OBSTETRICS

144. What is the first line treatment for uterine atony in a patient with asthma: oxytocin PGF2 alpha ergotamine Fluids Calcium 145. Magnesium in pregnant patients causes: incrased uterine tone leading to decreased uterine blood flow increased deep tendon reflexes increased sensitivity to catecholamines decreased release of presynaptic Ach decreased sensitivity to neuromuscular blockers 146. All of the following are causes of seizures in pregnancy except; abruption eclampsia cerebrovascular access amniotic fluid embolism local anesthetic toxicity 147. Twin gestation vs single gestation: A. increased incidence of retained placenta B. increased incidence of prolonged labour C. increased incidence of PIH D. decreased incidence of postpartum hemorrhage E. placenta previa 148. Early sign consistent with HELLP: A. RUQ abdo pain B. headache C. visual changes D. seizure E. edema 149. All of the following conditions may be associated with seizures in a pregnant patient EXCEPT: A. abruptio placenta B. eclampsia C. amniotic fluid embolism D. intracranial hemorrhage E. local anaesthetic toxicity 150. All are definitive diagnostic signs of severe pre-eclampsia EXCEPT: A. oliguria (<400cc/24hr) B. increased systolic arterial pressure (> 160mmHg) C. increased diastolic blood pressure (> 105 mmHg) D. proteinuria (> 5 grams / 24 hr) E. pulmonary edema

151. In which of the following is decreased beat-to-beat variability seen? A. spinal anaesthesia B. post-term gestation C. anencephaly D. gestational diabetes E. maternal sleep 152. P50 of normal maternal hemoglobin is: (numbers remembered exactly) Geek (Ed.) A. 18 B. 27 C. 30 D. 35 E. 37 153. Valium administered to a pregnant patient will result in: A. decreased beat to beat variability B. C. D. E. 154. Regarding breech presentation: A. epidural increases incidence of complete breech extraction B. epidural will slow second stage of labour C. potent local anaesthetic will cause optimal uterine relaxation D. epidural will not increase incidence of conversion of complete to incomplete breech presentation E. 155. Addition of 0.75% isoflurane to nitrous/O2 anesthetic in pregnant patient results in all EXCEPT: A. decreases maternal awareness B. increased bleeding C. neonatal depression D. hypotension E. prolongs maternal recovery 156. Which of the following is a normal hemodynamic change in pregnancy? A. decreased SVR B. decreased stroke volume C. increased hematocrit D. decreased blood volume E. decreased pulse pressure 157. A patient with a known placenta previa and a previous c-section is at increased risk for which complication? A. accreta B. PIH C. abruption D. cerebrovascular accident E. amniotic fluid embolus 158. An obstetric patient with moderate mitral stenosis gets an epidural with test dose of 3 cc Marcaine

.25%. BP drops from 110/60 to 80/40. Best drug to treat the hypotension? A. ephedrine B. epinephrine C. phenylephrine D. norepinephrine E. calcium 159. Parturient desaturates faster because of which of the following? A. decreased oxygen carrying capacity B. decreased FRC C. increased oxygen consumption D. increased cardiac output E. 160. All are characteristics of drugs that cross the placenta EXCEPT: A. lipophilicity B. decreased MW C. increased maternal-fetal concentration gradient D. protein binding E. pKa . Most common presenting symptom of the HELLP syndrome A. RUQ pain B. Jaundice C. Headache D. Seizures E. Generalized edema 2. The best test of diabetes mellitus in pregnancy: A. HbS B. HbSC C. HbA1c D. HbA E. HbC 3. What is the most common effect of Valium 5 mg to a parturient? A. Neonatal hypothermia B. Loss of beat to beat variability 4.Decreased fetal heart variability is due to A. Fetal anencephaly B. Maternal sleep C. Gestational diabetes D. Sspinal anesthesia E. Post dates fetus 5. What is true regarding breech delivery and epidural analgesia? A. Does not increase the ability to convert a complete breech to an incomplete B. Increase chance of vaginal extraction C. Slight increase in second phase of labor D. High dose of potent local anesthetic will increase uterine relaxation

6. Which is true of twin gestation A. Increased hypertension of pregnancy B. Decreased hemorrhage C. Shorter labor 7. Regarding herpes and pregnancy, which is true? A. Spinal anesthesia is safe B. There is always a history of infection in Mom C. Most worried about transplacental infection of fetus D. Epidural morphine reactivates genital herpes E. ? 8. In severe preeclampsia, all of the following EXCEPT : A. SBP >160 B. MAP >105 C. Oliguria <400cc/24h D. Pulmonary edema E. Proteinuria >5g/24h 9. Early decelerations can be due to: 1. maternal hypotention 2. cord compression 3. vagal. 10. Haemodynamic changes during pregnancy: 1. Decreased SVR 2. Decreased stroke volume 3. Decreased blood volume 4. Increased heart rate 5. ?