IUGR and IUFD

 IUGR and IUFD:

1. All these tests can be useful in management of intrauterine fetal growth

restriction (IUGR) EXCEPT:

A. Fetal kick chart

B. Cardiotocography CTG non stress test

C. Chorionic villous sampling

D. Biophysical profile

E. Umbilical cord Doppler waveforms

2. The following are possible complications of IUGR EXCEPT :

A. Intrauterine death

B. Severe hypoxia and fetal distress in labor

C. Meconium aspiration

D. Hypoglycemia

E. Post maturity

3. The definition of intrauterine growth restriction (IUGR):

A. Infant with birth weight below 10th percentile for a give gestation age

B. Infant with birth weight below 25th percentile for a given gestation age

C. Infant with birth weight of 2.8 kg

D. Infant with birth weight below 50th percentile for a given gestation age

E. Infant born at 30 weeks of gestation with a weight of 2.3 kg

4. Maternal causes for intrauterine growth restriction may one of these EXCEPT:

A. Hypertensive diseases with pregnancy

B. Chronic renal diseases with pregnancy

C. Smoking and alcoholism

D. Cyanotic heart disease

E. Rheumatic mitral stenosis

5. Risk factors for shoulder dystocia include all the followings EXCEPT:

A. Maternal obesity.

B. Macrosomia.

C. Maternal diabetes.

D. Prolonged second stage of labor.

E. IUGR.

6. Causes of IUGR include all the followings EXCEPT:

A. Constitutional small mother.

B. Fetal urinary tract anomalies.

C. Premature rupture of membranes.

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D. Placental insufficiency.

7. The most accurate method for diagnosis of IUFD :

A. No fetal movement by the mother

B. Decrease in symptoms & signs of pregnancy

C. Recurrent bleeding per vagina

D. Absence of fetal heart sound by Doppler

E. Absence of fetal heart by real time UUS movement

8. The following are causes for a uterus that is large for gestation during

pregnancy, EXCEPT :

A. Multiple pregnancy

B. IUGR

C. Fibroid

D. Polyhydramnios

E. Incorrect dating of pregnancy

9. Causes of IUGR include all the followings EXCEPT:

A. Constitutional small mother.

B. Fetal urinary tract anomalies.

C. Premature rupture of membranes.

D. Placental insufficiency.

10. The most serious maternal complication of IUFD:

A. Acute amnionitis.

B. Acute psychosis.

C. Pelvic thrombophlebitis.

D. Hypofibrinogenemia.

E. Infertility.

11. IUGR may occur in all of the following EXCEPT:

A. Pre-eclampsia.

B. Congenital anomaly.

C. Gestational diabetes mellitus.

D. Sickle cell anemia.

E. Maternal smoking.

12. In cases of IUFD:

A. A cause can be indentified in most cases.

B. Immediate delivery is indicated.

C. More common with good antenatal care.

D. Fetal chromosome should not be done.

E. Careful examination of the newborn is important.

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13. If IUGR is encountered:

A. Immediate delivery is indicated.

B. C-section is the only way in those cases.

C. Steroids should not be administrated in causes post maturity.

D. Congenital anomalies should be ruled out.

E. Perinatal mortality/morbidity is unaffected.

14. The commonest cause of IUFD is :

A. True knots in the cord.

B. Gestational diabetes mellitus.

C. Unexplained.

D. Infections.

E. Complete placental abruption.

15. The most common chromosomal abnormality in the abortuses is:

A. Blanced translocation.

B. Unblanced translocstion.

C. Triploidy.

D. Trisomy.

E. Turner (45 XO).