OBSTETRIC AND GYNAECOLOGY PAST PAPER | CMT NTA LEVEL 5 | DOWNLOAD

1. One of the following is not part of introduction in obstetrics history

Date of last normal menstrual normal menstrual period

Nearest relative of the patient

Age of the patient

Occupation status

Religion

2. Fundal height bigger than gestation age may mean all of t he following except one;

Wrong calculation of gestation age

Small baby

Multiple pregnancy

Pregnancy with intrauterine benign tumor

Polyhydramnios

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3. If your working in rural area and the patient does not remember her last normal menstrual period one of the following can help you get the nearest possible gestation age of a pregnant woman

Age of the pregnant woman

Past obstetric history

Lie and presentation of the foetus

Quickening period

Foetal heart beats

4. In an effort to establish good rapport with your patient one of the following is not

a good approach,

Asking patient marital status

Greeting with gentle voice

Welcoming her

Leaning forward while talking to her

Paraphrasing patient statements

5. If the woman has lost her last menstrual period for two months, you will calculate

her expected date of delivery by

Add 14 days, minus 3 months

Subtracting 9 months and add 7 days

Add 7 days and subtracting 3 months

Add 7 days and 9 months

Add three days and 3 months

6. All are valid data of a pregnant woman at the day of booking except one

Level of haemoglobin

HIV serostatus

Total white blood cell count

Fundal height

Height of the client

7. One of the following is not a predisposing factor of hyperemesis gravidarum

Molar pregnancy diabetes mellitus

Multiple pregnancy

Essential hypertension

Familial predisposition

Pre gestational

8. The main danger of pregnant woman not taking some drugs in the first trimester is,

a) They cause malabsorption,

b) They cause early closure of ductus arteriosus,

c) They interfere with organogenesis,

d) They cause pregnancy induced hypertension

e) They can cause polyhydramnions

9. Cephalic presentation can be confirmed by the following findings during palpation one,

a) Roundish and firm mass,

b) Soft and balutable mass,

c) Palsating and roundish mass,

d) Roundish and soft mass,

e) Soft and palsating mass

10. The following are confirmatory signs of pregnancy except one

Ultrasound scan visualization of foetal parts

Heard foetal heart sounds

Urine for pregnancy test positive

Palpable foetal parts hospital

Visualization of foetal skeleton on abdominal x - ray film

SETION B: TRUE AND FALSE QUESTIONS (10 )

Write the word TRUE before a correct statement and FALSE before an incorrect statement (1/2 each correct response)

1. The commonest differential diagnosis of puerperal pyrexia are,

a) -------------------Urinary tract infection,

b) ------------------- Malaria,

c) ------------------- Epilepsy,

d) ------------------- Mental illness,

e) ------------------- Pueperal sepsis

2. The following are drugs of choice of the following STIs in pregnancy

-------------------Vaginal candidiasis - Cotrimazole

------------------- Trichomoniasis – Metronidazole

------------------- Chlamydia – Tinidazole

------------------- Gonorrhoea – Doxycycline

------------------- Syphilis – Azthromycin

3. The following are strategies to reduce/prevent postpartum infectious

a) ---------------,Prevent prolonged labour through proper use of partogram,

b) --------------,Rupture chorioamniotic membrane as early as labour begins,

c) ---------------,Do p/v examinations as frequent as the patient asks to do so

d) ---------------,Ensure the use of aseptic technique during p/v discharge,

e) ---------------,Observe all traditional believes of the tribe ,

4. What are the management of labour in a woman with very severe anaemia,

a) ---------------, Nurse in propped up position,

b) ---------------, Administer oxygen,

c) ---------------, Administer antibiotics and iron tablets,

d) ---------------,Avoid blood transfusion,

e) ---------------,Perform active management of 3^rd stage of labour

SECTION C: Matching up questions (10 )

Match the LETTER of the items from column B with the most corresponding once in column A in spaces given below

Part one:

Concerning severe malaria in pregnancy the following means

S/N	COLUMN A	COLUMN B
	1-------- Acute renal failure	A) Deep and difficult breathing
	2 ------- Respiratory distress	B) Severe anaemia
	3 ------- Haemoglobinuria	C) Dark brown urine
	4 -------Pulmonary oedema	D) Oliguria
	5--------Blood glucose level below 2.2 minimols/dl	E) Severe hypoglycaemia
		F) difficult with wheezes breathing
		G) Abnormal muscles movement

Part two:

S/N	COLUMN (A)	COLUMN (B)
1	--------1^st pregnancy	(a) Preterm labour
2	--------5^thor more pregnancies	(b) Premature delivery
3	--------Tocolytic drugs	(c) Premature rupture of membrane
4	--------Chorioamnionitis	(d) Primigravida
5	--------Respiratory distress syndrome	(e) Multiple pregnancy
		(f) polygravida
		(g)Grand (senior) multiparity

SECTION D: SHORT NOTES QUESTIONS (60 )

Fill spaces left below

1. What are any five clinical features of severe malaria in pregnancy?

(5 )

a) -----

b) -----

c) -----

d) -----

e) -----

2. What are the five predisposing factors of postpartum infection?

(5 )

a) ----

b) ----

c) ----

d) ----

e) ----

3 What are the three possible causes of fundal height becoming greater than gestation age? (3 )

a) --------------

b) --------------

c) --------------

4 If during inspection of abdomen of a pregnant you find it distension looks global, what are any two possible causes? (2 )

a) ---------------------

b) ---------------------

5. What are five the causes of antepartum haemorrhage? (5 )

a) ---------------------

b) ---------------------

c) ---------------------

d) ---------------------

e) ---------------------

6. Prescribe one drug of choice to the following sexually transmitted diseases?

(10 )

a) Gonorrhoea

--------------------------

b) Trichomoniasis

---------------------

c) Vaginal candidiasis

---------------------

d) Syphilis

---------------------

e) Herpex simplex

---------------------

7. Concerning per vaginal discharge during pregnancy, what are any;

i. Three questions are you going to ask the patient with the problem?

(3 )

a) -------------------------

b) -------------------------

c) -------------------------

ii. Two examinations are you going to do? (2 )

a) --------------------

b) --------------------

SECTION E: ESSAY QUESTIONS. (30 )

1. A pregnant woman comes to your clinic for routine ANC visits with a history of; Frequent vomiting, lower abdominal pain, fever, abnormal p/v discharge with bad smelling, headache, general body malaise and anorexia, No h/o dysuria or cough

On examination you found;

§ She is ill looking,

§ Cooperative,

§ Not pale,

§ Nutritionally good,

§ Too weak and thirsty,

§ P/R 100/mn,

§ R/R 20/mn,

§ B/P 90/60,

P/A examination revealed tenderness below the umbilicus, fundal height 18/40 with smelling p/v discharge.

Heart and lung sounds were apparently normal

Answer the following questions below:

a) What are the possible two diagnoses of this patient? ( 2 )

b) What the possible three causes of F/H bigger than G/A? ( 3 )

c) How are you going to manage the patient? (10 )

2. A woman with home delivery woman came to your Dispensary 5 days with the following history;

o Lower abdominal – 3/ 7

o Headache, -2/7

o Fever – 3/7

o Foul smelling p/v discharge – 2/7

On Examination she was found with the following findings

o Ill looking,

o Nutritionally fair

o Conscious and cooperative

o Febrile (T38^oc),

o P/R 96/min,

o B/P 93/60 mmHg

o Normal heart sounds

o High respiration of 28 breathes /minute

o Quite respiration

o Normal lungs sounds

o Distended abdomen

o Fundal height of 17/40

o Tender on palpitation

Answer the following questions below:

a) What is your diagnosis? (2 )

b) What investigations will you order? (3 )

c) How are you going to manage the patient? (10 )

OBSTETRIC AND GYNAECOLOGY PAST PAPER | CMT NTA LEVEL 5 | DOWNLOAD