Pregnancy Bleeding Questions PDF

1. What is the most common cause of bleeding in the first trimester of pregnancy? A) Ectopic pregnancy B) Molar pregnancy C) Miscarriage D) Placenta previa Answer: C) Miscarriage 2. Which hormone primarily maintains early pregnancy? A) Estrogen B) Progesterone C) Testosterone D) Cortisol...

1. What is the most common cause of bleeding in the first trimester of pregnancy? A) Ectopic pregnancy B) Molar pregnancy C) Miscarriage D) Placenta previa Answer: C) Miscarriage 2. Which hormone primarily maintains early pregnancy? A) Estrogen B) Progesterone C) Testosterone D) Cortisol Answer: B) Progesterone 3. At what gestational age does the placenta take over hormone production from the corpus luteum? A) 4 weeks B) 8 weeks C) 12 weeks D) 16 weeks Answer: C) 12 weeks 4. What is a common sign of a threatened miscarriage? A) Severe abdominal pain B) Heavy bleeding C) Light spotting D) Fever Answer: C) Light spotting 5. Which condition is indicated by vaginal bleeding and an open cervix in early pregnancy? A) Threatened miscarriage B) Inevitable miscarriage C) Ectopic pregnancy D) Placenta previa Answer: B) Inevitable miscarriage 6. What type of ultrasound is commonly used to evaluate first-trimester bleeding? A) Abdominal B) Transvaginal C) Doppler D) Transrectal Answer: B) Transvaginal 7. In ectopic pregnancy, where is the embryo most commonly implanted? A) Ovary B) Cervix C) Fallopian tube D) Abdominal cavity Answer: C) Fallopian tube 8. What is a classic symptom of ectopic pregnancy? A) Severe headache B) Pelvic pain C) High fever D) Swollen feet Answer: B) Pelvic pain 9. Which imaging modality is best for diagnosing ectopic pregnancy? A) MRI B) CT scan C) Ultrasound D) X-ray Answer: C) Ultrasound 10. What medication is commonly used for the medical management of ectopic pregnancy? A) Methotrexate B) Ibuprofen C) Estrogen D) Progesterone Answer: A) Methotrexate 11. What is a primary risk factor for developing an ectopic pregnancy? A) High blood pressure B) Diabetes C) Pelvic inflammatory disease D) Thyroid disease Answer: C) Pelvic inflammatory disease 12. Which of the following is an early sign of molar pregnancy? A) Severe nausea B) High blood pressure C) Rapid weight gain D) Jaundice Answer: A) Severe nausea 13. What type of pregnancy results from abnormal trophoblastic growth without a viable fetus? A) Ectopic pregnancy B) Molar pregnancy C) Placental abruption D) Vasa previa Answer: B) Molar pregnancy 14. Which hormone level is typically elevated in cases of molar pregnancy? A) HCG B) Estrogen C) Progesterone D) FSH Answer: A) HCG 15. How is a complete molar pregnancy differentiated from a partial molar pregnancy? A) Presence of a fetus B) Presence of severe pain C) Elevated progesterone D) Rapid fetal heartbeat Answer: A) Presence of a fetus 16. What is the main treatment for molar pregnancy? A) Surgery B) Chemotherapy C) Methotrexate D) Radiation Answer: A) Surgery 17. What describes painless bleeding in late pregnancy with a low-lying placenta? A) Placenta previa B) Abruptio placentae C) Ectopic pregnancy D) Vasa previa Answer: A) Placenta previa 18. What is the medical term for premature separation of a normally implanted placenta? A) Placenta previa B) Vasa previa C) Placental abruption D) Cervical insufficiency Answer: C) Placental abruption 19. Which condition is associated with painful bleeding in the third trimester? A) Placenta previa B) Vasa previa C) Ectopic pregnancy D) Placental abruption Answer: D) Placental abruption 20. What is the preferred diagnostic tool for placental abruption? A) MRI B) Ultrasound C) Doppler D) X-ray Answer: B) Ultrasound 21. Which maternal condition is a risk factor for placental abruption? A) Diabetes B) Obesity C) Hypertension D) Thyroid disorder Answer: C) Hypertension 22. Which condition is characterized by painless vaginal bleeding and a placental location over the cervical os? A) Placental abruption B) Placenta Previa C) Vasa Previa D) Ectopic pregnancy Answer: B) Placenta Previa 23. How is placenta previa generally managed if detected before 20 weeks of gestation? A) Immediate delivery B) Bed rest C) Surgery D) Observation Answer: D) Observation 24. What is the primary treatment for heavy bleeding due to placenta previa near term? A) Bed rest B) Surgery C) Cesarean delivery D) Blood transfusion Answer: C) Cesarean delivery 25. What complication can arise if a placenta previa is not managed properly? A) Stillbirth B) Sepsis C) Intrauterine growth restriction D) Cord prolapse Answer: A) Stillbirth 26. What does "vasa previa" refer to? A) Low-lying placenta B) Umbilical vessels crossing the cervical os C) Fetal blood loss into maternal circulation D) Placental tissue invading the cervix Answer: B) Umbilical vessels crossing the cervical os 27. Which symptom might indicate vasa previa during labor? A) High fever B) Painless vaginal bleeding C) Severe back pain D) Swelling Answer: B) Painless vaginal bleeding 28. What is a risk factor for vasa previa? A) Multiple gestations B) Hypertension C) Obesity D) Diabetes Answer: A) Multiple gestations 29. How is vasa previa typically diagnosed? A) MRI B) Doppler ultrasound C) CT scan D) Blood test Answer: B) Doppler ultrasound 30. In heavy vaginal bleeding during the third trimester, what is the first management step? A) Blood transfusion B) Immediate ultrasound C) IV fluids D) Pain management Answer: C) IV fluids 31. What medication promotes fetal lung maturity if preterm delivery is likely? A) Progesterone B) Betamethasone C) Estrogen D) Oxytocin Answer: B) Betamethasone 32. For postpartum hemorrhage, what is a common first-line treatment? A) Oxytocin B) Aspirin C) Estrogen D) Blood transfusion Answer: A) Oxytocin 33. Why is Rh immunoglobulin given in cases of bleeding in an Rh-negative mother? A) Prevents fetal anemia B) Prevents Rh sensitization C) Boosts fetal oxygen levels D) Reduces fetal distress Answer: B) Prevents Rh sensitization 34. What is the definition of recurrent pregnancy loss? A) Two or more losses B) Three or more consecutive losses C) Any loss before 20 weeks D) Loss with confirmed fetal heartbeat Answer: B) Three or more consecutive losses 35. Which genetic condition increases the risk of recurrent pregnancy loss? A) Down syndrome B) Turner syndrome C) Antiphospholipid syndrome D) Fragile X syndrome **Answer: C) Antiphosph