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1. Regarding pre-eclampsia, All the following statements are correct excepta. Presence of proteinuria indicates glomerular involvementb. Serum urate level has no prognostic value to fetal outcomec. Proteinuria alone is indicative of hypertensive disorder of pregnancyd. Raised liver enzymes is an indication to terminate the pregnancye. The presence of antiphosphospholipid antibodies is increased in early onset preeclampsia

2. Regarding hypertensive disorders of pregnancy, All the following statements are correct excepta. Patients who develop hypertension during pregnancy are at risk of developing hypertension later in lifeb. The fetal outcome in mildly hypertensive non- proteinuric women is almost similar to normotensive nonproteinuric womenc. The maternal mortality is about 3% n eclamptic womend. The pregnancy out come in chronic hypertensive patients with superimposed pre- eclampsia is better than in nulli para with pre-eclampsiae. Prematurity is the commonest cause of fetal loss in pre-eclampsia

3. in diabetic pregnancy fetal hyperinsulinaemia causes increased growth in AII the following fetal tissues except:a. Heartb. liverc. subcutaneous fatd. braine. muscle

4. Regarding maternal physiological changes in pregnancy, AII the following statements are correct excepta. Glomerular filtration rate increases by 50%b. Plasma volume increases by 40%c. Decrease in peripheral resistanced. Decrease in endogenous insulin productione. Increase in blood cell mass by 18%

5. Regarding preeclampsia, only one of the following statements is correcta. In mild disease headache is a usual complaintb. Systemic pathological changes follow the appearance of hypertensionc. Thrombocytopenia is a usual finding in pre-eclampsiad. The commonest cause of fetal loss is intrauterine growth restrictione. The distinctive renal lesion is Glomerular endotheliosis

6. Regarding preeclampsia, AII the following statements are correct excepta. Severe hypertension without proteinuria is diagnosed as preeclampsiab. Hospitalization is necessary even in mild casesc. Induction of labor is the treatment of choice for pre eclamptics at 37 weeks gestation or greaterd. Antihypertensive agent is recommended if the blood pressure exceeds 160/100e. Anticonvulsant treatment is recommended in all patients with severe preeclampsia

7. Regarding hypertensive disorders of pregnancy, All the following statements are correct excepta. Fetuses of chronically hypertensive women are at greater risk of intrauterine growth restriction than those of preeclamptic womenb. The fetal outcome in mildly hypertensive women is almost as good as in normotensive womenc. Preeclamptic women are at greater risk of abruptio placentae than the chronically hypertensived. In a chronically hypertensive, the dose of the hypotensive drug may need to be reduced in the first twotrimesters of pregnancye. Women with pregnancy induced hypertansion are at greater risk of developing hlpertension later in life thanpreeclamptic women

8. Regarding biochemical changes in pregnancy, AII the following statements are correct excepta. Increased serum alkaline phosphataseb. Increase in bile cholesterol concentrationc. PT& PTT are prolongedd. Serum amylase levels are increasede. Increased serum triglycerides

9. All the following conditions are associated with transverse lie EXCEPTa. Prematurityb. Multiparityc. Placenta previad. Multiple pregnanciese. Fundal fibroid

10. Regarding Rhesus isoimmunization, All the following statements are correct excepta.Tends to become less severe in successive pregnanciesb Most commonly follows failure to give prophylaxisc All Rhesus negative people have o'd" in each half of the genotyped Anti D imuoglobulun 500 IU (100ug) can eliminate up to 5ml of Rh-D positive blood from the maternalcirculatione Whittfield action line and lilely's chart are useful in the management of isoimmunized cases

11. Regarding prevention of rhesus isommunization, All the following statements are correct except:a. Giving anti D to rhesus negative women, within 72 hours of delivery of rhesus positive child!. Giving anti D to rhesus negative women, who are known to have rhesus antibodies, within 24hours of deliveryc. Giving anti D to rhesus negative women, following termination of pregnancy, even if the father isheterozygous Rhesus positived. Giving anti D to Rhesus negative women following an external cephalic version.e. Giving anti D to Rhesus negative women at 28 weeks and34 weeks of pregnancy

12. Regarding ectopic pregnancy, All the following statements are correct excepta. Over 95% of patients complain of abdominal painb. All patients give history of amenorrhea or irregular vaginal bleedingc. Arias - stella reaction is characteristicd. It can be excluded with negative beta HCGe. Urinary pregnancy test is positive in 50% of cases

13. Regarding Trisomies, Only one of the following statements is correcta. Is one of the most important sex chromosome abnormalitiesb. Over 90%o arise from non-disjunctionc. May result from unbalanced translocationsd. May give rise to fragile x -syndromee. The incidence increases with increasing patemal age

14. A raised maternal serum AFP may be associated with the following excepta. Turner syndromeb. Down syndromec. Threatened abortiond. Exomphalose. Anencephaly

15. Regarding patients with clinical diabetes, only one of the following statements is correcta. The infant of diabetic mother has increased risk of hlperglycemiab. The glycolated Hb level should be kept below 10 after conceptionc. Fetal cleft palate is characteristic in diabetic patientsd. Retinopathy is a contraindication to pregnancye. There is increased incidence of polycythemia in the newborns of diabetic mothers

16. Regarding gestational diabetes only one of the following statements is correcta. The incidence of macrosomia is not increasedb. Oral GTT is not required after purpuiriumc .Insulin should be considered if pre-prandial glucose level persists above 6 mmol/litd. Insulin is usually required after deliverye. Glugosuria presence is highly suggestive of diabetes

17. Regarding fetal growth assessment, only one of the following statements is correcta. A significant fall in perinatal mortality occur when fetal abdominal circumference measurement is carried out at 28 weeksb. A serial symphysis - fundal height measurement detect 60Yo of growth restricted fetusesc. Antenatal cardiotocograph is most important factor in determining timing of deliveryd. Fetal lung maturity is best assessed by fetal breathing movemente. Most small for gestational age fetuses are growth restricted