---

1) A 25 years old woman with rheumatic mitral stenosis reports at 12 weeks gestation. As per her management plan, she requires balloon valvuloplasty. The best time to carry it out will be

One answer only.

   a) Immediately

   b) 16 weeks

   c) 28 weeks

   d) 32 weeks

---

2) The correct sequence of appearance of embryonic structures as detected by sonography is

One answer only.

   a) Chorionic sac - yolk sac - embryo - heart beat

   b) Chorionic sac - embryo - yolk sac - heart beat

   c) Amnionic sac - yolk sac - embryo - heart beat

   d) Gestational sac - embryo - yolk sac - heart beat

---

3) All are true about cardiovascular changes during pregnancy except

One answer only.

   a) There is a rise in intravascular volume

   b) Cardio - thoracic ratio increases

   c) CVP increases during third trimester

   d) MAP stays unaltered

---

4) A 25 years old woman is found to have high MSAFP at 16 weeks of gestation. All are likely diagnosis except

One answer only.

   a) Down's syndrome

   b) IUD

   c) Multifetal gestation

   d) Congenital nephrosis

---

5) Banana sign is a sonographic feature of

One answer only.

   a) Anencephaly

   b) CMV encephalitis

   c) Spina bifida

   d) Congenital absence of corpus callossum

---

6) The diameter that can be clinically measured is

One answer only.

   a) External conjugate

   b) True conjugate

   c) Obstetric conjugate

   d) Direct conjugate

---

7) The smallest fetal skull diameter in the coronal plane is

One answer only.

   a) Bitemporal diameter

   b) Bimastoid diameter

   c) Biparietal diameter

   d) Occipitofrontal diameter

---

8) The kind of pelvis is determined by assessing

One answer only.

   a) Interischial diameter

   b) Anteroposterior diameter of inlet

   c) Posterior sagittal diameter

   d) Transverse diameter of inlet

---

9) All are true about chorionic villous sampling except

One answer only.

   a) It is one of the earliest methods of prenatal diagnosis

   b) It is associated with neural tube defects if performed before 9 weeks

   c) It gives quick cytogenetic results as compared to amniocentesis

   d) It cannot diagnose structural anomalies

---

10) Quadruple test for screening of Down's syndrome assesses the levels of

One answer only.

   a) hCG, estrogen, progesterone and AFP

   b) hCG, estrogen, inhibin A and AFP

   c) hCG, progesterone, inhibin A and AFP

   d) hCG, AFP, CA-125 and unconjugated estriol