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1. During the delivery of a fetus which one of the following is correct ?
A The head is born by flexion in a OP position.
B Forceps can be used on a face presentation.
C Forceps can be used during a breech delivery.
D Occasionally in an OP position the vertex can be on the perineum but the head is not engaged.
E All of the above.
2. With regard to the Active management of the 3rd stage of labour, which one of the following is correct?
A It is also known as the physiological management of the third stage.
B It can reduce the incidence of PPH by up to 66%.
C It increases the need for manual removal
D It does not involve controlled cord traction
E It requires the removal of the placenta before signs of placental separation.
3. Which one of the following indicates possible Magnesium toxicity ?
A The reflexes are normal.
B The patient develops abdominal pain.
C The respiratory rate is 16 respirations per minute.
D If the patient is agitated.
E If the patient has a cardiac arrest.
4. With regard to pulmonary embolism which one of the following statements is correct?
A 80% occur postpartum.
B The most common presenting symptoms are dyspnoea and tachypnoea.
C A chest X-ray is normal in > 60% of patients with pulmonary embolism.
D An ECG always shows the classic S1/ Q3/ T3 pattern.
E Pulmonary angiography is not helpful.
5. With regard to the presentation of uterine rupture which one of the following is correct?
A Less than 5 % occur out of hospital.
B It can be associated with severe variable decelerations on the CTG.
C It can cause recession of the fetal head vaginally.
D It can be associated with hyperstimulation.
E All of the above.
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