Q1.What percentage of maternal deaths from PPH occur in developing countries ?

A1.  65%     A2.  81%     A3. 99%

Q2.What is secondary PPH?

A1.  Secondary PPH is abnormal or excessive bleeding from the genital tract 24 hrs to 12 weeks postnatal    
A2. Secondary PPH is abnormal or excessive bleeding from the genital tract 48 hrs to 6 weeks postnatal    
A3.  Secondary PPH is abnormal or excessive bleeding from the genital tract 96 hrs to 12 weeks postnatal

Q3.What is risk of placenta accreta in a woman who had 4 previous caesarean sections?

A1.  70%     A2.  60%     A3.  20% $nbsp;

Q4.Is transvaginal ultrasound safe in pregnancy?

A1.  Yes;   A2. No   

Q5.There is evidence to show that methotrexate can be used for placenta accreta as a treatment?

A1. Yes     A2. No

Q6. What does ‘MEOWS’ chart in pregnancy stand for?

A1.  Maternity Early Obstetric Warning System ( MEOWS)     A2.  Medical Emergency Obstetric Warning System

Q7.Does smoking increase the risk of abruption ?

A1.  Yes     A2.  No

Q8.What is the recurrence risk of abruptio placenta ?

A1.  There is 10-15% risk of recurrence with placental abruption in future pregnancies,     A2.  There is 20-25% risk of recurrence with placental abruption in future pregnancies     A3.  There is 30-35% risk of recurrence with placental abruption in future pregnancies

Q9.Ultrasound is very reliable in diagnosing placental abruption ?

A1.  Yes     A2.  No

Q10.What is the risk of uterine scar rupture in patients who have had 1 previous caesarean section and considering vaginal Birth after caesarean section (VBAC)? ?

A1.  1:50 risk for uterine scar rupture/dehiscence with VBAC following 1 previous Caesarean section     A2.  1:150 risk for uterine scar rupture/dehiscence with VBAC following 1 previous Caesarean section.    A3.  1:200 risk for uterine scar rupture/dehiscence with VBAC following 1 previous Caesarean section.

Q11.Medical Management of Post Partum Haemorrhage The correct maximum dose of carboprost for managing PPH is ?

A1. 0.3mg IM x 4 doses x every 15 minutes     A2.  0.4mg IV x 5 doses x every 15 minutes    A3. 0.5mg IM x 6 doses x every 7 minutes     A4. 0.25mg x 8 doses x every 15 minutes

Q12.MDT approach in a major obstetric PPH scenario should include the following team : ( choose the ideal team members from options below )?

A1. Obstetrician, anaesthetist, Midwife , Haematologist, blood bank, interventional radiologist ;  
A2.  Medical student, midwife, Obstetrician, haematologist.   
A3. Anaesthetist, interventional radiologist, porter   
A4. Obstetrician, general surgeon, midwife, physician.