1.

True of Promethazine
a. Usually given
b. IVShort half life
c. Antiemetic
d. Will not cross the placenta

2. Absolute contraindication for Neuraxial Analgesia

a. Normal bleeding parameters

b. Space occupying lesion
c. Last dose of Heparin (CLEXANE) 2 weeks prior to admission
d. Platelet count: 175,000

3. What is labor pain?

a. Maternal physiological response can influence the fetal well being but not thematernal well
being
b. Effective analgesia augments the effect of catecholamines
c. Modified by maternal’s anxiety
d. Transmitted through visceral efferent sympathetic nerve entering T10-L1

4. A 30 y.o G1P0 came in for labor pain. On IE: Cervix is 6cm, 70% effaced,ruptured membrane, footling
breech with cord palpated in the vaginalcanal. Patient was then rushed to the operating room for
Ceasariansection. Anesthetic of choice?

a. Sedation using Meperidine and Promethazine

b. General anesthesia
c. SAB
d. Epidural anesthesia

5. A 30 y.o G3P2(2002) 28 weeks AOG OB Gyne resident is doing a pelvic lapfor Ectopic pregnancy. She
complained of minimal uterine contractionwhile doing the surgery: What causes the contraction?
 a. Butorphanol
b. Nitrous oxide
c. Fentanyl
d. Nalbuphine

6. A 30 y.o G3P2 (2002) came in for vaginal bleeding. Ultrasound taken and revealed a thickened
heterogenous endometrium. What is the anesthetic of choice for the proposed surgery?

a. Cocktail of 50mg Demerol and 12.5mg Phenergan

b. CLEA
c. Pudendal block (Lidocaine)
d. General anesthesia

7. Paracervical block is/are used in the following

a. Normal Doppler Studies

b. 2nd stage of labor
c. Completion and diagnostic curettage
d. Reassuring CTG

8. True of Pudendal block

a. Useful for sulcus tear and cervical lacerations

b. Infection in the injection site
c. Affected by fetal presentation
d. Successful block is pinching of the upper 3rd of the vagina without pain

9. Factors that may prompt anesthetic consultation

 a. BMI = 20
b. Prothrombin Time = 90% from the control
c. History of High Spinal Anesthesia
d. Bleeding time = 3’; clotting time = 2’

10. A 30 y.o G1P0 requested to have a painless vaginal delivery. On PE, a 5x5cm mass, tender and movable on
palpation approximately about 5 FBabove the sacral area. Anesthetic of choice?

a. CLEA
b. SAB
c. Epidural anesthesia
d. Local sedation

11. A 30 y.o G1P0 38 weeks AOG came in for elevated BP. After a few hours ofstabilization in the labor room,
the BP was noted to be uncontrolled. CTGremains reassuring. The attending physician decided to do
Primary LSTCS.What is the anesthetic of choice?

a. SAB
b. CLEA
c. IV sedation
d. General anesthesia

12. A 30 y.o G1P0 requested to have a painless vaginal delivery. On PE, a 5x5 cm mass, tender and movable
on palpation approximately about 5 FB above the sacral area. She was given the appropriate anesthesia.
After a few hours of labor, Protracted active phase of labor was noted. She was scheduled for an
emergency C/S. What is the anesthesia of choice now?

a. SAB
b. Local anesthesia
c. Epidural
d. General anesthesia
13. A 30 y.o G1P0 full term came in for labor pains. Past surgical history includea myomectomy for a
pedunculated subserous myoma. IE = 4cm, 50%effaced St. 3, intact membrane, vertex. CTG= reassuring.
What is theBishop's score?
a. 0
b. 3
c. 4
d. 5

14. A 30 y.o G1P0 full term came in for labor pains. Past surgical history includea myomectomy for a
pedunculated subserous myoma. IE = 4cm, 50%effaced St. 3, intact membrane, vertex. CTG= reassuring:
What is your management?

a. Augmentation of labor
b. Do BPS
c. Amniotomy
d. Do outright C/S

15. A 30 y.o G1P0 full term admitted for watery vaginal discharge about 6 hours prior to admission . IE= 2cm,
slightly effaced, Ruptured membrane clear, minimal, St. 3, vertex. Admitting CTG: reassuring. What is the
Bishop's score?

a. 1
b. 0
c. 2
d. 4

16. Conservative treatment for Postural Puncture Headache

a. Advise patient to relax because it is self limiting

b. Hydration
c. Milk
d. Ambulation
17. A 30 y.o G1P0 full term admitted for watery vaginal discharge about 6 hours prior to admission . IE= 2cm,
slightly effaced, Ruptured membrane clear, minimal, St. 3, vertex. Admitting CTG: reassuring. Which of the
following will be included in your plan of care?

a. Hydrate and OCT

b. Expectant management
c. Induction of labor
d. Do a BPS

18. A 30 y.o G3P2 (2002) 39 weeks AOG came in for vaginal bleeding. Speculum exam revealed cervix opened
with blood at the internal os: What is your plan of care?

a. Induction of labor
b. Augmentation of labor
c. Do a double set-up
d. Ceasarian section

19. A 30 y.o G3P2(2002) 35 weeks AOG came in for profuse vaginal bleeding.V/S: BP= 120/80mm Hg, RR=
24/min, HR= 90/min, Temperature= afebrile.FHT = 140 bpm. Speculum exam cervix open with blood clots
at the os. Younoticed that patient patient smells liniment. You decided to bring thepatient to the
operating room for a double set up. IE=5cm, 60% effaced St.-2, Intact membrane, vertex. What is your
next management?

a. C/S
b. Oxytocin —> NSD
c. Forceps delivery
d. Repeat the double set up

20. A 30 y.o G1P0 full term admitted for watery vaginal discharge about 6 hours prior to admission . IE= 2cm,
slightly effaced, Ruptured membrane clear, minimal, St. 3, vertex. Admitting CTG: reassuring. After 3
 hours, repeat IE was done and revealed 4-5cm 50% effaced, Ruptured clear, minimal, St. 3, vertex. A
repeat CTG was done again after 2 hours and revealed a category 2. What is the cause of category 2
trace?

a. Cord compression
b. Uteroplacental insufficiency
c. Head compression
d. Maternal dehydration

21. A 30 y.o G1P0 full term admitted for watery vaginal discharge about 6 hours prior to admission . IE= 2cm,
slightly effaced, Ruptured membrane clear, minimal, St. 3, vertex. Admitting CTG: reassuring. After 3
hours, repeat IE was done and revealed 4-5cm 50% effaced, Ruptured clear, minimal, St. 3, vertex. A
repeat CTG was done again after 2 hours and revealed a category 2. What will you do next?

a. Secure a consent for Forceps delivery

b. Do an emergency Ceasarean Section
c. Observe and repeat the CTG
d. Hydrate and give 6L O2 inhalation

22. A 30 y.o G1P0 full term admitted for watery vaginal discharge about 6 hours prior to admission . IE= 2cm,
slightly effaced, Ruptured membrane clear, minimal, St. 3, vertex. Admitting CTG: reassuring. After 3
hours, repeat IE was done and revealed 4-5cm 50% effaced, Ruptured clear, minimal, St. 3, vertex. What
will you do next?

a. Expectant management
b. OCT
c. Start oxytocin
d. Do an emergency BPS
23. A 30 y.o G3P2(2002) 35 weeks AOG came in for profuse vaginal bleeding. V/S: BP= 120/80mm Hg, RR=
24/min, HR= 90/min, Temperature= afebrile. FHT = 140 bpm. Speculum exam cervix open with blood clots
at the os. You noticed that patient patient smells liniment. You decided to bring the patient to the
operating room for a double set up. IE=5cm, 60% effaced St. -2, Intact membrane, vertex. What is your
diagnosis?

a. Ruptured Vasa Previa

b. Abruptio Placenta
c. Placenta Previa
d. Uterine Rupture

24. True of Oxytocin:

a. Release is not associated with sexual contact when in pregnancy

b. Not affected by anxiety
c. Milk let down
d. Anterior pituitary

25. Absolute contraindication of induction of labor:

a. Abruptio placenta
b. Arcuate uterus
c. Intra uterine fetal demise
d. Previous myomectomy