Here are some questions, similar to the content and format used for the examination.

1. Which one of the following statements about neonatal resuscitation is most accurate?

1. Apnoea should be managed initially by the administration of Naloxone.
2. In positive-pressure ventilation, the first few breaths should be at a lower pressure than subsequent ones.
3. Re-evaluation of the infant's condition during resuscitation should take place every minute.
4. Naloxone administration may give rise to withdrawal fits in infants whose mothers abused opiates during pregnancy.
5. The presence of meconium at birth makes intubation mandatory.

2. Which of the following statements regarding the diagnosis of placental abruption is most accurate?

1. Thrombomodulin is a new marker for this complication.
2. Pain rarely accompanies bleeding.
3. Diagnosis relies on the ultrasound demonstration of retro-placental clot.
4. Both blunt abdominal trauma, and rapid deceleration without direct trauma, may be responsible for abruption.
5. The "float test" is a useful diagnostic laboratory test for this condition.

3. Which of the following statements regarding caesarean section is most accurate?

1. Mento-anterior face presentation is an indication for caesarean section.
2. The double-layer uterine closure technique is associated with a lower incidence of uterine rupture in subsequent labours.
3. The term "classical incision" relates to the abdominal wall incision.
4. Pubic hair over the site of the incision should be clipped rather than shaved pre-operatively.
5. A single dose of prophylactic antibiotics does not reduce the incidence of infection after caesarean section.

4. Which of the following statements regarding perineal trauma is most accurate?

1. Perineal massage after 35 weeks gestation reduces the risk of perineal trauma in first vaginal deliveries.
2. Perineal massage after 35 weeks gestation decreases the risk of subsequent faecal incontinence.
3. Restricting the use of episiotomy reduces the risk of anterior perineal trauma.
4. Forceps delivery has a lower risk of third degree tears than vacuum delivery.
5. Midline episiotomy reduces the risk of third degree tears.

5. Which of the following statements regarding ultrasound in pregnancy is the most accurate?

1. The clinical diagnosis of abruption can be reliably excluded if the scan is normal.
2. The confidence limits for assessing gestational age in the third trimester are plus/minus four weeks.
3. Fetal weight estimation is useful in planning the mode of delivery in non-diabetic women.
4. Routine scanning after 24 weeks gestation in unselected low risk pregnancies reduces perinatal mortality.
5. Lower frequency transducers produce improved resolution but with a shallower depth of view.

6. Which of the following statements regarding post-partum haemorrhage is correct?

1. The commonest cause is perineal trauma.
2. Bimanual uterine massage requires epidural analgesia.
3. Oxytocin stimulates both the upper and lower segments of the uterus to contract.
4. Ergometrine is contra-indicated in women with hypertension.
5. In uterine inversion, Atropine should be given to treat maternal tachycardia.

 

 

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