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Question

Which of the following factors are associated with cord prolapse during labour ?
I. Malpresentations
II. Contracted pelvis
III. Stabilizing induction
IV. Prematurity
Select the correct answer using the code given below:

The correct answer is

I, II, III and IV

In this question, we are tasked with identifying the factors associated with cord prolapse during labour. Let's evaluate the given options:

  1. Malpresentations: Malpresentations such as breech or transverse lie are known contributors to cord prolapse. This is because there is more space around the presenting part, allowing the umbilical cord to slip past during labor.
  2. Contracted pelvis: A contracted pelvis can affect the engagement and descent of the fetal head, increasing the risk for cord prolapse, especially if combined with malpresentation.
  3. Stabilizing induction: Induction of labor, especially when the presenting part is not well engaged, may predispose the patient to cord prolapse as the amniotic sac breaks and pressure decreases.
  4. Prematurity: Premature infants are typically smaller, and in such cases, more amniotic fluid is present relative to the size of the fetus, which increases the chance of cord prolapse.

Considering all the points, it's clear that all the factors mentioned can contribute to cord prolapse. Therefore, the correct answer is:

I, II, III and IV

Each factor plays a role by creating conditions either in fetal positioning, maternal anatomy, or labor induction methods that allow the umbilical cord to descend into or through the cervix prematurely.

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Important Questions from Miscellaneous

  1. Which of the following heart sounds are best heard with the bell of stethoscope?

    I. Opening snap

    II. Systolic click

    III. Third heart sound

    IV. Mid diastolic murmur

    Select the correct answer using the code given below:

  2. Consider the following statements for diagnosing ventricular aneurysm in a patient with recent myocardial infarction:

    I. Paradoxical impulse on chest wall

    II. Persistent ST elevation on ECG

    III. Unusual bulge from cardiac silhouette on X-ray

    IV. Presence of pulsus paradoxsus

    Which of the above are correct?

  3. Which one of the following statements is correct for subcutaneous nodules in Rheumatic fever?

  4. Which one of the following is correct with regard to Carey Coombs murmur?

  5. Which of the following statements is correct regarding the Opening Snap (OS) in a patient of mitral stenosis?

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