PREMATURITY
Fetal Fibronectin (FFN) is used for
1) Asssessment of fetal growth and maturity
2) As a fetal stress-biomarker
3) Prediction of premature labour
4) As a marker for Aneuploidy
Prediction of Premature labour
In which of the following scenarios, Di-Di Twin pregnancy at 36 wks, in labour, can be delivered vaginally
1) Twin 1 Breech; Twin 2 Cephalic
2) Twin 1 Oblique; Twin 2 Breech
3) Twin 1 Cephalic; Twin 2 Breech
4) Twin 1 transverse; Twin 2 Breech
3) Twin 1 Cephalic; Twin 2 Breech
Vaginal delivery is appropriate if Twin A is cephalic, with careful monitoring and preparation for possible breech extraction or cesarean for Twin B.
Proportion of L:S ratio in amniotic fluid considered appropriate for lung maturity is
a) 1:2
2) 1:4
3) 2:1
4) 4:1
3) 2:1
A 32-year-old primigravida at 36 weeks presents with severe preeclampsia. She is hypertensive, has proteinuria, and complaints of persistent headache. What is the first-line medication to prevent seizures in this patient?
A. Labetalol
B. Magnesium sulfate
C. Hydralazine
D. Nifedipine
B. Magnesium sulfate
Perinatal infection most linked to CP in term infants?
A. CMV
B. Toxoplasma
C. Syphilis
D. Rubella
A. CMV
The single greatest risk factor for necrotizing enterocolitis is ____________
Prematurity
Optimal timing of delivering a woman with Dichorionic Diamniotic twins
1) Elective delivery at 35 weeks
2) Elective delivery at 36 weeks
3) Elective delivery at 37 weeks
4) Spontaneous - self progressing
3) Elective delivery is recommended at 37 weeks in uncomplicated dichorionic diamniotic twins
Q: What is the name of the test used to detect fetal hemoglobin in maternal circulation?
Kleihauer-Betke test
What is the preferred treatment modality for Stage II or higher TTTS in monochorionic-diamniotic twins?
A. Amnioreduction
B. Laser photocoagulation
C. Fetal transfusion
D. Selective termination
B. Laser photocoagulation of placental anastomoses
Normal findings in a newborn baby includes all of the following Except
1.Mongolian blue spot
2.Strawberry nevus
3.Vaginal blood loss
4.Lanugo hair
5.Erythema toxicum
2. Strawberry nevus
Incidence of respiratory distress syndrome increases with all of the following Except
1.Prematurity
2.Maternal diabetes
3.Black race
4.Male gender
5.Cesarean section delivery
Black race
A 30-year-old G1 at 16 weeks is diagnosed with a monochorionic diamniotic twin pregnancy. What is the recommended frequency of ultrasounds to monitor for complications?
1) EVERY 2 WEEKS STARTING AT 16 WKS
2) EVERY 4 WEEKS STARTING AT 16 WKS
3) EVERY 4 WEEKS STARTING AT 20 WKS
4) JUST LIKE ROUTINE
1) Every 2 weeks starting at 16 weeks to monitor for TTTS and growth discrepancies
What is the normal reference range for neonatal blood glucose in the first 24 hours (after first 4 hours) as per recent AAP guidelines?
C) 2.5 mmol/L
A fetus at 30 weeks with severe anemia secondary to Rh isoimmunization is undergoing intrauterine transfusion. What is the preferred site for transfusion?
A. Umbilical vein at the placental insertion
B. Fetal hepatic vein
C. Fetal femoral vein
D. Umbilical artery at the cord insertion
A. Umbilical vein at the placental insertion
Triad of amniotic fluid embolism?
A. Hypoxia, hypotension, seizures
B. Hypoxia, hypotension, coagulopathy
C. Fever, rash, hypotension
D. Dyspnea, chest pain, cyanosis
B. Hypoxia, hypotension, coagulopathy
Contraindications to delaying preterm labor with tocolytics, include all EXCEPT?
1) Maternal Age>35 yrs
2) Severe preeclampsia or eclampsia
3) Intrauterine infection (chorioamnionitis)
4) Placental abruption
1) Maternal Age>35 yrs
A G2P1 with monochorionic monoamniotic twins at 28 weeks has cord entanglement seen on ultrasound but reassuring biophysical profile. What is the most widely accepted management plan at this gestation?
Answer: Inpatient monitoring with daily fetal surveillance; planned delivery between 32–34 weeks (or earlier if non-reassuring).
What is the threshold serum magnesium level above which toxicity can occur in a pregnant patient receiving magnesium sulfate?
a) 4mg/dl
b) 8mg/dl
c) 12mg/dl
d) 12.5mg/dl
8 MG/DL
Which of the following is the most innovative approach for managing Placenta Accreta Spectrum to minimize maternal morbidity?
A. Hysterectomy
B. Methotrexate therapy
C. Uterine artery embolization
D. Conservative management with delayed placental delivery
C. Uterine artery embolization
Optimal start time for aspirin in preeclampsia prevention is?
A. ASPRE trial – before 16 weeks
B. ASPRE trial – after 20 weeks
C. CLASP trial – before 20 weeks
D. CLASP trial – after 16 weeks
A. ASPRE trial – before 16 weeks
Which of the following best predicts long-term neurodevelopmental impairment in extremely preterm neonates?
A) Need for mechanical ventilation more than one week
B) Need for parenteral nutrition with high GIR concentration
C) Severe IVH and/or PVL on cranial ultrasound
D) Apgar score < 5 at 5 minutes of birth
B) Severe IVH and/or PVL on cranial ultrasound
A 34-year-old G3P2 at 28 weeks with monochorionic diamniotic twins with MCA - PSV of >1.5MoM in one twin and <0.8MoM in another. The amniotic Fluid volume is same in both sacs. What condition should you suspect?
1) Twin-Twin Transfusion
syndrome (TTTS)
2) Twin Anemia-Polycythemia Sequence (TAPS)
3) Twin Reverse Arterial Perfusion (TRAP)
4) DIC
2) Twin Anemia-Polycythemia Sequence (TAPS)
What is the normal range of follicle-stimulating hormone (FSH) in women during the follicular phase of the menstrual cycle?
A: 0.2-2 IU/L
B. 3–10 IU/L
C. 15-50 IU/L
D. 75-100 IU/L
B. 3–10 IU/L
Fetal therapy for severe Lower Urinary Tract Obstruction before 28w with oligohydramnios AND preserved renal function?
A. Vesicoamniotic shunt
B. Amnioinfusion
C. Open fetal corrective surgery
D. Expectant management
A. Vesicoamniotic shunt
Which of the following is a cutting-edge non-invasive approach to monitor fetal well-being in high-risk pregnancies?
A. Fetal ECG via maternal abdominal electrodes
B. Continuous fetal oxygen saturation monitoring with ultrasound probes
C. Real-time placental perfusion imaging using near-infrared spectroscopy (NIRS)
D. Doppler velocimetry of all umbilical vessels simultaneously
A. Fetal ECG via maternal abdominal electrodes