12-?

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6

1.Overview and epidemiology: Worldwide 40 million caesarean sections occur annually
A.True
B.False
2.While the number of caesarean sections is significant, the estimate is closer to around 38 million annually, not 40 million.
A. True
B. False
3.Overview and epidemiology: The overall global rate for caesareans is 19%
A.True
B.False
4.Overview and epidemiology: Vaginal birth after 1 previous Caesarean section has a rupture risk of <1%
A.True
B.False
5.Overview and epidemiology: Caesarean section is the most commonly performed major surgery
A.True
B.False
6.Overview and epidemiology: A greater percentage of women who deliver by caesarean are satisfied afterwards than those who deliver vaginally
A.True
B.False
7.Overview and epidemiology: The WHO states outcomes do not improve beyond a rate of 20%
A.True
B.False
8.Making decisions in labour: Normal accelerations of the fetal heart follow a regular pattern
A.True
B.False
9.Making decisions in labour: Late decelerations occurring after 25% of contractions are defined as abnormal A.True
B.False
10.Making decisions in labour: A fetal heart rate baseline between 110 -160 is reassuring
A.True
B.False
11.Making decisions in labour: On reaching the action line on the partograph you should operate within 30 minutes for failure to progress in labour with no fetal distress
A.True
B.False
12.Making decisions in labour: You should perform an immediate caesarean if there is a fetal bradycardia longer than 1 minute A.True
B False
13.Making decisions in labour: Recurrent genital herpes is an indication for caesarean section
A.True
B.False
14.Second stage of labour: A vacuum delivery with episiotomy has less risk of OASIS than a normal spontaneous birth A.True
B.False
15.Second stage of labour: To avoid OASIS an episiotomy should be cut at 70° to the vertical
A.True
B.False
16.Second stage of labour: With Assisted Vaginal Delivery traction should be maintained in between contractions
A.True
B.False
17.Second stage of labour: Vacuum cup application time should be limited to 15 minutes maximum
A.True
B.False
18.Second stage of labour: For assisted vaginal birth, traction is permissible during up to 5 successive contractions
A.True
B.False
19.Second stage of labour: Cephlohaematomas occur in 2% of SVDs and 6% of AVDs
A.True
B.False
20.Obstetric surgical interventions: For caesarean at full cervical dilation the uterus should be incised higher up than normal
A.True
B.False
21.Obstetric surgical interventions: For caesarean at full cervical dilation the uterus should be incised higher up than normal
A.True
B.False
22.Obstetric surgical interventions: Exteriorisation of the uterus for repair is associated with less post-operative pain A.True
B.False
23.Obstetric surgical interventions: You should apply Green-Armytage clamps to the uterus before delivery of the placenta A.True
B.False
24.Obstetric surgical interventions: The umbilical cord should be cut immediately when delivering by caesarean section A.True
B.False
25.Obstetric surgical interventions: You should close both angles of the uterine incision before suturing across the incision
A.True
B.False
25.Obstetric surgical interventions: At caesarean section, for the deeply impacted fetal head disimpaction is easier using the left hand if standing on the patient’s right side
A.True
B.False
26.Peri-operative care: Antibiotics should not be administered to women with fever until after delivery of the baby due to the risk of necrotizing enterocolitis
A.True
B.False
27.Peri-operative care: Intravenous fluid pre-load is necessary for patients with pre-eclampsia undergoing surgery
A.True
B.False
28.Peri-operative care: Ketamine is safe in patients with severe pre-eclampsia requiring caesarean
A.True
B.False
29.Peri-operative care: Vaginal disinfection prior to caesarean reduces post-operative endometritis
A.True
B.False
30.Peri-operative care: In an emergency the WHO safe surgical check list should not be ommitted
A.True
B.False
31.Peri-operative care: For caesarean section the patient should be positioned on the operating table with a tilt to the left A.True
B.False
32.Post-operative care: Ogalvie’s syndrome presents with acute dilation of the small intestine
A.True
B.False
33.Post-operative care: Endometritis is more likely than retained products of conception to be the cause of puerperal sepsis in patients following caesarean section
A.True
B.False
34.Post-operative care: Bladder distension of 1000 mls can lead to permanent bladder denervation
A.True
B.False
35.Post-operative care: Abdominal X rays are contra-indicated in the postnatal period A.True
B.False
36.Post-operative care: If the Early Warning Score is 2 you should repeat the patient’s observations in 12 hours
A.True
B.False
37.Post-operative care: In cases of post-surgical haemorrhage, 5 gm tranexamic acid should be given
A.True
B.False
38.Follow up and audit: The risk of an abnormally adherent placenta with a history of a previous caesarean and a current placenta praevia is almost 9% A.True
B.False
39.Follow up and audit: A low Body Mass Index is associated with a decreased chance of successful VBAC
A.True
B.FalsFalse
40.Follow up and audit: If OASIS recurs at a subsequent delivery there is a 50% risk of subsequent incontinence
A.True
B.False
41.Follow up and audit: The audit cycle requires at least two audits to be completed
A.True
B.False
42.Follow up and audit: Audit is a type of research
A.True
B.False
42.Follow up and audit: There is no need for a case review if the cause of maternal death is obvious
A.True
B.False