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IMG_3397.jpg
Give mcqs from this text include everypoints
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Here are comprehensive MCQs covering every point from both images:
MCQs: Obstetric Formulae, GTPAL & Antepartum Fetal Monitoring
SECTION 1: Obstetric Formulae & Definitions
Q1. Gravida is defined as:
- A) Total number of past pregnancies only
- B) Total number of times a female has conceived (past + present)
- C) Total number of live births
- D) Total number of pregnancies beyond 28 weeks
Answer: B
Q2. Parity in India is defined as total number of past pregnancies that crossed the period of viability, which is:
- A) 20 weeks
- B) 24 weeks
- C) 28 weeks
- D) 32 weeks
Answer: C
Q3. Abortion is defined as any pregnancy loss occurring before:
- A) 28 weeks
- B) 24 weeks
- C) 20 weeks
- D) 16 weeks
Answer: C
Q4. When a woman has a twin pregnancy, how is it counted for Gravida and Parity?
- A) Counted as 2 for both Gravida and Parity
- B) Counted as 1 for Gravida and 2 for Parity
- C) Counted as 1 for both Gravida and Parity
- D) Counted as 2 for Gravida and 1 for Parity
Answer: C (Twins/triplets counted as 1 for both)
Q5. In the notation G₃P₂, what does "P₂" represent?
- A) 2 abortions
- B) 2 total conceptions
- C) 2 past pregnancies crossing the period of viability
- D) 2 living children
Answer: C
Q6. In the notation GₐP(b+c), "c" stands for:
- A) Number of living children
- B) Number of cesarean deliveries
- C) Number of abortions
- D) Number of preterm deliveries
Answer: C
SECTION 2: GTPAL System
Q7. In the GTPAL system, the notation is GₐP(f+g+h+i). What does "f" represent?
- A) Preterm deliveries (20-36 weeks + 6 days)
- B) Term deliveries (≥ 37 weeks)
- C) Number of abortions
- D) Living children at present
Answer: B
Q8. In the GTPAL system, "g" represents preterm deliveries. The gestational age range for preterm delivery is:
- A) 20-34 weeks
- B) 24-36 weeks
- C) 20-36 weeks + 6 days
- D) 28-36 weeks
Answer: C
Q9. In the GTPAL system, "h" stands for:
- A) Number of high-risk pregnancies
- B) Number of home deliveries
- C) Number of abortions
- D) Number of hospitalizations
Answer: C
Q10. In the GTPAL system, "i" refers to the number of living children at present. For a woman who delivered triplets, how is "i" counted?
- A) 1
- B) 2
- C) 3
- D) Counted as 1 like parity
Answer: C (In GTPAL, twins counted as 2 and triplets as 3 for living children)
Q11. In the GTPAL system, twins are counted as ___ for living children ("i"):
- A) 1
- B) 2
- C) 3
- D) Not counted separately
Answer: B
Q12. Multipara is defined as a woman with:
- A) ≥ 1 previous birth
- B) ≥ 2 previous births
- C) ≥ 3 previous births
- D) ≥ 5 previous births
Answer: B
Q13. Grand multipara is defined as a woman with:
- A) ≥ 3 previous births
- B) ≥ 4 previous births
- C) ≥ 5 previous births
- D) ≥ 6 previous births
Answer: C
SECTION 3: Antepartum Fetal Monitoring - NST
Q14. A pregnant female at 34 weeks presents with decreased fetal movements. The best SCREENING test is:
- A) Biophysical profile score
- B) Contraction stress test
- C) Modified BPS (Non-stress test preferred over non-stress test)
- D) Modified BPS > Non-stress test
Answer: D (Screening: Modified BPS > Non-stress test; Diagnostic: Biophysical score)
Q15. The diagnostic test for antepartum fetal monitoring when a patient complains of decreased fetal movement is:
- A) Non-stress test (NST)
- B) Contraction stress test
- C) Biophysical/Manning score
- D) Doppler velocimetry
Answer: C
Q16. During an NST procedure, the patient is positioned:
- A) Supine
- B) Right lateral position
- C) Left lateral position
- D) Semi-Fowler's position
Answer: C
Q17. During NST, the fetal heart rate is monitored continuously and fetal heart accelerations are noted with respect to:
- A) Uterine contractions
- B) Fetal movements
- C) Maternal blood pressure
- D) Maternal respiratory rate
Answer: B
Q18. Which of the following is NOT an indication for NST?
- A) Pregnant female complaining of decreased fetal movements
- B) All post-term pregnancies
- C) All high-risk pregnancies beginning from 32 weeks
- D) Routine antenatal checkup at 20 weeks in low-risk pregnancies
Answer: D
Q19. In high-risk pregnancies, NST is started from:
- A) 28 weeks
- B) 30 weeks
- C) 32 weeks
- D) 34 weeks
Answer: C
Q20. The normal FHR range in NST components is:
- A) 100-140 bpm
- B) 110-160 bpm
- C) 120-180 bpm
- D) 100-160 bpm
Answer: B
Q21. FHR variability in a normal NST shows variability of:
- A) 2-5 bpm
- B) 5-15 bpm
- C) 5-25 bpm
- D) 10-30 bpm
Answer: C
Q22. If FHR is fixed (no variability), it indicates:
- A) Normal fetal well-being
- B) Reactive NST
- C) Bad prognosis
- D) False positive NST
Answer: C
Q23. At less than 32 weeks gestation, FHR acceleration is defined as an increase in FHR by ≥ ___ beats/min lasting ___ seconds with fetal movement:
- A) ≥ 15 beats/min, ≥ 15 seconds
- B) ≥ 10 beats/min, ≥ 10 seconds
- C) ≥ 10 beats/min, 10 seconds
- D) ≥ 15 beats/min, 10 seconds
Answer: C (< 32 weeks: ≥ 10 beats/min lasting 10 seconds)
Q24. At ≥ 32 weeks gestation, FHR acceleration is defined as an increase in FHR by ≥ ___ beats/min lasting ≥ ___ seconds with fetal movement:
- A) ≥ 10 beats/min, ≥ 10 seconds
- B) ≥ 15 beats/min, ≥ 15 seconds
- C) ≥ 10 beats/min, ≥ 15 seconds
- D) ≥ 15 beats/min, ≥ 10 seconds
Answer: B
Q25. An NST is called REACTIVE (Negative/Normal) when, in 20 minutes, there are:
- A) ≥ 1 acceleration
- B) ≥ 2 accelerations
- C) ≥ 3 accelerations
- D) ≥ 4 accelerations
Answer: B
Q26. The false negative rate of NST is:
- A) High
- B) Low
- C) Moderate
- D) Variable
Answer: B (False negative rates of NST are very low - no further testing required if reactive)
Q27. The false positive rate of NST is:
- A) Very low
- B) Low
- C) High
- D) Moderate
Answer: C
Q28. If in 20 minutes there are fewer than 2 accelerations on NST, the next step is:
- A) Immediately perform biophysical score
- B) Repeat NST for another 20 minutes (total 40 minutes)
- C) Perform emergency cesarean section
- D) Admit for induction of labor
Answer: B
Q29. If after a total of 40 minutes (initial 20 min + repeat 20 min), there are still fewer than 2 accelerations, the NST is classified as:
- A) Reactive/Negative NST
- B) Equivocal NST
- C) Non-reactive/Positive NST
- D) Borderline NST
Answer: C
Q30. When NST is non-reactive (positive), the next diagnostic step is:
- A) Emergency delivery
- B) Contraction stress test
- C) Biophysical/Manning score
- D) Doppler of umbilical artery
Answer: C
Q31. When NST false positive rates are high, the next step is:
- A) Repeat NST after 1 week
- B) Biophysical/Manning score (Diagnostic)
- C) Contraction stress test
- D) Immediate delivery
Answer: B
SECTION 4: Biophysical Profile (Manning Score)
Q32. The Biophysical Profile (Manning Score) is done with the help of:
- A) CTG monitoring only
- B) USG (Ultrasound) for a period of 30 minutes
- C) Doppler study
- D) X-ray
Answer: B (Done with help of USG for a period of 30 mins)
These 32 MCQs cover every point from both images - obstetric formulae definitions, GTPAL system details, NST indications, procedure, components, accelerations by gestational age, interpretation criteria, false positive/negative rates, and the follow-up algorithm. Let me know if you want answers with detailed explanations or more questions on any specific topic!
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