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1. With regard to retained placenta which one of the following is correct?
A It is defined as failure to deliver the placenta in less than 90 minutes.
B 50% of women with a history of retained placenta will have another retained placenta in a subsequent birth.
C If invasive it is associated with an increased risk of hysterectomy.
D Brandt manoeuvre is unlikely to deliver the placenta.
E High parity is not a risk factor.
2. With regard to Ventouse delivery which one of the following is correct?
A Can be associated with subgaleal haematoma
B Can be used on a breech presentation
C Is recommended on fetus (cephalic) between 28-32 weeks
D Is recommended for fetal distress when the cervix is 9cm
E Has its greatest success rates when moulding of the head allows for a better fit of the cup.
3. In a Twin delivery which one is the correct statement?
A PPH is relatively uncommon
B Locked twins are possible if the first twin is cephalic
C If appropriate ECV is possible on twin 2 following delivery of twin 1.
D Internal podalic version is a possible manoeuvre on twin 1.
E In theory there are 20 possible combinations of twin presentations
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.
E None of the above.
5. With regard to the use of CTGs which one of the following is correct?
A A non-reassuring trace is a good predictor of poor outcome.
B The use of late decelerations to predict cerebral palsy is very accurate.
C The majority of perinatal asphyxia, even severe, does not result in long-term neurological outcomes.
D Changes in the fetal heart rate are mediated via the mothers sympathetic nerves.
E CTGs are a direct measure of the fetal acid base balance.
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