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1. With regard to the initial resuscitation of a baby at term which one of the following statements is FALSE ?
A Initial bag and mask resuscitation requires five sustained inflation breaths each lasting approximately 2 seconds duration.
B Pressures for the first 5 inflation breaths should be approx 30 cm of water.
C Every inflation breath causes the chest wall to move.
D The commonest cause of airway obstruction in an unconscious baby is loss of muscle tone.
E A newborn can lose up to 30% of its available energy reserve in the first five minutes in a cold moist environment.
2. With regard to cardiac compressions in neonatal resuscitation which one of the following is FALSE ?
A The objective is to bring oxygenated blood from the lungs to the brain.
B The thumbs should be in the midline just below an imaginary line joining the two nipples.
C The heart is compressed by decreasing the distance between the sternum and the spine by approx 1/3 1/2.
D Too rapid a rate gives the chambers of the heart no chance to fill passively.
E Most babies will respond within a minute or two.
3. In Shoulder Dystocia , as a last resort : which one of the following may be used ?
A Deliberate fracture of the humerus
B Zavanelli at a home birth
C Hysterectomy
D Symphysiotomy
E All of the above
4. With regard to the laboratory diagnosis of HELLP syndrome which one of the following may be useful?
A The presence of haemolysis on a blood film.
B The presence of haemolysis on a blood film.
C Platelets of greater than 100.
D Anaemia
E None of the above.
5. In a placental abruption which one of the following statements is correct?
A 20% of abruptions have no visible bleeding.
B Bleeding into the endometrium can cause a couvelaire uterus.
C Abruption is usually painless.
D Ultrasound is the first line in diagnosis of a retroplacental clot.
E Fetal morbidity is rare.
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