Q: Which of the following factors is most important in the subsequent development of genital prolapse?

(a) :  Poor tissue quality
(b) :  Chronic straining at bowel movements
(c) :  Menopause
(d) :  Childbirth trauma
(e) :  Multiple deliveries
Answer:  Poor tissue quality

Q: The major cause of unplanned pregnancies in women using oral contraceptives is

(a) :  Breakthrough ovulation at midcycle
(b) :  High frequency of intercourse
(c) :  Incorrect use of oral contraceptives
(d) :  Gastrointestinal malabsorption
(e) :  Development of antibodies
Answer:  Incorrect use of oral contraceptives

Q: A 35-year-old G1P0 presents to her obstetrician’s office at 8 weeks gestation. She has a history of type I diabetes and is very concerned regarding the possible risks this illness may have on her fetus. As the patient’s physician, you tell her that all of the following are possible risks that can result from having diabetes in pregnancy except

(a) :  Fetal malformations
(b) :  First-trimester spontaneous abortions
(c) :  Macrosomia
(d) :  Preterm labor
(e) :  Cesarean section 
Answer:  Preterm labor

Q: Advantages of ultrasound nuchal translucency over biochemical screening for Down syndrome include?

(a) :  Uses transvaginal approach
(b) :  More consistent measurements than lab tests
(c) :  Better in multiple gestation
(d) :  Wide gestational age range
(e) :  More convenient for patients 
Answer:  Better in multiple gestation

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