1. Mod de punctare: A3 Punctajul: 10CM The following signs and symptoms should be reported immediately as a potential danger signal in a pregnant woman: a) [x] vaginal bleeding b) [x] severe headache c) [ ] swelling of the ankles and feet d) [x] blurring of vision e) [ ] constipation --------------------------------------------------------------------- 2. Mod de punctare: A3 Punctajul: 10CM Preterm labor is important because it commonly results in death of the infant due to: a) [ ] abruptio placentae b) [ ] birth trauma c) [ ] jaundice d) [x] hyaline membranes disease e) [x] periventricular hemorrhages --------------------------------------------------------------------- 3. Mod de punctare: A3 Punctajul: 10CM The following congenital anomalies are associated with increased quantities of amniotic fluid: a) [x] duodenal atresia b) [x] anencephaly c) [ ] renal agenesis d) [x] spina bifida e) [ ] urethral hypospadias --------------------------------------------------------------------- 4. Mod de punctare: A3 Punctajul: 10CM It is important to treat patients with asymptomatic bacteriuria in pregnancy because: a) [ ] the patient is seriously ill b) [ ] one third will develop septic shock during pregnancy c) [ ] one third will develop cystitis during pregnancy d) [x] one third will develop acute pyelonephritis during pregnancy e) [x] it increases risk of preterm birth --------------------------------------------------------------------- 5. Mod de punctare: A3 Punctajul: 10CM What antibiotics are contraindicated in pregnancy: a) [x] tetraciclin b) [ ] ampicilin c) [x] levomicetine d) [ ] penicilline e) [ ] cefasoline --------------------------------------------------------------------- 6. Mod de punctare: A3 Punctajul: 10CM What can be used for pregnancy dating: a) [x] last menstrual period b) [x] ultrasound examination c) [x] the first movement of fetus d) [x] palpation of uterus in early pregnancy e) [ ] palpation of uterus in the third trimester --------------------------------------------------------------------- 7. Mod de punctare: A3 Punctajul: 10CM Choose the correct statements regarding chorioamnionitis: a) [ ] it causes all cases of preterm labor b) [x] it usually follows preterm rupture of membranes c) [x] should be treated with combination of antibiotics d) [ ] it only occurs in patients with vaginitis e) [ ] the most frequent sign is backache --------------------------------------------------------------------- 8. Mod de punctare: A3 Punctajul: 10CM Which complications are common if diabetes is not well controlled? a) [x] fetal macrosomia b) [x] preeclampsia c) [ ] oligohydramnios d) [x] polihydramnios e) [ ] premature delivery --------------------------------------------------------------------- 9. Mod de punctare: A3 Punctajul: 10CM Clinical criteria of chorioamnionitis include: a) [ ] headache and backache b) [ ] vaginal bleeding c) [x] fetal tachycardia d) [x] purulent vaginal discharge e) [x] fever more than 38C --------------------------------------------------------------------- 10. Mod de punctare: A3 Punctajul: 10CM Which patients are at high risk of preterm labor? a) [ ] patients who book early in pregnancy b) [x] patents with twin pregnancy c) [x] patients living in low socio-economic circumstances d) [x] patients with bacterial vaginosis e) [x] patients with a history of preterm labor in previous pregnancy --------------------------------------------------------------------- 11. Mod de punctare: A3 Punctajul: 10CM Which of the following are at high risk of cord prolapse? a) [x] a patient with breech presentation b) [ ] a patient with cephalic presentation c) [ ] a patient with a post term pregnancy d) [x] a patient who ruptures her membranes when the fetal head is still palpable 4/5 of the pelvic brim e) [x] a patient with severe polyhidramnios --------------------------------------------------------------------- 12. Mod de punctare: A3 Punctajul: 10CM Management of patient with premature prelabor rupture of membranes include: a) [ ] bimanual exploration of the cervix b) [x] prophylactic administration of antibiotics c) [x] administration of corticosteroids d) [x] transfer to a maternity with neonatological intensive care unit e) [x] estimation of gestational age as accurate as possible --------------------------------------------------------------------- 13. Mod de punctare: A3 Punctajul: 10CM Normal maternal adjustments in pregnancy include: a) [x] rise in cardiac output b) [x] hemodilution c) [x] decrease of diastolic pressure d) [x] increase in plasma volume e) [ ] decrease in red blood cell mass --------------------------------------------------------------------- 14. Mod de punctare: A3 Punctajul: 10CM The causes of oligohydramnios are: a) [x] fetal growth retardation b) [x] renal agenesis c) [x] preeclampsia d) [ ] neural tube defects e) [x] prelabor rupture of membranes --------------------------------------------------------------------- 15. Mod de punctare: A3 Punctajul: 10CM The causes of polyhydramnios are: a) [x] maternal diabetes b) [x] absence of esophagus c) [x] neural tube defects d) [ ] preeclampsia e) [ ] renal agenesis --------------------------------------------------------------------- 16. Mod de punctare: A3 Punctajul: 10CM The fetus with postmaturity syndrome has the following: a) [x] loss of subcutaneous fat b) [ ] short fingernails c) [x] dry, peeling skin d) [x] long fingernails e) [ ] abundant vernix caseosa --------------------------------------------------------------------- 17. Mod de punctare: A3 Punctajul: 10CM Indications for a cesarean section include: a) [x] previous cesarean section b) [x] placenta previa c) [x] fetal distress d) [ ] cervical cerclage e) [x] cord prolapse --------------------------------------------------------------------- 18. Mod de punctare: A3 Punctajul: 10CM What is indicated for prevention of respiratory distress syndrome in premature neonates: a) [ ] heparin b) [ ] oxitocin c) [x] dexamethasone d) [ ] magnesium sulphate e) [x] betamethasone --------------------------------------------------------------------- 19. Mod de punctare: A3 Punctajul: 10CM Which of the circumstances increases the risk of a multiple pregnancy: a) [x] family history of multiple pregnancy b) [ ] primiparity c) [x] induction of ovulation with clomiphen citrate d) [ ] maternal age more than 30 years e) [x] in vitro fertilization --------------------------------------------------------------------- 20. Mod de punctare: A3 Punctajul: 10CM Progesterone in pregnancy is produced in: a) [ ] posterior hypophysis b) [x] corpus luteum c) [ ] adrenal gland d) [x] placenta e) [ ] adenohypophysis --------------------------------------------------------------------- 21. Mod de punctare: A3 Punctajul: 10CM Select correct statements regarding premature delivery: a) [x] pregnancy term 22-37 weeks b) [x] weight of the newborn 500 - 2500 g c) [ ] pregnancy term 28-37 weeks d) [x] length of the newborn 25 - 45 cm e) [ ] length of the newborn 25 - 49 cm --------------------------------------------------------------------- 22. Mod de punctare: A3 Punctajul: 10CM In which situations labor induction is contraindicated: a) [x] previous cesarean section b) [x] transversal lay c) [ ] preeclampsia d) [x] estimated fetal weight more than 4500 gr e) [ ] postdate pregnancy --------------------------------------------------------------------- 23. Mod de punctare: A3 Punctajul: 10CM Risk of what complications is increased in multiple pregnancy: a) [x] polyhydramnios b) [x] fetal growth restriction c) [ ] macrosomia d) [x] postpartum hemorrhages e) [x] prematurity --------------------------------------------------------------------- 24. Mod de punctare: A3 Punctajul: 10CM Ultrasound criteria of the oligoamnios are: a) [x] determination of an maximum vertical sac less than 2 cm b) [ ] determination of an vertical sac less than 5 cm c) [x] amniotic liquid index less than 5 cm d) [ ] amniotic liquid index less than 7 cm e) [ ] amniotic liquid index less than 10 cm --------------------------------------------------------------------- 25. Mod de punctare: A3 Punctajul: 10CM What are the components of Apgar score a) [x] frequency of respiration b) [x] fetal heart rate c) [ ] fetal weight d) [x] muscular tonus e) [x] skin color --------------------------------------------------------------------- 26. Mod de punctare: A3 Punctajul: 10CM Which dimensions of the pelvis can be appreciated through external pelviometry: a) [x] bispinarum distance b) [ ] diagonal conjugate c) [x] bitrochanteric distance d) [x] bicristarum distance e) [x] external conjugate --------------------------------------------------------------------- 27. Mod de punctare: A3 Punctajul: 10CM The newborn status is determined by: a) [x] Apgar score b) [ ] Vitlingher scale c) [x] Silverman score d) [ ] Glasgow scale e) [ ] Boshop score --------------------------------------------------------------------- 28. Mod de punctare: A3 Punctajul: 10CM Which of the following are risk factors for uterus rupture? a) [ ] threatened preterm labor b) [x] transversal situs of the fetus c) [x] previous cesarean section d) [ ] hydramnios e) [x] contracted pelvis --------------------------------------------------------------------- 29. Mod de punctare: A3 Punctajul: 10CM What complications are caused by infections during pregnancy: a) [ ] postpartum hemorrhages b) [x] fetal malformations c) [x] preterm deliveries d) [x] early neonatal sepsis e) [ ] placenta previa --------------------------------------------------------------------- 30. Mod de punctare: A3 Punctajul: