Nokea
Vaginal birth after caesarean section is known as
- A. Spontaneous vaginal delivery
- B. Trial of scar
- C. Spontaneous vertex delivery
- D. Trial of birth
Correct Answer: B
Rationale: Vaginal birth after cesarean is known as a trial of scar.
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The type of D.V.T. that is characterized by formation of non-detachable clot(s) within an inflamed vein is known as
- A. Phlebothrombosis
- B. Coagulopathy
- C. Pelviopathy
- D. Thrombophlebitis
Correct Answer: D
Rationale: Thrombophlebitis involves the formation of non-detachable clots within inflamed veins.
The gradual rewarming process in the management of hypothermia neonatorum is aimed at
- A. Providing energy
- B. Providing comfort
- C. Preventing shock
- D. Preventing burns
Correct Answer: C
Rationale: The primary goal of gradual rewarming is to prevent shock and stabilize the neonate's condition.
The diameter that presents in complete breech presentation is
- A. Bitrochanteric 9.5 cm
- B. Bitrochanteric 10 cm
- C. Bisacral 9.5 cm
- D. Bisacral 10cm
Correct Answer: D
Rationale: The presenting diameter in complete breech presentation is bisacral 10 cm.
Match the conditions in column A with their correct description in column B
- A. Torticollis
- B. Damage to the sternomastoid muscles
- C. Erb’s palsy
- D. Damage to the upper brachial plexus
Correct Answer: A
Rationale: Torticollis is caused by damage to the sternomastoid muscles, while Erb’s palsy affects the upper brachial plexus.
The AGACNP is evaluating a patient who reportedly fell down a flight of steps. Her history is significant for several emergency room visits, but she denies any significant medical conditions. Some documentation in her chart indicates that she may have been subjected to physical abuse. Today she presents with a periorbital ecchymosis of the left eye and swelling in the left side of the face. Her neurologic examination is within normal limits. Which head imaging study would be most useful in assessing for findings consistent with a history of abuse?
- A. Radiographs
- B. CT scan without contrast
- C. MRI
- D. PET scan
Correct Answer: A
Rationale: An MRI (Magnetic Resonance Imaging) would be the most useful head imaging study in assessing for findings consistent with a history of abuse in this patient. MRI is superior to CT in detecting subtle changes in the brain, such as small hemorrhages, edema, or shearing injuries, which may be present in cases of physical abuse. In cases of suspected abuse, it is important to evaluate for both acute and chronic changes that may not be clearly visible on other imaging modalities. While CT scans can detect acute hemorrhages or fractures, they may miss more subtle findings that can be seen on MRI. Therefore, an MRI would provide a more comprehensive evaluation of the brain and surrounding structures in this case.