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Obstetrics and Gynecology Quiz

Total questions: 49

Worksheet time: 8mins

Name
Class
Date
1.

What is the recommended antenatal corticosteroid for fetal lung maturity in preterm labor before 34 weeks AOG?

a)

Hydrocortisone

b)

Prednisone

c)

Betamethasone

d)

Dexamethasone

2.

According to the Philippine Obstetrical and Gynecological Society (POGS), how many antenatal visits are recommended for a low-risk pregnancy?

a)

4

b)

6

c)

8

d)

10

3.

In eclampsia management, what is the preferred anticonvulsant?

a)

Diazepam

b)

Phenytoin

c)

Lorazepam

d)

Magnesium sulfate

4.

Which of the following is NOT a criterion for expectant management in preterm premature rupture of membranes (PPROM)?

a)

No signs of infection

b)

Gestational age <34 weeks

c)

Presence of labor

d)

Reassuring fetal status

5.

Which HPV types are most commonly associated with cervical cancer?

a)

6 and 11

b)

16 and 18

c)

31 and 33

d)

42 and 45

6.

True or False: In the Philippines, maternal mortality remains primarily due to hemorrhage and hypertensive disorders of pregnancy.

a)

True

b)

False

7.

True or False: Vaginal breech delivery is contraindicated in all cases.

a)

True

b)

False

8.

True or False: Preeclampsia may occur postpartum even if the woman had a normotensive pregnancy.

a)

True

b)

False

9.

A 26-year-old G1P0 at 32 weeks presents with BP 160/100 mmHg, 2+ proteinuria, and headache. What is the most appropriate initial management?

a)

Start antihypertensives and discharge

b)

Observe and recheck BP in 4 hours

c)

Admit, start magnesium sulfate, monitor labs

d)

Immediate delivery

10.

A 30-year-old woman has postcoital bleeding. Pap smear shows HSIL. What is the next best step?

a)

Repeat Pap in 6 months

b)

HPV DNA testing

c)

Immediate cryotherapy

d)

Colposcopic evaluation and biopsy

11.

Under the Philippine DOH AO 2017-0014, which services are included in the Package for Women of Reproductive Age (WRA)?

a)

Pap smear, breast exam, FP counseling

b)

Ultrasound, dilation & curettage, hysterectomy

c)

HIV test, mammogram, elective CS

d)

None of the above

12.

What is the legal age of consent for sexual intercourse in the Philippines (as amended in 2022)?

a)

12

b)

14

c)

16

d)

18

13.

What is the most specific sign of uterine rupture?

a)

Sudden hypotension

b)

Vaginal bleeding

c)

Loss of fetal station

d)

Abdominal pain

14.

A woman on oxytocin has 6 contractions in 10 minutes lasting 90 seconds each, with late decelerations. What is the diagnosis?

a)

Normal labor

b)

Tachysystole with FHR abnormality

c)

Uterine atony

d)

Cord prolapse

15.

The Philippine DHS 2022 reported that what percentage of women received four or more antenatal visits?

a)

93%

b)

86%

c)

83%

d)

75%

16.

Which top cause of maternal death in the Philippines contributes to ~31% of cases?

a)

Hemorrhage

b)

Puerperal infection

c)

Hypertensive disorders

d)

Sepsis

17.

The maternal mortality ratio (MMR) in the Philippines for 2021 was approximately:

a)

78.2 per 100 000 live births

b)

120

c)

189

d)

240

18.

According to DOH administrative reforms under UHC, which is NOT included in the MNCHN core package?

a)

Delivery by skilled attendant

b)

Immediate cord clamping

c)

Iron/folate supplements in prepregnancy

d)

Postpartum family planning counseling

19.

According to WHO 2025 data, which represents ~16% of global maternal deaths?

a)

Abortionrelated

b)

Hypertensive disorders

c)

Embolism

d)

Hemorrhage

20.

A 37-year-old G3P2 with chronic hypertension on labetalol presents at 36 weeks with BP 170/105. Best next step?

a)

Outpatient oral hydralazine

b)

Immediate MgSO₄ + antihypertensive and consider delivery

c)

Observe only

d)

Admit but defer treatment

21.

A 28-year-old with unvaccinated tetanus-prone wound after C-section: administer?

a)

Toxoid only

b)

Equine antitoxin only

c)

Toxoid + human TIG

d)

None needed

22.

A 35-year-old with Hb 8 g/dL at 28 weeks (iron deficiency). Which supplementation regimen?

a)

Iron + folate daily

b)

Iron weekly only

c)

Folic acid alone

d)

No supplements

23.

Within UHC-focused Primary Care reforms, postpartum care includes:

a)

Only neonatal vaccination

b)

Maternal check for bleeding/infection + family planning counseling

c)

Surgical follow-up only

24.

In oxytocin-induced tachysystole (>5 contractions in 10 min) with late decelerations, best intervention?

a)

Increase infusion

b)

Stop oxytocin, reposition mother, give oxygen

c)

Administer terbutaline

d)

Continue as usual

25.

Preferred treatment for severe postpartum hemorrhage unresponsive to uterotonics?

4 lines
26.

Best prophylaxis for Rh-negative mother after vaginal delivery of Rh-positive baby?

4 lines
27.

What is the first-line treatment for bacterial vaginosis in a non-pregnant woman?

a)

Clindamycin cream

b)

Oral metronidazole

c)

Fluconazole

d)

Doxycycline

28.

In a 28-week gestation patient with a short cervix (<25 mm), the recommended intervention is:

a)

Tocolytics

b)

Cerclage

c)

Vaginal progesterone

d)

C-section

29.

What is the most common chromosomal abnormality associated with first-trimester miscarriage?

a)

Turner syndrome

b)

Trisomy 13

c)

Trisomy 21

d)

Trisomy 16

30.

Which antihypertensive is contraindicated in pregnancy?

a)

Labetalol

b)

Hydralazine

c)

Nifedipine

d)

ACE inhibitors

31.

What is the most specific marker for ovarian reserve?

a)

FSH

b)

AMH

c)

Estradiol

d)

Inhibin B

32.

The most appropriate treatment for asymptomatic bacteriuria in pregnancy is:

a)

Ciprofloxacin

b)

Trimethoprim-sulfamethoxazole

c)

Nitrofurantoin

d)

No treatment needed

33.

First-line imaging modality for evaluating uterine fibroids is:

a)

CT scan

b)

MRI

c)

Hysteroscopy

d)

Transvaginal ultrasound

34.

Best initial management for shoulder dystocia is:

a)

Suprapubic pressure and McRoberts maneuver

b)

Fundal pressure

c)

Emergency cesarean

d)

Delivery of posterior arm

35.

The first-line agent for postpartum hemorrhage due to uterine atony is:

a)

Misoprostol

b)

Tranexamic acid

c)

Methylergometrine

d)

Oxytocin

36.

What is the most common site of endometriosis?

a)

Ovaries

b)

Uterine serosa

c)

Bowel

d)

Lungs

37.

Which principle is being observed when a patient declines recommended surgery after informed consent?

4 lines
38.

A physician disclosing HIV status of a patient without consent violates which principle?

4 lines
39.

Which hormone is responsible for ovulation in the menstrual cycle?

4 lines
40.

Which of the following is teratogenic in pregnancy?

a)

Labetalol

b)

Phenytoin

c)

Levothyroxine

d)

Acetaminophen

41.

Chorionic villus sampling is typically performed at:

4 lines
42.

A positive nitrazine test in suspected PROM will turn the paper:

4 lines
43.

Elevated alpha-fetoprotein (AFP) in maternal serum is associated with:

4 lines
44.

The most common cause of postpartum hemorrhage is:

4 lines
45.

Best management of a complete breech at term in a primigravida is:

4 lines
46.

Most common histologic subtype of endometrial cancer:

4 lines
47.

Which of the following is protective against ovarian cancer?

a)

Nulliparity

b)

Oral contraceptives

c)

Early menarche

d)

BRCA1 mutation

48.

The hallmark symptom of polycystic ovarian syndrome (PCOS) is:

4 lines
49.

A 28-year-old with 6 months of infertility and regular cycles - best next step?

4 lines