Tests for forth-cours English- speaking stud
ents of Obstetrics «Module 1»
1.The interspinal diameter is normally about
0
A 26- 27 cm
1
B
25- 26 cm
C
24- 25 cm
0
0
D 27- 28 cm
0
E 16- 17 cm
#
2. The intercristal diameter is about
0
A 25-26 cm
0
B 26- 27 cm
1
C 28- 29 cm
0
D 30- 32 cm
E 18-19 cm
#
3.The intertrohanter diameter is about
0
A 25- 26 cm
0
B 26- 27 cm
0
C 27- 28 cm
1
D 30- 32 cm
0
E
20-21 cm
#
4. The external conjugate is about
1
A 20- 21 cm
0
B 18- 19 cm
0
C 23- 25 cm
0
D 27- 28 cm
0
E 12-13 cm
#
5. The obstetrics conjugate is about
0
A 8 cm
0
B 10 cm
1
C 11 cm
0
D 13 cm
0
E 17 cm
#
6. The small oblique diameter the head of fetus is about
1
A 9,5 cm
0
B 10 cm
0
C 11 cm
0
D 12 cm
0
E 12,5 cm
#
7.The middle obliqus diameter the head of fetus is about
0
A 9,5 cm
0
B 10 cm
1
C 10,5 cm
0
D 11 cm
0
E 12 cm
#
8.The big obliqus diameter the head of fetus is about
0
A 9,5 cm
0
B 10 cm
1
C 13,5 cm
0
D 11 cm
0
E 12 cm
#
9. The direct diameter the head of fetus is about
0
A 9,5 cm
0
B 10 cm
0
C 13,5 cm
0
D 11 cm
1
E 12 cm
#
10. The vertical diameter the head of fetus is about
1
A 9,5 cm
0
B 10 cm
0
C 13,5 cm
0
D 11 cm
0
E 12 cm
#
11. The first Leopold,s
metod determines the
1
A the height of the uterine fundus standing and detects the part of
the fundus
0
B the lie of the fetus
0
C position of the fetus
0
D kind of the fetus
0
E presentation of the fetus
#
12. The second Leopold,s
metod determines the
0
A the height of the uterine fundus standing and detects the part of
the
fetus,which locates in its fundus.
0
B the lie of the fetus
1
C position of the fetus
0
D kind of the fetus
0
E presentation of the fetus
#
.
13. The third
Leopold,s
metod determines the
0
A the height of the uterine fundus standing and detects the part of
the
fetus,which locates in its fundus.
0
B the lie of the fetus
0
C position of the fetus
0
D kind of the fetus
1
E presentation of the fetus and its relation to the plane of the pelvic
inlet
#
14.The pelvic sizes of a primigravida are : 25-28-31-20 cm . The diagonal
conjugate is 12,5 cm. Determine the type of a pelvic form:
1
A Normal pelvis
0
B Flat rachitic
0
C Justo minor pelvis
0
D Transversally contracted
0.
E Simply flat
#
15.At external examination of pregnant women it was revealed that
longitudinal size of Michaelis rhomboid is 11 cm, transversal - 9 cm. What
is the conjugate vera ?
1
A 11 cm
0
B 13 cm
0
C 15 cm
0
D 8 cm
0
E 10 cm
#
16. A multipara woman had admitted to the hospital at the II stage of
labour.Complete dilation of the uterine os. The amniotic membrane is
absent. The head of the fetus is in plane outlet, saggital suture is plased
closer to symphysis pubis. By that size of the fetal head will the fetus be
born in this presentation?
1
A small oblique
0
B direct
0
C vertical
0
D big transversal
0
E small transversal.
#
17.Which is the first moment of labor mechanism in occipitoanterior
presentation?
0
A the internal rotation of the head
0
B deflexion of the head
0
C flexion of the head
1
D fixation of the head in the pelvic inlet
0
E the external rotation of the head
#
18.Which is the second moment of labor mechanism in occipitoanterior
presentation?
0
A flexion of the head
0
B deflexion of the head
1
C the internal rotation of the head
0
D the internal rotation of the shoulders
0
E the external rotation of the head
#
19.Which is the third moment of labor mechanism in occipitoanterior
presentation?
0
A flexion of the head
1
B fixation of the head under symphysis pubis and diflexion
0
C the internal rotation of the shoulders and external rotation of the
head
0
D extension of the head
0
E the internal rotation of the head
#
20.What is the first point fixation in occipitoanterior presentation?
0
A small fontanelle
0
B anterior fontanelle
1
\
C suboccipital fossa
0
D the anterior margin of the haired part of the head
0
E nose
#
21.If the woman remains nonimmunized and delivers an Rh-positive
fetus,Rh-immine globulin is administered
0
A during 24 hours after labor
0
B during
2 hours after labor
0
C during 10 days after labor
0
D during one month after labor
1
E during 72 hours after labor
#
23. Cephalopelvic disproportion may be diagnosed
0
A at any time
0
B in early terms of pregnancy
0
C in late terms of pregnancy
1
D during the labor
0
E after labor
#
24. A primipara, 24 years old, 37-38 weeks of gestation, the condition is
severe.At home there was an attack of eclampsia.The ABP is 180/100
mmHg. Generalized oedemas. Consciousness is confused.Define polisy of
conducting the pregnant woman
1
A Urgent caesarean delivery against a baskground of intensive care
0
B Prolongation of pregnancy against a a baskground of intensive care
0
C An intensive care during 2-3 hours with a subsequent labour
0
D Obstetrical forceps application.
0
E Early amniotomy
#.
25.A primipara, 36 years old, labour activity lasts for 5 h. Labour-in
time.Labour pains for 35-40 s in min.The amniotic fluid painted by
meconium dischargsd.The fetal heartbeats-90 beats/min.At vaggginal exam:
cervical dilation is 6 cm.What action is the most expedient?
1
A Caesarean section
0
B Obstetrical forcep
0
C Medicamental sleep
0
D Introduction of uterotoniс
0
E Introducting of spasmolytics
#
26.What is the most comfortable temperature for the newborn at the delivery
room?
0
A 18 – 20* C
0
B 22 -24C
1
C 25 – 28C
0
D 30 -32C
0
E 34 -36C
#
27.What characterize the beginning of the first period of labour?
1
A.Regular contraction(1 contraction per 10 minutes that lasts not les that 15-20
seconds) and structure changes of cervix
0
B. .Regular contraction(3 contraction per 10 minutes that lasts not les that 15-20
seconds) and structure changes of cervix
0
C. .Regular contraction(1 contraction per 10 minutes that lasts not les that 15-20
seconds) and loss of amniotic fluid
0
D.Regular contraction(1 contraction per 10 minutes that lasts not les that 15-20
seconds), structure changes of cervix and loss of amniotic fluid
#
28. The pregnant woman in term of 8-9 weeks complains of vomiting till 15-20
times in a day,considerable salivation.During 2 weeks the body weight descreased
on 3 kg. AP 100/55 mm/Hg, pulse 115 b/min.A skin is dry, pale. The pregnant
woman mentally labile. Diuresis decreased.What is diagnosis?
0
A. Vomiting of pregnant of mild degree.
0
B. Vomiting of pregnant of moderate degree.
1
С. Vomiting of pregnant of severe degree
0
D. Botkin’s disease
0
E. Food toxicoinfection
#
29.The woman at visiting to a doctor on July,10th,2016 the for pregnancy is
positive.She has a regular 29-day cycle,last menses was from
May,4th,2016.Prospective date of labour?
1
A. February,11,2016.
0
B. February,8,2016.
0
С. February,16,2016
0
D.February,21,2016
0
E.
February,28,2016
#
30. The pregnant woman of 28 years old was admitted with complains of contractive
pain in the lower part of abdomen durind 6 h, at term of 38-39 weeks.Objectively: there
are longitudinal lie,head presentation of the fetus,auscultation-146/min, rhythmical.
Internal obstetric examination: there are effacement of the uterus cervix,dilation – 4-5
cm. Intact amniotic sac. A head of faetus is mobile above pelvic inlet. What is the tactics
of a doctor?
0
A. To carry out labor as premature
1
B. To carry out delivery
0
С. To carry out amniotomy
0
D.To introduct 1 ml of a solution og 2% Promedolum for anaesthesia
0
E. Stimulation of patrimonial activity
#
31.How many degree is pubic angle?
0
A 500-600
1
B 900-1000.
0
C 55 0– 600
0
D. 800-950
0
E.1100-1200
#
32.A patient of 19 years old was admitted in the female consultation without
complains.Last menses was 2 manths ago.At bimanual vaginal inspection there are
a cervical length to 3,0 cm, an external os is closed.The corpus of the uterus of the
spherical shape.a softish consistence, is increased according to 8-9 weeks of
pregnancy.What is the most probable diagnosis?
0
Abortion progrediens
0.
B. Cervical pregnancy
1
С. Phfysiology of pregnancy
0
D.Leuomioma of a corpus of the uterus
0
E Incomplite abortion
#
33 .Primipara of
29 years old was admitted with intensive patrimonial
activity.Complaints of a headache, disorder of vision, stupor.AP 180/110 mm/Hg. There
is significant edema of legs, anterior abdominal wall. Fetal palpitation is clear,
rhythmical- 170/min. At internal obstetrics examination: there is full cervical dilatation,
amniotic sac is absent. A fetal head is in a cavity of a small pelvis. What is the tactics of
management labor ?
0
A. Cesarean section
1
B Operation application of obstetrics forceps
0
C Episiotomy
0
D Destructive operation
0
E Stimylation of patrimonial activity
#
34 .How many planes has true canal?
0
A. Five planes
1
B. Fore planes
0
C Three planes
0
D Two planes
0
E One planes
#
33. A patient of 32 years old was admitted in the maternity hospital in 5 hours
after the beginning of patrimonial activity with complaints of a headache,
disorder of vision. AP -180/110 mm/Hg, considerable edema of the lower
extremities. There are longitudinal lie of the fetus, head presentation. Fetal
palpitation – 136/min. During internal obstetrics examination there was an attack
of convulsions to consciousness loss. What is complication did arise in labor ?
0
A. Epilepsy
0
B. Preeclampsia severe degree
0
C Preeclampsia moderate degree
0
D Hypertensive crisis
1
E Eclampsia
#
35.The pregnant woman in term of 32 weeks transferred an attack eclampsy at
home. At being in delivery department AP of 150/110 mm/Hg. Prospective weight of
a fetus is 1500 g. There is puffiness of face and shins. Protein in urine-0,66%.
Partimonial ways are not ready for labor. There is begun intensive complex therapy.
What is the correct tactics of management the given case?
0
A. To treat gestosis and to conduct labor conservatively
1
B. Delivery by operation cesarean section
0
C. Against treatment to prolong pregnancy for 1-2 weeks
0
D. Against treatment to prolong pregnancy for 3-4 weeks
0
E. To begin delivery induction by intravenous introduction of Oxytocinum or
Prostaglandins
#
36. At the woman of 34 years old at the second labor the child was born with the
anemic- icteric form of haemolytic disease.Woman’s blood group A(II) Rh(-), the
newborn’s blood group B(III) Rh(+), at the newborn’s father also B(III) Rh(+). What
is the most probable reason of immunoconflict ?
0
A. Conflict on antigens AB
0
B. Conflict on an antigene A
0
C. Conflict on an antigene B
1
D. Rhesus-conflict
0
E. Conflict on system ABO
#
37. The primipara with active patrimonial activity.DA -110cm, FU-41cm.Pelvic sizes
:26-29-32-21 cm.Fetal lie is longitudinal, 1st position,anterior kind. In the uterine
fundus the big dense part of the fetus is detected.Along internal obstetrics
inspection: the uterus cervix is smothed, dilation 4 cm, intact amniotic sac ,a fetal leg
is presented.What is state of labour?
1
A. I- st period
0
B. II period
0
C. III period
0
D early postpartum period
0
E. Prelaminary period
#
38. At primipara of 25 years old with the beginning of regular contractions wich
continye 4 hours. AP-125/80 mm/Hg. Fetal lie is longitudinal<head presentation,
fetal palpitation 136 /min.Along internal obstetrics examination : the uterus cervix
is shortened up to 1,5 cm, dilatation 3 cm. Amniotic sac is intact, strained. The fetal
head is fixed in pelvic inlet. What is the stage of labor ?
0
A. Pregnancy later time
1
B. I stage of delivery
0
C. Preliminary period
0
D. III stage of delivery
0
E. Harbingers of delivery
#
39. How often the temperature at women during delivery should be checked?
0
A. every 15 min
0
B. every 30 min.
0
C. every 2 hours
1
D. every 4 hours
#
40. How often the arterial pressure at women during delivery should be checked?
0
A. every 15 min
0
B. every 30 min
0
C. every 2 hours
1
D. every 4 hours
#
41. What characterize the progression of the labour?
0
A . the speed of dilatation of cervix
0
B .the length and regular contractions
0
C.moment of presenting part through labor canal
1
E. all listed above
#
42. Early postpartum period continues:
1
A. first 2 hours after delivery placenta
0
B. first 4 hours after delivery placenta
0
C first 6 hours after delivery placenta
0
D first 8 hours after delivery placenta
0
E first 24 hours after delivery placenta
#
43. How often if necessary to check the involution of uterus during early
postpartum period?
1
A . every 15 min
0
B. every 25 min
0
C every 60 min
0
D every 12 o”clock
#
44.A primipara is in the delivery room.Her body weight is 62 kg.A longitudinal
position of the fetus,the head of the fetus is pressed to the pelvic inlet.A
circumference of the abdomen is 100 cm.The height of standing of the uterine
fundus is 35 cm.What is an approximate weight of the fetus?
1
3,500 g
0
4,000 g
0
2,500 g
0
3,000 g
0
4,500 g
#
45.The external obstetrical examination of the pregnant woman revealed: the form
of the uterus is extended in transversal direction.At the left lateral wall of the
uterus there is the head; at the right – the pelvic end of the fetus is palpated,above
the pelvic inlet the presenting part is absent.The fetal heartbeats are precisely
auscultated at the umbilical level.The gestational term is 40 weeks.What is position
of the fetus?
1
Transversal, 1 position
0
Longitudinal,2 position,head presentation;
0
Transversal, 2 position
0
Slanting, 2 position
0
Longitudinal,1 position,pelvic presentation;
#
46.A multigravida was admitted to the maternity hospital with complains of
absence of fetal movements during 24 h. The term of gestation is 37 – 38
weeks.What method of examination is the most informative?
1
Cardiotocography of the fetus
0
Auscultation of the fetus
0
a-Fetoprotein level
0
Sphingomyelin level
0
Alkaline phosphatase level
#
47.At cardiotocogram of a pregnant woman of 32 years old the monotonous basal
rhuthm is determined.Basal frequency is 135 beats/min.The term of pregnancy is
34 weeks.The woman is an active smoker(1 pack of cigarettes per day).The given
cardiotocogram indicates:
1
Chronic fetal hypoxia
0
Maturity of the fetus
0
Normal reaction of the fetus
0
Intrauterine retardation
0
Acute hypoxia
#
48.In longitudinal lie,first position of the anterior kind of cephalic presentation,
fetal heart sounds are auscultated better:
0
Underneath the umbilicus on the left
0
Above the umbilicus on the right
1
Above the umbilicus on the left
0
Underneath the umbilicus on the right
0
At the level of the umbilicus
#
49.At transverse lie the position of the fetus is determined with the:
0
Buttocks
0
Legs
1
Head
0
Back
0
Abdomen
#
50.Cardiotocographic observance of the cardiac activity is performed in antenatal
and intranatal periods.Normal fetal heart rate is:
1
120 – 170 beats/min
0
170 -180 beats/min
0
180 – 190 beats/min
0
110 – 100 beats/min
0
100 – 90 beats/min
#
51.Amniocentesis is performed at term:
1
13-14; 15-22 weeks
0
7-8; 11-12 weeks
0
2-3; 10-11 weeks
0
5-6;30-31 weeks
0
32-33; 38-40 weeks
#
52.It the better to make amnioscopy at:
0
First trimester
0
Second trimester
1
Third trimester
0
First stage of labour
0
Second stage of labour
#
53.Large fetus (macrosomia) is the one who weight:
0
4,000 g and over
0
3,900 g and over
0
3,800 g and over
1
4,000 g and over
0
4,500 g and over
#
54.Cervical dilation is considered to be complete if the sizes of the fetal head are
normal and its physiological fitting to the pelvis is :
0
9 cm
0
11cm
1
10 cm
0
12 cm
0
13 cm
#
55.In a
primipara the isthmus uteri dilates first followed by shortening and
softening of the uterine cervix, and then complete cervical dilatation occurs.In
multiparous women softening and cervical dilatation occur:
0
On stages
0
Gradually
0
Slowly
1
At the same time
0
Fast
#
56.The first method of perineal protection provides:
1
Prevention of premature head extension
0
Release of the fetus” head from the pudendalslit
0
Decreasing the tension on the perineum during release of the posterior shoulder
0
Decreasing the tension on the perineum during release of the anterior shoulder
0
Decreasing the tension on the perineum
#
57.The Kustner – Chukalov”s sing of placental separation ascertains:
0
Change of the form and height of station of the uterine fundus
0
After artificial labours external (outside the vulvar circle) part of vthe umbilical
cord does not draw in
1
If the uterus is moved upwards externally with the hand above the pubis
symphysis,the umbilical cord does not draw in
0
Urge for labours if afterbirth is present in vagina
0
During deep expiration and inspiration umbilical cord does not draw in
#
58.Third stage of labour usually lasts for:
0
5 min
1
10 – 30 min
0
30 -40 min
0
40 -50 min
0
50 -60 min
#
59.The early postnatal period lasts for 2 h after complete birth.During the early
postpartum period the uterine fundus is placed higher than the pubis by:
0
10 – 11 cm
0
20 – 22 cm
1
12 – 15 cm
0
30 -40 cm
0
40 – 50 cm
#
60.The mammary gland is innervated by:
1
Anterior branches of r. nervus intercctales
0
N. cutaneus branchil medialis
0
N. supraclaviculares
0
Rr. Cutanel anteriores
0
Nn. Thoracici
#
61.How many sings has Apgar scape:
0
7 sings
0
4 sings
1
5 sings
0
10 sings
0
8 sings
#
62.The mammary gland is an organ which in women after labour produces:
1
Milk
0
Lymph
0
Water
0
Liquor
0
Plasm
#
63.Anencephhaly manifests itself by the absence of the vault of the skull,decrease in
diameters of head (“rudimentar” head ) and is usually diagnosed in :
1
First trimester
0
Second trimester
0
Third trimester
0
In labours
0
After birth
#
64.Cleft lip (labium leporium ) is splitting of the :
1
Upper lip
0
Upper jaw
0
Hard palate
0
Lower jaw
0
Lower lip
#
65.Cord entanglement around the neck of the fetus can lead to :
0
Fetal maldevelopments
0
Antenatal death of the fetus
1
Development of the acute intranatal hypoxia of the fetus
0
Intrauterine infection
0
Rupture of the perineum
#
66.The true knots of umbilical cord are dangerous because of the development of :
0
Anomaly of the labour activity
1
Acute intranatal hypoxia of the fetus
0
Fetal maldevelopments
0
Antenatal death of the fetus
0
Intrauterine infection
#
67.A parturient woman in labours has been hospitalized in the maternity
house.During objective examination anasarca and oedema of the vulva were
detected.it is the sings of :
1
Severe preeclampsia
0
Ascites
0
Vulvar varicosis
0
Allergic vulvovaginitis
0
Diabetes mellitus
#
68.Placental insufficiency is a pathological condition of fetoplacental complex,in
which placental function is insufficient to meet the needs of the fetus for the proper
development.Primary placental insufficiency develops till the following term of
gestation :
0
19 weeks
0
18 weeks
1
16 weeks
0
20 weeks
0
24 weeks
#
69.Prolapse of the loops of the umbilical cord at the first stage of labour gives the
reason for :
0
Urgent labour termination by internal rotation of leg
0
Urgent labour termination by application of obstetrical outlet forceps
0
Urgent labour termination by application of obstetrical cavity forceps
0
Urgent labour antihypoxic therapy
1
Urgent labour termination by cesarean section
#
70.Subserous hemorrhage on the uterus during uterine- placental apoplexy after
the author is called :
0
Femenov”s uterus
1
Couvelaire”s uterus
0
Mauriceau”s uterus
0
Levre”s uterus
0
Ivanov”s uterus