Perinatology

PERINATOLOGY • Vol 24 • No. 1 • May–Aug 2023 51 Self-assessment Quiz* *Answers on page 53 Quiz 1. Which of the following statement(s) is(are) true regarding shoulder dystocia? a. It is associated with gestational diabetes. b. Fetal macrosomia is a risk factor for shoulder dystocia. c. It occurs when the fetus’s anterior shoulder gets stuck against the mother’s pubic symphysis. d. Advanced maternal age is related to shoulder dystocia. e. Maternal smoking is related to shoulder dystocia. 2. Which of the following statement(s) is(are) true regarding the management of acute hypertensive episode (AHE) during pregnancy? a. Hypertensive encephalopathy is not a component of AHE. b. Cardiac decompensation occurs during AHE. c. Extreme hypertension is a risk factor for placental abruption. d. Lowering blood pressure too much and too quickly can lead to fetal distress. e. Blood pressure is lowered to normal level based on the age of the pregnant woman. 3. Which of the following statement(s) is(are) true regarding placental abruption? a. Vaginal bleeding is a cardinal sign of placental abruption. b. Abdominal pain may or may not occur during placental abruption. c. Fetal distress is noticed in all cases of placental abruption. d. There can be bloody mucous discharge during placental abruption. e. Placental abruption is an obstetric emergency. 4. Which of the following statement(s) is(are) true regarding pseudoseizures in children? a. Pseudoseizures are related to hysterical conversion or malingering. b. Pseudoseizures are superficially similar to tonic– clonic seizures. c. Pseudoseizures may show abnormalities in EEG. d. Serum prolactin levels are raised following pseudoseizures. e. Tongue biting and loss of sphincter control are common during pseudoseizures. 5. Which of the following statement(s) is(are) true regarding pediatric acute pharyngotonsillitis? a. Most cases are caused by viruses. b. Beta-hemolytic streptococci cause acute pharyngotonsillitis in about 15% to 30% cases. c. Fever, anorexia, and throat pain are the predominant clinical findings. d. Scarlatiniform rashes occur occasionally. e. A rapid strep test is highly sensitive and specific.

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