Q1. What gestation is preterm labour defined as?

A1.  After 20 weeks     A2.  24 weeks to 37 weeks     A3.  Up to 39 weeks

Q2. How do you diagnose preterm labour?

A1.  History only     A2.  Regular contractions with changes in the cervix     A3.  By transvaginal ultrasound

Q3. What tests are useful in diagnosing preterm labour?

A1.  Fibronectin     A2.  Low vaginal swab     A3.  Examination showing no change in the cervix

Q4. Patient has a short cervix. Would you

A1.  Put in a cervical cerclage     A2.  Consider progesterone     A3.  Reassure her

Q5. Patient comes in preterm labour. What will you do?

A1.  Tocolysis with terbutaline     A2.  Tocolysis with nifedipine     A3.  Do nothing

Q6.Patient with history of previous preterm birth is anxious. What can be offered?

A1. Examination of the cervix     A2.  Transvaginal scan to check cervical length     A3.  Do nothing

Q7. If the patient comes in preterm labour, would you consider giving steroids and magnesium sulphate?

A1.  Yes     A2.  No    

Q8.Patient comes in preterm prelabour rupture of membranes at 30 week. What will you do?

A1.  Reassure and send home     A2.  Admit and start antibiotics and check wcc and crp     A3.  Deliver the mother

Q9.Magnesium sulphate helps with

A1.  Delaying the labour     A2.  Neuroprotection     A3.  Lung maturity

Q10. Patient comes at 28 weeks with ruptured membranes and transverse lie. Will you?

A1.  Deliver by internal podalic version    A2.  Classical c-section     A3.  Wait for spontaneous labour

Q11. If patient comes with very preterm labour at 25 weeks, will you

A1.  Manage patient in a small nursing home     A2.  Send her to a hospital with neonatal services     A3.  Discharge patient home

Q12. Impact of preterm delivery

A1.  Is negligible     A2.  No impact     A3.  Has long term implications for the baby and family