Maternal Physiological Changes in Pregnancy SAQ, MCQ
SBA MCQs: Maternal Physiological Changes in Pregnancy
4th Year Medical Students
CARDIOVASCULAR SYSTEM (10 Questions)
1. What is the typical increase in cardiac output during pregnancy? a) 10-20% b) 20-30% c) 30-50% d) 50-70% e) 70-90%
Answer: c) 30-50%
2. When does cardiac output typically peak during pregnancy? a) 8-12 weeks b) 16-20 weeks c) 24-28 weeks d) 32-36 weeks e) 38-40 weeks
Answer: c) 24-28 weeks
3. What happens to systemic vascular resistance during pregnancy? a) Increases by 20-30% b) Remains unchanged c) Decreases by 20-30% d) Decreases by 50-60% e) Increases by 50-60%
Answer: c) Decreases by 20-30%
4. The physiological murmur heard in pregnancy is typically: a) Diastolic murmur at apex b) Systolic ejection murmur at left sternal border c) Continuous murmur at base d) Pansystolic murmur at apex e) Mid-diastolic murmur at tricuspid area
Answer: b) Systolic ejection murmur at left sternal border
5. What is the typical change in heart rate during pregnancy? a) Decrease by 10-15 bpm b) No significant change c) Increase by 10-15 bpm d) Increase by 20-25 bpm e) Increase by 30-35 bpm
Answer: c) Increase by 10-15 bpm
6. Supine hypotensive syndrome is caused by: a) Increased venous return b) Compression of inferior vena cava by gravid uterus c) Increased cardiac output d) Decreased blood volume e) Increased peripheral resistance
Answer: b) Compression of inferior vena cava by gravid uterus
7. What happens to blood pressure during normal pregnancy? a) Progressively increases throughout pregnancy b) Remains constant throughout pregnancy c) Decreases in first trimester, then gradually increases d) Decreases in second trimester, then returns to baseline e) Increases in first trimester, then decreases
Answer: d) Decreases in second trimester, then returns to baseline
8. The increase in cardiac output during pregnancy is primarily due to: a) Increased heart rate only b) Increased stroke volume only c) Both increased heart rate and stroke volume d) Decreased peripheral resistance only e) Increased blood viscosity
Answer: c) Both increased heart rate and stroke volume
9. What ECG changes are commonly seen in normal pregnancy? a) Prolonged PR interval b) Left axis deviation c) Right bundle branch block d) ST segment elevation e) Shortened QT interval
Answer: b) Left axis deviation
10. The point of maximal impulse (PMI) during pregnancy: a) Remains in the same position b) Shifts upward and to the left c) Shifts downward and to the right d) Becomes more prominent but doesn't shift e) Becomes less prominent
Answer: b) Shifts upward and to the left
RESPIRATORY SYSTEM (10 Questions)
11. What is the typical change in tidal volume during pregnancy? a) Decreases by 20% b) Remains unchanged c) Increases by 20% d) Increases by 40% e) Increases by 60%
Answer: d) Increases by 40%
12. Functional residual capacity (FRC) during pregnancy: a) Increases by 20% b) Increases by 10% c) Remains unchanged d) Decreases by 20% e) Decreases by 40%
Answer: d) Decreases by 20%
13. What happens to oxygen consumption during pregnancy? a) Decreases by 10% b) Remains unchanged c) Increases by 10% d) Increases by 20% e) Increases by 40%
Answer: d) Increases by 20%
14. The physiological dyspnea of pregnancy is primarily due to: a) Decreased lung capacity b) Increased oxygen demand c) Progesterone-mediated increase in respiratory drive d) Mechanical compression by uterus e) Decreased hemoglobin levels
Answer: c) Progesterone-mediated increase in respiratory drive
15. What happens to residual volume during pregnancy? a) Increases by 30% b) Increases by 15% c) Remains unchanged d) Decreases by 15% e) Decreases by 30%
Answer: d) Decreases by 15%
16. The typical change in minute ventilation during pregnancy is: a) Increases by 20% b) Increases by 40% c) Increases by 60% d) Decreases by 20% e) Remains unchanged
Answer: b) Increases by 40%
17. What happens to the diaphragm during pregnancy? a) Moves down by 2 cm b) Remains in the same position c) Moves up by 2 cm d) Moves up by 4 cm e) Moves up by 6 cm
Answer: d) Moves up by 4 cm
18. The inspiratory capacity during pregnancy: a) Decreases significantly b) Decreases slightly c) Remains unchanged d) Increases slightly e) Increases significantly
Answer: d) Increases slightly
19. What is the typical PaCO2 level in pregnancy? a) 35-40 mmHg b) 32-35 mmHg c) 28-32 mmHg d) 40-45 mmHg e) 45-50 mmHg
Answer: c) 28-32 mmHg
20. The chest circumference during pregnancy: a) Remains unchanged b) Decreases by 2-3 cm c) Increases by 2-3 cm d) Increases by 6-7 cm e) Increases by 10-12 cm
Answer: d) Increases by 6-7 cm
RENAL SYSTEM (10 Questions)
21. What is the typical increase in glomerular filtration rate (GFR) during pregnancy? a) 10-20% b) 20-30% c) 40-50% d) 60-70% e) 80-90%
Answer: c) 40-50%
22. The increase in GFR during pregnancy begins: a) At conception b) At 6 weeks c) At 12 weeks d) At 20 weeks e) At 28 weeks
Answer: a) At conception
23. What happens to serum creatinine levels during normal pregnancy? a) Increase by 50% b) Increase by 25% c) Remain unchanged d) Decrease by 25% e) Decrease by 50%
Answer: d) Decrease by 25%
24. The renal plasma flow during pregnancy: a) Decreases by 25% b) Remains unchanged c) Increases by 25% d) Increases by 50% e) Increases by 75%
Answer: e) Increases by 75%
25. Glycosuria during pregnancy is primarily due to: a) Gestational diabetes b) Increased glucose production c) Decreased insulin sensitivity d) Increased GFR with decreased tubular reabsorption e) Increased glucose consumption
Answer: d) Increased GFR with decreased tubular reabsorption
26. What happens to the ureters during pregnancy? a) Remain unchanged b) Become dilated (hydroureter) c) Become constricted d) Become shorter e) Become more tortuous only
Answer: b) Become dilated (hydroureter)
27. The physiological hydronephrosis of pregnancy is more common on: a) Left side b) Right side c) Both sides equally d) Neither side e) Depends on fetal position
Answer: b) Right side
28. What is the typical change in urea levels during pregnancy? a) Increase by 50% b) Increase by 25% c) Remain unchanged d) Decrease by 25% e) Decrease by 50%
Answer: d) Decrease by 25%
29. The bladder capacity during pregnancy: a) Decreases throughout pregnancy b) Increases throughout pregnancy c) Remains unchanged d) Increases early, then decreases e) Decreases early, then increases
Answer: d) Increases early, then decreases
30. Proteinuria in normal pregnancy should not exceed: a) 100 mg/24 hours b) 200 mg/24 hours c) 300 mg/24 hours d) 500 mg/24 hours e) 1000 mg/24 hours
Answer: c) 300 mg/24 hours
HEMATOLOGICAL SYSTEM (10 Questions)
31. What is the typical increase in plasma volume during pregnancy? a) 20-30% b) 30-40% c) 40-50% d) 50-60% e) 60-70%
Answer: c) 40-50%
32. The red blood cell mass during pregnancy increases by: a) 10-15% b) 15-20% c) 20-30% d) 30-40% e) 40-50%
Answer: c) 20-30%
33. The physiological anemia of pregnancy is due to: a) Iron deficiency b) Folate deficiency c) Hemodilution d) Decreased RBC production e) Increased RBC destruction
Answer: c) Hemodilution
34. What happens to the white blood cell count during pregnancy? a) Decreases by 25% b) Remains unchanged c) Increases by 25% d) Increases by 50% e) Increases by 100%
Answer: d) Increases by 50%
35. The hemoglobin concentration during pregnancy typically: a) Remains unchanged b) Increases by 10% c) Decreases by 10-15% d) Decreases by 20-25% e) Decreases by 30-35%
Answer: c) Decreases by 10-15%
36. What happens to the platelet count during normal pregnancy? a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: d) Decreases slightly
37. The iron requirements during pregnancy increase to: a) 15 mg/day b) 18 mg/day c) 27 mg/day d) 35 mg/day e) 45 mg/day
Answer: c) 27 mg/day
38. What happens to fibrinogen levels during pregnancy? a) Decrease by 25% b) Remain unchanged c) Increase by 25% d) Increase by 50% e) Increase by 100%
Answer: d) Increase by 50%
39. The erythrocyte sedimentation rate (ESR) during pregnancy: a) Decreases significantly b) Remains unchanged c) Increases moderately d) Increases significantly e) Becomes unreliable
Answer: d) Increases significantly
40. Folate requirements during pregnancy increase to: a) 200 mcg/day b) 400 mcg/day c) 600 mcg/day d) 800 mcg/day e) 1000 mcg/day
Answer: c) 600 mcg/day
GASTROINTESTINAL SYSTEM (10 Questions)
41. What happens to gastric emptying during pregnancy? a) Significantly accelerated b) Slightly accelerated c) Remains unchanged d) Slightly delayed e) Significantly delayed
Answer: e) Significantly delayed
42. The lower esophageal sphincter pressure during pregnancy: a) Increases by 25% b) Remains unchanged c) Decreases by 25% d) Decreases by 50% e) Decreases by 75%
Answer: c) Decreases by 25%
43. Gastroesophageal reflux during pregnancy is primarily due to: a) Increased gastric acid production b) Decreased gastric emptying only c) Hormonal effects and mechanical compression d) Increased intra-abdominal pressure only e) Dietary changes
Answer: c) Hormonal effects and mechanical compression
44. What happens to small bowel transit time during pregnancy? a) Significantly decreased b) Slightly decreased c) Remains unchanged d) Slightly increased e) Significantly increased
Answer: e) Significantly increased
45. The gallbladder during pregnancy: a) Contracts more frequently b) Remains unchanged c) Becomes hypotonic and enlarged d) Becomes hypertonic and smaller e) Stops functioning
Answer: c) Becomes hypotonic and enlarged
46. What happens to colonic transit time during pregnancy? a) Decreases by 50% b) Remains unchanged c) Increases by 25% d) Increases by 50% e) Increases by 100%
Answer: d) Increases by 50%
47. The nausea and vomiting of early pregnancy is primarily related to: a) Estrogen levels b) Progesterone levels c) Human chorionic gonadotropin (hCG) levels d) Cortisol levels e) Thyroid hormone levels
Answer: c) Human chorionic gonadotropin (hCG) levels
48. Gastric acid secretion during pregnancy: a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: d) Decreases slightly
49. The risk of cholelithiasis during pregnancy is: a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: e) Significantly increased
50. Constipation during pregnancy is primarily due to: a) Dietary changes b) Decreased fluid intake c) Progesterone-mediated smooth muscle relaxation d) Mechanical compression by uterus e) Iron supplementation
Answer: c) Progesterone-mediated smooth muscle relaxation
ENDOCRINE SYSTEM (10 Questions)
51. What happens to thyroid-binding globulin (TBG) during pregnancy? a) Decreases by 50% b) Remains unchanged c) Increases by 50% d) Increases by 100% e) Increases by 150%
Answer: e) Increases by 150%
52. Free T4 levels during normal pregnancy: a) Increase significantly b) Increase slightly c) Remain unchanged or decrease slightly d) Decrease significantly e) Fluctuate unpredictably
Answer: c) Remain unchanged or decrease slightly
53. What happens to insulin sensitivity during pregnancy? a) Increases throughout pregnancy b) Remains unchanged c) Decreases throughout pregnancy d) Increases early, then decreases e) Decreases early, then increases
Answer: d) Increases early, then decreases
54. The cortisol-binding globulin during pregnancy: a) Decreases by 25% b) Remains unchanged c) Increases by 25% d) Increases by 50% e) Increases by 100%
Answer: e) Increases by 100%
55. What happens to prolactin levels during pregnancy? a) Remain unchanged b) Increase by 2-fold c) Increase by 5-fold d) Increase by 10-fold e) Increase by 20-fold
Answer: d) Increase by 10-fold
56. The parathyroid hormone (PTH) levels during pregnancy: a) Increase significantly b) Increase slightly c) Remain unchanged d) Decrease slightly e) Decrease significantly
Answer: d) Decrease slightly
57. What happens to growth hormone (GH) levels during pregnancy? a) Increase due to pituitary GH b) Remain unchanged c) Decrease due to placental GH d) Increase due to placental GH e) Fluctuate unpredictably
Answer: d) Increase due to placental GH
58. The aldosterone levels during pregnancy: a) Decrease by 50% b) Remain unchanged c) Increase by 50% d) Increase by 500% e) Increase by 1000%
Answer: e) Increase by 1000%
59. What happens to the pituitary gland during pregnancy? a) Remains unchanged b) Decreases in size by 25% c) Increases in size by 25% d) Increases in size by 50% e) Increases in size by 100%
Answer: c) Increases in size by 25%
60. The human placental lactogen (hPL) levels: a) Remain constant throughout pregnancy b) Increase gradually until 32 weeks, then plateau c) Increase exponentially throughout pregnancy d) Decrease in the third trimester e) Are undetectable in normal pregnancy
Answer: b) Increase gradually until 32 weeks, then plateau
IMMUNE SYSTEM (10 Questions)
61. The overall immune status during pregnancy is: a) Significantly enhanced b) Slightly enhanced c) Unchanged d) Slightly suppressed e) Significantly suppressed
Answer: d) Slightly suppressed
62. What happens to T-helper cell subsets during pregnancy? a) Th1 response is enhanced b) Th2 response is enhanced c) Both Th1 and Th2 are enhanced d) Both Th1 and Th2 are suppressed e) No significant change
Answer: b) Th2 response is enhanced
63. The total immunoglobulin levels during pregnancy: a) Increase by 25% b) Remain unchanged c) Decrease by 25% d) Decrease by 50% e) Decrease by 75%
Answer: c) Decrease by 25%
64. What happens to natural killer (NK) cell activity during pregnancy? a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: e) Decreases significantly
65. The complement system during pregnancy: a) Is significantly impaired b) Is slightly impaired c) Remains unchanged d) Is slightly enhanced e) Is significantly enhanced
Answer: d) Is slightly enhanced
66. What happens to neutrophil function during pregnancy? a) Significantly enhanced b) Slightly enhanced c) Unchanged d) Slightly impaired e) Significantly impaired
Answer: d) Slightly impaired
67. The risk of viral infections during pregnancy is: a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: d) Slightly increased
68. What happens to autoimmune diseases during pregnancy? a) All worsen significantly b) All improve significantly c) Most improve, some worsen d) Most worsen, some improve e) All remain unchanged
Answer: c) Most improve, some worsen
69. The maternal antibody transfer to the fetus occurs primarily via: a) IgA b) IgG c) IgM d) IgE e) IgD
Answer: b) IgG
70. What happens to the risk of bacterial infections during pregnancy? a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: d) Slightly increased
MUSCULOSKELETAL SYSTEM (10 Questions)
71. The hormone primarily responsible for ligamentous relaxation during pregnancy is: a) Estrogen b) Progesterone c) Relaxin d) Human chorionic gonadotropin e) Prolactin
Answer: c) Relaxin
72. What happens to the sacroiliac joints during pregnancy? a) Become more rigid b) Remain unchanged c) Become more mobile d) Fuse temporarily e) Develop arthritis
Answer: c) Become more mobile
73. The typical weight gain during pregnancy in a normal BMI woman is: a) 5-10 kg b) 11.5-16 kg c) 17-22 kg d) 23-28 kg e) 29-34 kg
Answer: b) 11.5-16 kg
74. What happens to the symphysis pubis during pregnancy? a) Remains unchanged b) Widens by 2-3 mm c) Widens by 4-5 mm d) Widens by 8-10 mm e) Fuses completely
Answer: c) Widens by 4-5 mm
75. The lumbar lordosis during pregnancy: a) Decreases significantly b) Remains unchanged c) Increases slightly d) Increases significantly e) Reverses completely
Answer: d) Increases significantly
76. What happens to bone density during pregnancy? a) Increases by 10% b) Remains unchanged c) Decreases by 3-5% d) Decreases by 10-15% e) Decreases by 20-25%
Answer: c) Decreases by 3-5%
77. The center of gravity during pregnancy: a) Remains unchanged b) Shifts forward c) Shifts backward d) Shifts to the left e) Shifts to the right
Answer: b) Shifts forward
78. What happens to joint mobility during pregnancy? a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: e) Significantly increased
79. The diastasis recti during pregnancy refers to: a) Separation of symphysis pubis b) Separation of sacroiliac joints c) Separation of rectus abdominis muscles d) Separation of costal cartilages e) Separation of vertebral bodies
Answer: c) Separation of rectus abdominis muscles
80. What happens to calcium requirements during pregnancy? a) Decrease by 25% b) Remain unchanged c) Increase by 25% d) Increase by 50% e) Increase by 100%
Answer: d) Increase by 50%
NEUROLOGICAL SYSTEM (10 Questions)
81. What happens to intracranial pressure during normal pregnancy? a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: c) Remains unchanged
82. The risk of stroke during pregnancy is: a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: d) Slightly increased
83. What happens to seizure threshold during pregnancy? a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: d) Decreases slightly
84. The carpal tunnel syndrome during pregnancy is due to: a) Nerve compression from weight gain b) Hormonal changes only c) Fluid retention and swelling d) Calcium deficiency e) Vitamin B12 deficiency
Answer: c) Fluid retention and swelling
85. What happens to sleep patterns during pregnancy? a) Improve significantly b) Remain unchanged c) Become disrupted d) Become more regular e) Require less sleep
Answer: c) Become disrupted
86. The risk of migraine headaches during pregnancy: a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: e) Decreases significantly
87. What happens to peripheral nerve conduction during pregnancy? a) Increases significantly b) Remains unchanged c) Decreases slightly d) Decreases significantly e) Becomes erratic
Answer: c) Decreases slightly
88. The restless leg syndrome during pregnancy: a) Never occurs b) Occurs rarely c) Occurs in 15-20% of pregnancies d) Occurs in 50% of pregnancies e) Occurs in all pregnancies
Answer: c) Occurs in 15-20% of pregnancies
89. What happens to the blood-brain barrier during pregnancy? a) Becomes more permeable b) Becomes less permeable c) Remains unchanged d) Disappears temporarily e) Becomes selectively permeable
Answer: c) Remains unchanged
90. The risk of Bell's palsy during pregnancy is: a) Significantly decreased b) Unchanged c) Slightly increased d) Increased 3-4 fold e) Increased 10-fold
Answer: d) Increased 3-4 fold
METABOLIC SYSTEM (10 Questions)
91. The basal metabolic rate during pregnancy increases by: a) 5-10% b) 15-20% c) 25-30% d) 35-40% e) 45-50%
Answer: b) 15-20%
92. What happens to glucose tolerance during pregnancy? a) Improves significantly b) Remains unchanged c) Deteriorates slightly d) Deteriorates significantly e) Becomes unpredictable
Answer: c) Deteriorates slightly
93. The total caloric requirement during pregnancy increases by: a) 100-200 kcal/day b) 200-300 kcal/day c) 300-400 kcal/day d) 400-500 kcal/day e) 500-600 kcal/day
Answer: c) 300-400 kcal/day
94. What happens to lipid metabolism during pregnancy? a) Lipolysis is inhibited throughout b) Lipogenesis is enhanced throughout c) Lipogenesis early, then lipolysis d) Lipolysis early, then lipogenesis e) No significant change
Answer: c) Lipogenesis early, then lipolysis
95. The protein requirements during pregnancy increase by: a) 10 g/day b) 15 g/day c) 25 g/day d) 35 g/day e) 50 g/day
Answer: c) 25 g/day
96. What happens to triglyceride levels during pregnancy? a) Decrease by 25% b) Remain unchanged c) Increase by 50% d) Increase by 100% e) Increase by 200%
Answer: e) Increase by 200%
97. The fasting glucose levels during pregnancy: a) Increase by 20% b) Remain unchanged c) Decrease by 10% d) Decrease by 20% e) Decrease by 30%
Answer: c) Decrease by 10%
98. What happens to cholesterol levels during pregnancy? a) Decrease by 25% b) Remain unchanged c) Increase by 25% d) Increase by 50% e) Increase by 100%
Answer: d) Increase by 50%
99. The postprandial glucose levels during pregnancy: a) Remain unchanged b) Decrease compared to non-pregnant state c) Increase and remain elevated longer d) Increase but return to baseline faster e) Become unpredictable
Answer: c) Increase and remain elevated longer
100. What happens to ketone production during pregnancy? a) Decreases significantly b) Remains unchanged c) Increases slightly d) Increases significantly e) Becomes undetectable
Answer: d) Increases significantly
DERMATOLOGICAL SYSTEM (10 Questions)
101. The linea nigra during pregnancy is caused by: a) Increased estrogen b) Increased progesterone c) Increased melanocyte-stimulating hormone d) Decreased cortisol e) Increased prolactin
Answer: c) Increased melanocyte-stimulating hormone
102. What percentage of pregnant women develop striae gravidarum? a) 25% b) 50% c) 75% d) 90% e) 100%
Answer: d) 90%
103. The melasma of pregnancy (chloasma) affects: a) 10% of pregnant women b) 25% of pregnant women c) 50% of pregnant women d) 75% of pregnant women e) 90% of pregnant women
Answer: c) 50% of pregnant women
104. What happens to hair growth during pregnancy? a) Significantly decreases b) Slightly decreases c) Remains unchanged d) Slightly increases e) Significantly increases
Answer: e) Significantly increases
105. The spider angiomata during pregnancy are caused by: a) Increased progesterone b) Increased estrogen c) Increased cortisol d) Increased prolactin e) Increased hCG
Answer: b) Increased estrogen
106. What happens to nail growth during pregnancy? a) Significantly decreases b) Slightly decreases c) Remains unchanged d) Slightly increases e) Significantly increases
Answer: d) Slightly increases
107. The palmar erythema during pregnancy occurs in: a) 10% of women b) 25% of women c) 50% of women d) 75% of women e) 90% of women
Answer: c) 50% of women
108. What happens to sebaceous gland activity during pregnancy? a) Significantly decreases b) Slightly decreases c) Remains unchanged d) Slightly increases e) Significantly increases
Answer: d) Slightly increases
109. The Montgomery's tubercles during pregnancy: a) Disappear completely b) Remain unchanged c) Become more prominent d) Become painful e) Become infected
Answer: c) Become more prominent
110. What happens to wound healing during pregnancy? a) Significantly impaired b) Slightly impaired c) Unchanged d) Slightly enhanced e) Significantly enhanced
Answer: b) Slightly impaired
HEPATIC SYSTEM (10 Questions)
111. What happens to alkaline phosphatase levels during pregnancy? a) Decrease by 50% b) Remain unchanged c) Increase by 50% d) Increase by 100% e) Increase by 200%
Answer: e) Increase by 200%
112. The serum albumin levels during pregnancy: a) Increase by 25% b) Remain unchanged c) Decrease by 25% d) Decrease by 50% e) Decrease by 75%
Answer: c) Decrease by 25%
113. What happens to bilirubin levels during normal pregnancy? a) Increase significantly b) Increase slightly c) Remain unchanged d) Decrease slightly e) Decrease significantly
Answer: d) Decrease slightly
114. The liver span during pregnancy: a) Decreases by 25% b) Remains unchanged c) Increases by 25% d) Increases by 50% e) Increases by 100%
Answer: b) Remains unchanged
115. What happens to gamma-glutamyl transferase (GGT) levels during pregnancy? a) Increase significantly b) Increase slightly c) Remain unchanged d) Decrease slightly e) Decrease significantly
Answer: d) Decrease slightly
116. The cholesterol synthesis during pregnancy: a) Decreases by 50% b) Remains unchanged c) Increases by 50% d) Increases by 100% e) Increases by 200%
Answer: c) Increases by 50%
117. What happens to hepatic blood flow during pregnancy? a) Decreases significantly b) Decreases slightly c) Remains unchanged d) Increases slightly e) Increases significantly
Answer: c) Remains unchanged
118. The prothrombin time during pregnancy: a) Increases significantly b) Increases slightly c) Remains unchanged d) Decreases slightly e) Decreases significantly
Answer: c) Remains unchanged
119. What happens to drug metabolism in the liver during pregnancy? a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: d) Slightly increased
120. The hepatic glucose production during pregnancy: a) Decreases significantly b) Decreases slightly c) Remains unchanged d) Increases slightly e) Increases significantly
Answer: d) Increases slightly
MENTAL/PSYCHOLOGICAL SYSTEM (10 Questions)
121. The prevalence of antenatal depression is approximately: a) 5% b) 10% c) 15% d) 20% e) 25%
Answer: c) 15%
122. What happens to cognitive function during pregnancy? a) Significantly improves b) Slightly improves c) Remains unchanged d) Slightly decreases e) Significantly decreases
Answer: d) Slightly decreases
123. The "baby blues" affects what percentage of postpartum women? a) 25% b) 50% c) 75% d) 85% e) 95%
Answer: d) 85%
124. What happens to memory function during pregnancy? a) Significantly improves b) Slightly improves c) Remains unchanged d) Slightly decreases e) Significantly decreases
Answer: d) Slightly decreases
125. The risk of anxiety disorders during pregnancy is: a) Significantly decreased b) Slightly decreased c) Unchanged d) Slightly increased e) Significantly increased
Answer: d) Slightly increased
126. What happens to attention span during pregnancy? a) Significantly improves b) Slightly improves c) Remains unchanged d) Slightly decreases e) Significantly decreases
Answer: d) Slightly decreases
127. The prevalence of postpartum depression is approximately: a) 5% b) 10% c) 15% d) 20% e) 25%
Answer: c) 15%
128. What happens to emotional lability during pregnancy? a) Significantly decreases b) Slightly decreases c) Remains unchanged d) Slightly increases e) Significantly increases
Answer: e) Significantly increases
129. The risk of postpartum psychosis is approximately: a) 0.1% b) 0.5% c) 1% d) 2% e) 5%
Answer: a) 0.1%
130. What happens to stress response during pregnancy? a) Significantly enhanced b) Slightly enhanced c) Unchanged d) Slightly blunted e) Significantly blunted
Answer: d) Slightly blunted
ANSWER KEY SUMMARY
1. Cardiovascular (1-10): c, c, c, b, c, b, d, c, b, b
2. Respiratory (11-20): d, d, d, c, d, b, d, d, c, d
3. Renal (21-30): c, a, d, e, d, b, b, d, d, c
4. Hematological (31-40): c, c, c, d, c, d, c, d, d, c
5. Gastrointestinal (41-50): e, c, c, e, c, d, c, d, e, c
6. Endocrine (51-60): e, c, d, e, d, d, d, e, c, b
7. Immune (61-70): d, b, c, e, d, d, d, c, b, d
8. Musculoskeletal (71-80): c, c, b, c, d, c, b, e, c, d
9. Neurological (81-90): c, d, d, c, c, e, c, c, c, d
10. Metabolic (91-100): b, c, c, c, c, e, c, d, c, d
11. Dermatological (101-110): c, d, c, e, b, d, c, d, c, b
12. Hepatic (111-120): e, c, d, b, d, c, c, c, d, d
13. Mental/Psychological (121-130): c, d, d, d, d, d, c, e, a, d