1.

A 35 years old Primigravida in the I trimester of pregnancy was

underwent genetic screening: PAPP, HCG, NT. Which
chromosomal abnormalities can be detected by this tests?
A. Triploidia
B. Monosomia
C. Trisomia
D. Tetraploidia
E. Deletion
ANSWER: C
2. A 40 years old multigravida, on the 12-th week of pregnancy,
enters ultrasound department for genetic screening. Which
ultrasound parameter has more diagnostic value in this cases?
A. Crown-ramp length
B. Biparietal diameter
C. Femur length
D. Nuchal translucency
ANSWER: D
3. A 34 years old primigravida on the second trimester enters genetic
laboratory for examination. “Quadruple screen” contain all
parameters except:
A. AFP
B. Placentar lactogen
C. Inhibin
D. HCG
E. Estriol
ANSWER: B
4. Primigravida, 30 years old on the 13-th week of pregnancy was
conducted genetic screening. By the ultrasound examination there
was defined abnormally large NT. Which from following
pathologies we can suggest?
A. Omphalocele
B. Cardiac defects
C. Spina bifida
D. Cleft lip
 E. Atresia of anus
ANSWER: B
5. Multigravida 41 years old with abnormal obstetrical anamnesis
asks Gynecologist which of following chromosomal anomalies is
most rare?
A. Trisomy 13
B. Trisomy 18
C. Trisomy 21
D. Trisomy 22
ANSWER: D
6. Which chromosome complect is characteristic for spermatozoids
and oocytes?
A. Haploid
B. Diploid
C. Triploid
D. Tetraploid
ANSWER: A
7. Stage of the development, during which fertilized egg undergo
implantation to the endometrium?
A. Blastomer
B. Blastula
C. Morula
D. Blastocyst
ANSWER: D
8. On which term of the pregnancy HCG achieve its maximal
amount?
A. 5-6 weeks
B. 8-9 weeks
C. 10-11 weeks
D. 13-14 weeks
ANSWER: C
9. What is the target tissue for HCG?
A. Placenta
 B. Corpus luteus
C. Pituitary
D. Hypothalamus
ANSWER: B
10. HCG can be detected:
A. From 4 days after conceiving
B. From 6 days after conceiving
C. From 8 days after conceiving
D. From 10 days after conceiving
ANSWER: C
11. We consider rather types of decidual layers, except:
A. Decidua basalis
B. Decidua capsularis
C. Decidua parietalis
D. Decidua visceralis
ANSWER: D
12. Umbilical cord contains:
A. 1 blood vessel
B. 2 blood vessels
C. 3 blood vessels
D. 4 blood vessels
ANSWER: C
13. Physiological changes in the cardiovascular system of the
female during the pregnancy we can refer as:
A. Hemoconcentration
B. Hemodilution
C. Hemolysis
D. Hemoptoe
ANSWER: B
14. Couple preparing for plant pregnancy. Which vitamin shall be
recommended for application in periconceptional period by
Gynecologist?
A. Vit B1
 B. Vit B9
C. Vit A
D. Vit D
ANSWER: B
15. Which is the preventive dose of Fe during pregnancy?
A. 30 mg
B. 60 mg
C. 90 mg
D. 120 mg
ANSWER: A
16. For accurate diagnosing, or excluding anemia in rather
trimesters of pregnancy beside the Hb which parameter must be
determined?
A. Feritin
B. Lecitin
C. Inhibin
D. Lysocim
ANSWER: A
17. Application of tobacco during pregnancy associated with
following complications:
A. Postterm labour
B. Growth retardation
C. Distocia
D. Clinically narrow pelvis
ANSWER: B
18. In the cases of physiological vomitus an emesis gravidarum we
can use following medications, except:
A. Ginger
B. Vit B6
C. Anticonvulsants
D. Antihistamines
ANSWER: C
19. All of following tests, which perform during first antenatal visit,
are routine, except one:
A. Hemoglobin and hematocrit
B. Urine culture
C. Vaginosis
D. Pap-test
ANSWER: C
20. Combinative genetic test in the first trimester contains all
parameters, except one:
A. PAPP
B. HCG
C. NT
D. CRL
ANSWER: D
21. Detection of asymptomic bacteriuria associated with increased
risk of following complications, except:
A. Acute pyelonephritis
B. Gestational diabetes
C. Growth retardation syndrome
D. Preterm labour
ANSWER: B
22. What amount of glucose is used during glucose oral test?
A. 30 g.
B. 50 g.
C. 70 g.
D. 90 g.
ANSWER: B
23. During the ultrasound screening on 11-14 weeks of pregnancy
we can define following events, except:
A. Gestational age
B. Growth retardation of fetus
C. Nuchal translucency
D. Multiply pregnancy
ANSWER: B
24. After which term of pregnancy we can use Leopold’s
maneuvers?
A. >24 weeks
B. >28 weeks
C. >32 weeks
D. >36 weeks
ANSWER: D
25. The border between abortion and preterm labor lays:
A. 22 weeks
B. 24 weeks
C. 26 weeks
D. 28 weeks
ANSWER: A

26.The placenta is supplied by two umbilical arteries that carry

deoxygenated fetal blood. This blood
flows into intervillous capillaries and back to the fetus in the single
umbilical vein. The maternal
circulation is designed to bathe the placental villi to optimize
transport across the placenta of nutrients,
oxygen, and metabolic wastes. Which of the following best describes
the path of the maternal blood
flow?
(A) arteries to placental capillaries to veins
(B) arteries to intravillous spaces to veins
(C) intravillous spaces to arteries to veins
(D) veins to intravillous spaces to arteries
(E) veins to placental capillaries to arteries
ANSWER B

27.A patient presents to labor and delivery complaining of regular

uterine contractions. Upon reviewing
her gestational dating criteria, the following is determined:
Last menstrual period (LMP) places her at 36 weeks’ estimated
gestational age (EGA).
Her clinical sizing at her initial obstetrical visit places her at 41
weeks.
Ultrasound done at 7 weeks places her at 38 weeks.
Ultrasound done at this presentation places her at 35 weeks.
Clinical size at presentation places her at 34 weeks.
You determine that she is how many weeks’ EGA?
(A) 34 weeks’ EGA
(B) 35 weeks’ EGA
(C) 36 weeks’ EGA
(D) 38 weeks’ EGA
(E) 41 weeks’ EGA

Answer D

28. The fetal head is usually the largest part of the infant. Depending
on the positioning of the head as it
enters the pelvis, labor will progress normally or experience a (E) A
vertex presentation offers the smallest circumference of the fetal head
to the pelvic passage. The
circumference at this point is about 32 cm. At the greatest point of the
circumference (the
occipitofrontal diameter), it is about 34 cm. In addition to the
circumference, the ability of the fetus to
negotiate the pelvic curve is very much dependent on the position of
the presenting vertex, with a wellflexed
head in the occiput anterior (OA) position being optimal.dystocia due
to cephalopelvic
disproportion. The smallest circumference of the normal fetal head
corresponds to the plane of which
diameter?

(A) biparietal diameter

(B) bitemporal diameter
(C) occipitofrontal diameter
(D) occipitomental diameter
(E) suboccipitobregmatic diameter
ANSWER E

29.In women with polyhydramnios, what is the most common cause?

(A) maternal hypertension
(B) fetal anomalies
(C) maternal diabetes
(D) postmature pregnancy
(E) twins
(I) idiopathic
Answer B

30.What is the maximum normal time for the second stage of labor in
a primigravida without anesthesia?
(A) 20 minutes
(B) 60 minutes
(C) 120 minutes
(D) 240 minutes
(E) no normal maximum

Answer C

31.At delivery, a perineal laceration tore through the skin of the

fourchette, vaginal mucous membrane, and
the fascia and perineal muscles of the perineal body but not the anal
sphincter or mucosa. This should
be recorded in the medical record as what type of laceration?
(A) first-degree
(B) second-degree
(C) third-degree
(D) fourth-degree
(E) complete
Answer B
32. Uterine cycle consist of all phases besides:
1. proliferative phase
2.menstuation
3. follcular phase
4.secretory phase
33.Answer B Stage of the development, during which fertilized
egg undergo implantation to the endometrium?
A. Blastomer
B. Blastula
C. Morula
D. Blastocyst
ANSWER: D
34.On which term of the pregnancy HCG achieve its maximal
amount?
A. 5-6 weeks
B. 8-9 weeks
C. 10-11 weeks
D. 13-14 weeks
ANSWER: C
35.What is the target tissue for HCG?
A. Placenta
B. Corpus luteus
C. Pituitary
D. Hypothalamus
ANSWER: B
36.HCG can be detected:
A. From 4 days after conceiving
B. From 6 days after conceiving
C. From 8 days after conceiving
D. From 10 days after conceiving
ANSWER: C
37.The part of the pelvis lying above the linea ter-minalis has
little effect on a woman’s ability to deliver
a baby vaginally. What is the name of this portion of the pelvis?
A true pelvis
B midplane
C outlet
D false pelvis
E sacrum
ANSWER D

38. Which option includes all of the bones that make up the
pelivs?
A trochanter, hip socket, ischium, sacrum, and pubis
B ilium, ischium, pubis, sacrum, and coccyx
C ilium, ischium, and pubis
D sacrum, ischium, ilium, and pubis
E trochanter, sacrum, coccyx, ilium, and pubis
ANSWER B.
39.The plane from the sacral promontory to the lower border of
the pubic symphysis is:
A true conjugate
B obstetric conjugate
C diagonal conjugate
D bi-ischial diameter
E oblique diameter
ANSWER:C

40. What is the usual shape of the escutcheon in the normal

female?
A diamond shaped
B triangular
C oval
D circular
E heart shaped
ANSWER:B