturbances
&+&. Which sin suest about manesium toxicity?
A. "decreasin of patellar reflex
B. !epression
C. increasin of breathin
!. polyuria
&+*. Which sin suest about manesium toxicity?
A. "oliuria
B. increasin of breathin
C. polyuria
!. insomnia
&+-. What index in the eneral blood analysis indicate the severity of prenancy induced hypertetnsion ?
A. "thrombocytes
B. leu%ocytes
C. hemolobin
!. basophiles
#. neutrophiles
&++. ,ndications to planned cesarean section in diabetus mellitus and prenancy?
A. ">fresh> hemorrhaes in retinae
B. placenta abruption
C. placenta previa
!. cervical incompetence
#. probable fetal )eiht &133
&+1. ,n reard to preeclampsia6 proteinuria is defined as ho) much urinary excretion?
A. 133 mN$* hr
B. $33 mN$* hr
C. "&33 mN$* hr
!. -33 mN$* hr
#. +33 mN$* hr
&+'. Which of the follo)in is FGT dianostic of moderate preeclampsia?
A. serum creatinine from 1- C 1$3 m%molNL
B. H36& C - proteinuria in $* hour collection
C. &5 ( *$ hematocrit
!. "diastolic blood pressure 113 mm. 2
#. 1'3(1-3.333 thrombocytes
&+5. What is the sinificance of maternal thrombocytopenia in a patient )ith preeclampsia?
A. is a fetal indication for cesarean section
B. "indicates severity of disease
C. re9uires therapy )ith platelets
!. is a contraindication to scalp p2 determination
&13. Chronic hypertension defined as7
A. "hypertension present before the 1$ )ee% of estation or beyond + )ee%sR postpartum.
B. hypertension present before the $$ )ee% of estation or beyond + )ee%sR postpartum
C. hypertension present before the $* )ee% of estation or beyond ' )ee%sR postpartum
!. hypertension present before the &* )ee% of estation or beyond 13 )ee%sR postpartum
#. hypertension present before the * )ee% of estation or beyond 1$ )ee%sR postpartum
&11. 2ypertension in prenancy defined as7
A. diastolic blood pressure of '3 mm 2 or reater6 as a systolic blood pressure at or above 1*3 mm 2
at one estimation )ith the interval $ hours
B. diastolic blood pressure of '- mm 2 or reater6 as a systolic blood pressure at or above 1*3 mm 2
at three estimations )ith the interval 1 hour
C. diastolic blood pressure of 53 mm 2 or reater6 as a systolic blood pressure at or above 1&- mm 2
at t)o estimations )ith the interval * hours
!. "diastolic blood pressure of 53 mm 2 or reater6 as a systolic blood pressure at or above 1*3 mm
2 at t)o estimations )ith the interval * hours.
#. diastolic blood pressure of 53 mm 2 or reater6 as a systolic blood pressure at or above 1*- mm 2
at t)o estimations )ith the interval & hours
&1$. The level of proteinuria in $* hour collection is 3.$ . =or )hich deree of prenancy induced
hypertension does it characteri:ed?
A. preestosis
B. "mild preeclampsia
C. moderate preeclampsia
!. severe preeclampsia
#. eclampsia
&1&. What is the scheme of methyldopha prescription in the treatment of moderate preeclampsia?
A. "3.$- C 3.- &(* times a day
B. 3.- C 1.- &(* times a day
C. 3.$- once a day
!. 361 once a day
#. 36- once a day
&1*. To )hich roup does atenolol belon to?
A. central alpha$ adrenoaonists
B. "adrenobloc%ers
C. vasodilators
!. anticonvulsant
#. calcium channel bloc%er
&1-. What is the initial dose of manesium sulfate in the treatment of moderate preeclampsia?
A. "*
B. + m
C. +
!. '
#. 13
&1+. With preeclampsia6 )hat is the sinificance of severe6 riht upper(9uadrant pain?
A. cholecystitis
B. pancreatitis
C. "tension on Elisson.s capsule
!. Teit:e syndrome
#. Terner.s syndrome
&11. When is eclampsia least li%ely to occur?
A. antepartum
B. intrapartum
C. immediately postpartum
!. "after *' hr postpartum
#. after $ hours postpartum
&1'. Which of the follo)in is true of blindness in con0unction )ith severe preeclampsia?
A. "li%ely central in oriin
B. often permanent
C. usually unilateral
!. common
&15. Which of the follo)in is FGT a sin of severe prenancy(induced hypertension?
A. upper abdominal pain
B. oliuria
C. "convulsions
!. fetal ro)th retardation
#. visual disturbances
&'3. 2o) is manesium toxicity treated?
A. calcium chloride intravenously
B. calcium phosphate orally
C. "calcium luconate and discontinue manesium
!. dialysis
&'1. Which of the complications are FGT true about preeclampsia?
A. placental abruption
B. cerebral hemorrhae
C. renal insufficiency
!. intranatal fetal death
#. "anaphylactic shoc%
&'$. Which of the follo)in is considered an abnormal $*(hour urinary protein in )omen )ith severe
preeclampsia?
A. &33 m in $* hr
B. 1 in $* hr
C. $ in $* hr
!. & in $* hr
#. "D- in $* hr
&'&. 2o) is the pathophysioloy of preeclampsia characteri:ed?
A. vasodilatation
B. "vasospasm
C. hemodilution
!. hypervolemia
&'*. With eclampsia6 )hich of the follo)in is FGT true?
A. Cerebral edema is present.
B. #lectroencephaloram abnormalities are fre9uent.
C. <etechial hemorrhae is common.
!. "Cerebral blood flo) is normal.
#. convulsions are present
&'-. Gf the follo)in6 )hich is FGT considered to be a predisposin factor to preeclampsia?
A. family history of preeclampsia
B. multiple fetuses
C. renal transplantation
!. "multiparity
#. hypertensive disorders
&'+. The main characteristic sins of superimposed prenancy induced hypertension are all of the belo)
#;C#<T7
A. early beinnin;
B. severe duration;
C. isolated proteinuria6 edema6 or hypertension
!. "atypical clinical findins such as paresthesia6 insomnia6 hypersalivation
#. combined proteinuria6 edema6 or hypertension
&'1. Eestational hypertension defines as7
A. occurs after &3 )ee%s of prenancy and doesn.t accompanies )ith proteinuria
B. "occurs after $3 )ee%s of prenancy and doesn.t accompanies )ith proteinuria
C. occurs after 1$ )ee%s of prenancy and accompanies )ith proteinuria
!. occurs after $3 )ee%s of prenancy and accompanies )ith proteinuria
#. occurs after 1$ )ee%s of prenancy and doesn.t accompanies )ith proteinuria
&''. Which of the follo)in is FGT dianostic of severe preeclampsia?
A. increased serum creatinine more than 1$33 m%molNL
B. - proteinuria in $* hour collection
C. *- hematocrit
!. elevated liver en:ymes
#. "1'3.333 thrombocytes
&'5. Which of the follo)in is FGT dianostic of severe preeclampsia?
A. increased serum creatinine more than 1$3 m%molNL
B. D- proteinuria in $* hour collection
C. *$ hematocrit
!. diastolic pressur#. 113 mm 2
#. "&33.333 thrombocytes
&53. Which of the follo)in is true in $*(hour urinary protein in )omen )ith mild preeclampsia?
A. "H&33 m in $* hr
B. H133 m in $* hr
C. $ in $* hr
!. & in $* hr
#. 1 in $* hr
&51. What is the normal duration of treatment in the case of moderate preeclampsia?
A. 1($ days
B. "1(13 days
C. $* hours
!. 1$(1* days
#. -(+ hours
&5$. All of the follo)in are the main indications for cesarean section in preeclampsia #;C#<T7
A. 2#LL<(syndrome;
B. eclampsia;
C. pulmonary edema;
!. cerebral symptoms;
#. "anemia
&5&. What is the normal duration of treatment in the case of eclamptic sei:ure?
A. 1($ days
B. 1(13 days
C. $* hours
!. 1$(1* days
#. "-(+ hours
&5*. What is the normal duration of treatment in the case of mild preeclampsia?
A. 1($ days
B. "1(13 days
C. $* hours
!. 1$(1* days
#. -(+ hours
&5-. What is the normal duration of treatment in the case of severe preeclampsia?
A. 1($ days
B. 1(13 days
C. "$* hours
!. 1$(1* days
#. -(+ hours
&5+. What is the level of diastolic blood pressure in the mild preeclampsia?
A. '3('5 mm2
B. "53 C 55 mm 2
C. 133 C 135 mm 2
!. 113 C 1$3 mm 2
#. 1$3 mm 2
&51. What is the level of diastolic blood pressure in the moderate preeclampsia?
A. '3('5 mm2
B. 53 C 55 mm 2
C. "133 C 135 mm 2
!. 113 C 1$3 mm 2
#. 1$3 mm 2
&5'. What is the level of diastolic blood pressure in the severe preeclampsia?
A. '3('5 mm2
B. 53 C 55 mm 2
C. 133 C 135 mm 2
!. "D 113 mm 2
#. 1$3 mm 2
&55. The level of diastolic blood pressure is 5- mm 2. =or )hich deree of prenancy induced
hypertension does it characteri:ed ?
A. preestosis
#. eclampsia
*33. The level of diastolic blood pressure is 13-mm 2. =or )hich deree of prenancy induced
A. preestosis
B. mild preeclampsia
C. "moderate preeclampsia
#. eclampsia
*31. The level of diastolic blood pressure is 11-mm 2. =or )hich deree of prenancy induced
hypertension does it characteri:ed ?
A. preestosis
!. "severe preeclampsia
#. eclampsia
*3$. The level of proteinuria in $* hour collection is 3.1 . =or )hich deree of prenancy induced
A. preestosis
#. eclampsia
*3&. The level of proteinuria in $* hour collection is 3.* . =or )hich deree of prenancy induced
A. preestosis
#. eclampsia
*3*. The level of proteinuria in $* hour collection is 3.- . =or )hich deree of prenancy induced
A. preestosis
#. eclampsia
*3-. The level of proteinuria in $* hour collection is 1.3. . =or )hich deree of prenancy induced
A. preestosis
#. eclampsia
*3+. The level of proteinuria in $* hour collection is +.3. . =or )hich deree of prenancy induced
A. preestosis
#. eclampsia
*31. The level of thrombocytes is D 1'3 x 135. =or )hich deree of prenancy induced hypertension does
it characteri:ed?
A. preestosis
#. eclampsia
*3'. The level of thrombocytes is D '3 C 1-3 x 135. =or )hich deree of prenancy induced hypertension
does it characteri:ed?
A. preestosis
#. eclampsia
*35. The level of thrombocytes is H '3 x 13
5
. =or )hich deree of prenancy induced hypertension does it
characteri:ed?
A. preestosis
#. eclampsia
*13. The level of proteinuria is H 36& NL. =or )hich deree of prenancy induced hypertension does it
characteri:ed?
A. preestosis
#. eclampsia
*11. The level of protein is & NL. =or )hich deree of prenancy induced hypertension does it
characteri:ed?
A. preestosis
#. eclampsia
*1$. The level of creatinine is D 1$3 m%molNL. =or )hich deree of prenancy induced hypertension does
it characteri:ed?
A. preestosis
#. eclampsia
*1&. What is the ade9uate manaement of mild preeclampsia?
A. sedative
B. "expectant manaement
C. hypotensive
!. anticonvulsants
#. spasmolytics
*1*. ,ndications to hospitali:ation in mild preeclampsia are all of the belo) #;C#<T7
A. estational ae more than &1 )ee%s
B. presence of any sin of moderate preeclampsia
C. fetoplacental insufficiency
!. "hih temperature
*1-. What is the dose of acetylsalicylic acid for prevention of prenancy induced hypertension?
A. $3 m a day
B. *3 m a day
C. "+3 ( 133 m a day
!. 113 C 1$3 m a day
#. 1$3 m a day
*1+. What is the dose of calcium for prevention of prenancy induced hypertension?
A. "$ a day
B. * m a day
C. + m a day
!. ' a day
#. 13 m a day
*11. =rom )hich estational ae acetylsalicylic acid is prescribed for prevention of prenancy induced
hypertension?
A. ' )ee%s
B. 13 )ee%s
C. 1+ )ee%s
!. "$3 )ee%s
#. $$ )ee%s
*1'. =rom )hich estational ae calcium is prescribed for prevention of prenancy induced hypertension?
A. ' )ee%s
B. 13 )ee%s
C. "1+ )ee%s
!. $3 )ee%s
#. $$ )ee%s
*15. What is the maximal dose of methyldopa in the treatment of moderate preeclampsia ?
A. 1 in a day
B. $ in a day
C. "& in a day
!. * in a day
#. - in a day
*$3. What is the maximal dose of niphedipine in the treatment of moderate preeclampsia?
A. "133 m in a day
B. $33 m in a day
C. &33 m in a day
!. *33 m in a day
#. -33 m in a day
*$1. What is the scheme of niphedipine prescription in the treatment of moderate preeclampsia?
A. "13 m &(* times a day
B. 13 m $(& times a day
C. $3 m once a day
!. *3 m a day
#. - once a day
*$$. To )hich roup does methyldopa belon to?
A. "central alpha$ adrenoaonists
B. adrenobloc%ers
C. spasmolytic
!. anticonvulsant
*$&. To )hich roup does niphedipine belon to?
B. adrenobloc%ers
C. vasodilator
!. anticonvulsant
#. "calcium channel bloc%er
*$*. To )hich roup does hydralasin belon to?
B. adrenobloc%ers
C. "peripheral vasodilators
!. anticonvulsant
*$-. To )hich roup does metoprolol belon to?
B. "adrenobloc%ers
C. vasodilators
!. anticonvulsant
*$+. What is the level of diastolic blood pressure in )hich manesium sulfate is prescribed?
A. H 133 mm 2
B. "D 113 mm 2
C. 1$3 mm 2
!. H 53 mm 2
#. 1&3 mm 2
*$1. What is the maximal dose of labetolol in the treatment of severe preeclampsia ?
A. "&33 m a day
B. *33 m a day
C. -33 m a day
!. 133 m in a day
#. '33 m in a day
*$'. What is the initial dose of hydralasin in the treatment of moderate preeclampsia ?
A. "$3 m
B. *3 m
C. -3 m
!. 13 m
#. '3 m
*$5. Contraindications to manesial therapy in the prenancy induced hypertension include all of the
belo) #;C#<T7
A. decreasin level of calcium
B. depression of centre of breathin
C. arterial hypotension
!. %achexia
#. "anemia
*&3. Which should be normal diuresis in infusion therapy in prenancy induced hypertension ?
A. "+3 ml per hour
B. '3 ml per hour
C. 133 ml per hour
!. *3 ml per hour
#. $3 ml per hour
*&1. What is the eneral volume of infusion therapy in prenancy induced hypertension?
A. 13( 1-ml N%
B. 1- C $3 mlN%
C. $3 C $- mlN%
!. "&3 C &- mlN%
#. *3 C *- mlN%
*&$. What is the normal duration of manesial therapy in prenancy induced hypertension?
A. 1$ hours after delivery
B. 1' hours after delivery
C. $3 hours after delivery
!. "$*(*' hours after delivery
#. *'(-+ hours after delivery
*&&. All of the belo) should be chec%ed durin prescription manesial therapy #;C#<T7
A. diuresis per hour
B. patellar reflex
C. respirations
!. fetal heart rate monitorin
#. "fetal movement
*&*. All of the belo) prescribed for decreasin of blood pressure in prenancy induced hypertension
#;C#<T7
B. adrenobloc%ers
C. vasodilators
!. "manesium sulfate
#. calcium channel bloc%ers
*&-. All of the belo) prescribed for decreasin of blood pressure in prenancy induced hypertension
#;C#<T7
A. calcium channel bloc%er
B. adrenobloc%ers
C. vasodilators
!. central alpha$ adrenoaonists
#. "aniotensin(convertin(en:yme JAC#K inhibitors
*&+. To ma0or predisposin factors of prenancy induced hypertension are all of the belo) #;C#<T7
A. nulliparity
B. familial history of preeclampsiaCeclampsia
C. multiple fetuses
!. "anemia
#. diabetes
*&1. To ma0or predisposin factors of prenancy induced hypertension are all of the belo) #;C#<T7
A. chronic vascular disease
B. hydatidiform mole
C. fetal hydrops
!. "early maternal ae
#. familial history of preeclampsiaCeclampsia
*&'. All of the belo) are the main steps in treatment of eclampsia #;C#<T7
A. control of convulsions
B. correction of hypoxia and acidosis
C. "correction of )eiht ain
!. blood pressure control
#. delivery after control of convulsions.
*&5. All of the follo)in belo) prescribed for decreasin of blood pressure in prenancy induced
hypertension #;C#<T7
A. calcium channel bloc%er
B. adrenobloc%ers
C. "diuretics
!. central alpha$ adrenoaonists
#. central alpha$ adrenoaonists
**3. The patient )ith moderate preeclampsia underoes to pass urine analysis7
A. "once a day
B. t)ice a day
C. once a )ee%
!. t)ice a )ee%
#. once a month
**1. The patient )ith moderate preeclampsia underoes to pass blood analysis for thrombocytes7
A. once a day
B. t)ice a day
C. "once a & days
!. once a )ee%
#. once a month
**$. The patient )ith moderate preeclampsia underoes to pass blood analysis for creatinin7
A. once a day
B. t)ice a day
C. "once a & days
!. once a )ee%
#. once a month
**&. The patient )ith severe preeclampsia underoes to pass urine analysis7
A. once a day
B. t)ice a day
C. "every * hours
!. every 1$ hours
#. every + hours
***. All of the belo) should be prescribed in infusion therapy in prenancy induced hypertension
#;C#<T7
A. fresh fro:en plasma
B. "- 4 lucose
C. isotonic solution
!. refortan
#. stabisol
**-. Which type of anesthesia is recommended in labor in patients )ith moderate prenancy induced
hypertension?
A. pudendal
B. "epidural
C. eneral
!. paracervical
#. infiltrative
**+. <resence of convulsions characteri:es )hich deree of prenancy induced hypertension?
A. preestosis
#. "eclampsia
**1. All of the belo) should be prescribed in infusion therapy in prenancy induced hypertension
#;C#<T7
A. fresh fro:en plasma
B. "blood transfusion
C. isotonic solution
!. refortan
#. stabisol
**'. Which type of anesthesia is Fot recommended in labor in patients )ith moderate prenancy induced
hypertension?
A. "pudendal
B. epidural
C. eneral
!. all abovel
#. nothin above
**5. Which deree of prenancy induced hypertension characteri:es presence of convulsions?
A. preestosis
#. "eclampsia
*-3. What is the World 2ealth Grani:ation definition of a premature infant?
A. H$-33
B. &' )ee%s or less
C. "&1 )ee%s or less
!. &+ )ee%s or less
#. H $333
*-1. ,n days6 ho) is a postterm prenancy defined?
A. D$'3 days
B. D$'1 days
C. "D$5* days
!. D&33 days
#. &13 days
*-$. ,n a )oman )ith a favourable cervix and an estimated fetal )eiht of &'-3 6 )hat is the appropriate
manaement at a certain *$ )ee%s. estation?
A. expectant manaement
B. start fetal surveillance
C. "induce labor
!. schedule cesarean section
*-&. At )hat estational ae does the incidence of complications due to prematurity e9ual that of term
infants?
A. $- to $+ )ee%s
B. $' to &3 )ee%s
C. "&$ to &* )ee%s
!. &+ )ee%s or more
#. $$($* )ee%s
*-*. What is the preferred manaement of preterm rupture of membranes on the &+ )ee% of estation?
A. antibiotics
B. tocolytics
C. steroids
!. "expectant
#. spasmolitics
*--. 2o) is postterm prenancy defined?
A. beyond &1 )ee%s
B. beyond *3 )ee%s
C. "beyond *$ )ee%s
!. beyond ** )ee%s
#. beyond *+ )ee%s
*-+. ,n a )oman )ith an unfavorable cervix and an estimated fetal )eiht of &'33 6 )hat is the
appropriate manaement at a certain *$ )ee%s. estation?
A. labor induction
B. cesarean section
C. fetal surveillance plus hospitali:ation
!. "cervical ripenin
*-1. 2o) is preterm labor defined?
A. "from $$ to &+ )ee%s
B. from $* to &' )ee%s
C. from $' to &1 )ee%s
!. from $' to &' )ee%s
#. from $$ to &' )ee%s
*-'. Which of the follo)in is FGT true concernin indomethacin?
A. is used to treat preterm labor
B. is a prostalandin synthetase inhibitor
C. may cause premature closure of the fetal ductus arteriosus
!. "decreases neonatal intracranial hemorrhae
*-5. Which of the follo)in is FGT a description associated )ith the postterm infant?
A. "smooth s%in
B. patchy peelin s%in
C. lon6 thin body
!. )orried loo%in face
*+3. What is the manaement of the preterm labor in the case breech presentation?
A. expectant manaement
B. start fetal surveillance
C. induce labor
!. "cesarean section
*+1. All of the belo) are prescribes in the case of daner of preterm labor #;C#<T7
A. spasmolytics
B. "contractil drus
C. sedative drus
!. <rostalandines. synthesis inhibitors
#. b(adrenomimetic drus
*+$. Which prostalandin has been used for cervical ripenin?
A. =$a
B. "#$
C. =13
!. S1
#. A$
*+&. What is the mean half(life of oxytocin in plasma?
A. "- min
B. 13 min
C. 1- min
!. $3 min
*+*. ,n treatment of urinary tract infection JAT,K in the third trimester6 the antibiotic of choice should be7
A. "Cephalosporin
B. Tetracycline
C. @ulfonamide
!. Fitrofurans
#. There is no correct ans)er
*+-. What causes the ma0ority of heart disease in prenancy?
A. idiopathic cardiomyopathy
B. constrictive pericarditis
C. hypertension
!. "conenital heart lesions
*++. Which of the follo)in symptoms in prenancy is suestive of heart disease?
A. tachycardia
B. tachypnea
C. "syncope )ith exertion
!. peripheral edema
*+1. A $1 C year ( old )oman at &$ )ee%s. estation presents complainin of couh6 fever6 chest pain6 and
dyspnoea. Which of the follo)in tests )ould be most helpful in ma%in a dianosis?
A. complete blood cell count
B. mycoplasma(specific immunolobulin E
C. urinalysis for pneumococcal antien
!. "chest x(ray
*+'. Which of the follo)in factors is FGT an indication for hospitali:ation of a )oman )ith pneumonia?
A. altered mental status
B. !iastolic blood pressure 113 mm 2
C. t
3
&'6-
3
C
!. "respiratory rate $3 N min
#. !ispnea
*+5. What is the etioloy of reflux esophaitis in prenancy?
A. constriction of upper esophaeal sphincter
B. relaxation of upper esophaeal sphincter
C. constriction of lo)er esophaeal sphincter
!. "relaxation of lo)er esophaeal sphincter
*13. Which of the follo)in is FGT a ris% factor for estational diabetes?
A. ae D &3 years
B. prior macrosomic infant
C. prior stillborn infant
!. "sister )ith estational diabetes
*11. ,n diabetes6 )hich fetal oran is unaffected by fetal macrosomia?
A. heart
B. %idney
C. liver
!. "brain
*1$. Which of the follo)in complications is FGT increased in prenant )omen )ith hypothyroidism?
A. preeclampsia
B. placental abruption
C. lo) birth)eiht
!. "placenta previa
*1&. Which of the follo)in is the most sensitive method to dianose maternal primary C/B infection?
A. culture of cervix
B. cytomealovirus ,E titer
C. "cytomealovirus ,/ titer
!. $(fold increase in ,E titer
*1*. Antepartum syphilis is FGT associated )ith )hich of the follo)in?
A. fetal death
B. preterm labor
C. neonatal infection
!. "abruptio placenta
*1-. What is the most common presentin symptom in )omen )ith thrombotic thrombocytopenic
syndrome?
A. fever
B. fatiue
C. "haemorrhae
!. neuroloical abnormalities
*1+. What is the ris% of transmission of 2,B to the ne)born from breastfeedin?
A. "increased
B. decreased
C. remains the same
!. un%no)n
*11. Which of the follo)in is FGT associated )ith cytomealic inclusion disease?
A. microcephaly
B. chorioretinitis
C. "hydrops
!. thrombocytopenic purpura
*1'. What is the initial dru of choice for the treatment of pyelonephritis in prenancy?
A. doxyciclini
B. cephalosporin
C. "ampicillin
!. empirical
*15. Which treatment is of choice for early onset influen:a in prenancy?
A. retrovir
B. "Amantadine
C. Acyclovir
!. anciclovir
*'3. What is the most li%ely dianosis in a )oman )ith fre9uency6 urency6 pyuria6 dysuria6 and a sterile
urine culture?
A. #. coli cystitis
B. roup B streptococcus cystitis
C. "Chlamydia trachomatis urethritis
!. F. onorrhoeae urethritis
*'1. An 1' C year ( old nulliparous blac% )oman has been on antibiotics for * days for pyelonephritis. @he
continues to have fever ranin from &'.5 to &5.+ T C. Wor%up reveals a riht urethral obstruction
secondary to calculi. What is the next most appropriate step in her manaement?
A. Chane her antibiotics.
B. Continue the present antibiotics for at least 1 days.
C. "<ass a double(U urethral stent.
!. <erform a percutaneous nephrostomy
*'$. Which of the follo)in is associated )ith conenital toxoplasmosis infection?
A. limb defects
B. cardiac defects
C. "hepatosplenomealy
!. renal defects
*'&. What is the most common presentin symptom of renal stones in prenant )omen?
A. flan% pain
B. abdominal pain
C. hematuria
!. "infection
*'*. What is the most common serious medical complication of prenancy?
A. cystitis
B. pneumonia
C. pancreatitis
!. "pyelonephritis
*'-. !urin prenancy6 )hat happens to reuritation associated )ith the mitral valve?
A. "decreases
B. remains the same
C. increases mildly
!. increases sinificantly
*'+. 2o) should a )oman )ith deep venous thrombosis in a previous prenancy be manaed in a current
prenancy?
A. careful observation
B. "minidose subcutaneous heparin
C. full prophylactic subcutaneous heparin
!. lo)(dose aspirin
*'1. 2o) should a prenant )oman )ho is tuberculin(positive but x(ray neative be manaed?
A. rifampin 13 m N % daily for 1$ months
B. isonia:id &33 m daily for 1$ months
C. ethambutol for 1$ months
!. "observation and treatment after delivery
*''. Which of the follo)in complications is associated )ith ruptured appendix and peritonitis?
A. fetal ro)th restriction
B. oliohydramnios
C. chorioamnionitis
!. "preterm birth
*'5. We have $' ( year patient )ith mitral stenosis and impaired cardial function for pre(prenancy
counselin. Vour recommendation about next prenancy7
A. prenancy is recommended
B. "prenancy is not recommended
C. prenancy is allo)ed in three months
!. prenancy is allo)ed in five months
*53. ,n case of mitral incompetence in prenant patient blood durin systole oes to the7
A. aorta
B. lun artery
C. "aorta and left atrium
!. aorta and riht atrium
*51. /itral disease is7
A. "combined stenosis of mitral foramen and mitral valves incompetence
B. stenosis of mitral foramen
C. mitral incompetence
!. mitral incompetence and heart failure
*5$. Bon Willebrand disease is7
A. "the most common hereditary coaulation abnormality
B. the least common hereditary coaulation abnormality
C. the most common hereditary metabolism abnormality
!. the least common hereditary metabolism abnormality
*5&. ,n case of Bon Willebrand disease )e prescribe7
A. indirect anticoaulant
B. direct anticoaulant
C. "blood factor C B,,,
!. blood factor C B,
#. Blood factor B,,
*5*. Contraindication for prenancy is7
A. mitral stenosis
B. mitral incompetence
C. obesity
!. sole %idney
#. "mitral stenosis )ith heart failure
*5-. Contraindication for prenancy is not7
A. mitral stenosis )ith active rheumatic disease
B. mitral incompetence )ith lun edema
C. there is no correct ans)er
!. "sole %idney
#. mitral stenosis )ith heart failure
*5+. What is the manaement of the total placenta percreta?
A. "total hysterectomy
B. manual separation and removal of the placenta
C. hysterotomy
!. subtotal hysterectomy
#. liation of the vessels
*51. What is the manaement of the partial placenta percreta?
C. hysterotomy
*5'. What is the manaement of the focal placenta percreta?
C. hysterotomy
*55. What is the hihest dose of oxytocin is prescribed in the uterine atony?
A. - units
B. 13 units
C. 1- units
!. "$3 units
#. $- units
-33. Which dose of prostalandin #n:aprost is prescribed in the uterine atony?
A. 1 m
B. $ m
C. "- m
!. 13 m
#. 1- m
-31. Which dose of misoprostol is prescribed in the uterine atony?
A. "'33 m%
B. +33 m%
C. *33 m%
!. $33 m%
#. 133 m%
-3$. Couvelaire. uterus is the complication of )hich patholoy?
A. "placental abruption
B. placental adherence
C. placental accreta
!. placental percreta
#. uterine hypotony
-3&. Which of the follo)in is the most ideal method of delivery for severe abruption in the second stae
of labor in breech presentation?
A. forceps delivery
B. immediate cesarean section
C. cesarean section after blood replacement
!. "breech extraction
#. vacuum application
-3*. What is the best manaement of the mild form of placental abruption ?
A. forceps delivery
B. immediate cesarean section
C. cesarean section after blood replacement
!. "observation
#. vacuum application
-3-. Which of the follo)in is FGT characteristic of early hypovolemic shoc%?
A. decreased mean arterial pressure
B. decreased stro%e volume
C. increased arteriovenous oxyen content difference
!. "increased central venous pressure
-3+. 2o) many staes of hemorrhaic shoc% severity have been distinuished?
A. 1
B. $
C. &
!. "*
#. -
-31. All of the above belon to the colloids )hich are )idely used in obstetrics #;C#<T7
A. Iefortan
B. Eelofusin
C. "Iiner(Lo%%a
!. @tabisol
#. =resh(fro:en plasma
-3'. ,n )hich level of hemolobin transfusion of erythromass is indicated?
A. H 1$3 Nl
B. H 113 Nl
C. H 133 Nl
!. H '3 Nl
#. "H 13 Nl
-35. ,ndications to planned cesarean section in diabetus mellitus and prenancy7
A. uterine myoma and prenancy
B. placenta abruption
C. polyhydramnios
!. cervical incompetence
#. "probable fetal )eiht more than *333
-13. @in of diabetic fetopathy in prenancy7
A. "double contour of the fetal head
B. oliohydramnion
C. fetal ro)th retardation
!. fetal distress
#. placental dysfunction
@ituational Tas%s
1. &3(years(old )oman6 primapara at &* )ee%s of estation arrives in active labor. Aterine contractions
occur every &(* minutes. <er vainum7 the uterine cervix dilatation is + cm. The amniotic sac is intact.
=etal buttoc%s are presented. /anaement of labor?
A. /anual aid by Tsovianov ,,
B. "Cesarean section
C. @ubtotal breech extraction
!. Classic manual aid
#. Total breech extraction
$. Woman )ith in(time prenancy. Bears do)n durin *3(*- seconds )ith intervals 1($ minutes. The
rupture of the membrane has occurred 13 minutes ao. Bainal examination7 fetal head is on the pelvic
floor. @aital suture is in anterior(posterior diameter of pelvic outlet. Amniotic sac is absent. What is the
stae of labor?
A. Cervical
B. "<elvic
C. Cranial
!. #arly postpartum
#. <lacental
&. <rimapara. At vainal examination7 openin of cervix is ' cm6 saittal suture in a transversal si:e of the
pelvic inlet6 small fontanel is palpated as a leadin point. =or )hich type of presentation is it typical?
A. The bro) presentation
B. The vertex presentation.
C. The face presentation
!. "The anterior occiput presentation.
#. The posterior occiput presentation
*. At prenant $' years )ith prenancy $* )ee%s transverse lie of the fetus is found. 2ead is on the left.
=etal heart rate is clear6 1&' in 1 min. <renancy is first6 passed )ithout complications. @i:es of pelvis7
$-($5(&1($3 cm. What is the doctor. tactic no)?
A. To hospitali:e and to perform the external obstetric version
B. "The supervision
C. To hospitali:e in the term of prenancy &'(&5 )ee%s for performin the external obstetric version
!. To do the classic obstetric version of fetus
#. To appoint a correate ymnastics
-. <ostpartum patient. A irl )as born by mass &'33 . ,n pressin above the symphysis umbulical cord
doesnRt chane it lenht. 2o) do you called this sin of placenta separation?
A. <ositive @hreder sin
B. <ositive Alfelda sin
C. <ositive Basten sin
!. <ositive Chu%alov(?ustner sin
#. "Feative Chu%alov(?ustner sin
+. A )oman $' years admitted to female dispensary )ith complaints about the delay of menstruation durin
- days. At vainal examination7 uterine cervix of conical shape6 )ithout patholoy. The body of uterus is
insinificantly increased6 dense6 mobile. The uterine adnexa are unpainful6 not enlared. #xcretions
mucous. What methods of examination for determination of prenancy )ill be most effective?
A. "Test on prenancy
B. Altrasonic examination
C. Bimanual examination
!. ;( ray examination
#. Bioloical method
1. ,n time of the vainal examination of a prenant )omen cervix is effaced6 dilatation is - cm6 the fetal
head is in the pelvic inlet. A saittal suture is in the riht obli9ue si:e6 a small fontanel is left close to a
sacral bone. !etermine the position and the variety of the fetus.
A. "The $nd position6 the posterior variety
B. The 1st position6 the anterior variety
C. The 1st position6 the posterior variety
!. The $nd position6 the anterior variety
#. The hih(ridin saittal suture
'. <renant !. admitted to the maternity hospital )ith prenancy at term and reular uterine contractions
durin + hours. This prenancy is first. <elvic si:es7 $-($+(&1($3 cm. =etal heart rate 1&+ in 1 min. What
is the doctor. conclusion about the pelvic si:es?
A. Formal pelvis
B. The true con0uate decreased
C. The external con0uate decreased
!. "!istantia cristarum decreased
#. !istantia spinarum decreased
5. The last menstrual period in patient )as $$.1$. $311 What is the exposed term of labor on the Feele.
formula?
A. 1-.35.1$
B. $5.3'.1$
C. "$5.35.1$
!. $$.35.1$
#. $$.13.1$
13. The prenant C. )as admitted in the patholoy.prenancy department. <renancy 886 &5 )ee%s.
Circumference of abdomen C 113 cm6 heiht of the uterine fundus C &+ cm. The fetal lie is lonitudinal6
cephalic presentation. What is the exposed fetal )eiht by Bols%ov. method?
A. &133
B. "&5+3
C. *$33
!. $''3
#. &$13
11. The neonatoloist is measurin the si:es of the ne)born head. The baby is at term6 )eiht &$33 . Gne of
the fetal head si:e is 5.- cm6 circumference &$ cm. Which si:e is measured?
A. "@mall obliue JsuboccipitobrematicK
B. /iddle obliue JsuboccipitofrontalK
C. Lare obliue JoccipitomentalK
!. Biparietal
#. Bitemporal
1$. The prenant $* years is admitted to the admittin office of the maternity hospital )ith prenancy &'(&5
)ee%s and reular uterine contractions. At the examination7 body temperature is &'.-. ,n )hich
department patient have to be admitted?
A. <atholoy of prenancy
B. #xtraenital patholoy
C. =irst obstetric department
!. "@econd obstetric department
#. Admittin office
1&. <renant A. admitted to the maternity hospital. The uterine fundus is palpated on the umbilical level.
What is the doctor. conclusion about the term of prenancy?
A. 1$ )ee%s of prenancy
B. $3 )ee%s of prenancy
C. "$* )ee%s of prenancy
!. $' )ee%s of prenancy
#. &+ )ee%s of prenancy
1*. <atient F.6 ,, labor. The patient. condition is satisfactory. Aterine contractions are active. Gn the left of
umbilicus the head of fetus is palpated in uterus6 presentin part is not determined. 2eart rate is 1-3 in 1
min6 is auscultated at the umbilical level. Vour dianosis?
A. "Transversal lie of fetus6 , position.
B. Transversal presentation of fetus.
C. Breech presentation of fetus.
!. Transversal lie of fetus6 ,, position.
#. Transversal position.
1-. <renant6 $- )ee%s of prenancy. !urin the last $ months complains of )ea%ness6 violation of taste6 the
promoted fraility of hair and nails. At laboratory examination7 the rate of red blood cells $6'x131$6 2b
5' Nl. To appoint medical treatment.
A. "Contained iron medicines
B. Bitamins
C. Transfusion of red blood cells mass
!. /edical diet
#. ,mmunocorrection
1+. <renant !. admitted to the maternity hospital )ith prenancy at term and reular uterine contractions
durin + hours. This prenancy is first. <elvic si:es7 $-($'(&$(1' cm. =etal heart rate 1&+ in 1 min. What
is the doctor. conclusion about the pelvic si:es?
A. Formal pelvis
B. The true con0uate increased
C. "The external con0uate decreased
!. The internal con0uate is normal
#. !istantia spinarum decreased
11. ,n a maternity hall patient is delivered + hours ao. The head of the fetus is in the pelvic inlet. The fetal
lie is lonitudinal6 the fetal bac% to the left. =etal heart rate is clear6 rhythmic6 1&+ in 1min. At vainal
examination7 openin of cervix is 1 cm6 saittal suture in a riht obli9ue si:e6 small fontanel is belo)
lare one6 located to the left near the sacrum. To define position and visus.
A. The first position6 anterior visus.
B. The second position is and anterior visus.
C. "The first position6 posterior visus.
!. The second position6 posterior visus.
#. Gcciput presentation6 anterior visus.
1'. The prenant $+ years is admitted to the admittin office of the maternity hospital )ith prenancy *3
)ee%s and reular uterine contractions. At the examination7 body temperature is &+.-o. ,n anamnesis C
tuberculosis. Which department the patient have to be admitted in?
B. #xtraenital patholoy
!. "@econd obstetric department
#. Eynecoloical department
15. The prenant 1' years is admitted to the admittin office of the maternity hospital )ith prenancy &$
)ee%s. At the examination7 body temperature is &+.+o6 couh is present. ,n anamnesis C diabetes
mellitus. ,n )hich department patient have to be admitted?
B. "#xtraenital patholoy
!. @econd obstetric department
#. Eynecoloical department
$3. A )oman $' years visited the doctor of female dispensary )ith complaints about the delay of
menstruation durin $ months. At vainal examination7 uterine cervix of conic shape6 )ithout patholoy.
The uterine body is enlared to female fist. The uterine adnexa are unpainful6 not enlared. What is the
estational ae of the prenancy?
A. 1+ )ee%s
B. 1$ )ee%s
C. "' )ee%s
!. $ )ee%s
#. * )ee%s
$1. <atient !6 labor ,,6 at term. The boy by mass &$33 )as born. The sins of separation of placenta are
absent durin &3 min6 bleedin is absent. What must be done by doctor?
A. #xtraction of placenta for the umbilical cord.
B. To apply method Abulad:e.
C. To apply a method ?rede.
!. !eletin of placenta for Eenter.
#. "/anual separation of placenta.
$$. <atient @.6 labor first6 at term. Aterine contractions on *-(-3 sec6 every $(& min. =etal heart rate is
rhythmic6 1** bpm6 a head is in the pelvic inlet. Bainally7 cervix is effaced6 openin 1 cm6 amniotic
membrane is absent. What is period of labor?
A. "=irst.
B. @econd.
C. <reliminary.
!. =inishin.
#. Third.
$&. <renant $* years6 the first prenancy6 , labor. Ieular uterine contractions. At vainal examination7 the
cervical openin is * cm6 an amniotic sac is )hole6 the fetal head is fixed in the pelvic inlet. @aittal
suture is in a transversal si:e6 the small fontanel is in the center of pelvis to the left. What is the moment
of the labor biomechanism?
A. The B moment of the labor biomechanism
B. The 88 moment of the labor biomechanism
C. The 888 moment of the labor biomechanism
!. The ,B moment of the labor biomechanism
#. ", moment of the labor biomechanism
$*. ,n primapara entered department of patholoy in $ )ee%s after the supposed term of labor. Abdominal
circumference 5' cm6 diminished on $ cm durin the last )ee%. =rom nipples at pressin mil% is selected.
<osition of fetus is lonitudinal6 a head is in the pelvic inlet. =etal heart rate is clear6 rhythmic to 1*3
bpm. !ianosis?
A. <renancy at term
B. <reterm prenancy
C. "<ostterm prenancy
!. Ietardation of the fetus
#. /ultifetal prenancy
$-. <ostpartum patient $- years6 at 1th day after labor. The patient. condition is satisfactory6 )oman has no
complaints. Temperature is &+6+
3
W6 pulse 1+ in 1 min. Breasts are soft6 nipples are unpainful. Aterus is
dense6 unpainful6 fundus on $ cm above the pubis. Lochia mucous6 insinificant. What is the best doctor.
advice in relation to the hyiene of enitalia?
A. Cleanse of vaina by iodine
B. Cleanse of vaina by soap
C. Cleanse of vaina by vainal tampons
!. "Cleanse of external enitalia by )ater )ith soap
#. Cleanse of external enitalia by alcohol
$+. <atient =.6 1' years. Labor ,6 at term. The body )eiht is '3 %. What volume of blood lost is
physioloical for the patient?
A. To -33 ml.
B. To +33 ml.
C. To &33 ml.
!. To $33 ml.
#. "To *33 ml.
$1. <ostpartum patient is examined by the doctor of puerperal department. Aterine fundus is 'cm belo) the
umbilicus; lochia are bloody(serous; mil% lands are enlared6 the mil% from nipples is selected. =or )hat
time of puerperal period these chanes are typical?
A. "* day
B. 13 day
C. 5 day
!. 1 day
#. 1$ day
$'. Feonatoloist at the examination of ne)born irl on a &rd day after labor exposed the bloody excretion
from her vaina6 heapin of mil% lands up )ith the excretion of colostrum. Action of )hat hormones
affects such chanes at a irl?
A. "/aternal estroens
B. /aternal prolactin
C. /aternal androens
!. /aternal proesteron
#. The Eonadotropic hormones of irl
$5. <rimapara T.6 15 years6 , labor6 ,, stae of labor. At vainal examination7 saittal suture in the direct si:e
of plane of pelvic outlet6 small fontanel under a pubis6 the fetal head is on the pelvic floor. What moment
of perineal protective maneuvers is performed?
A. The reulation of pushin
B. The delivery of the fetal head out of the pushin
C. !ecreasin of perineal tension
!. "<revention of preterm fetal head extension
#. The delivery of shoulders
&3. At patient on the -th day of postpartum period suddenly there )as an increasin of the temperature. The
body temperature is &'6-oW6 mammary lands are normal6 lactation is satisfied. @ins of peritoneal
irritation are abcent. ,n pelvic examination purulent excretions from the uterus are present6 uterus is soft
in painfull in palpation. The uterus is increased6 soft6 painful in palpation.What is the most probable
dianosis?
A. "#ndometritis
B. /astitis
C. Lochiometra
!. <elvioperitonitis
#. <eritonitis
&1. The first delivery6 ,, period. The fetal lie is lonitudinal. The head presents6 that it canRt be determinate by
external maneuvers. ,n internal examination7 the uterine cervix is effaced6 dilatation is full6 membranes
are absent. The saittal suture is in a direct si:e6 small fontanel is under the pubis. ,n the pushin the fetal
head appears from a vulva. What area of pelvis a fetal head occupies?
A. <elvic inlet
B. That is pressed to pelvic inlet plane
C. "The area of pelvic outlet
!. The area of )ide part of a cavity of a small pelvis
#. The area of narro) part of a cavity of a small pelvis
&$. <atient @.6 labor first6 at term. Aterine contractions on *-(-3 sec6 after $(& min.. =etal heart rate is
rhythmic6 1** in 1 min6 a head is in the pelvic inlet. Bainally7 cervix is effaced6 dilatin is full6 amniotic
membrane is absent. What is period of labor?
A. =irst.
B. "@econd.
C. <reliminary.
!. =inishin.
#. Third.
&&. <rimapara F.6 $3 years6 ,, prenancy6 , labor. The fetal lie is lonitudinal6 the fetal bac% is anteriorly. The
fetal heart rate is clear6 rhythmic. Bainal examination7 the cervix is effaced6 openin is full6 an amniotic
sac is absent. 2ead of fetus in the plane of pelvic outlet. @aittal suture is in a direct si:e6 small fontanel
is under the pubis. What moment of the labor biomechanism at the anterior type of occipital presentation
is ended?
A. The 8 moment of the labor biomechanism
B. ",, moment of the labor biomechanism
C. The 888 moment of the labor biomechanism
!. The ,B moment of the labor biomechanism
#. The B moment of the labor biomechanism
&*. /ultipara &$ years. &3 minutes passed after delivery of the fetus. The sins of placental separation are
neative. Bleedin bean C blood lost is *-3 ml. What must be done?
A. Aterine curettae.
B. ,ntroduction of uterotonics.
C. To apply the method of Crede(La:arevich.
!. #xpectin tactic to 1 hour.
#. "/anual separation of placenta.
&-. <ostpartum patient6 $$ years. Gn the &rd day after the first labor complains on pains in mil% lands6 on its
increasin6 body T ( &+6+
o
. What hormones do reulate the process of mil% producin?
A. "Luteotropin6 prolactin
B. Corticotropin6 lyoteotropin
C. Tireotropin6 prolactin
!. =ollitropin6 prolactin
#. @omatotropin6 follitropin
&+. <rimapara6 $3 years6 , labor. Ieular pushin. The fetal lie is lonitudinal. The fetal heart rate is clear6
rhythmic6 1&3 in 1 min. At vainal examination saittal suture in the direct si:e of pelvic outlet6 small
fontanel is under a pubis. The fetal head is extendin. What moment of perineal protective maneuvers is
performin no)?
A. <revention of preterm fetal head extention
B. "!ecreasin of perineal tension and reulation of pushin
C. The reulation of pushin
!. The delivery of shoulders
#. The delivery of the fetal head out of the pushin
&1. <atient ,,6 labor first6 at term. The patient. condition is satisfactory. The ne)(born is 0ust delivered. The
umbilical cord hans do)n from a vaina and increses in its lenths. Bleedin is not present. Aterus is in
normal tonus. 2o) do you called this positive sin of placenta separation?
A. !ovshen%o sin
B. "Alfelda sin
C. @hrederR sin
!. ?utsen%o sin
#. 2ehar sin
&'. <ostpartum patient6 $+ years6 after the third physioloical labor6 dischared out from hospital to home on
a sixth day. What method of contraception to her is the best?
A. "Amenorrea due to lactation
B. 2ormonal contraception
C. /echanical contraception
!. The interrupted sexual intercourse
#. Barrier methods
&5. <atient &3 years6 labor at term. A irl )ith the Apar score ' )as born. The umbilical vessels do not
pulsate6 the cord is clammed. Bloody excretions from the vaina are absent. What period of labor this
patient is found in?
A. Cervical
B. <elvic
C. "<lacental
!. <uerperal period
#. <reliminary period
*3. <renant at term is admitted to the maternity home . Aterine contractions are not present. <osition of the
fetus is lonitudinal6 presentation is cephalic. =etal heart rate 1&+ in 1 min6 clear6 rhythmic. Amniotic
fluid are not released. What is the reason of proloned prenancy?
A. 2ih level of oxytocin
B. 2ih level of estroens
C. Lo) level of proesteron
!. "Lo) level of oxytocin
#. 2ih level of prostalandins
*1. /ultipara &$ years. 13 minutes passed after fetus delivery. The sins of placenta separation are neative.
Bleedin bean C blood lost is --3 ml. What must to be done?
A. #xpectin tactic.
B. ,ntroduction of uterotonics.
!. "/anual separation of placenta.
#. /assae of uterus.
*$. At patient on the 1th day of puerperal period suddenly there )as a hallucinatory syndrome7 patient is not
oriented in space and time6 does not reconi:e neihbors. The temperature of body rose to &'6-oW6
purulent excretions from the uterus appeared. At vainal examination7 the uterus is increased6 soft6
painful at palpation6 the uterine cervix freely s%ips 1 finer. What reason of psychical violations6 that
arose up at postpartum patient?
A. <sychical diseases in anamnesis
B. Feative emotional influence of labor on patient
C. Astenic(veetative syndrome
!. "<uerperal infection
#. /anifestation of schi:ophrenia
*&. <ostpartum patient C. on *th day after labor complains about the rise of body temperature6 eneral
)ea%ness6 pains in lo)er part of abdomen. <reterm rupture of amniotic fluid )as happaned. 1$ hours
)ithout amniotic fluid. Aterus is on * cm belo) umbilicus6 soft. Gn ultrasound the sins of endometritis
are found. What is the reason of complication?
A. "The protracted amniotic fluidless period.
B. <remature labor.
C. 2ypotonic uterine contractions.
!. #pi:iotomy.
#. The infection of oranism
**. <atient in ,,, stae of labor undero the operation of manual separation of placenta. Which blood loss is
indication for this operation?
A. -3 ml and more
B. 133ml and more
C. 1-3 ml and more
!. $33 ml and more
#. "/ore $-3 ml
*-. ,n the &3years old primapara intensive uterine contractions )ith an interval of 1($ min6 duration -3 sec
have beun. ,n time of the fetal head delivery the patient complaints on severe pain in the perineum. The
perineum is - cm6 its s%in become pale. What is it necessary to perform7
A. "<erineotomy
B. #pisiotomy.
C. <rotection of the perineum.
!. Bacuum ( extraction of the fetus.
#. Waitin tactics.
*+. <atient )ith prenancy at term6 the first stae of labor proceeded 13 hours6 second stae C &3 minutes. ,n
1- minutes after the fetal delivery the sins of placental separation appeared. The blood lost is no) $33
ml. What must be done?
A. To )ait &3 min.
B. /anual separation of placenta
C. "#xternal maneuvers of placenta delivery.
!. ,ntroduction of uterotonics.
#. ,ntroduction of spasmolitics.
*1. At prenant $' years at the visit of female dispensary )ith prenancy &-(&+ )ee%s transversal position of
the fetus is found. 2ead is on the left. =etal heart rate is clear6 1&' in 1 min. <renancy is first6 passed
)ithout complications. What is the tactic?
A. The supervision
B. "To hospitali:e and to perform the external obstetric version
C. To hospitali:e in the term of prenancy &'(&5 )ee%s for external obstetric version
!. To do the classic obstetric version of fetus
*'. ,n vainal examination of a multipara the cervix is effaced6 dilatation is - cm6 the fetal buttoc%s are
palpated in the level of pelvic inlet. The intertrochanteric diameter is in the riht obli9ue si:e6 the fetal
sacrum is anteriorly. What is the dianosis?
A. The $nd position6 posterior variety
B. The 1st position6 anterior variety
C. The 1st position6 posterior variety
!. "The $nd position6 anterior variety
#. The transversal position
*5. <atient in the term of prenancy &5(*3 )ee%s. <osition of fetus is lonitudinal. , stae of labor. At
vainal examination7 the uterine cervix dilatation is 13 cm. Amniotic membrane is absent. Buttoc%s and
feet of the fetus are palpated. What is the dianosis?
A. "Complete breech presentation
B. ,ncomplete breech presentation
C. Complete footlin presentation
!. ,ncomplete footlin presentation
#. ?nee presentation
-3. <atient &$ years6 labor first. <renancy *3 )ee%s. @i:es of pelvis ( $-($'(&3(15 cm. probable fetal )eiht
is *133 . <osition is lonitudinal6 breech presentation. =etal heart rate 1*3 in 1 min. Bainally7 the
cervix is dilated on $ cm. Amniotic membrane is )hole. What is the tactic of conduct of labor?
A. Cesarean section after full dilatation
B. Labor stimulation
C. Gbstetric version of the fetus
!. Amniotomy
#. "Cesarean section immediately
-1. <rimapara C.6 $3 years6 uterine contractions proceeds 1& hours. Amniotic fluid )ith meconium has
released. The pushin efforts are *3 sec every - min. The fetal lie is lonitudinal6 breech presentation.
The fetal heart rate is 13 in 1 min. )ith each pushin ets )orse. Complete dilation of cervix is present in
vainal examination. An amniotic sac is absent. The buttoc%s are in the plane of the reatest dimension of
the pelvis. What to do?
A. To stimulate uterine contractions
B. Cesarean section
C. "To conduct fetal breech extraction
!. To conduct medicinal medical treatment.
#. To conduct labor on Tsovianov. method
-$. <rimapara is admitted to the delivery department. The transversal position of the fetus is found. =etal
heart rate is clear6 1&' in 1 min. Bainally7 the uterine cervix is dilated for ' cm6 amniotic membrane is
absent. The fetal bac% and umbilical cord is palpated. What is the doctor. tactic?
A. Wait to the full cervical dilation and perform the internal obstetric version
B. To perform the external obstetric version
C. The supervision
!. "Cesarean section immediately
#. Cesarean section after full cervical dilation
-&. <atient F.6 ,, labor. The patient. condition is satisfactory. Aterine contractions are active. Gn the left of
umbilicus the fetal head is palpated in uterus6 presentin part is not determined. 2eart rate is 1-3 in 1
min. Bainally7 the uterine cervix is dilated for & cm6 amniotic membrane is absent6 liht amniotic fluid
are releasin. Vour dianosis?
A. Transversal lie of fetus6 ,, position.
B. "Transversal lie of fetus6 , position.
C. Breech presentation6 , position.
!. Breech presentation6 ,, position
#. The second period of labor.
-*. <atient in the term of prenancy &5(*3 )ee%s. <osition of fetus is lonitudinal. , stae of labor. At
vainal examination7 the uterine cervix is effaced6 dilatation is 13 cm. Amniotic membrane is absent.
Buttoc%s of the fetus are palpated. What is the dianosis?
A. Complete breech presentation
B. "=ran% breech presentation
C. Complete footlin presentation
!. ,ncomplete footlin presentation
#. ?nee presentation
--. <rimapara @.6 $1 years6 admitted maternity hospital at *3 )ee%s of estation. The fetal lie is lonitudinal6
, position6 anterior variety6 breech presentation. At vainal examination7 the complete openin of cervix6
amniotic sac is absent6 the fetal buttoc%s in the plane of least dimension. What to do?
A. Breech extraction.
B. Cesarean section.
C. To stimulate uterine contractions
!. To conduct medical treatment of eclampsia
#. "To conduct labor on Tsovianov. method
-+. <atient )ith active uterine contractions admitted in a maternity bloc%. Abdomen circumference C 133
cm6 the level of uterine fundus C &5 cm. @i:es of pelvis $+($5(&$($3 cm. Lie of fetus is lonitudinal6 1st
position6 in the uterine fundus reat dense part of fetus is determined. At internal examination7 uterine
cervix is effaced6 openin * cm6 amniotic membrane is )hole6 fetal feet are presented. Tactic conduct of
labor?
A. Classic manual aid.
B. Conservative conduct of labor by Tsovyanov.
C. Labor stimulation
!. Amniotomy.
#. "Cesarean section.
-1. <renant C.6 $+ years6 entered maternity department )ith reular uterine contractions. Term of prenancy
&5 )ee%s. Abdominal circumference ( 1$+ cm6 uterine fundus heiht C *1 cm. The fetal lie is
lonitudinal6 breech presentation. Aterus in normal tonus. The fetal heart rate is 1&3 in 1 min6 rhythmic.
Bainally7 cervical dilatation is full6 vaina is filled by an amniotic sac. !urin examination about - L of
amniotic fluid came out6 buttoc%s are in the pelvic cavity. !ianosis?
A. Lare fetus. Breech presentation
B. /ultifetal prenancy. ,ncomplete presentation of the , fetus
C. "=ranc breech presentation. <olyhydramnion
!. <olyhydramnion. Complete breech presentation
#. <olyhydramnion
-'. At prenant $' years at the visit of female dispensary )ith prenancy &' )ee%s transversal position of
the fetus is found. Abdominal circumference 11+ cm6 the uterine fundus heiht C &$ cm. 2ead is on the
left. =etal heart rate is clear6 1&' in 1 min. @i:es of pelvis7 $-($5(&1($3 cm. What is the doctor. tactic?
A. To hospitali:e and to perform the external obstetric version
B. "To hospitali:e and perform cesarean section at term
C. The supervision
!. To do the classic obstetric version of fetus in labor
-5. The prenant )oman is visited the doctor. #xternal si:es of her pelvis7 $-($'(&1($1 cm6 @olovyov. index
C 1- cm. !ianosis?
A. Eenerally contracted pelvis
B. @imple flat pelvis
C. Transversally contracted pelvis
!. The rachitic pelvis
#. "Formal pelvis
+3. A patient in a term &1 )ee%s of prenancy )as admitted to female dispensary. <atient feels the fetal
motions in all abdomen. Abdomen is increased due to a prenant uterus. Circumference of abdomen (
1$$ cm6 level of uterine fundus ( *3 cm. $ round and firm parts of the fetus is palpated Xto the riht at the
level of umbilicus and in the uterine fundusY. <resentin part is mobile above the pelvic inlet. =etal heart
rate is listened to in many points6 1*3 in 1 min6 rhythmic. What is most probable dianosis?
A. "/ultifetal prenancy
B. 2ydramnion
C. <renancy and myoma of uterus
!. /olar prenancy
#. Lare fetus
+1. <renant visited the doctor )ith complaints about the sharp increase of volume of abdomen after the
acute infection. Abdominal circumference C 5' cm6 uterine fundus heiht &+ cm. =etal lie is lonitudinal6
the fetal head as in &$ )ee%s of prenancy6 above the pelvic inlet6 mobile. The fetal heart rate 1$3 in 1
min. What medical treatment is conducted?
A. "/edical treatment by antibiotics
B. /edical treatment by diuretics
C. /edical treatment is contraindicated
!. /edical treatment cardiac drus
#. /edical treatment by hypotensive drus
+$. <renant !. appealed to the doctor of female dispensary )ith complaints about the abnormal enlarement
of abdomen at prenancy $3 )ee%s. The patient. condition is satisfactory. B< 1$3N+3 mm 2.
Abdominal circumference C 113 cm6 uterine fundus level ( $+ cm. The fetal heart rate is clear6 rhythmic
1&3 in 1 min. At ultrasound7 the fetal head is absent. !ianosis?
A. "Anencephaly
B. /icrocephaly
C. 2ydrocephaly
!. Cerebral fistula
#. !a)n. disease
+&. <rimapara <.6 1' years is delivered in the maternity department )ith complaints about the bad feelin of
fetal movements at prenancy &' )ee%s6 AT 1$3N+3 mm 2. The fetal lie is lonitudinal6 , position6 the
fetal head is above the pelvic inlet6 fetal movements are )ea%6 fetal heart rate 1'3 bpm. Aterine
contractions are absent. Amniotic fluid )ith meconium )ere revealed at amnioscopy. !ianosis?
A. <olyhydramnion
B. Glyohydramnion
C. "=etal distress
!. The normal state of fetus
#. 2emolytic disease of the fetus
+*. <renant B6 $3 years6 complaints about the )ea% fetal movements. <renancy *3 )ee%s. Aterine
contractions are absent. The estimation of the biophysical profile of the fetus is ' mar%s. What is the
doctor.s tactic?
A. To hospitali:e patient for fetal distress therapy
B. Cesarean section immediately
C. Iepeat the biophysical profile of the fetus
!. To perform amniocentesis
#. "@upervision
+-. <rimapara !6 &* years visited the doctor of female dispensary the first time. Fo complaints. <renancy
1' )ee%s. The fetal heart rate is 1&3 bpm. What of the follo)in should be administrated?
A. To hospitali:e patient for F@T and fetal distress therapy
B. Biophysical profile of the fetus
C. "Alpha(fetoprotein test
#. Cordocentesis
++. <renant $- years6 labor first. <renancy *3 )ee%s6 cephalic presentation6 , period of labor. Aterine
contractions proceeds 1$ hours6 uterine contractions throuh -(+ min6 duration is *-(-3 sec. =etal heart
rate is 53 in 1 min. At vainal examination7 the uterine cervix is effaced6 openin + cm. What dianosis is
most probable?
A. Chronic fetal distress
B. "Acute fetal distress
C. 2emolitic disease of the fetus
!. 2ypotrophy of the fetus
#. =etal(placental insufficiency
+1. <rimapara @. <renancy *3 )ee%s. #dema on lo)er extremities. The fetal lie is lonitudinal6 , position6
head is in the pelvic inlet. =etal movements are very )ea%. The fetal heart rate is 113 bpm. Aterine
contractions are absent. Amnioscopy performed7 the amniotic fluid is reen color. !ianosis?
A. <olyhydramnion
B. Glyohydramnion
C. "=etal distress
!. The normal state of fetus
#. =etal asphyxia
+'. <renant !.6 &3 years. <renancy *3 )ee%s. Aterine contractions are reular. The fetal lie is lonitudinal6
cephalic presentation. ,n pelvic examination ( cervix is dilated for - cm6 saittal suture in left obli9ue
si:e6 small fontanell is under the symphysis. #stimate the position and variety of the fetus.
A. medium anterior
B. riht occipital anterior
C. riht occipital posterior
!. left occipital posterior
#. "left occipital anterior
+5. <renancy A6 multiple6 1-(1+ )ee%s of estation. The table of contents of alpha(fetoprotein in the blood
of prenant exceeds a norm. 2o) to interpret the anomalous level of alpha(fetoprotein in this case?
A. Biolation of osteoenesis.
B. !efect of the fetal neural tube.
C. =etal anomalies.
!. Fecrosis of liver.
#. "The sin of multifetal prenancy
13. <renant B6 $3 years6 complaints about the )ea% fetal movements. <renancy &' )ee%s. Aterine
contractions are absent. The fetal heart rate is 113 bpm. The estimation of the biophysical profile of the
fetus is + mar%s. What is the best doctor.s tactic?
A. =etal distress therapy
B. Cesarean section immediately
C. "To hospitali:e patient and repeat the biophysical profile of the fetus in $( & days
#. @upervision
11. <renant !. visited the doctor of female dispensary )ith complaints about the abnormal enlarement of
abdomen at prenancy 11 )ee%s. The patient. condition is satisfactory. Arterial blood pressure is 1$3N+3
mm 2. At ultrasound anencephaly )as established. What is the doctor.s tactic?
A. Altrasound examination
B. Alpha(fetoprotein test
C. Cesarean section
!. Amnioscopy
#. "To perform induced abortion
1$. <rimapara C.6 labor bean 13 hours ao6 0ust have came out the amniotic fluid )ith the meconium and
the foot of fetus fell out6 the pushin efforts on *- sec every $(& min6 reular. B< 1&3N53 mm 2. The
fetal position is lonitudinal6 incomplete footlin presentation. The fetal heart rate is 53 in 1 min.
Complete dilation of cervix6 amniotic sac is absent6 a foot is palpated at vainal examination. What is the
indication to breech extraction in that patient?
A. 2ih blood pressure
B. 2ypotonic uterine contractions
C. ,ntensive contractions
!. "Acute fetal distress.
#. Fo indications
1&. <renant B6 $3 years6 complaints about the )ea% fetal movements. <renancy &' )ee%s. Aterine
fetus is * mar%s. What is the best doctor.s tactic?
B. "Cesarean section immediately
#. @upervision
1*. <atient $- years. <renancy ,6 *3 )ee%s6 the fetal lie is lonitudinal6 cephalic presentation6 , period of
labor. Aterine contractions proceeds 1$ hours6 duration *-(-3 sec.6 every -(+ min. The fetal heart rate
)as 1*3 bpm6 no) is 53 bpm. Cervical dilation is + cm. !ianosis?
A. =eto(placental insufficiency
B. Chronic fetal distress
C. 2emolytic disease of fetus
!. =etal ro)th retardation
#. "Acute fetal distress
1-. <atient at term presents the history of fetal distress in &+ )ee%s of prenancy. Fo) the fetal heart rate is
1$3 bpm. Which test is the most informative in this case?
A. "=etal biophysical profile.
B. Altrasound examination
C. Alpha(fetoprotein test
!. Test for antibodies
#. Amnioscopy
1+. <renant B6 $3 years6 complaints about the )ea% fetal movements. <renancy &' )ee%s. Aterine
fetus is $ mar%s. What is the best doctor.s tactic?
B. "Cesarean section immediately
#. Alpha(fetoprotein test
11. <renant !. visited the doctor of female dispensary )ith complaints about the abnormal enlarement of
abdomen at prenancy $3 )ee%s. Abdominal circumference C 113 cm6 uterine fundus level ( $+
cm. The fetal heart rate is clear6 rhythmic 1&3 in 1 min. At ultrasound7 the fetal head is abnormally lare6
the brain ventricles are sinificantly enlare. !ianosis?
A. Cerebral fistula
B. Anencephaly. <olyhydramnion
C. /acrocephaly. /acrosomia
!. "2ydrocephaly. <olyhydramnion
#. !a)n. disease
1'. The prenant @. )as admitted in patholoic of prenant department. <renancy 886 &1 )ee%s. Complaints
about the radual enlarement of abdominal si:es after viral infection. Circumference of abdomen C 113
cm6 uterine heiht C &+ cm. The fetal lie is lonitudinal6 cephalic presentation6 head of the rounded shape6
dense6 above the pelvic inlet. The fetal heart rate is clear6 rhythmic 1&3 in 1 min. The dianosis7 chronic
polyhydramnion. Which antibiotics of the first line used for medical treatment?
A. !oxycecline
B. "#rythromycin
C. Amoxill
!. Eentamycin
#. Clyndamycin
15. <atient in &1 )ee%s of prenancy )as presented in female dispensary. An abdomen is enlared due to a
prenant uterus. Abdominal circumference ( 1$$ cm6 uterine heiht ( *3 cm. T)o reat parts of fetus are
palpated to the riht and to the left at the level of umbilicus. <resentin part is not determined. The fetal
heart rate is auscultatin in many points at the level of umbilicus6 1*3 and 1&3 in 1 min6 rhythmic. What
is the dianosis?
A. =etal macrosomia
B. <olyhydramnion
C. <renancy and uterine fibromioma
!. /olar prenancy
#. "/ultifetal prenancy
'3. The prenant Z. in &$ )ee%s of prenancy visited the doctor of female dispensary )ith complaints about
the increasin of abdominal volume after the acute infection a )ee% ao. The patient. condition is
satisfactory6 the edema are absent. The abdominal circumference is 5' cm6 uterine fundus level C &+ cm.
The fetal lie is lonitudinal6 the fetal head as in &$ )ee%s of prenancy6 above the pelvic inlet6 mobile.
The fetal heart rate 1$3 in 1 min. What patholoy is presented?
A. /ultifetal prenancy
B. Chronic polyhydramnion
C. Breech position of fetus
!. Transversal position of fetus
#. "Acute polyhydramnion
'1. E.6 $3 eyars old6 multimapara. =ull term of prenancy. The labor started + hours ao. The membranes are
intact. <elvic si:es7 $-6$'6&16$3 cm. Aterine contractions occur every *(- minutes. =etal head rate is 1*3
per minute )ith satisfactory characteristics. <robable fetal )eiht by Bols%ov C *$33. <er vainum7 the
cervix is 'cm dilated. The amniotic sac is present. =etal buttoc%s are palpated in the plane of inlet.
Bitrochanter diameter is in the obli9ue diameter of pelvic inlet. Which type of breech presentation is
presented?
A. Complete breech
B. ,ncomplete footlin
C. "=ran% breech
!. Complete footlin
#. ,ncomplete %nee(lin
'$. E.6 $3 eyars old6 multimapara. =ull term of prenancy. The labor started + hours ao. The membranes are
intact. <elvic si:es7 $-6$'6&16$3 cm. Aterine contractions occur every *(- minutes =etal head rate 1*3 per
minute )ith satisfactory characteristics. <robable fetal )eiht by Bols%ov is *$33. <er vainum7
the cervix is 'cm dilated. The amniotic sac isintact. =etal buttoc%s are palpated in the plane of inlet.
Bitrochanter diameter is in the obli9ue diameter of pelvic inlet. What is the manaement of labor?
B. Classic manual aid
C. /anual aid by Tsovianov ,,,
!. /anual aid by Tsovianov ,
#. "Cesarean section
'&. A.6 $$ years old6 primapara. =ull term of prenancy. The labor started 1$ hours ao. The membranes
ruptured 1- minutes ao. <elvic si:es7 $-6$'6&16$3 cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. <er vainum7 the cervix is completely dilated. The amniotic sac is absent. =etal buttoc%s
and fetal feet are palpated in the 3 station. Bitrochanter diameter is in the obli9ue diameter of pelvic inlet.
Which type of breech presentation is presented?
A. "Complete breech
B. ,ncomplete foot(lin
C. =ran% breech
!. Complete foot(lin
'*. <rimipara !.6 $* years old. <renancy at term. The labor started * hours ao. The membranes are intact.
<elvic si:es7 $-6$'6&16$3 cm. =etal head rate 1*3 per minute )ith satisfactory characteristics. Aterine
contractions occur every *(- minutes. <er vainum7 the uterine cervix dilatation is + cm. The amniotic
sac is intact. =etal %nees are presented and fetal %nees are lo)er than the buttoc%s. Which type of breech
presentation is presented?
A. Complete breech
C. =ran% breech
#. "Complete %nee(lin
'-. <rimipara =.6 $* years old. /ultiply prenancy at term. The labor started + hours ao. The membranes
are intact. <elvic si:es7 $-6$'6&16$1 cm. ,n Leopolds maneuvers C lonitudinal lie of both fetuses6 breech
presentation of the first fetus and cephalic C of the second one. =etal heart rates 1*3 per minute )ith
satisfactory characteristics. Aterine contractions occur every 1(' minutes. <er vainum7 the uterine cervix
dilatation is - cm. The amniotic sac is absent. Buttoc%s of the first fetus is presented. Which type of
breech presentation is presented?
A. "/ultiply prenancy. The fran% breech presentation of the first fetus.
B. /ultiply prenancy. Complete breech presentation of the first fetus.
C. /ultiply prenancy. Complete foot(lin presentation of the first fetus.
!. /ultiply prenancy. ,ncomplete foot(lin presentation of the first fetus.
#. /ultiply prenancy. ?nee(lin presentation of the first fetus.
'+. &3(years(old )omen6 primapara at &* )ee%s of estation arrives in active labor. Aterine contractions
occur every &(* minutes. <er vainum7 the uterine cervix dilatation is + cm. The amniotic sac is intact.
=etal buttoc%s are presented. Which type of breech presentation is presented?
A. Complete breech
C. "=ran% breech
#. Complete %nee(lin
'1. Woman )ith in(time prenancy. Aterine contractions occur every *(- minutes and lasts &3(&- seconds.
Bainal examination7 cervix is totally effaced6 dilation to * cm6 fetal head is on ($ station. @aital
suture is in riht obli9ue diameter of the pelvic inlet6 posterior fontanel under the symphysis. Amniotic
sac is present. !ianosis?
A. "Lonitudinal lie6 cephalic presentation6 , position6 anterior. =irst stae of labor
B. Lonitudinal lie6 cephalic presentation6 , position6 posterior. =irst stae of labor
C. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. =irst stae of labor
!. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. @econd stae of labor
#. Lonitudinal lie6 cephalic presentation6 , position6 anterior. @econd stae of labor
''. F.6 $1 years old6 primapara. =ull term of prenancy. The labor started ' hours ao. The membranes
are palpated in outlet plane of pelvic. Bitrochanter diameter is in the anteroposteror diameter of pelvic
outlet. Which type of breech presentation is presented?
A. Complete breech
C. "=ran% breech
!. Complete footlin
'5. /.6 $' years old6 primapara. =ull term of prenancy. The labor started ' hours ao. The membranes
ruptured 1- minutes ao. <elvic si:es7 $&6$-6$561' cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. <er vainum7 the uterine cervix dilatation is - cm. The amniotic sac is absent. Gne fetal
foot is palpated in the vaina. Buttoc%s are in the pelvic inlet. /anaement of labor?
B. Classic manual aid
C. /anual aid by Tsovianov ,,,
!. /anual aid by Tsovianov ,
#. "Cesarean section
53. Woman )ith in(time prenancy. Aterine contractions occur every *(- minutes and lasts &3(&- seconds.
Bainal examination7 cervix is totally effaced6 dilation to - cm6 fetal head is on ($ station. @aital suture
is in left obli9ue diameter of the pelvic inlet6 posterior fontanel under the symphysis. Amniotic sac is
present. !ianosis?
A. Lonitudinal lie6 cephalic presentation6 , position6 anterior. =irst stae of labor
B. Lonitudinal lie6 cephalic presentation6 , position6 posterior. =irst stae of labor
C. "Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. =irst stae of labor
!. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. @econd stae of labor
#. Lonitudinal lie6 cephalic presentation6 , position6 anterior. @econd stae of labor
51. Woman )ith in(time prenancy. Aterine contractions occur every &(* minutes and lasts &3(&- seconds.
Bainal examination7 cervix is totally effaced6 dilation to + cm6 fetal head is on ($ station. @aital suture
is in riht obli9ue diameter of the pelvic inlet6 posterior fontanel near sacral reion. Amniotic sac is
present. !ianosis?
A. Lonitudinal lie6 cephalic presentation6 , position6 anterior. =irst stae of labour
B. "Lonitudinal lie6 cephalic presentation6 ,, position6 posterior. =irst stae of labour
C. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. =irst stae of labour
!. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. @econd stae of labour
#. Lonitudinal lie6 cephalic presentation6 , position6 anterior. @econd stae of labour
5$. Woman )ith in(time prenancy. Aterine contractions occur every *(- minutes and lasts &3(&- seconds.
Bainal examination7 cervix is totally effaced6 dilation to * cm6 fetus head is on ($ station. @aital
suture is in left obli9ue diameter of the pelvic inlet6 posterior fontanel near sacral reion. Amniotic sac is
present. !ianosis?
A. Lonitudinal lie6 cephalic presentation6 , position6 anterior. =irst stae of labour
B. Lonitudinal lie6 cephalic presentation6 ,, position6 posterior. =irst stae of labour
C. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. =irst stae of labour
!. Lonitudinal lie6 cephalic presentation6 ,, position6 anterior. @econd stae of labour
#. "Lonitudinal lie6 cephalic presentation6 , position6 posterior. =irst stae of labour
5&. F.6 $' eyars old6 primapara. =ull term of prenancy. The labor started ' hours ao. The membranes
ruptured 1- minutes ao. <elvic si:es7 $&6$-6$561' cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. <er vainum7 the uterine cervix dilatation is - cm. The amniotic sac is absent. Gne fetal
foot is palpated in the vaina. Buttoc%s are in the pelvic inlet. Which type of breech presentation is
presented?
A. Complete breech
B. ",ncomplete foot(lin
C. =ran% breech
5*. <rimapara I.6 $1 eyars old6 primapara. =ull term of prenancy. The labor started ' hours ao. The
membranes ruptured 1- minutes ao. <elvic si:es7 $-6$'6&16$3 cm. =etal head rate 1*3 per minute )ith
satisfactory characteristics. <er vainum7 the cervix is dilated to - cm. The amniotic sac is absent. =etal
head is palpated in plane of pelvic inlet. Which stae of labor?
A. Third
B. @econd
C. Latent stae of first
!. "Active stae of first
#. =ourth
5-. L.6 $1 eyars old6 primapara. =ull term of prenancy. The labor started 5 hours ao. The membranes
characteristics. <er vainum7 the cervix is dilated to - cm. The amniotic sac is absent. =etal buttoc%s are
palpated in outlet plane of pelvic. Bitrochanter diameter is in the anteroposteror diameter of pelvic outlet.
Which type of breech presentation is present?
A. "=ran% breech presentation
B. ,ncomplete footlin presentation.
C. Complete footlin presentation.
!. Complete breech presentation
#. ,ncomplete %nee(lin presentation
5+. L.6 $1 eyars old6 primapara. =ull term of prenancy. The labor started 5 hours ao. The membranes
characteristics. <er vainum7 the cervix is dilated to - cm. The amniotic sac is absent. =etal buttoc%s are
palpated in outlet plane of pelvic. Bitrochanter diameter is in the anteroposteror diameter of pelvic outlet.
A. The manual aid by Tsovyanov ,,
B. "The manual aid by Tsovyanov ,,
C. Cesarean section
#. /ichaelis. care
51. <rimipara =.6 $- years old. <renancy at term. The labor started + hours ao. The membranes ruptured
one hour ao. <elvic si:es7 $&6$-6$561' cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. Aterine contractions occur every 1(' minutes. <er vainum7 the uterine cervix dilatation
is $ cm. The amniotic sac is absent. Gne fetal foot is palpated in the vaina. Buttoc%s are in the pelvic
inlet. Which stae of labor?
A. "Latent stae of first stae
B. Active stae of first stae
C. @econd stae
!. Third
#. =ourth
5'. <rimipara =.6 $- years old. <renancy at term. The labor started + hours ao. The membranes ruptured 1
hour ao. <elvic si:es7 $&6$-6$561' cm. =etal head rate 1*3 per minute )ith satisfactory characteristics.
Aterine contractions occur every 1(' minutes. <er vainum7 the uterine cervix dilatation is $ cm. The
amniotic sac is absent. Gne fetal foot is palpated in the vaina. Buttoc%s are in the pelvic inlet. Which
type of presentation is present?
A. =ran% breech
B. ",ncomplete footlin
C. Complete footlin
55. <rimapara &3 years old. <renancy at term. The labor started + hours ao. The membranes ruptured 1
hour ao. <elvic si:es7 $&6$-6$561' cm. =etal head rate 1*3 per minute )ith satisfactory characteristics.
Aterine contractions occur every 1(' minutes. <er vainum7 the uterine cervix dilatation is - cm. The
amniotic sac is absent. Gne fetal foot is palpated in the vaina. What is the best manaement of labor?
B. The manual aid by Tsovyanov ,
C. "Cesarean section
#. /ichaelis care
133. <rimipara /.6 $& years old. <renancy at term. The labor started * hours ao. The membranes
ruptured 1 hour ao. <elvic si:es7 $-6$'6136$3 cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. Aterine contractions occur every *(- minutes. <er vainum7 the uterine cervix dilatation
is * cm. The amniotic sac is absent. =etal feet are presented. Buttoc%s are in the pelvic inlet. !ianosis?
A. =ran% breech
C. "Complete footlin
131. <rimipara /.6 $& years old. <renancy at term. The labor started * hours ao. The membranes
characteristics. Aterine contractions occur every *(- minutes. <er vainum7 the uterine cervix dilatation
is * cm. The amniotic sac is absent. =etal feet are presented. Buttoc%s are in the pelvic inlet.
/anaement?
#. /ichaelis care
13$. <rimipara /.6 $& years old. <renancy at term. The labor started * hours ao. The membranes
characteristics. Aterine contractions occur every $(& minutes. <er vainum7 the uterine cervix dilatation
is 13cm. The amniotic sac is absent. =etal feet are presented. Buttoc%s are in the mid pelvis.
/anaement?
A. "The manual aid by Tsovyanov ,,
C. Cesarean section
#. /ichaelis care
13&. /.6 &1 eyars old6 multimapara. =ull term of prenancy. The labor started 1 hours ao. The membranes
are intact. <robable fetal )eht is *$33. <elvic si:es7 $-6$'6&16$3 cm. =etal head rate 1*3 per minute
)ith satisfactory characteristics. <er vainum7 the cervix is dilated to - cm. =etal buttoc%s are palpated in
plane of pelvic inlet. Which type of breech presentation is present?
A. "=ran% breech presentation
13*. /.6 &1 eyars old6 multimapara. =ull term of prenancy. The labor started 1 hours ao. The membranes
are intact. <robable fetal )eht is *$33. <elvic si:es7 $-6$'6&16$3 cm. =etal head rate 1*3 per minute
)ith satisfactory characteristics. <er vainum7 the cervix is dilated to - cm. =etal buttoc%s are palpated in
plane of pelvic inlet. /anaement?
#. /ichaelis care
13-. A.6 $$ eyars old6 primapara. =ull term of prenancy. The labor started 1$ hours ao. The membranes
and fetal feet are palpated in the 3 station. Bitrochanter diameter is in the obli9ue diameter of pelvic inlet.
!ianosis?
A. =ran% breech presentation
!. "Complete breech presentation
13+. A.6 $$ eyars old6 primapara. =ull term of prenancy. The labor started 1$ hours ao. The membranes
characteristics. <er vainum7 the cervix is dilated to + cm. The amniotic sac is absent. =etal %nees are
palpated in the (1station. /anaement?
#. /ichaelis care
=. &&(years(old )omen6 primapara at *3 )ee%s of estation arrives in active labor. Aterine
131. Uust after delivery of placenta in +3 % )oman &-years old )oman after delivery *333 boy *33ml
blood appeared from the vaina. After uterine palpation throuh abdominal )all softness of uterus )as
revealed. What is the physioloical blood loss for this patient?
A. $-3 ml
B. "&33 ml
C. +33ml
!. *33 ml
#. $33 ml
13'. Uust after delivery of placenta in '3 % )oman *3 years old )oman after delivery *$33 boy *33ml
blood appeared from the vaina. What is the physioloical blood loss for this patient?
A. $-3 ml
B. &33 ml
C. +33ml
!. "*33 ml
#. $33 ml
135. <rimapara C.6 &- years6 term of prenancy &5(*3 )ee%s6 appealed )ith complaints about nausea6 pain
in epiastrium6 edema on lo)er extremities. <renancy 1st6 )as complicated by early estosis6 )ith $+
)ee%s the edema on lo)er extremities appeared6 did not treat oneself. A )ee% ao the edema )ere
become enerali:ed6 nausea appeared. Gb0ective7 on the lo)er extremities and abdominal )all edema
present. B< C 1'3N113 mm 26 1+3N133 mm 26 pulse C 53 in 1 min. <osition of the fetus is
lonitudinal6 head presentation. =etal heart rate is 1*$ in 1min6 clear6 rhythmic. The si:es of pelvis are
normal6 uterine contractions are absent. The expected )eiht of the fetus C *333 . The uterine cervix is
shortened6 openin $ cm. Amniotic membrane is intact. A head is above the pelvic inlet. <romontorium is
not palpated. Tactic?
A. "Cesarean section
B. Conductin of preparation to labor
C. /edical treatment of estosis6 examination in a dynamics
!. ,mmediately amniotomy6 stimulation of uterine contractions
#. ,ntroduction of spasmolytic
113. <atient 1' years entered maternity department at the beinnin of the 88 stae of labor )ith
complaints about headache6 visual disoders6 pain in epiastrium. The attac% of convulsions )ith the lost
of consciousness happened & minutes ao. The patient. condition is severe. A s%in is pale6 edema of the
face6 extremities6 anterior abdominal )all. B< C 1'3N1&3 mm 26 1-3N113 mm 26 heart tones at
auscultation are arhythmic. <osition of the fetus is lonitudinal6 head presentation6 fetal head is in the
cavity of small pelvis. =etal heart rate is 11+ in 1min. Bainal examination7 openin of uterine cervix is
complete. Amniotic membrane is absent. 2ead in narro) part of small pelvis. <romontorium is not
palpated. !octor. tactic?
A. ",mmediate anesthesia and applyin of obstetric forceps
B. Cesarean section
C. @timulation of uterine contractions
!. =etal destroyin operation
#. <erineotomy6 vacuum(extraction of fetus
111. A )oman $* years is delivered )ith complaints about headache6 appearance of Mspots> before eyes6
moderate bloody excretions from the vaina. Gb0ectively7 B<($33N1&3 and $33N1&3 mm 26 pulse 1$3 in
1 min6 eneral edema. =etal heart rate is not listened to. Aterine fundus on & transversal finers above
umbilicus6 uterus in a condition of hypertonus. A )oman considers that at her &$ )ee%s prenancies6 did
not visit female dispensary6 not inspected. Tactic of the doctor ?
A. /edical treatment in the department of intensive therapy
B. Bainal labor after previous preparation
C. <eridural anesthesia
!. "Cesarean section immediately.
#. Conultation of sureon and internist
11$. <rimapara admitted to the maternity hospital )ith complaints about headache6 pain in epiastral area6
somnolence6 eneral edema. B< ( 1'3N1$3 mm 26 position of the fetus is lonitudinal6 cephalic
presentation6 =etal heart rate is ( 1&3 in 1 min6 rhythmic. ,n urine protein is present C &6& Nl. !ianosis?
A. "<reeclampsia severe deree
B. <reeclamsia mild deree
C. #clampsia
!. 2ypertensive cri:is
#. #dema of prenant
11&. <renant $1 years6 in the term of prenancy &'(&5 )ee%s6 delivered in a maternity hospital )ith
complaints about abdomen pain6 bloody excretions from vaina. <renancy ran on a bac%round of late
estosis6 but patient did not treat. The condition is severe6 pulse ( 53 in 1 min6 B< ( 113N13 mm 2. The
uterus is tense6 painful. =etal heart rate is 133 in 1 min6 arhytmical. At ultrasound the abruptio placentae
is set. What must be conducted for prophylaxis of this complication?
A. "/edical treatment of late estosis
B. #xception of the physical activity
C. @ettin of tocoferol acetate
!. @ettin of estaen
#. @ettin of estroen
11*. At prenant $5 years the nausea6 vomits6 appeared on receivin rest6 blin%in of Mspots> before eyes.
B< on both hands 113N133 mm 26 the eneral edema are determined. To set a correct dianosis.
A. eclampsia
B. "preeclampsia of severe deree
C. separation of eye retina
!. threat of hemorrhae in a brain
#. preeclampsia mild deree
11-. By the machine of first(aid in a maternity hospital in the rave condition the prenant *$ years is
delivered. Term of prenancy is &1 )ee%s. Gb0ectively7 consciousness is absent. B< on both hands
1'3N113 mm 26 <s 113 in 1 min6 eneral edema6 albumen in urine - Nl. At the vainal examination the
structural chanes of cervix are absent. What is the manaement?
A. Bainal labor
C. The fetal destroyin operation
!. Gbstetric forceps
#. Gperation of vacuum(extraction of the fetus
11+. <atient $' years )ith the severe edema is in a maternity hall6 in the 88 period of labor. 2ead of fetus
is in narro) part of small pelvis. 2ead pains bean6 t)in%lin of Mspots> before eyes6 contractions of
muscles of the face. B< ( 113N113 mm 2. What is tactic of conduct of labor?
A. Cesarean section
B. Conservative conduct of labor
C. "Gbstetric forceps
!. The Bacuum(extraction of the fetus
#. Labor stimulation
111. <renant6 complains about headache6 t)in%lin of Mspots> before eyes. <renancy &$ )ee%s. #dema
of body and face. B< ( 153N113 mm 2. At boilin of urine ( considerable sediment. What is the
dianosis?
A. "<reeclamsia severe deree
B. <reeclampsia mild deree
C. 2ypertensive disease
!. #clampsia
#. The <reclampsia moderate deree
11'. <rimapara appeared in female dispensary in &1 )ee%s of prenancy. Complaints are not present. =or
the last $ )ee%s the body )eiht increased on $ %. There is edema of feet. B< C 1$3N13 mm 2. <rotein
in urine C 363&rNl. A dianosis is preeclamsia mild deree. What is the medical tactic?
A. Ambulatory medical treatment
B. Labor at term
C. "#xpectant manaement
!. <rolonation of prenancy
#. Cesarean section
115. A )oman in the term of prenancy &' )ee%s entered maternity hospital )ith complaints about
headache6 somnolence6 eneral edema. B< C 1'3N1$3 mm 2. The lie of fetus lonitudinal6 head
presentation6 fetal heart rate is 1&3 in 1 min6 rhythmic. ,n the analysis of urine the level of protein is &6&
Nl. What complication of prenancy appear?
A. <reeclampsia 1 deree
B. "<reeclampsia & deree
C. 2ypertensive disorder.
!. #clampsia.
#. <reeclampsia $ deree
1$3. <atient $' years at the admittin to the maternity hospital complains about headache6 visual disorders.
Arterial pressure $33N113 mm 2. The expressed edema of feet6 anterior abdominal )all. 2ead of fetus
in the cavity of small pelvis. =etal heart rate is clear6 rhythmic 153 in 1 min. At vainal examination7
dilation of uterine cervix is full6 head of fetus in the cavity of small pelvis. What is the manaement of
labor?
A. "Gbstetric forceps.
B. Cesarean section
!. Conservative conductin of labor )ith epi:iotomy
#. @timulation of uterine contractions
1$1. <renant <. in a term of &$ )ee%s had the attac% of eclampsia at home. #ntered intensive therapy
department of perinatal center. At the admittin7 edema of the face and hands6 B< 1'3N113 mm 26
albumen in urine 361$' Nl6 cervix is closed. ,ntensive complex therapy is beun. What is subse9uent
tactic?
A. "Gperation of cesarean section immediately.
B. To prolon prenancy on 1($ )ee%s )ith medical treatment.
C. To prolon prenancy on &(* )ee%s )ith intensive medical treatment.
!. To bein labor stimulation by intravenous introduction of oxytocin
#. To bein labor stimulation by intravenous introduction of prostalandin.
1$$. <atient G. $1 years. <renancy 886 &1(&' )ee%s6 labor 886 88 period of labor. The attac% of eclampsia
bean. At the vainal examination7 the head of the fetus is in pelvic cavity6 saittal suture in a direct si:e
of pelvic outlet6 small fontanella turned to pubis. Which tactic of labor?
A. "Gbstetric forceps.
B. To conduct labor conservative )ith medical treatment of estosis
C. =etal destroyin operation
!. Cesarean section
#. Bacuum(extraction of the fetus.
1$&. ,n primapara6 &' years6 at prenancy $* )ee%s headache6 di::iness appeared. B< C 153N133 mm 2.
Before prenancy the B< )as normal. At the examination a %idney function is normal. What is the reason
of blood pressure increasin?
A. "Arterial hypertension of prenant
B. <reeclampsia
C. @econdary arterial hypertension
!. !istonia on a hypertensive type
#. Chronic lomerulonephritis
1$*. A &$(year(old multiravida visits the clinic for a routine prenatal examination at &+ )ee%sR estation.
@he had a prior prenancy )ith prenancy induced hypertension. The assessments durin this visit
include B< 1*3N536 <s '36 and edema of the an%les and feet. Based on the clientRs past history and
current assessment6 )hat further information should the doctor obtain to determine the preeclampsia?
A. "<roteinuria
B. Iespiratory rate
C. Blood lucose level
!. #dema in lo)er extremities
#. Temperature
1$-. *3(year(old multiravida patient )as visited the doctor in the female dispensary )ith sins of mild
preeclampsia. What )ill be the manaement of such patient?
A. "#xpectant manaement
B. <rescription of manesium sulfate
C. 2ospitali:ation
!. <rescription of hypotensive dru
#. Fothin of the above
1$+. When revie)in the prenatal record of a 1+(year(old primiravid client at &1 )ee%.s estation
dianosed )ith severe preeclampsia6 the doctor )ould interpret )hich of the follo)in as most
indicative of the client.s dianosis?
A. "@evere blurrin of vision
B. Blood pressure of 1&'N5* mm 2
C. Less than $ of protein in a $*(hour sample
!. Weiht ain of 3.- lb in 1 )ee%
#. #dema on lo)er extremities
1$1. A $'(year(old multiravida )oman at &1 )ee%sR estation arrives at the emerency department )ith a
blood pressure 1+3N13* mm 2. The client6 )ho is dianosed )ith severe preeclampsia6 a%s the doctor6
PWhat is the treatment for my hih blood pressure?P Which of the follo)in )ould the doctor identify as
the primary treatment?
A. "Bainal or cesarean delivery of the fetus.
B. Administration of lucocorticoids
C. @edation
!. @pecial diet
#. Ieduction of fluid retention )ith thia:ide diuretics
1$'. Which of the follo)in )ould the doctor identify as the priority to achieve )hen plan the care for a
primiravida client at &' )ee%sR estation )ho is hospitali:ed )ith severe preeclampsia and receivin
intravenous manesium sulfate?
A. "Absence of any sei:ure activity durin the first *' hours.
B. @edation
C. !ecreased enerali:ed edema )ithin ' hours
!. !ecreased urinary output durin the first $* hours
#. !ecreased reflex excitability )ithin *' hours
1$5. When administerin intravenous manesium sulfate as ordered for a client at &* )ee%sR estation )ith
severe preeclampsia6 the doctor )ould explain to the client and her family that this dru acts as )hich of
the follo)in?
A. "Central nervous system depressant
B. <eripheral vasodilator
C. Antihypertensive
!. @edative(hypnotic
#. Antidepressant
1&3. @oon after admission of a primiravid client at &' )ee%sR estation )ith severe preeclampsia6 the
physician orders a continuous intravenous infusion of -4 dextrose in IinerRs solution and * of
manesium sulfate . While the medication is bein administered6 )hich of the follo)in assessment
findins should the doctor report immediately?
A. "Iespiratory rate of 1$ breaths Nminute
B. <atellar reflex ofQ$
C. Blood pressure of 1+3N'' mm 2
!. Arinary output exceedin inta%e
#. Temperature of &+65C
1&1. A 1+(year(old unmarried primiravid client at &1 )ee%sR estation )ith severe preeclampsia is in
early active labor. 2er mother is at the bedside. The clientRs blood pressure is 1+*N113 mm 2. Which of
the follo)in )ould alert the doctor that the client may be about to experience a sei:ure?
A. "#piastric pain
B. !ecreased contraction intensity
C. !ecreased temperature
!. 2yporeflexia
#. ,ncreased urinary output
1&$. An obese &+(year(old multiravid client at 1$ )ee%sR estation has a history of chronic hypertension.
@he )as treated )ith methyldopa before becomin prenant. When counselin the client about diet
durin prenancy the doctor reali:es that the client needs additional instruction )hen she states )hich of
the follo)in?
A. ", need to reduce my salt inta%e per day
B. , need to consume more fluids each day
C. A reular diet is recommended durin prenancy
!. , should eat more fre9uent meals if , et heart( burn
#. , need to consume more fiber each day
1&&. The &*(years old )oman on the 13(th )ee% of estation Jthe second prenancyK is consulted by the
doctor of female consultation to be ta%en on the dispensary record. ,n the previous prenancy there too%
place hydramnion6 the child )as born )ith mass of the body of *133 . What method of investiation is
necessary to use for patient. conductin first of all?
A. "The test for tolerance to lucose
B. !etermination of the contents of alfa(fetoproteinum
C. Bacterioloical investiation of dischare from the vaina
!. A cardiophonoraphy of fetus
#. A@ of the fetus
1&*. Woman $$ years )ith prenancy &3 )ee%s. Complaints of pain in lo)er part of abdomen6 more in
riht side6 )hich appeared - hours ao6 nausea6 sinle vomit. A< 1$3N'3 mm 26 pulse ( 53 in 1 min6
rhythmic. At palpation of abdomen pain in a riht hypoastric area is mar%ed6 positive symptom
@chot%in(Blumber. Aterus in normal tone. 2ead of the fetus is mobile above the pelvic inlet. =etal heart
rate 1*3 in 1 min6 clear. #xcretions from a vaina mucous. ,n the blood test7 leucocytes 1-x135NNl.
Analysis of urine )ithout deviations from a norm. What is the most probable dianosis?
A. "Appendicitis and prenancy
B. Threat of abortion
C. Abruptio placentae
!. ?idney colic and prenancy
#. Acute pyelonephritis
1&-. The prenant appeared in female dispensary )ith complaints of the delay of menstruation of to $
months6 thirst6 eneral )ea%ness6 )orsenin of siht. =rom anamnesis it is found out6 that a )oman )ith
1- years is ill on diabetes mellitus of severe form. After the conclusion of oculist of violation of siht it is
connected )ith diabetes. <atient had t)o prenancies )hich ended stillborn. The suar level in the blood
C 1- mmolNl. At bimanual examination7 uterus increased to 1 )ee%s. !ianosis7 888 prenancy6 1 )ee%s.
!iabetes mellitus , type6 severe form. !iabetic retinopathia. What is the doctor. tactic?
A. "Termination of prenancy.
B. <rotective hormonal therapy.
C. ,nsulin therapy.
!. <renancies in the conditions of permanent doctor. supervision.
#. Correction of lycemia by medicines.
1&+. The prenant *3 years entered in the department of patholoy of prenancy )ith complaints of
cephalic pain6 di::iness. Term of prenancy is $-($+ )ee%s. ,n anamnesis7 & labor6 $ abortions6 &
years is found on the inecoloist. clinical supervision due to leyomyoma of uterus and at an
internist C )ith hypertension ,,A. At the admittin B< $33N133 mm 26 edema on feet and anterior
abdominal )all6 protein in urina C $ Nl. What is the most rational tactic of conduct of prenant?
A. Gperation by <orro
B. Termination of prenancy by the operation of small cesarean section
C. There is no correct ans)er
!. Termination of prenancy by intraamnial introduction of ramicidin
#. "To conduct medical treatment of hypertensive disease and 9estosis
1&1. ,n the ynecoloical department from therapeutic the prenant &1 years )ith a dianosis hypertensive
disease of $B stae is transferred. Complains on the head pains. B< C 1'3N113 mm 2. At a
ynecoloical examination the prenancy 13 )ee%s is found. Vour tactic?
A. "/edical abortion
B. <rolonation of prenancy
C. ,ntraamninal introduction of ramicidin.
!. Amniotomy.
#. ,ntroduction of oxytocin.
1&'. <rimapara $+ years entered maternity hospital )ith prenancy of &' )ee%s and complaints of profuse
bloody dischare. =etal heart rate is 133 beats per min6 arhythmic. Bainal examination )as performed in
operatin room and revealed cervical effacement and dilation to * cm. <lacenta tissue is palpated. Blood
loss is 133ml. What is the manaement of this situation?
B. #xpectant manaement
C. =orceps application
!. Aterine curretae
#. Bacuum(extraction of fetus.
1&5. At primapara &3 years6 )hich has suffered of rheumatism6 havin the combined the mitral valve
failure6 insufficiency of blood circulation ,,A6 in term of prenancy &1 )ee%s appeared suddenly7
cyanosis6 difficulty of breath. The moist rales in the distance are hear%ened6 a plenty of foamy sputum
dischares at couh. B< 1'3N113 mm 26 pulse 1*3 for a minute. Tones of heart are not listened due to
the presence of the loud breathin and )hee:es in luns. Which is the dianosis?
A. "#dema of luns
B. 2eart attac%
C. Acute pneumonia
!. 2eart attac%
#. @pontaneous pneumothorax
1*3. <renant @.6 &' years6 appeared to female dispensary concernin of proressin desired prenancy in
a term 1'(15 estation. ,n anamnesis the heart disease C the opened arterial canal )ith a syndrome
#y:enmener. Which method of the artificial interruptin of this prenancy is most optimum in such
term?
A. ",ntraamnial introduction of ramicidin
B. A small trance abdominal cesarean section
C. @mall transvainal cesarean section
!. #xtraamnial introduction of hypertensive solution
#. ,ntravenous infusion of en:aprost
1*1. <renant !. admitted to the maternity hospital )ith prenancy at term and reular uterine
contractions durin + hours. This prenancy is first6 in anamnesis C heart disease C the opened arterial
canal )ithout the sins of insufficiency of circulation of blood. =etal heart rate 1&+. What is the tactic of
conduct of labor?
A. "Bainal delivery
B. To finish by the operation of cesarean section
C. To apply obstetric forceps
!. To eliminate a pushin efforts by applyin of obstetric forceps
#. To perform the fetal destroyin operation
1*$. An expectant mother in the term of prenancy &* )ee%s after a motor(car catastrophe admitted in the
maternity department. A s%in is pale6 a pulse a speed(up6 B< '3N&3 mm of 26 stupor. Aterus )ith clear
contours6 in normal tonus6 heart rate of the fetus is 1+* in 1 min. The closed fracture of thih(bone ta%es
place. blood lost is $-3 ml. What is the reason of this severe condition of prenant?
A. "traumatic shoc%
B. <lacenta previa
C. the placental abruptio
!. the rupture of uterus
#. Eestosis of prenant
1*&. <renant6 $- )ee%s of prenancy. !urin the last $ months complains of a )ea%ness6 violation of
taste6 the promoted fraility of hair and nails. At laboratory examination7 the rate of red blood cells
$6'x131$6 2b 5' Nl. What is medical treatment.
A. ",ron contained medicines
B. Bitamins
C. Transfusion of red blood cells mass
!. /edical diet
#. ,mmunostimulation
1**. The prenant6 $* years6 admitted )ith complaints of a eneral )ea%ness6 stuffiness6 palpitation at the
physical activity. ,n anamnesis $ labor6 this prenancy is third6 by a term &+ )ee%s. Gb0ectively s%in is
pale6 B< 113N13 mm 26 pl 536 rhythmic6 is auscultated the sistolic murmur an apex6 a liver and spleen
are not increased. Laboratory examinations7 2b C '3Nl6 red blood cells rate ( $6+x131$Nl6 reticulocytes (
- [6 color index ( 36'6 ematocrit ( 36&6 poy%ilocytosis6 ani:ocytosis6 iron C 5 mcmolNl. !ianosis?
A. ",ron deficiency anemia
B. mitral valve insufficiency
C. !istonia on a hypotonic blood pressure type
!. 2emolitic anaemia
#. 2emolobinopatia
1*-. Ander the supervision in female dispensary the prenant 5 )ee%s. ,n anamnesis $ years ao surical
correction of mitral stenosis of rheumatic enesis. Gn this time the condition of prenant is satisfactory.
,ndicate subse9uent tactic of manaement of the prenant.
A. "2ospitali:ation in 1$6 &3 and &+ )ee%s of prenancy
B. Gbliatory hospitali:ation in 1$6 &*6 &' )ee%s of prenancy
C. 2ospitali:ation in a 136 $' and &* )ee% of prenancy
!. 2ospitali:ation is case complaint presence only
#. The supervision of doctor of female dispensary only
1*+. To prenant6 $- years6 )ith mitral vulve stenosis of the of 888 deree is offered to perform surical
correction of stenosis durin the prenancy. Gn this time there is the term of prenancy 13 )ee%s.
,ndicate the most expedient terms of conductin of operation.
A. @urical correction durin prenancy is contraindicated
B. @urical correction of mitral stenosis is possible only to 1* )ee%s of prenancy
C. "@urical correction of mitral stenosis is possible at prenancy in a term 1+(&3 )ee%s
!. @urical correction can be performed after &$ )ee%s of prenancy
#. At mitral stenosis there is only conservative medical treatment
1*1. ,n female dispensary the prenant 15 years appeared )ith prenancy ' )ee%s. ,n 1- years had the
rheumatic attac%. ,t is found on the internist supervision )ith a dianosis7 Iheumatism6 non active
phase. /itral valve insufficiency . Which tactic of doctor must be?
A. @teroid hormones treatment
B. To reister and conduct the clinical supervision
C. "2ospitalisation for the complete examination for possibility of prenancy proressin
!. medical treatment of rheumatism
#. heart lycosides
1*'. <renant6 $+ years6 has diabetes , type )ithin 1- years. Consulted by an oculist6 dianosed
aniopathy of the retinal vessels. The term of prenancy is &+(&1 )ee%s6 pelvic presentation of fetus6
tendency to macrosomia6 fetoplacental insufficiency. What is the doctor. tactic for prevention possible
complications?
A. Bainal labor in *3 )ee%s
B. Bainal labor in &+(&1 )ee%s
C. Cesarean section at term prenancy in *3 )ee%s
!. "The operation of cesarean section in a term &+(&1 )ee%s
#. Gbstetric forceps at term prenancy
1*5. <rimiravida6 1' years old6 came to the outpatient department because of ' )ee% prenancy. Within
assessment internist made dianosis C rheumatism6 nonactive phase6 insufficiency of mitral valve. Vour
tactic?
A. "To prolone prenancy
B. To interrupt prenancy
C. To continue assessment in speciali:ed department
!. ,mmediate hospitali:ation into patholoy department
#. <renant patient does not need observation
1-3. <renant patient at &$ )ee%s of estation has temperature &'65?W6 feels chill6 dull pain at riht lumbar
reion6 anorexia6 nausea6 vomitin. @he had scarlatina in childhood. What patholoy do you suspect?
A. "Acute estational pyelonephritis
B. Acute appendicitis
C. flue
!. salpinitis
#. Amniochorionitis
1-1. <rimiravida6 $* years old has rheumatism. After assessment toether )ith internist6 dianosis is7
prenancy6 ' )ee%s6 rheumatism6 active phase6 mitral disease )ith prevalence of left atrioventricular
stenosis6 insufficiency of blood circulation ,,(b stae. Vour tactic?
A. "Abortion
B. @urical correction of problem )ith prenancy prolonation
C. To prolone prenancy )ith dynamic observation in outpatient department
!. To prolone prenancy )ith follo)in preterm delivery
#. To prolone prenancy )ith treatment of cardiovascular insufficiency
1-$. <renant patient )ith hypertonic disease6 , stae6 at term &- )ee%s of estation6 has edema of both
les and anterior abdomen )all6 proteinuria C & Nl6 B< C 113N1$36 headache and )orth vision. ,ntensive
care next * hours )as useless. Vour tactic?
A. Gbservation
B. to induce labour
C. ",mmediate cesarean section
!. to prolone intensive treatment
#. conservative treatment
1-&. To the outpatient department came female patient6 $* years old6 because of 1$(1& )ee%s prenancy.
<rimiravida. * years ao she had tuberculosis of luns6 has been hospitali:ed and treated6 her condition
has been improved. Eeneral condition is satisfactory6 no complains. ,ndividual chart of prenancy )as
filled. Vour follo)in tactic?
A. To inform tbc dispensary
B. "To inform tbc dispensary and planned hospitali:ation & times )ith appropriate treatment
C. ,nterruption of prenancy
!. Fo correct ans)er
#. All ans)ers are correct
1-*. <rimiravida6 $$ years old6 came to the outpatient department )ith next complaints7 )ea%ness6 bad
appetite6 hyperhidrosis6 temperature ( &16-T in the evenin6 productive couh6 feels bad last $ )ee%s.
!urin assessment C s%in and visible mucous C clean6 pin%6 normal hemodynamic sins6 bubblin and
dry rales over luns. Aterus is ovoid6 normotonic6 lonitudinal position of the fetus6 cephalic
presentation6 heart beatin is clear6 rhythmic6 1&3Nmin. Fo edema6 no vainal dischare. Vour tactic?
A. "hospitali:ation of patient to the conservative department )ith complete assessment and treatment
B. ,mmediate cesarean section
C. @timulation of labour activity
!. 2ospitali:ation to the physioloical labour department
#. Fo correct ans)er
1--. <rimiravida6 $* years old6 $' )ee%s of prenancy. @he had scarlet fever in childhood6 complicated
)ith pyelonephritis. $ years ao she has been treated for pyelonephritis at the hospital. At admition to the
out(patient department )ere found C proteinuria J$65-NlK6 B< C 1+3N536 edema of lo) extremities.
Lonitudinal fetus position6 heart rate C 1&3Nmin. Vour tactic?
A. "hospitali:ation of patient to the conservative department )ith complete assessment and treatment
B. ,mmediate cesarean section
C. @timulation of labour activity
!. 2ospitali:ation to the physioloical labour department
#. Fo correct ans)er
1-+. &' years old parturient )oman has been ta%en by ambulance to the hospital. *th prenancy6 &rd
labour. <revious prenancy )as complicated )ith edema and increased B< up to 1-3N133. 2as hypertonic
disease C self treatment. @he visited outpatient department $ times )ithin prenancy. Weiht ain for
prenancy( $3 %. Labors activity C last * hours. Amniotic fluid ushed at ambulance car C liht. &3 min
before comin to the hospital she.s ot headache and visual disturbance. #dema of lo) extremities and
anterior abdomen )all. B< C 1'3N133. <s C 5$Nmin. After urine boilin C precipitate ta%es half a test tube.
Bainal assessment C complete dilation6 no amnion sac6 head is present in true pelvic cavity6 saittate
suture of s%ull in left obli9ue si:e6 more close to the direct si:e6 small fontanel C to the riht belo) pubic.
@ciatic bones are not palpable. $N& of hollo) of the sacrum and )hole surface of symphysis is fulfilled
)ith head. Vour tactic?
A. outbound obstetrical forceps
B. "obstetrical forceps
C. Bacuum(extraction
!. Cesarean section
#. @timulation of labour activity
1-1. <rimiravida6 $1 years old6 $'($5 )ee%s of prenancy6 came to the outpatient department )ith
complains for pain at lumbar reion6 more to the riht6 chill6 temperature C &5(&5T C. Aterus is
normotonic6 lonitudinal position of fetus6 cephalic presentation6 fetus heartbeatin C 1&+Nmin. Fo
vainal dischare. <asternats%y symptom C positive at the riht side. Fo edema. B< C 1$3N'3. A lot of
leucocytes in urine. !ianosis?
A. Chronic pyelonephritis
B. "Acute pyelonephritis
C. urolithiasis
!. Elomerulonephritis
#. appendicitis
1-'. A $1(year(old )oman at &3 )ee%s of estation complaints of pain in the lo)er abdomen6 urinary
fre9uency6 and sensation of pelvic pressure. The patient is found to have a lon6 closed cervix and
irreular uterine contractions. What is the most probable dianosis?
A. ,nitial preterm labor
B. ,nevitable preterm labor
C. <lacenta abruption
!. <lacenta previa
#. "Threatened preterm labor
1-5. A $1(year(old )oman at &1 )ee%s of estation )oman presents )ith complaints of pain in the lo)er
abdomen6 urinary fre9uency6 and sensation of pelvic pressure. The patient is found to have 133 4 effaced
cervix for 1 cm dilated and irreular uterine contractions. What is the most probable dianosis?
A. ",nitial preterm labor
!. <lacenta previa
#. Threatened preterm labor
1+3. A $'(year(old )oman at &- )ee%s of estation )oman presents )ith complaints of pain in the lo)er
cervix for & cm dilated and irreular uterine contractions. What is the most probable dianosis?
B. ",nevitable preterm labor
!. <lacenta previa
1+1. $*(year(old )oman at &$ )ee%s of estation )oman presents )ith complaints of pain in the lo)er
abdomen6 urinary fre9uency6 and sensation of pelvic pressure. The patient is found to have a lon6 closed
cervix and irreular uterine contractions. =rom )hich therapy prescription a doctor should start?
A. "b C $ adrenomimetics
B. @pasmolytics
C. @edatives
!. /anesium sulfate
#. !exametha:one
1+$. $- years old )oman is in preterm labor on the && )ee%s of estation. Bears do)n efforts occur durin
*3(*- seconds )ith intervals 1($ minutes. The rupture of the membrane has occurred 13 minutes ao.
Bainal examination7 fetus head is on the pelvic floor. Which anesthesia is recommended?
A. @pinal
B. <aracervical
C. "<udendal bloc%
!. #pidural
#. ,ntravenous
1+&. $$(year C old )oman in &- )ee% of estational ae is present in the labor unit in the second stae of
the first pre(term labor in cephalic presentation. Which method of anesthesia should be administrated?
A. <aracervical
B. @pinal
C. "<udendal bloc%
!. #pidural
#. ,ntravenous
1+*. $'(year(old )oman at && )ee% of estation )oman presents )ith complaints of pain in the lo)er
abdomen6 urinary fre9uency6 and sensation of pelvic pressure. The patient is found to have an effaced
cervix for $ cm6 and irreular uterine contractions. Which dru have you prescribed for prevention of
respiratory distress syndrome?
A. Einipral
B. /anesium sulfate
C. <rednisolone
!. "!exametha:one
#. 2ydrocorti:one
1+-. $1 year(old )oman at && )ee% of estation )oman presents )ith complaints of pain in the lo)er
abdomen6 urinary fre9uency6 and sensation of pelvic pressure. The patient is found to have an effaced
cervix for $ cm6 and irreular uterine contractions. Which dose of dexametha:one is recommended for
prevention of respiratory distress syndrome?
A. "$* m
B. 1$ m
C. &* m
!. ** m
#. $3 m
1++. 15 year(old )oman at &$ )ee% of estation )oman presents )ith complaints of reular uterine
contractions. The patient is found to have an effaced cervix for $ cm. What is the most probable
dianosis?
!. <lacenta previa
1+1. $$ year(old )oman at && )ee% of estation )oman presents )ith complaints of reular uterine
contractions. The patient is found to have an effaced cervix for 1 cm. What is the most probable
dianosis?
!. <lacenta previa
1+'. A $'(year(old )oman at &- )ee%s of estation )oman presents )ith complaints of pain in the lo)er
cervix for - cm dilated and reular uterine contractions. What is the most probable dianosis?
!. <lacenta previa
1+5. 1' year(old )oman at && )ee% of estation )oman presents )ith complaints of reular uterine
contractions every $ minutes for $- seconds. The patient is found to have an effaced cervix for * cm.
What is the most probable dianosis?
!. <lacenta previa
113. &$ year(old )oman at &- )ee% of estation )oman presents )ith complaints of releasin of amniotic
fluid and irreular uterine contractions. The patient is found to have closed lon cervix6 dilation is absent.
What is the most probable dianosis?
!. <lacenta previa
#. !aner of preterm labor
111. &* year(old )oman at &+ )ee% of estation )oman presents )ith complaints of releasin of amniotic
fluid and irreular uterine contractions. The patient is found to have closed lon cervix6 dilation is
absent. What is the most appropriate manaement of such patient?
A. <rescription of antibacterial drus
B. "#xpectant manaement
C. <rescription of corticosteroids
!. Gxytocin prescription
#. <rostalandins prescription
11$. &1 year(old )oman at &- )ee% of estation )oman presents )ith complaints of releasin of amniotic
fluid and irreular uterine contractions. The patient is found to have closed lon cervix6 dilation is absent.
What is the most appropriate manaement of such patient?
A. <rescription of antibacterial drus
B. <rescription of b($ adrenomimetics
C. <rescription of dexamethasone
!. Blood analysis6 vainal smear
#. "All of the above is recommended
11&. $$ year(old )oman at &- )ee% of estation )oman presents )ith complaints of reular uterine
contractions every 1($ minutes for &- C *3 seconds. The patient is found to have an effaced cervix for -
cm. What is the doctor.s manaement?
A. b C $ adrenomimetics
B. @pasmolytics
C. "<repare for vainal delivery
!. /anesium sulfate
#. !exametha:one
11*. F.6 $1 years old6 primapara6 &* )ee%s of prenancy. The labor started - hours ao. The membranes
ruptured $ hours ao. <elvic si:es7 $$6$*6$5615 cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. The cervix is - cm dilated in vainal examination. The amniotic sac is absent. =etal
buttoc%s are palpated in the plane of reatest diameter. Bitrochanter diameter is in the obli9ue si:e. What
is the presentation ?
A. ?neelin
B. =ootlin
C. =ace
!. @inciput
#. "=ran% breech presentation
11-. F.6 $1 years old6 primapara6 &* )ee%s of prenancy. The labor started - hours ao. The membranes
ruptured $ hours ao. <elvic si:es7 $$6$*6$5615 cm. =etal head rate 1*3 per minute )ith satisfactory
characteristics. <er vainum7 the cervix is + cm dilated. The amniotic sac is absent. =etal buttoc%s are
palpated in the pelvic inlet. What is the manaement of patient?
B. Bainal delivery
C. Tsovianov ,
!. Tsovianov ,,
#. Total breech extraction
11+. <rimipara =.6 $- years old. &* )ee%s of prenancy. The labor started + hours ao. The membranes
ruptured 1 hour ao. <elvic si:es7 $-6$'6&16$3 cm. =etal heart rate 1*3 per minute )ith satisfactory
characteristics. Aterine contractions are occurrin every &(* minutes. <er vainum7 the uterine cervix
dilatation is - cm. The amniotic sac is absent. =etal head is presented. !ianosis?
!. <lacenta previa
111. /ultipara F.6 &1 years old. && )ee%s of prenancy complaints of reular uterine contractions every -
minutes )ith duration 13(1- seconds. The membranes are intact. =etal head rate 1*3 per minute )ith
satisfactory characteristics. <er vainum7 the uterine cervix is dilated to $ cm. The amniotic sac is
present. =etal head is presented. !ianosis?
!. <lacenta previa
11'. Which estational ae of prenancy corresponds )ith such characteristic sins of infant7 )rin%led6
patchy peelin s%in6 a lon6 thin body suestin )astin6 and advanced maturity because the infant is
open(eyed6 unusually alert6 old and )orried(loo%in? @%in )rin%lin can be particularly prominent on the
palms and soles. The nails are typically 9uite lon.
A. !eep preterm fetus
B. <reterm fetus
C. "<ostterm fetus
!. ,mmature fetus
#. /ature fetus
115. <.6 $$ years old6 primapara6 && )ee%s of prenancy complaints of dull pain in the sacral reion. The
membranes ruptured $ hours ao. =etal head rate 1*3 per minute )ith satisfactory characteristics. <er
vainum7 the cervix is closed6 lenth 16- cm. The amniotic fluid released. !ianosis?
!. <lacenta previa
1'3. =.6 $& years old6 primapara6 &$ )ee%s of prenancy complaints of pain in the sacral reion. The
membranes ruptured & hours ao. =etal head rate 1*3 per minute )ith satisfactory characteristics. <er
vainum7 the cervix is closed. The amniotic fluid released. =rom )hich therapy prescription a doctor
should start?
A. "b C $ adrenomimetics
B. @pasmolytics
C. @edatives
!. /anesium sulfate
#. !exametha:one
1'1. /.6 $1 years old6 multipara6 1+ )ee%s of prenancy complaints of dull pain in the sacral reion. <er
vainum7 the cervix is dilated for one finer. The amniotic sac is intact. The diameter of internal cervical
os on the ultrasonoraphy is 1- mm. !ianosis?
C. "Cervical incompetence
!. #arly initial abortion
1'$. T.6 $& years old6 multipara6 11 )ee%s of prenancy complaints of pain in the sacral reion. <er
vainum7 the cervix is dilated for one finer. The amniotic sac is intact. The diameter of internal cervical
os on the ultrasonoraphy is 11 mm ? What is most appropriate manaement of such patient?
A. b C $ adrenomimetics
B. @pasmolytics
C. "Cervical cerclae
!. /anesium sulfate
#. !exametha:one
1'&. /ultipara6 the second stae of delivery6 fetal head is in the pelvic cavity. Contractions last for +3
seconds in $ minutes. =etal heart beat slo)ed to 133 per min. What is the manaement?
A. "Applyin obstetric forceps
B. Gxytocin stimulation of uterus activity
C. <erform a classic podalic version
!. C(section
#. nothin above
1'*. A prenant )oman J&- )ee%sK6 aed $-6 )as admitted to the hospital because of bleedin dischare.
,n anamnesis there )ere t)o artificial abortions. ,n a period of $'(&$ )ee%s there )as noted the onset of
hemorrhae and A@ sho)ed a placenta previa. The uterus )as in normal tonus6 the fetus position )as
transversal J,st positionK. The fetal heartbeats are clear6 rhythmical6 1*3bNmin. What is the best tactics of
manaement of the prenant )oman.
A. The drus increasin blood coaulation and continue observation
B. To perform the hemotransfusion and to prolon the prenancy
C. To perform the stimulation of delivery by intravenous introduction of oxytocin
!. "Cesarean section.
#. To perform the observation for the intensity of hemorrhae and at the moment of stoppin the
bleedin to prolon the prenancy
1'-. <rimapara C.6 &- years6 term of prenancy &5(*3 )ee%s6 appeared )ith complaints of nausea6 pain in
epiastrium6 edema on lo)er extremities. <renancy 1st6 )as complicated by early estosis6 )ith $+
)ee%s the edema on lo)er extremities appeared6 did not treat oneself. A )ee% ao the edema )ere
become enerali:ed6 nausea appeared. Gb0ective7 on the lo)er extremities and abdominal )all edema
present. B< C 1'3N113 mm 26 1+3N133 mm 26 pulse C 53 in 1 min. <osition of the fetus is
lonitudinal6 head presentation. =etal heart rate is 1*$ in 1min6 clear6 rhythmic. The si:es of pelvis are
normal6 uterine contractions are absent. The expected )eiht of the fetus C *333 . The uterine cervix is
shortened6 openin $ cm. Amniotic membrane is intact. A head is above the pelvic inlet. <romontorium is
not palpated. Tactic?
A. /edical treatment of estosis6 examination in a dynamics
B. Conductin of preparation to labor
!. ,ntroduction of spasmolytic
#. ,mmediately amniotomy6 stimulation of uterine contractions
1'+. <atient 1' years entered maternity department at the beinnin of the 88 stae of labor )ith
complaints of headache6 visual disoders6 pains in epiastrium. The attac% of convulsions )ith the lost of
consciousness happened & minutes ao. The patient. condition is severe. A s%in is pale6 edema of the face6
extremities6 anterior abdominal )all. B< C 1'3N1&3 mm 26 1-3N113 mm 26 heart tones at auscultation
are arhythmic. <osition of the fetus is lonitudinal6 head presentation6 fetal head is in the cavity of small
pelvis. =etal heart rate is 11+ in 1min. Bainal examination7 openin of uterine cervix is complete.
Amniotic membrane is absent. 2ead in narro) part of small pelvis. <romontorium is not palpated.
!octor. tactic?
B. @timulation of uterine contractions
C. Cesarean section
#. =etal destroyin operation
1'1. <rimapara in , period of labor acute pain in the reion of uterine fundus appeared suddenly6
insinificant bloody excretions from a vaina. Aterus in hypertonus. =etal heart rate C 11-. ,n anamnesis7
acutenin of chronic pyelonephritis durin prenancy. At vainal examination7 the uterine cervix is
effaced6 openin of uterine cervix * cm. Amniotomy is conducted. Amniotic fluid released )ith blood.
What is the doctor. tactic?
A. @timulation of labor.
B. Treatment of fetal hypoxia
C. "Cesarean section immediately.
!. To appoint tocolitics
#. To appoint coaulants
1''. <atient C.6 $+ years6 1' hours are found in labor7 pushin appeared hour ao C on &3 sec. in &(*
minutes. =etal heart rate is arhythmical6 to 133 in 1 min. ,t is definite at vainal examination6 that a head
is found in narro) part of cavity of small pelvis. Vour subse9uent obstetric tactic?
A. "Gbstetrical forceps
B. The cardiomonitorin supervision
C. Cesarean section.
!. To execute perineotomia.
#. To conduct labor conservative
1'5. <atient $' years )ith the expressed edema is found in a maternity hall6 in the 88 period of labor. 2ead
of fetus in narro) part of small pelvis. 2ead pains bean6 t)in%lin of Mspots> before eyes6 contractions
of muscles of the face. B< ( 113N113 mm 2. What is tactic of conduct of labor?
A. "Gbstetric forceps
C. The Bacuum(extraction of the fetus
!. Labor stimulation
#. Cesarean section
153. <ostpartum patient $' years. A irl )as born by mass &'33 .6 by lenth -$ cm. <lacenta )as
delivered in 1- minutes and &33 ml of blood )as dischared. Bleedin proceeds. At the revie) of cervix
and vaina the traumas of them are not found. At the revie) of placenta C vessels pass to the ede of
placenta on membranes and are ruptured. What is the subse9uent tactic?
A. "To perform the manual examination of uterus cavity
B. Total hysterectomy.
C. Aterotonics
!. To conduct the external massae of uterus.
#. To conduct to tamponada of body of uterus
151. <atient =.6 1' years. Labor are first6 at term. /ass of body is 133 %. What volume of blood lost is
possible and physioloical?
A. To +33 ml
B. "To -33 ml
C. To &33 ml
!. To $33 ml.
#. To 1333 ml
15$. <atient $- years entered maternity hospital on a &' )ee% of prenancy )ith reular uterine
contractions and bloody excretions from vaina. The uterine cervix is effaced6 openin of canal * cm and
is bloc%ed by spony tissue of soft consistency. At a bimanual revie) bleedin )as increased. What is
the reason of increasin of bleedin?
A. Abruptio placentae.
B. Bleedin from the rupture of uterine cervix
C. <remature removin of the normally placed placenta
!. "Complete placenta previa
#. The coaulopathic bleedin
15&. Before female dispensary the prenant $$ years appealed6 )ith complaints about pain in lo)er part of
abdomen and in lumbal reion6 bloody excretion from vaina. <renancy is &rd6 last menstruation )as
approximately & months ao. ,n anamnesis there are t)o artificial abortions. At vainal examination7
uterine cervix by lenth 1 cm6 external cervical os is slihtly opened6 cervical canal is closed. The uterus
is increased to 11(1$ )ee%s of prenancy6 soft. #xcretion from the vaina are bloody6 insinificant.
!ianosis?
A. ",nitial abortion
B. /olar prenancy
C. Threatenin abortion.
!. <renancy6 that does not develop
#. <lacenta previa
15*. /ultipara. Aterine contractions of *(- hours. bloody excretions bean at once after appearance of
contractions. =etal heart rate 133(113 in min. Bainal examination7 the uterine cervix is effaced6 edes
36& cm6 soft. The cervical canal is opened on + cm. ,n the cervix placental tissue is determined.
!ianosis?
A. Threatenin rupture of uterus.
B. Threatenin rupture of uterus.
C. <artial placenta previa.
!. "Central placenta previa.
#. Abruptio placentae
15-. /ultipara &$ years. &3 minutes passed after labor of the fetus. The sins of placenta separation are
neative. Bleedin bean C blood lost is *-3 ml. What must to be done?
A. ,ntroduction of uterotonics.
B. "/anual separation of placenta.
!. #xpectin tactic
#. All above
15+. The $+(year old )oman had the second for the last $ years labor )ith oxytocin application. The
child.s )eiht ( *3'3 . After the placental birth there )as a severe bleedin6 sins of hemorrhaic
shoc%. !espite the introduction of contractive aents6 ood contraction of the uterus and absence of any
uterus cervix and the vaina in0uries6 the bleedin proceeds. Choose the most probable cause of bleedin.
A. "Atony of the uterus.
B. Aterine rupture.
C. ,n0uries of cervix of the uterus
!. !elay of the part of placenta
#. 2ypotonia of the uterus
151. A prenant )oman J&- )ee%sK6 aed $-6 )as admitted to the hospital because of vainal bleedin. ,n
anamnesis there )ere t)o artificial abortions. ,n a period of && )ee%s there )as noted the onset of
hemorrhae and A@ sho)ed a placenta previa. The uterus )as in normal tonus6 the fetus position )as
transversal. The fetal heartbeats are clear6 rhythmical6 1+3bNmin. What is the best tactics of manaement
of the prenant )oman.
A. To perform the observation for the intensity of hemorrhae and at the moment of stoppin the
bleedin to prolon the prenancy
B. "Cesarean section.
C. To perform the stimulation of delivery by intravenous introduction of oxytocin
!. To perform the hemotransfusion and to prolon the prenancy
#. To hospitali:ed and continue observation
15'. <renant in a term ' C 5 )ee%s complains about achin pain above a pubis6 that disturbs the last $
days. ,nsinificant bloody excretions from vaina appeared some hours ao. At vainal examination7 the
uterine cervix is shortened6 closed. The body of uterus of dense consistency6 as 'C5 )ee%s of prenancy6
is mobile6 painless. Adnexa ( )ithout patholoy. #xcretions from the cervical canal are bloody6 moderate.
!ianosis7
A. Threatened abortion
B. Abortion inevitable
C. ",nitial abortion
!. ,ncomplete abortion
#. /etrorraia
155. <atient is delivered in a clinic )ith complaints about abdomen(ache6 brief loss of consciousness. Term
of prenancy *3 )ee%s. B< C '3N+3 mm 26 pulse 1$+ in 1 min6 )ea%. @%in is pale. Aterus is tense6
protrudin in riht its half is mar%ed out6 near the uterine fundus. At palpation this area is painful. =etal
heart rate is 1+3 in 1 min6 arhythmical. =rom a vaina a blood in a small amount is dischared. Aterine
contractions are moderate6 amniotic membranes are intact. At vainal examination7 the openin of uterine
cervix is -(+ cm. Tissue of placenta is not palpated. !ianosis?
A. "placental abruption
B. <reeclampsia
C. <lacenta previa
!. Bleedin from the varicosis extended veins of vaina
#. Aterine rupture
$33. <ostpartum patient $' years6 prenancy is sixth J* abortions6 $ complicated )ith endometritisK. Labor
is second6 first stae of labor coursed )ithout complications6 mass of fetus )as *-33 . <lacenta
separated and delivered throuh 1 min. after delivery of the fetus6 )ith all cotyledons. Blood lost )as &-3
ml. Throuh - min. bloody excretions increased6 after external massae the uterus contracts on the short
time and aain lost the tonus and become soft6 bleedin proceeds. !ianosis?
A. <lacental abruption
B. Atonic bleedin
C. Aterine rupture
!. "2ypotonic bleedin
#. Iupture of the cervix of uterus 888 deree
$31. <renant first6 $$ years. <renancy &-(&+ )ee%s. @i:es of pelvis7 $-($+(&1($3. Without uterine
contractions6 at niht bleedin appeared from vaina in a 9uantity '3(133 ml. =etal heart rate is clear6
rhythmic6 1&+ in 1 min. At internal examination7 the uterine cervix is shortened6 a cervix pass over a 1
finer. ,n the cervix soft tissue is palpated. 2ead of the fetus is mobile above the pelvic inlet. !urin
examination6 bleedin increased. !efine the volume of obstetric help.
A. Bed rest
C. Amniotomy
!. The strict bed rest and hemostatic therapy
#. The strict bed rest and tocolitic therapy
$3$. A &$(years(old )oman has the massive bleedin after labor of t)ins. <lacenta6 vaina and perineum
are )hole. Aterine fundus is hiher than umbilicus6 uterus at palpation is soft. Tone of uterus does not
chane after introduction of oxytocin. What reason of bleedin is most credible?
A. 2ypotonic uterine contractions
B. Aterine rupture
C. "Atony of uterus
!. Coaulopathy syndrome
#. 2ypocoaulationof blood
$3&. <atient is delivered )ith prenancy at term and active uterine contractions. !urin hospitali:ation the
condition is satisfactory6 pulse ( '* in 1 min6 B< ( 1-3N53 and 1+3N53 mm of 2. @uddenly patient
complained on severe pain in abdomen6 a eneral )ea%ness6 di::iness6 face and lips became pale. <ulse (
1$3 in 1 min6 AT ( '3N*3 and 53N*- mm of 2. Aterus is tense6 very painful. =etal heart rate is not
listened to. At vainal examination7 the uterine cervix is effaced6 openin - cm. Amniotic membrane is
)hole6 tense. The head is in the pelvic inlet. ,nsinificant bloody excretions appeared from a vaina.
What is the most credible dianosis?
A. Aterine rupture
B. "<lacental abruption
C. Amniotic fluid embolism
!. /olar prenancy
#. <lacenta previa
$3*. At a )oman in $+ )ee% of prenancy considerable bloody excretions from enital tract appeared
suddenly. At ultrasound examination the central placenta previa is dianosed. Eeneral blood lost is -33
ml6 bleedin proceeds. What is the doctor. tactic?
A. To appoint tocolitics.
B. To impose a stitch on the uterine cervix
C. "@mall cesarean section immediately.
!. To appoint hemostatics
#. Bainal delivery
$3-. /ultipara F. is in ,,, stae of labor. The baby )eiht is *-33 6 lenth -+ cm. Throuh 1- min. after
the fetal delivery the bleedin bean. Eeneral blood lost is no) 16-4 from the )oman. body )eiht.
What is the doctor. tactic?
A. To do the repeated manual revision of cavity of uterus.
B. To do the tamponade of uterine cavity.
C. To impose a stitch on the uterine cervix
!. "Total hysterectomy.
#. @ubtotal hysterectomy
$3+. At )oman !. labor beins in &5 )ee%s of prenancy. ,n anamnesis there is artificial abortion6 )hich
)as complicated by endometritis. !urin *3 min. the sins of placental separation are not present. The
sins of the external and internal bleedin are absent. Considerable bloody excretions appeared at an
attempt to do the manual separation of placenta. The blood lost is *33 ml. The manual separation of
placenta from the uterus )as not succeeded. What is the doctor. tactic?
A. "@ubtotal hysterectomy
B. To conduct curettae of )alls of uterine
C. To continue the manual separation of placenta
!. To conduct total hysterectomy
#. To appoint uterotonics
$31. At postpartum patient &3 years at the manual removal of placenta and examination of uterus the
rupture of uterine cervix is exposed in the riht side )ith transition on a lo)er sement. Blood lost is
arrives at 1&33 ml and proceeds. Tactic of doctor?
A. @ubtotal hysterectomy
B. Tamponada of the uterus
C. Tampon )ith ether in a posterior fornix
!. Clamps on Bacsheev or Ticinad:e
#. "Total hysterectomy
$3'. Labor )ere completed by delivery of alive boy by mass *-33 . ,n 13 minutes after labor of
child the uterine bleedin bean . <lacenta is separated manualy6 the massae of uterus is conducted6
oxytocin is entered intravenously. ,n 1- minutes6 bleedin repeated aain. The conservative methods
of increasin of uterus contraction are not effective. The blood lost for *3 min of the bleedin
treatment is over 1$33 ml. What must be the tactic?
A. Iepeated introduction of solution of oxytocin
B. Curettae of uterus
C. "@urical stop of bleedin
!. ,mposition of stitches on the cervix of uterus
#. #xternal massae of uterus
$35. <atient F.6 the patient. condition is satisfactory. The irl by mass &133 )as born. The sins of
separation of placenta and bloody excretions from vaina are absent. &3 minutes passed. What probable
patholoy of placental attachment?
A. 2ypertonus of uterus.
B. <lacenta previa.
C. "<lacenta accreta.
!. Aterine rupture
#. Atony of uterus.
$13. !urin cesarean section )hich )as performed as a result of placenta abruption )idespread
extravasation of blood into the uterine )all )as revealed. The uterus is soft6 hypotonic and should
produce severe postpartum hemorrhae. The uterus has a purplish or bluish appearance6 o)in to such
extravasation of blood. !ianosis? What is the best manaement of such condition ?
A. "Couveler.s uterus. 2ysterectomy should be performed.
B. <lacenta previa To perform the hemotransfusion
C. Atony of uterus. To perform subtotal hysterectomy
!. Curettae of uterus. To perform the hemotransfusion
#. Fothin above
$11. A &3 years old patient underoes spontaneous delivery of a &533 boy. After 13 minutes )ithout
spontaneous placental delivery6 traction is applied to the umbilical cord. <lacental tissue is expelled )it
the umbilical cord6 but vainal hemorrhae beins immediately thereafter. The placenta is clearly not
intact. What are appropriate immediate interventions in this situation?
A. Curettae of uterus
B. "Gxytocin administration6 manual exploration of the uterine cavity )ith the uterine massae
C. ,mposition of stitches on the cervix of uterus
!. Tamponada of the uterus
#. Fothin above
$1$. A $$ (year old )oman comes to physician )ith cessation of menses durin last $ )ee%s6 mornin
sic%ness6 profuse bloody vainal dischare. !urin pelvic examination7 the uterus is enlared6 cervix is
dilated to one finer6 profuse vaanl bleedin is present. What )ould be the most appropriate dianosis?
A. /olar prenancy
B. ,nitial abortion
C. ,ncomplete abortion
!. /etrorraia
#. ",nevitable abortion in * )ee%s of prenancy
$1&. <atient $$ years entered maternity department at the beinnin of the 88 stae of labor )ith
complaints of headache6 visal disturbances 6 pain in epiastrium. The attac% of convulsions )ith the lost
of consciousness happened - minutes ao. A s%in is pale6 edema of the face6 extremities6 anterior
abdominal )all. B< C $33N1$3 mm 26 1'3N11- mm 26 heart tones at auscultation are arhythmic.
<osition of the fetus is lonitudinal6 cephalic presentation. ,n vainal examination7 uterine cervix is
complete dilated. Amniotic membrane is absent. =etal head is in pelvic outlet. What is the ade9uate
manaement of labor?
B. Cesarean section
C. @timulation of uterine contractions
#. <erineotomy6 vacuum(extraction of fetus
$1*. <rimapara admitted to the maternity hospital )ith complaints of headache6 pain in epiastral area6
somnolence6 eneral edema. B< ( $13N113 mm 26 position of the fetus is lonitudinal6 cephalic
presentation6 =etal heart rate is ( 1&3 in 1 min6 rhythmic. ,n urine protein is present C -6' Nl. !ianosis?
A. "<reeclampsia severe deree
B. <reeclamsia mild deree
C. #clampsia
!. 2ypertensive stro%e
#. #dema of prenant
$1-. *$ years old patient is admitted to the maternity hospital in &' )ee%s of estation. Gb0ectively7
consciousness is absent. B< on both hands 153N113 mm 26 <s 113 in 1 min6 eneral edema6 proteinuria
1 Nl. At the vainal examination7 the uterine cervix is closed. What is the ade9uate manaement of
labor?
A. Conduct of labor throuh natural )ays
!. Applyin of obstetric forceps
#. To conduct the operation of vacuum(extraction of the fetus
$1+. <atient &3 years )ith the expressed edema is admitted to the hospital in the second stae of labor.
=etal head in the plane of outlet. Attac% of headache appears6 t)in%lin of Mspots> before eyes6
contractions of muscles of the face. !iastolic blood pressure 11- mm 2. What is the ade9uate
manaement of labor?
A. Cesarean section
C. "Gbstetric forceps
!. The Bacuum(extraction of the fetus
#. Labor stimulation
$11. ,n the patient )ith severe prenancy induced hypertension durin the intravenous infusion of
manesium sulfate such sins have been appeared as decreasin of urine flo) till -3 mL durin the
previous * hours6 decreasin of patellar reflex6 and respiratory depression. 2o) do you explain these
sins?
A. "/anesium toxicity
B. Anaphylactic shoc%
C. Acute renal failure
!. <ulmonry dysfunction
#. #clampsia
$1'. ,n the patient )ith severe prenancy induced hypertension durin the intravenous infusion of
manesium sulfate such sins have been appeared as decreasin of urine flo) till -3 mL durin the
previous * hours6 decreasin of patellar reflex6 and respiratory depression What is the manaement of
this patient
A. ,ntravenous prescription of 13 m calcium chloride
B. ,ntravenous prescription of - m calcium luconate
C. ",ntravenous prescription of 13 m calcium luconate
!. ,ntravenous prescription of 13 m calium luconate
#. <rescription of dexametha:one
$15. A $&(year(old prenant )oman is seen at ' )ee%.s estational ae for obstetric care. @he complains
of sic%ness6 and says that has increasin of arterial blood pressure from childhood. Gphtalmoloic
conclusion is retinopathy. @he has t)o prenancies6 one of them )as interrupted for medical indications.
The level of arterial blood pressure is 1-3N133 mm2. What )ould be the most appropriate dianosis?
A. <reeclampsia 1 deree
B. "Chronic hypertension
C. 2ypertensive stro%e.
!. #clampsia.
#. <reeclampsia $ deree
$$3. A &&(year(old prenant )oman came at &$ )ee%.s estational ae for obstetric care. @he complains of
sic%ness6 presence of edema on the les and face. @he has had one normal delivery in anamnesis. The
level of arterial blood pressure is 1*-N5- mm2. <roteinurua in $* hours collection is 36& . Level of
thrombocytes is 1'3.333 x 13 What )ould be the most appropriate dianosis?
A. "/ild preecmampsia .
B. /oderate preeclampsia.
C. @evere preeclampsia.
!. #clampsia
#. Chronic hypertension
$$1. A &3(year(old prenant came at &3 )ee%.s estational ae for obstetric care. @he has no complaints.
@he has had one normal delivery in the past. The level of arterial blood pressure is 1*3N5- mm2.
<roteinurua in $* hours collection is 36$ . Level of thrombocytes is 1'3.333 x 13 What )ould be the
most appropriate manaement?
A. "#xpectant manaement.
B. <rescription of diuretics
C. <rescription of hypotensives
!. ,nduction of labor
#. @mall secarean section
$$$. A &3(year(old prenant )oman comes at &3 )ee%.s estational ae for obstetric care. @he has no
complaints. @he has had one normal delivery in the anamnesis. The level of arterial blood pressure is
1&3N5- mm2. <roteinurua in $* hours collection is 36& . Level of thrombocytes is 1'3.333 x 13 What
)ould be the most appropriate dianosis?
A. Chronic arterial hypertension
B. "/ild preeclampsia
C. @econdary arterial hypertension
!. /oderate preeclampsia
#. Chronic lomerulonephritis
$$&. A &1(year(old prenant )oman came at &+ )ee%.s estational ae for obstetric care. @he complains of
epiastrial pain. #dema are present on the les and face. The level of arterial blood pressure is 1+3N113
mm2. <roteinurua in $* hours collection is + . Level of thrombocytes is 13.333 x 13 What )ould be
the most appropriate dianosis?
A. "@evere preeclampsia
B. /ild preeclampsia
C. /oderate preeclampsia
!. #dema in prenancy
#. #clampsia
$$*. A &1(year(old prenant )oman came at &+ )ee%.s estational ae for obstetric care. @he complains of
mm2. <roteinurua in $* hours collection is + . Level of thrombocytes is 13.333 x 13 <rescribe
ade9uate scheme of manesium sulfate in this situation?
A. "16 - J&3 ml $- 4K t)ice a day
B. 16 - J&3 ml $- 4K once a day
C. 1- J+3 ml $- 4K once a day
!. 1- J+3 ml $- 4K t)ice a day
#. * J 1+ ml $- 4 solutionK once a day
$$-. A &1(year(old prenant )oman came &+ )ee%.s estational ae for obstetric care. @he complains on
mm2. <roteinurua in $* hours collection is + . Level of thrombocytes is 1-.333 x 13 What is the
leadin importance of manesium sulfate prescription?
A. "To arrest and prevent convulsions due to eclampsia
B. @pasmolytic effect
C. ,ncreasin of diuresis
!. 2ypotensive effect
#. !ecreasin of diuresis
$$+. A $'(year(old multiravid client at &1 )ee%sR estation arrives at the emerency department )ith a
blood pressure of 1+3N13* mm 2 and Q& fetal head station. The client6 )ho is dianosed )ith severe
preeclampsia6 as%s the doctor6 PWhat is the cure for my hih blood pressure?P Which of the follo)in
)ould the doctor identify as the primary cure?
A. "Bainal delivery of the fetus.
B. Administration of lucocorticoids
C. @edation )ith phenytoin
!. @pecial diet
#. Ieduction of fluid retention )ith thia:ide diuretics
$$1. A $-(year(old prenant )oman came at && )ee%.s estational ae for obstetric care. @he complains of
sic%ness6 presence of edema on the les. @he has had one normal delivery in the past. The level of arterial
blood pressure is 1-3N133 mm2. <roteinurua in $* hours collection is $ . Level of thrombocytes is
53.333 x 13 What )ould be the most appropriate dianosis?
A. "/oderate preeclampsia
B. /ild preeclampsia
C. @evere preeclampsia
!. Chronic hypertension
#. #clampsia
$$'. A &1(year(old prenant )oman came at &* )ee%.s estational ae for obstetric care. @he complains of
headache6 epiastrial pain6 visual disturbances. Eeneral edema if present. The level of arterial blood
pressure is 1+3N113 mm2. <roteinurua in $* hours collection is + . Level of thrombocytes is 13.333 x
13 What )ould be the most appropriate dianosis ?
A. "@evere preeclampsia
B. /oderate preeclampsia
C. /ild preeclampsia
!. #clampsia
$$5. A &-(year(old prenant )oman comes at &+ )ee%.s estational ae for obstetric care. @he complains
of headache6 epiastrial pain6 visual disturbances6 and convulsions 1 hour ao. Eeneral edema is present.
The level of arterial blood pressure is 1+-N11- mm2. <roteinurua in $* hours collection is + . Level of
thrombocytes is 13.333 x 13 What )ould be the most appropriate dianosis ?
A. "#clampsia
B. /oderate preeclampsia
C. /ild preeclampsia
!. @evere preeclampsia
#. Chronic hypertensio
$&3. A &-(year(old prenant )oman came at &+ )ee%.s estational ae for obstetric care. @he complains
on headache6 epiastrial pain6 visual disturbances6 and convulsions. #dema on les 6 hands and face is
present. The level of arterial blood pressure is 1+3N113 mm2. <roteinurua in $* hours collection is + .
Level of thrombocytes is 13.333 x 13 All of the belo) belon to the lin%s of treatment of this state
#;C#<T7
A. !elivery in -(+ hours
B. <rescription of manesium sulfate
C. <rescription of hypotensives drus
!. Ade9uate manesium therapy
#. "<rolonation of prenancy
$&1. A $'(year(old prenant patient came at &- )ee%.s estational ae for obstetric care. @he complains of
headache6 epiastrial pain. #dema are present on the les and face. ,n the past one prenancy )as
interrupted by uterine curettae. . The level of arterial blood pressure is 1--N113 mm2. <roteinurua in
$* hours collection is + . Level of thrombocytes is -3.333 x 13 What )ould be the most appropriate
dianosis?
A. /oderate preeclampsia.
B. "@evere preeclampsia
C. /ild preeclampsia.
!. #clampsia
$&$. A $+(year(old prenant )oman came at &* )ee%.s estational ae for obstetric care. @he complains of
headache6 epiastrial pain. #dema are present on the les and face. The level of arterial blood pressure is
1--N113 mm2. <roteinurua in $* hours collection is - . Level of thrombocytes is -3.333 x 13 All of
the belo) hypotensives aents are recommended in this case #;C#<T7
A. a C methyldopha
B. Labetolol
C. /etoprolol
!. Fiphedipine
#. "?aptopress
$&&. The bleedin bean riht after childbirth. The blood loss is &33 ml. There aren.t the sins of the
placental separation. What is the most probable dianosis?
A. "@ubtotal placenta adherens
B. Total placenta adherens
C. Couveler.s uterus
!. <lacenat previa
#. <lacenta abruption
$&*. The bleedin bean riht after childbirth. The blood loss is &-3 ml. @ins of the placental separation
are nearive. What is the most appropriate manaement?
A. "/anual separation of placenta and exploration of the uterine cavity
B. <rescription of contractile drus
C. Total hysterectomy
!. Aterine curretae.
#. Aterine artery liation.
$&-. Gn the + day of the postpartum period a $+ years(old )oman complaints of profuse bleedin from
vaina. <elvic examination reveals $&($* )ee%s increased uterus )ith clots inside. !urin examination
bloody dischare increases. !ianosis?
A. Total placenta adherens
B. @ubtotal placenta adherens
C. Couveler.s uterus
!. "Late postpartum hemorrhae
#. <lacenat previa
$&+. ,n the + day of the postpartum period a $+ years(old )oman complaints of profuse bleedin from
vaina. <elvic examination reveals $$($& )ee%s increased uterus )ith clots inside. !urin examination
bloody dischare increases. What is the most appropriate manaement of this situation?
A. "Aterine curretae
B. Aterine artery liation.
!. /anual exploration of the uterine cavity
#. <rescription of contractile drus
<icture Tests
1. Which type of ectopic prenancy is present on the =i. &56 1?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. "Cervical
#. ,sthmic
$. Which type of ectopic prenancy is present on the =i. &56 $?
A. ",nterstitial
B. ,ntramural
C. ,nfundibular
!. Cervical
#. ,sthmic
&. Which type of ectopic prenancy is present on the =i. &56 &?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. Cervical
#. ",sthmic tubal
*. Which type of ectopic prenancy is present on the =i. &56 *?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. ",ntraliamentous
#. ,sthmic
-. Which type of ectopic prenancy is present on the =i. &56 -?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. Ampullar tubal
#. ,sthmic
+. Which type of ectopic prenancy is present on the =i. &56 +?
A. ,nterstitial
B. ",nfundibular tubal
C. ,nfundibular
!. Cervical
#. ,sthmic
1. Which type of ectopic prenancy is present on the =i. &56 1?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. "Gvarian
#. ,sthmic
'. Which type of ectopic prenancy is present on the =i. &56 '?
A. ,nterstitial
B. ,ntramural
C. ,nfundibular
!. Cervical
#. "Abdominal
5. Which operation is performed in the case of ectopic prenancy )hich present on the =i. &56 1?
A. Gvarian resection
B. "Total hysterectomy
C. @ubtotal hysterectomy
!. Aterine curettae
#. @alpinectomy
13. Which operation is performed in the case of ectopic prenancy )hich present on the =i. &56 &?
B. Total hysterectomy
!. Aterine curettae
#. "@alpinectomy
11. Which operation is performed in the case of ectopic prenancy )hich present on the =i. &56 -?
!. Aterine curettae
#. "@alpinectomy
1$. Which operation is performed in the case of ectopic prenancy )hich present on the =i. &56 +?
!. Aterine curettae
#. "@alpinectomy
1&. Which operation is performed in the case of ectopic prenancy )hich present on the =i. &56 1?
A. "Gvarian resection
!. Aterine curettae
#. @alpinectomy
1*. What type of abortion is sho)n on the =i. *36 1?
A. "Threatened
B. Complete
C. ,ncomplete
!. ,nevitable
#. ,nitial
1-. What type of abortion is sho)n on the =i. *36 $?
A. Threatened
B. Complete
C. ,ncomplete
!. ,nevitable
#. ,nitial
1+. What type of abortion is sho)n on the =i. *36 &?
A. Threatened
B. Complete
C. ,ncomplete
!. ",nevitable
#. ,nitial
11. What type of abortion is sho)n on the =i. *36 *?
A. Threatened
B. "Complete
C. ,ncomplete
!. ,nevitable
#. ,nitial
1'. Which therapy is prescribed for the abortion )hich is present on the =i. *36 1?
A. Aterine curettae
B. 2ysterectomy
C. "Conservative
!. Cervical cerclae
#. Iemoval of the cervix
15. Which therapy is prescribed for the abortion )hich is present on the =i. *36 $?
A. Aterine curettae
B. 2ysterectomy
C. "Conservative
!. Cervical cerclae
$3. Which therapy is prescribed for the abortion )hich is present on the =i. *36 &?
A. "Aterine curettae
B. 2ysterectomy
C. Conservative
!. Cervical cerclae
$1. Which type of placenta previa is present on the =i. *16 1?
A. Lo) lyin
B. "Complete
C. <artial
!. /arinal
#. ,ncomplete
$$. Which type of placenta previa is present on the =i. *16 $?
A. Lo) lyin
B. Complete
C. "<artial
!. /arinal
#. Total
$&. Which type of placenta previa is present on the =i. *16 &?
A. Lo) lyin
B. Complete
C. <artial
!. "/arinal
#. ,ncomplete
$*. Which type of placenta previa is present on the =i. *16 *?
A. "Lo) lyin
B. Complete
C. <artial
!. /arinal
#. ,ncomplete
$-. Which method of delivery is recommended in obstetric situation on the =i. *&?
A. =orceps delivery
C. ,nduction of labor )ith oxytocin
!. Amniotomy
#. Bacuum application
$+. Which method of delivery is recommended in obstetric situation on the =i. *$?
A. =orceps delivery
B. Cesarean section
C. =etal destroyin operation
!. "Amniotomy and induction of labor )ith oxytocin
#. Bacuum application
$1. Which type of placenta previa is present on the =i. *$?
A. Lo) lyin
B. Complete
C. <artial
!. "/arinal
#. ,ncomplete
$'. Which type of placenta previa is present on the =i. *&?
A. Lo) lyin
B. "Complete
C. <artial
!. /arinal
#. ,ncomplete
$5. Which type of placenta previa is present on the =i. **?
A. Lo) lyin placenta previa
B. Complete placenta previa
C. <artial placenta previa
!. /arinal placenta previa
#. "<lacenta abruption
&3. Which blood loss is indication for cesarean section for the =i. **6 A?
A. -3 ml
B. 133 ml
C. 1-3 ml
!. $33 ml
#. "D $-3 ml
&1. Which complication should occur as a result of situation )hich is present on the =i. **6 B?
A. "Couveler uterus
B. Leopold uterus
C. 2enter uterus
!. 2ehar uterus
#. /i%e uterus
&$. Which abnormal placenta adherence is present on the =i. *-6 1?
A. "<lacenta accreta
B. <lacenta increta
C. <lacenta percreta
!. <lacenta ucreta
#. <lacenta ducreta
&&. Which abnormal placenta adherence is present on the =i. *-6 $?
A. <lacenta accreta
B. "<lacenta increta
C. <lacenta percreta
!. <lacenta ucreta
#. <lacenta ducreta
&*. Which abnormal placenta adherence is present on the =i. *-6 &?
A. <lacenta accreta
B. <lacenta increta
C. "<lacenta percreta
!. <lacenta ucreta
#. <lacenta ducreta
&-. What )ould be the most appropriate manaement of the situation )hich is present on the =i. *-6 1?
A. /anual separation of the placenta
B. @ubtotal hysterectomy
C. "Total hysterectomy
!. Aterine curettae
#. 2ysterotomy
&+. What )ould be the most appropriate manaement of the situation )hich is present on the =i. *-6 $?
!. Aterine curettae
#. 2ysterotomy
&1. What )ould be the most appropriate manaement of the situation )hich is present on the =i. *-6 &?
!. Aterine curettae
#. 2ysterotomy
&'. 2o) do you called the operation )hich is present on the =i. *+?
A. "/anual separation and removal of the placenta
!. Aterine curettae
#. 2ysterotomy
&5. Choose the correct dianosis on the =i. *16 1
A. Transverse lie6 left position6 anterior variety
B. Transverse lie6 riht position6 posterior variety
C. "Lonitudinal lie6 left position6 anterior variety
!. Lonitudinal lie6 riht position6 anterior variety
#. Transverse lie6 left position6 posterior variety
*3. Choose the correct dianosis on the =i. *16 $
A. Lonitudinal lie6 left position6 anterior variety
B. Lonitudinal lie6 riht position6 anterior variety
C. "Lonitudinal lie6 left position6 posterior variety
!. Lonitudinal lie6 riht position6 posterior variety
*1. Choose the correct dianosis on the =i. *16 &
B. "Lonitudinal lie6 riht position6 anterior variety
C. Lonitudinal lie6 left position6 posterior variety
!. Lonitudinal lie6 riht position6 posterior variety
*$. Choose the correct dianosis on the =i. *16 *
B. Lonitudinal lie6 riht position6 anterior variety
C. Lonitudinal lie6 left position6 posterior variety
!. Lonitudinal lie6 riht position6 "posterior variety
*&. Which Leopold maneuver is described on the =i. *'6 1
A. ",
B. ,,
C. ,,,
!. ,B
#. B
**. Which Leopold maneuver is described on the =i. *'6 $
A. ,
B. ",,
C. ,,,
!. ,B
#. B
*-. Which Leopold maneuver is described on the =i. *'6 &
A. ,
B. ,,
C. ",,,
!. ,B
#. B
*+. Which Leopold maneuver is described on the =i. *'6 *
A. ,
B. ,,
C. ,,,
!. ",B
#. B
*1. What can you determine in obstetric examination on the =i. *'6 1?
A. "Aterine heiht
B. =etal variety
C. =etal position
!. =etal head station
#. =etal presentation
*'. What can you determine in obstetric examination on the =i. *'6 $?
A. Aterine heiht
B. Eestational ae of prenancy
C. "=etal position
*5. What can you determine in obstetric examination on the =i. *'6 $?
A. Aterine heiht
C. "=etal lie
-3. What can you determine in obstetric examination on the =i. *'6 &?
A. Aterine heiht
C. =etal lie
#. "=etal presentation
-1. What can you determine in obstetric examination on the =i. *'6 *?
A. Aterine heiht
C. =etal lie
!. "=etal head station
-$. Which fetal head station is present on the =i. *5?
A. "=etal head above pelvic inlet
B. =etal head fixed to the pelvic inlet
C. @mall sement of the fetal head on the pelvic inlet
!. Lare sement of the fetal head on the pelvic inlet
#. =etal head on the pelvic outlet
-&. Which fetal head station is present on the =i. -3?
A. =etal head above pelvic inlet
C. "@mall sement of the fetal head on the pelvic inlet
-*. Which fetal head station is present on the =i. -1?
!. "Lare sement of the fetal head on the pelvic inlet
--. Which fetal head station is present on the =i. -$6 1?
B. "=etal head fixed to the pelvic inlet
-+. Which fetal head station is present on the =i. -$6 $?
C. "@mall sement of the fetal head on the pelvic inlet
-1. Which fetal head station is present on the =i. -$6 &?
!. "Lare sement of the fetal head on the pelvic inlet
-'. Which fetal head station is present on the =i. -$6 *?
A. @mall sement of the fetal head on the pelvic inlet
B. Lare sement of the fetal head on the pelvic inlet
C. "=etal head on the plane of reatest dimension
!. =etal head on the midpelvis
-5. Which fetal head station is present on the =i. -$6 -?
C. =etal head on the plane of reatest dimension
!. "=etal head on the midpelvis
+3. Which fetal head station is present on the =i. -$6 +?
C. =etal head on the plane of reatest dimension
!. =etal head on the midpelvis
#. "=etal head on the pelvic outlet
+1. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 1
A. "Lonitudinal lie6 cephalic presentation6 left sided anterior
B. Lonitudinal lie6 cephalic presentation6 riht sided anterior
C. Lonitudinal lie6 cephalic presentation6 left sided posterior
!. Lonitudinal lie6 breech presentation6 left sided posterior
#. Lonitudinal lie6 breech presentation6 left sided anterior
+$. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 $
A. Lonitudinal lie6 cephalic presentation6 left sided anterior
C. "Lonitudinal lie6 cephalic presentation6 left sided posterior
+&. Choose the dianosis for the best fetal heart rate auscultation on the =i. -'6 &
A. Lonitudinal lie6 cephalic presentation6 left sided anterior
B. "Lonitudinal lie6 cephalic presentation6 riht sided anterior
+*. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 *
A. "Lonitudinal lie6 cephalic presentation6 riht sided posterior
#. Lonitudinal lie6 breech presentation6 riht sided anterior
+-. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 -
A. "Lonitudinal lie6 breech presentation6 left sided anterior
++. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 +
A. Lonitudinal lie6 breech presentation6 left sided anterior
!. "Lonitudinal lie6 breech presentation6 left sided posterior
+1. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 1
#. "Lonitudinal lie6 breech presentation6 riht sided anterior
+'. Choose the dianosis for the best fetal heart rate auscultation on the =i. 1*6 '
B. "Lonitudinal lie6 breech presentation6 riht sided posterior
+5. Choose the correct dianosis of the 1 picture on the =i. -&
A. "Transverse lie6 left position6 anterior variety
B. Transverse lie6 riht position6 anterior variety
C. Lonitudinal lie6 riht position6 anterior variety
!. Gbli9ue lie6 riht position6 anterior variety
#. Gbli9ue lie6 left position6 anterior variety
13. Choose the correct dianosis of the $ picture on the =i. -&
A. Transverse lie6 left position6 anterior variety
B. "Transverse lie6 riht position6 posterior variety
C. Lonitudinal lie6 riht position6 anterior variety
!. Gbli9ue lie6 riht position6 anterior variety
11. Which type of breech presentation is present on the =i. -*6 1?
A. Complete
B. "=ran%
C. Complete %nee(lin%
!. ,ncomplete foot(lin%
#. Complete foot(lin%
1$. Which type of breech presentation is present on the =i. -*6 $?
A. "Complete
B. =ran%
1&. Which type of breech presentation is present on the =i. -*6 &?
A. Complete
B. =ran%
#. "Complete foot(lin%
1*. Which type of breech presentation is present on the =i. -*6 *?
A. Complete
B. =ran%
!. ",ncomplete foot(lin%
1-. Which moment of biomechanism of labor is sho)n on the =i. --?
A. "=lexion of the fetal head
B. ,nternal rotation of the fetal head
C. #xtension of the fetal head
!. #xternal rotation of the fetal head and internal rotation of the fetal body
#. Additional flexion of the fetal head
1+. Which moment of biomechanism of labor is sho)n on the =i. -+?
A. "=lexion of the fetal head
11. !elivery at )hich presentation is present on the =i. -1?
A. Bertex presentation anterior
B. Bro) presentation
C. =ace presentation anterior
!. @inciput vertex
#. "Bertex presentation posterior
1'. ,n )hich diameter the true pelvis does the saittal suture of the fetal fetal head is located in the =i. -'?
A. Iiht obli9ue si:e of the pelvic inlet
B. Left obli9ue si:e of the pelvic inlet
C. Anteroposterior diameter of the pelvis inlet
!. "Anteroposterior diameter of the pelvis outlet
#. Transverse diameter of the pelvis inlet
15. Which bimechanism of labor at vertex posterior presentation is present on the =i. -5?
A. =lexion of the fetal head
B. Additional flexion of the fetal head
C. ,nternal rotation of the fetal head
!. #xternal rotation of the fetal head
#. #xtension of the fetal head
'3. Which moment of biomechanism of labor is sho)n on the =i. +3?
C. "#xtension of the fetal head
'1. Which bimechanism of labor at vertex posterior presentation is present on the =i. +1?
B. "Additional flexion of the fetal head
C. ,nternal rotation of the fetal head
!. #xternal rotation of the fetal head
#. !elivery of shoulders
'$. !elivery at )hich presentation is present on the =i. +$?
A. Bertex presentation
C. "=ace presentation anterior
!. @inciput vertex
#. =ace presentation posterior
'&. !elivery at )hich presentation is present on the =i. $-?
A. Bertex presentation
C. =ace presentation anterior
!. @inciput vertex
#. "=ace presentation posterior
'*. Which moment of biomechanism of labor is sho)n on the =i. +&?
!. "#xternal rotation of the fetal head and internal rotation of the fetal body
'-. Which perineal protective maneuver is recommended in situation )hich is present on the =i. +*?
A. <revention of the preterm fetal head extension
B. ,ncreasin of the vainal openin
C. "Ieulation of the pushin efforts
!. !elivery of the fetal head
#. !elivery of the shoulders
'+. Which perineal protective maneuver is recommended in situation )hich is present on the =i. +-?
C. Ieulation of the pushin efforts
#. "!elivery of the shoulders
'1. Which perineal protective maneuver is present on the =i. ++ and performed by left hand?
A. "<revention of the preterm fetal head extension
#. !elivery of the shoulders
''. Which perineal protective maneuver is present on the =i. +1?
#. "!elivery of the shoulders
'5. Which perineal protective maneuver is sho)n on the =i. $+ and performed by riht hand?
#. "!ecreasin of perineal tension
53. 2o) do you called the method of chec%in placenta separation )hich is present on the =i. +'?
A. Abuladse
B. 2enter
C. Crede(La:arevich
!. @neurov.
#. "Chu%alov(?ustner.
51. Which method of placental delivery is sho)n in the =i. $1?
A. "Abuladse
B. 2enter
C. Crede(La:arevich
!. Leopold
#. 2ehar
5$. Which method of placental delivery is sho)n in the =i. $'?
A. Abuladse
B. 2enter
C. "Crede(La:arevich
!. Leopold
#. 2ehar
5&. 2o) do you called the distance 1 )hich is present on the =i. $5?
A. Anatomical con0uate
B. "Gbstetric con0uate
C. Anteroposterior diameter of the plane of reatest dimension
!. Anteroposterior diameter of the midpelvis
#. Anteroposterior diameter of the pelvic outlet
5*. 2o) do you called the distance $ )hich is present on the =i. $5?
B. Gbstetric con0uate
C. "!iaonal con0uate
5-. 2o) do you called the distance & )hich is present on the =i. $5?
A. "Anteroposterior diameter of the plane of reatest dimension
C. !iaonal con0uate
5+. 2o) do you called the distance * )hich is present on the =i. $5?
A. Anteroposterior diameter of the plane of reatest dimension
C. !iaonal con0uate
!. "Anteroposterior diameter of the midpelvis
51. 2o) do you called the distance - )hich is present on the =i. $5?
A. Anteroposterior diameter of the plane of reatest dimension
C. !iaonal con0uate
#. "Anteroposterior diameter of the pelvic outlet
5'. 2o) much centimeters in normal pelvis doest the distance 1 )hich is present on the =i. $5 have?
A. 5cm
B. 13cm
C. "11cm
!. 1$6- C 1&cm
#. 1&6 -( 1*cm
55. 2o) much centimeters in normal pelvis doest the distance $ )hich is present on the =i. $5 have?
A. 5cm
B. 13cm
C. 11cm
!. "1$6- C 1&cm
#. 1&6 -( 1*cm
133. 2o) much centimeters in normal pelvis doest the distance & )hich is present on the =i. $5 have?
A. 5cm
B. 13cm
C. 11cm
!. "1$6-cm
#. 1&6 -cm
131. 2o) much centimeters in normal pelvis doest the distance * )hich is present on the =i. $5 have?
A. 5cm
B. 13cm
C. "11 C 116 -cm
!. 1$6-cm
#. 1&6 -cm
13$. 2o) much centimeters in normal pelvis doest the distance - )hich is present on the =i. $5 have?
A. 'm
B. "56 -( 11cm
C. 1$m
!. 1&m
#. 1&6 -cm
13&. Which diameter of the true pelvis is estimated on the =i. &3?
C. "!iaonal con0uate
13*. 2o) much centimeters in normal pelvis doest the con0uate )hich is present on the =i. &3 have?
A. 5cm
B. 13cm
C. 11cm
!. "1$6- C 1&cm
#. 1&6 -( 1*cm
13-. Which structure 1 of the fetal head is present on the =i. &1?
A. Anterior fontanel
B. <osterior fontanel
C. @aital suture
!. =rontal suture
#. "Lambdoid suture
13+. Which structure $ of the fetal head is present on the =i. &1?
B. "<osterior fontanel
C. @aital suture
!. =rontal suture
#. Lambdoid suture
131. Which structure & of the fetal head is present on the =i. &1?
B. <osterior fontanel
C. "@aital suture
!. =rontal suture
#. Lambdoid suture
13'. Which structure * of the fetal head is present on the =i. &1?
B. "Coronal suture
C. @aital suture
!. =rontal suture
#. Lambdoid suture
135. Which structure - of the fetal head is present on the =i. &1?
B. Coronal suture
C. @aital suture
!. "=rontal suture
#. Lambdoid suture
113. Which structure + of the fetal head is present on the =i. &1?
A. "Anterior fontanel
B. Coronal suture
C. @aital suture
!. <osterior fontanel
#. Lambdoid suture
111. Which diameter 1 of the fetal head is present on the =i. &1?
A. Bitemporal
B. Coronar suture
C. @aital suture
!. "Biparietal
#. Lambdoid suture
11$. Which diameter ' of the fetal head is present on the =i. &1?
A. Bitemporal
B. Coronar suture
C. @aital suture
!. "Biparietal
#. Lambdoid suture
11&. 2o) much centimeters doest the diameter 1 )hich is present on the =i. &1 have?
A. "5 ( 56-cm
B. 13cm
C. 11cm
!. 1$6- C 1&cm
#. 1&6 -( 1*cm
11*. 2o) much centimeters doest the diameter ' )hich is present on the =i. &1 have?
A. 5 ( 56-cm
B. 13cm
C. 11cm
!. "'cm
#. 1&6 -( 1*cm
11-. Which diameter of the fetal head 1 is present on the =i. &$?
A. @uboccipito(brematicus
B. @uboccipito C frontalis
C. =ronto(occipitalis
!. Berticalis
#. "/ento(occipitallis
11+. Which diameter of the fetal head $ is present on the =i. &$?
C. "=ronto(occipitalis
!. Berticalis
#. /ento(occipitallis
111. Which diameter of the fetal head & is present on the =i. &$?
A. "@uboccipito(brematicus
!. Berticalis
11'. Which diameter of the fetal head * is present on the =i. &$?
B. "@uboccipito C frontalis
!. Berticalis
115. Which diameter of the fetal head - is present on the =i. &$?
!. "Berticalis
1$3. Which structure + of the fetal head is present on the =i. &$?
A. "Temporal suture
B. Coronal suture
C. @aital suture
!. =rontal suture
#. Lambdoid suture
1$1. Which structure 1 of the fetal head is present on the =i. &$?
A. Temporal suture
B. Coronal suture
C. @aital suture
!. =rontal suture
#. "Lambdoid suture
1$$. Which structure ' of the fetal head is present on the =i. &$?
A. Temporal suture
B. "Coronal suture
C. @aital suture
!. =rontal suture
#. Lambdoid suture
1$&. 2o) much centimeters doest the diameter 1 of the fetal head )hich is present on the =i. &$ have?
A. 56-cm
B. 13cm
C. 11cm
!. 1$cm
#. "1& C 1&6-cm
1$*. 2o) much centimeters doest the diameter $ of the fetal head )hich is present on the =i. &$ have?
A. 56-cm
B. 13cm
C. 11cm
!. "1$cm
#. 1& C 1&6-cm
1$-. 2o) much centimeters doest the diameter & of the fetal head )hich is present on the =i. &$ have?
A. "56-cm
B. 13cm
C. 11cm
!. 1$cm
#. 1& C 1&6-cm
1$+. 2o) much centimeters doest the diameter * of the fetal head )hich is present on the =i. &$ have?
A. 56-cm
B. "13cm
C. 11cm
!. 1$cm
#. 1& C 1&6-cm
1$1. 2o) much centimeters doest the diameter - of the fetal head )hich is present on the =i. &$ have?
A. "56-cm
B. 13cm
C. 11cm
!. 1$cm
#. 1& C 1&6-cm
1$'. 2o) much centimeters doest the diameter 1 of the fetal body )hich is present on the =i. && have?
A. &-cm
B. &+cm
C. &1cm
!. &'cm
#. "&5(*1cm
1$5. 2o) much centimeters doest the diameter $ of the fetal body )hich is present on the =i. && have?
A. $'cm
B. $5cm
C. &3cm
!. &1cm
#. "&$cm
1&3. All of the belo) are the main sins of placenta abruption )hich present on the =i. ** #;C#<T7
A. "<ainless bleedin
B. <ainful bleedin
C. ,ncreasin of uterine tone
!. =etal distress
#. @ins of reproplacental hematoma in ultrasonoraphy
1&1. The patholoy )hich is present on the =i. *- the most common reason of hemorrhae in7
A. =irst half of prenancy
B. @econd half of prenancy
C. "<lacental stae of labor
!. #arly postpartum period
#. Late postpartum period
1&$. 2o) do you called the instrument )hich is mar%ed on the =i. &*6 1?
A. 2ehar dilator
B. Aterine sound
C. Ietractor
!. "@ims speculum
#. Aterine curette
1&&. 2o) do you called the instrument )hich is mar%ed on the =i. &*6 $?
A. "2ehar dilator
B. Aterine sound
C. Ietractor
!. @ims speculum
#. Aterine curette
1&*. 2o) do you called the instrument )hich is mar%ed on the =i. &*6 &?
A. 2ehar dilator
B. Aterine sound
C. "Tenaculum
!. @ims speculum
#. Aterine curette
1&-. 2o) do you called the instrument )hich is mar%ed on the =i. &*6 *?
A. "Aterine curette
B. Aterine sound
C. Tenaculum
!. @ims speculum
#. Aterine curette
1&+. 2o) do you called the operation )hich is presented on the =i. &*6 *?
A. "Aterine curettae
B. Aterine soundin
C. Culdocentesis
!. 2ysterectomy
#. Aterine aspiration

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