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1. Regarding pre-eclampsia, All the following statements are correct

except
a. Presence of proteinuria indicates glomerular involvement
b. Serum urate level has no prognostic value to fetal outcome
c. Proteinuria alone is indicative of hypertensive disorder of
pregnancy
d. Raised liver enzymes is an indication to terminate the pregnancy
e. The presence of antiphosphospholipid antibodies is increased in
early onset preeclampsia
2. Regarding hypertensive disorders of pregnancy, All the following
statements are correct except
a. Patients who develop hypertension during pregnancy are at risk
of developing hypertension later in life
b. The fetal outcome in mildly hypertensive non- proteinuric women
is almost similar to normotensive nonproteinuric women
c. The maternal mortality is about 3% n eclamptic women
d. The pregnancy out come in chronic hypertensive patients with
superimposed pre- eclampsia is better than in nulli para with preeclampsia
e. Prematurity is the commonest cause of fetal loss in pre-eclampsia
3. in diabetic pregnancy fetal hyperinsulinaemia causes increased
growth in AII the following fetal tissues except:
a. Heart
b. liver
c. subcutaneous fat
d. brain
e. muscle
4. Regarding maternal physiological changes in pregnancy, AII the
following statements are correct except
a. Glomerular filtration rate increases by 50%
b. Plasma volume increases by 40%
c. Decrease in peripheral resistance
d. Decrease in endogenous insulin production
e. Increase in blood cell mass by 18%
5. Regarding preeclampsia, only one of the following statements is
correct
a. In mild disease headache is a usual complaint
b. Systemic pathological changes follow the appearance of
hypertension
c. Thrombocytopenia is a usual finding in pre-eclampsia
d. The commonest cause of fetal loss is intrauterine growth
restriction
e. The distinctive renal lesion is Glomerular endotheliosis

6. Regarding preeclampsia, AII the following statements are correct

except
a. Severe hypertension without proteinuria is diagnosed as
preeclampsia
b. Hospitalization is necessary even in mild cases
c. Induction of labor is the treatment of choice for pre eclamptics at
37 weeks gestation or greater
d. Antihypertensive agent is recommended if the blood pressure
exceeds 160/100
e. Anticonvulsant treatment is recommended in all patients with
severe preeclampsia
7. Regarding hypertensive disorders of pregnancy, All the following
statements are correct except
a. Fetuses of chronically hypertensive women are at greater risk of
intrauterine growth restriction than those of preeclamptic women
b. The fetal outcome in mildly hypertensive women is almost as
good as in normotensive women
c. Preeclamptic women are at greater risk of abruptio placentae
than the chronically hypertensive
d. In a chronically hypertensive, the dose of the hypotensive drug
may need to be reduced in the first twotrimesters of pregnancy
e. Women with pregnancy induced hypertansion are at greater risk
of developing hlpertension later in life thanpreeclamptic women
8. Regarding biochemical changes in pregnancy, AII the following
statements are correct except
a. Increased serum alkaline phosphatase
b. Increase in bile cholesterol concentration
c. PT& PTT are prolonged
d. Serum amylase levels are increased
e. Increased serum triglycerides
9. All the following conditions are associated with transverse lie
EXCEPT
a. Prematurity
b. Multiparity
c. Placenta previa
d. Multiple pregnancies
e. Fundal fibroid
10. Regarding Rhesus isoimmunization, All the following
statements are correct excepta.
Tends to become less severe in successive pregnancies
b Most commonly follows failure to give prophylaxis
c All Rhesus negative people have o'd" in each half of the genotype
d Anti D imuoglobulun 500 IU (100ug) can eliminate up to 5ml of RhD positive blood from the maternalcirculation

e Whittfield action line and lilely's chart are useful in the

management of isoimmunized cases
11. Regarding prevention of rhesus isommunization, All the
following statements are correct except:
a. Giving anti D to rhesus negative women, within 72 hours of
delivery of rhesus positive child
!. Giving anti D to rhesus negative women, who are known to have
rhesus antibodies, within 24hours of delivery
c. Giving anti D to rhesus negative women, following termination of
pregnancy, even if the father is
heterozygous Rhesus positive
d. Giving anti D to Rhesus negative women following an external
cephalic version.
e. Giving anti D to Rhesus negative women at 28 weeks and34
weeks of pregnancy
12. Regarding ectopic pregnancy, All the following statements are
correct except
a. Over 95% of patients complain of abdominal pain
b. All patients give history of amenorrhea or irregular vaginal
bleeding
c. Arias - stella reaction is characteristic
d. It can be excluded with negative beta HCG
e. Urinary pregnancy test is positive in 50% of cases
13. Regarding Trisomies, Only one of the following statements is
correct
a. Is one of the most important sex chromosome abnormalities
b. Over 90%o arise from non-disjunction
c. May result from unbalanced translocations
d. May give rise to fragile x -syndrome
e. The incidence increases with increasing patemal age
14. A raised maternal serum AFP may be associated with the
following except
a. Turner syndrome
b. Down syndrome
c. Threatened abortion
d. Exomphalos
e. Anencephaly
15. Regarding patients with clinical diabetes, only one of the
following statements is correct
a. The infant of diabetic mother has increased risk of hlperglycemia
b. The glycolated Hb level should be kept below 10 after conception
c. Fetal cleft palate is characteristic in diabetic patients
d. Retinopathy is a contraindication to pregnancy

e. There is increased incidence of polycythemia in the newborns of

diabetic mothers
16. Regarding gestational diabetes only one of the following
statements is correct
a. The incidence of macrosomia is not increased
b. Oral GTT is not required after purpuirium
c .Insulin should be considered if pre-prandial glucose level persists
above 6 mmol/lit
d. Insulin is usually required after delivery
e. Glugosuria presence is highly suggestive of diabetes
17. Regarding fetal growth assessment, only one of the following
statements is correct
a. A significant fall in perinatal mortality occur when fetal abdominal
circumference measurement is carried out at 28 weeks
b. A serial symphysis - fundal height measurement detect 60Yo of
growth restricted fetuses
c. Antenatal cardiotocograph is most important factor in determining
timing of delivery
d. Fetal lung maturity is best assessed by fetal breathing movement
e. Most small for gestational age fetuses are growth restricted