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maternal near miss

Total questions: 38

Worksheet time: 29mins

Name
Class
Date
1.

Another name of maternal near miss

a)

Maternal death

b)

Severe Acute Maternal Moratlity

c)

Perinatal Death

d)

Obstetrical emergencies

2.

Current maternal mortality rate is:

a)

a)     99/10000

b)

b)    113/100000

c)

c)     125/100000

d)

d)    150/100000

3.

Which condition likely to fall in maternal near miss

a)

A.    Molar pregnancy

b)

B.    Postpartum hemorrhage

c)

C.    Hyperemesis gravidarum

d)

D.    Mild anemia

4.

A condition of pregnancy causing high blood pressure, proteinuria and seizures is

a)

Preeclampsia

b)

Eclampsia

c)

    Headache    

d)

Disturbed vision

5.

In which type of eclampsia, convulsion occur before the onset of labor.

a)

Antepartum eclampsia

b)

Intrapartum eclampsia

c)

Postpartum eclampsia

d)

Intercurrent eclampsia

6.

In which stage of the eclampsia, twitching of facial, tongue, hand and feet and muscles occur

a)

Premonitory stage

b)

Tonic stage

c)

Clonic stage

d)

Stage of coma

7.

In which type of eclampsia, Eclampsia occurring before 20th week of pregnancy or more than 48 hours

a)

Intrapartum eclampsia

b)

Postpartum eclampsia

c)

Intercurrent eclampsia

d)

Atypical eclampsia

8.

which is the serious condition of the eclampsia in which repeated convulsions occur one after the other

a)

   Stage of coma

b)

  Status eclampticus

c)

Tonic stage

d)

Clonic stage

9.

Eclampsia is a rare disease that can develop during pregnancy

a)

True

b)

False

10.

Alarming symptoms of eclampsia are Except

a)

  Headache

b)

Disturbed sleep

c)

Diminished urine output

d)

Abdominal pain

11.

Drugs that are used to treat eclampsia are

a)

  Anticonvulsant agents

b)

Antihypertensive drugs

c)

  Diuretics

d)

Tocolytics

12.

Drug of choice to treat convulsions associated with eclampsia is

a)

a.     MgSO4

b)

b.     Phenytoin

c)

c.     Diazepam

d)

d.     Levodopa

13.

Loading dose of the MgSO4 according to Pritchard Regime is

a)

a.     4g MgSO4 (20ml of a 20% solution) slowly IV (2-3 minutes)

b)

b.     4g MgSO4 (20ml of a 20% solution) slowly IV (3-5 minutes)

c)

c.     5g MgSO4 (20ml of a 20% solution) slowly IV (2-3 minutes)

d)

d.     5g MgSO4 (20ml of a 20% solution) slowly IV (3-5 minutes)

14.

Eclampsia is a severe complication of: ­­­­­­­­

a)

Preeclampsia

b)

Gestational Diabetes

c)

Thromboembolism

d)

Gestational hypertension

15.

Earliest sign of Magnesium toxicity is:

a)

a.     Deep tendon reflexe

b)

b.     Depresssion of patellar reflex

c)

c.     Respiratory Depression

d)

d.     Cardiac arrest

16.

Respiratory depression occurs with serum level of

a)

a.     10-12 mEq/L

b)

b.     15-18 mEq/L

c)

c.     22-27 mEq/L

d)

d.     30-35 mEq/L

17.

Dose of Calcium gluconate in case of Magnesium sulphate toxicity.

a)

a.     1gm IV over 1 minutes

b)

b.     1gm IV over 2 minutes

c)

c.     1gm IV over 3 minutes

d)

d.     1gm IV over 4minutes

18.

Complication of the third stage of labour is:

a)

a)     Uterus rupture

b)

b)    Puerperal infection

c)

c)     Postpartum hemorrhage

d)

d)    Placenta previa

19.

Primary PPH is

a)

a)    Hemorrhage occurs within 24 hours following the birth of the baby

b)

b)    Hemorrhage occurs beyond 24 hours and within puerperium

c)

c)     Bleeding occurs after 28 weeks but before the onset of labour pain

d)

d)    Bleeding occurs at any time during pregnancy

20.

Most common cause of secondary PPH is

a)

a)    Infection

b)

b)   Retained products of conception

c)

c)    Coagulation defects

d)

d)   Estrogen therapy for lactation suppression

21.

Which of the following condition can place a client at risk for development of postpartum hemorrhage:

a)

a)    Twin pregnancy

b)

b)    Breech pregnancy

c)

c)     Premature rupture of membrane

d)

d) Caesarean delivery

22.

FIGO recommended dose of misoprostol for PPH prevention is:

a)

a)   600μg orally

b)

b)   600μg sublingual

c)

c)    800μg orally

d)

d) 800μg rectally

23.

As per WHO 2017 recommendation, the latest addition in prevention of PPH is

a)

a)    Late cord clamping is recommended for all birth

b)

b)   Inj. Ergometrine should be given IV

c)

c)    Inj. Oxytocin should be given only IV

d)

d)   Inj. tranexamic acid should be given IV

24.

Inj. Carbetocin dose for PPH is

a)

a)   100 microgram IM

b)

b)   50 microgram IV

c)

c)    150 microgram IV

d)

d)   250 mcg IM

25.

III step for management of atonic uterus Is

a)

a) IV Calcium gluconate

b)

b) Uterine massage and bimanual compression

c)

c) Balloon tamponade

d)

d) Per Rectal PGE1

26.

The max dose of PGF2 alpha that can be used in PPH is

a)

a)    0.25 mg

b)

b)   2 mg

c)

c)    20 mg

d)

d)   200 mg

27.

The capacity of balloon tamponade to arrest PPH is

a)

a)    100-300 ml

b)

b)   300-500 ml

c)

c)    500-700 ml

d)

d)   650-850 ml

28.

The mechanical method of management of massive PPH is all except

a)

a)   Shivkar’s pack

b)

b)   uterine and ovarian artery ligation

c)

c)    Gunshella suture

d)

d) Hysterectomy

29.

Which solution is given first to a woman suffering from massive PPH?

a)

a)    Colloids

b)

b)   Crystalloids

c)

c)    Blood

d)

d)   Packed Cell

30.

Identify the instrument used for prevention of PPH

a)

a)   Bakri balloon

b)

b)   intraamniotic saline instillation

c)

c)    Sengstaken Blakemore tube

d)

d)   condom catheter

31.

Identify the suture used in the management of PPH

a)

a)   B-Lynch suture

b)

b)   Hayman suture

c)

c)    Cho square suture

d)

d)   Shirodkar’s suture

32.

Expulsion or extraction, an embryo or fetus of 500 or less or 22 weeks of gestation or less is called _____________

 

a)

a)     IUD

b)

b)    IUGR

c)

c)     Still birth

d)

d)    Abortion

33.

Type of abortion in which process of abortion has started, but not progressed to a state from which recovery is impossible is known as _______________

a)

a)    Inevitable abortion

b)

b)    Threatened abortion

c)

c)     Missed abortion

d)

d)    Septic abortion

34.

Most common cause of first trimester abortion is:

a)

a)    Chromosomal abnormalities

b)

b)   Syphilis

c)

c)    Rhesus isoimmunization

d)

d)   Cervical incompetence

35.

Successful regimen for medical termination of pregnancy in the first trimester is

a)

a.    Misoprostol

b)

b.    Mifepristone

c)

c.    RU 486

d)

d.    Misoprostol & Mifepristone

36.

Ideal method for termination of pregnancy at 16 weeks is :

a)

a)    Suction curettage

b)

b)    Hysterotomy

c)

c)     Extra amniotic ethacridine

d)

d)    High vaginal insertion of Dinoprostone gel

37.

Concept of MTP Act was put forward in ___________

a)

a)     1970

b)

b)    1971

c)

c)     1972

d)

d)    1973

38.

Which blood group notifying has highest incidence of abortion:

a)

a)     Husband blood group A & wife blood group O

b)

b)    Husband blood group O & wife blood group A

c)

c)     Husband blood group A & wife blood group B

d)

d)    Husband blood group B & wife blood group A