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Question 1
A 28-year-old primigravida experiences brisk postpartum hemorrhage immediately after an uncomplicated vaginal delivery of a 3.9 kg neonate. Manual palpation reveals a soft, poorly contracted uterus above the umbilicus. After continuous bimanual uterine massage and 10 units of intravenous oxytocin infusion, uterine atony persists and total blood loss reaches 800 mL. The patient has a history of mild asthma. What is the most appropriate next pharmacologic agent?
Correct Answer:
Ergometrine (Methylergonovine) 0.2 mg intramuscularly
Question 2
A 32-year-old multigravida (G3P2) with refractory uterine atony continues to bleed following administration of oxytocin, ergometrine, tranexamic acid, and sublingual misoprostol. Vital signs show blood pressure 85/50 mmHg and pulse 122 bpm. Examination in the operating theater excludes genital tract lacerations and retained placental tissue. What is the most appropriate next conservative surgical or tamponade intervention?
Correct Answer:
Intrauterine balloon tamponade (e.g., Bakri balloon)
Question 3
During a vaginal delivery of a 4,200 g fetus, the fetal head delivers and immediately retracts tightly against the maternal perineum ('turtle sign'). Gentle downward axial traction fails to deliver the anterior shoulder. What is the immediate first-line maneuver after calling for multidisciplinary emergency assistance and stopping maternal pushing?
Correct Answer:
Perform McRoberts maneuver combined with suprapubic pressure
Question 4
A 24-year-old primigravida at 38 weeks of gestation with preeclampsia develops a generalized tonic-clonic seizure in the labor ward. Airway protection, high-flow oxygen, and left lateral tilt are established. What is the first-line anticonvulsant regimen for terminating and preventing recurrent eclamptic convulsions?
Correct Answer:
Magnesium sulfate 4 g IV loading dose over 15-20 minutes, then 1 g/hour IV infusion
Question 5
A patient receiving a continuous magnesium sulfate infusion for severe preeclampsia develops a respiratory rate of 8 breaths/minute, slurred speech, and absent patellar deep tendon reflexes. Continuous pulse oximetry reads 89%. What is the immediate pharmacological antidote to administer?
Correct Answer:
Calcium gluconate 10% (1 g) intravenously over 10 minutes
Question 1
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About this Exam

Prepare with the Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical and Oral Examination Exam practice quiz. This question bank includes 100 questions covering year-old, weeks, fetal, gestation, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board OB GYN Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Obstetrics & Gynecology Final Clinical and Oral Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, weeks, fetal, gestation, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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