Certified Obstetric Emergencies (C-OBE) Practice Exam

These questions are part of the practice quiz. Start practicing

• Placenta accreta is characterized by chorionic villi attaching to which structure?
• What is the recommended medical treatment for peripartum cardiomyopathy in pregnancy?
• Which head-related complication is specifically associated with breech delivery?
• External cephalic version (ECV) is typically offered at what gestational age for a singleton breech fetus?
• Which of the following is an early warning sign of sepsis in a pregnant or postpartum patient?
• Which medication used in postpartum hemorrhage is a synthetic antifibrinolytic agent?
• Why is quantitative blood loss (QBL) preferred over estimated blood loss (EBL) in obstetric practice?
• Which test helps detect fetomaternal hemorrhage in placental abruption?
• What is the estimated fetal weight range considered suitable for vaginal breech delivery?
• TRALI stands for what?
• Acute fatty liver of pregnancy presents with which features?
• Aortic dissection in pregnancy is identified by which features and what is the initial management?
• How is insulin management adjusted during labor for a pregnant patient with diabetes?
• Which imaging modalities are used to diagnose placenta accreta spectrum?
• Which antihypertensives are considered safe in pregnancy?
• Which condition favors vaginal delivery in abruption?
• Which laboratory finding suggests maternal sepsis?
• What is the drug of choice for seizure prophylaxis in preeclampsia?
• Which sign may be palpated on abdominal examination in uterine rupture?
• Which alternative broad-spectrum antibiotic regimen is used for chorioamnionitis?
• Which vasopressor is preferred to maintain uteroplacental perfusion?
• How does fetal status reflect maternal decompensation?
• Which medication is an inotrope commonly used in shock?
• What percentage of ectopic pregnancies occur at the ampulla?
• Which drug class does tranexamic acid belong to in the context of postpartum hemorrhage management?
• What is the incidence of breech presentation at term?
• Which components are included in the management of postpartum hemorrhage?
• Macrosomia is a factor that increases the likelihood of cesarean section for breech delivery.
• What is the recommended management for unstable SVT in pregnancy?
• Postpartum endometritis is commonly treated with which antibiotic combination?
• Which of the following is a prostaglandin analogue used as a uterotonic?
• Carboprost (Hemabate) has which onset and duration, and what is a key contraindication?
• Which action is recommended within 1 hour for suspected sepsis in obstetric patients?
• How does maternal sepsis affect the fetus?
• What is the primary reason for using multiple uterotonics in postpartum hemorrhage management?
• Which feature is characteristic of amniotic fluid embolism?
• Which of the following is a late sign of maternal decompensation?
• In placenta percreta, chorionic villi invade into which area?
• Chorioamnionitis is best described as which of the following?
• For seizures in pregnancy, which of the following is an appropriate initial management step if eclampsia is suspected?
• What is the empiric regimen for septic abortion?
• Why is insulin considered the mainstay therapy for diabetes management in pregnancy?
• Organ dysfunction markers in maternal sepsis commonly include which combination?
• In TXA administration, which patient factor requires dose adjustment?
• Placenta accreta spectrum is optimally managed with a scheduled pre-labor cesarean hysterectomy at approximately what gestational age?
• A scheduled pre-labor c-section hysterectomy between 34-35 weeks gestation is the optimal management for what?
• Which electrolyte disturbance is commonly associated with massive transfusion requiring correction?
• A comprehensive pregnancy risk assessment includes which domains?
• Management of sickle cell crisis in pregnant patients includes IVF resuscitation and pain control using what?
• Which of the following is a sign or symptom of uterine rupture?
• During ongoing transfusion therapy, what should the INR or aPTT be?
• Which description matches Grade I placental abruption?
• TXA should be administered within how many hours of hemorrhage onset?
• Which statement about external cephalic version (ECV) is true?
• Management of sickle cell crisis in pregnancy includes which components?
• What is the recommended initial fluid resuscitation volume for suspected sepsis in obstetric patients?
• Which describes the three main breech presentations?
• Trauma informed care in obstetrics emphasizes what core elements?
• During CPR in a pregnant patient, which modification is recommended?
• Which grade describes moderate bleeding with uterine tenderness and fetal distress?
• Which lab finding indicates worsening maternal status?
• Hepatic hematoma or rupture in HELLP presents with which features and management steps?
• Which scenario is a recognized risk factor for uterine rupture?
• Which maneuver is used to deliver the aftercoming head during breech vaginal delivery?
• Which type of shock in pregnancy requires blood products as part of management?
• Which presentation is classified as an incomplete breech (footling)?
• How is chorioamnionitis diagnosed?
• In ARDS during pregnancy, what ventilation strategy is recommended?
• Which statement correctly describes the onset and duration of oxytocin (Pit) when used as a uterotonic?
• What are the signs and recommended treatment of pulmonary edema in pregnancy?
• What is the definitive treatment for acute fatty liver of pregnancy?
• What are the classic clinical symptoms of ectopic pregnancy?
• Placenta accreta spectrum is most strongly associated with which obstetric history factor?
• DIC in placental abruption is triggered by the release of thromboplastin from which tissue?
• Tissue plasminogen activator (tPA) may be considered in pregnancy in which circumstances?
• What is the mainstay of management for amniotic fluid embolism?
• Recurrence risk of uterine rupture in future pregnancies is approximately:
• Uterine rupture vs dehiscence: which statement is correct?
• Which signs are associated with placental abruption?
• Pyelonephritis in pregnancy is best described as infection of which organ?
• Peripartum cardiomyopathy is defined as heart failure occurring during which timeframe?
• How is asthma managed in pregnancy?
• Which of the following is NOT listed as a risk factor for breech presentation?
• What is the role of insulin in pregnancy?
• Which of the following is a reported risk of breech vaginal delivery?
• Which practice is a foundational component of sepsis prevention in obstetric patients?
• Which of the following are examples of opioids?
• Which of the following are examples of benzodiazepines?
• In pregnancy-associated venous thromboembolism, which anticoagulant is preferred and why?
• What is the recommended sequence for administering uterotonics in postpartum hemorrhage?
• Which feature is most consistent with acute fatty liver of pregnancy, and what is definitive treatment?
• Which sign indicates cessation of labor progress?
• Which condition is considered a contraindication to TXA use?
• Which of the following is NOT a criterion for considering vaginal breech delivery?
• Which signs suggest acute kidney injury in pregnancy?
• Cytotec (misoprostol) has which onset and duration when given rectally?
• Overdose management in pregnancy should prioritize which steps?
• Which of the following is NOT a vasopressor?
• What is the recommended management for AFLP?
• Definitive management for PAS is planned cesarean hysterectomy at what gestational window?
• In trauma during pregnancy, which complication should be monitored for due to potential placental separation?
• Which route is Cytotec commonly associated with to achieve its onset described as 10-20 minutes in the postpartum hemorrhage setting?
• Which combination defines preeclampsia diagnosed after 20 weeks gestation?
• Which of the following is a major risk factor for ectopic pregnancy?
• Management of a stable patient with an unruptured ectopic pregnancy includes which option?
• What is the most common site of ectopic implantation?
• Which of the following is a contraindication to external cephalic version (ECV)?
• What is the empiric regimen for endometritis?
• What is included in the initial management of DKA in pregnancy?
• What is the earliest and most consistent sign of uterine rupture?
• Carboprost (Hemabate) is a prostaglandin analogue used as a uterotonic. Which route and onset is typical?
• Which combination is a common broad-spectrum regimen for chorioamnionitis?
• Which scenario constitutes a trigger to activate the Mass Transfusion Protocol?
• How is ARDS defined and managed in obstetrics?
• Which of the following are signs of diabetic ketoacidosis (DKA) in pregnancy?
• McRoberts and suprapubic pressure are unable to deliver the anterior shoulder in a pregnant patient experiencing shoulder dystocia. The next step to attempt is what?
• What does QBL stand for in obstetric practice?
• Which antihypertensive is NOT considered safe during pregnancy?
• Which signs indicate postpartum endometritis?
• Which of the following is NOT a typical sign of myocardial infarction in pregnancy?
• Which infection category is commonly associated with cesarean or perineal wound infection and maternal sepsis?
• Which physiologic change in pregnancy makes sepsis harder to detect?
• Which monitoring should be done if the fetus is viable in suspected obstetric sepsis?
• Preeclampsia may be diagnosed when new onset hypertension is associated with what?
• How can implicit bias affect maternal outcomes?
• In pregnant patients with sickle cell crisis, what is the primary additional goal of management besides analgesia?
• Which statement about anticoagulation in pregnancy is true?
• In severe placental abruption, fibrinogen is often less than what value?
• Which of the following is a reported side effect of TXA?
• What empiric antibiotic combination is commonly used for chorioamnionitis?
• Which category includes influenza, COVID-19, and pneumonia as potential contributors to maternal sepsis?
• Postpartum endometritis is best described as infection of which structure?
• Which of the following is a risk factor for uterine rupture?
• In pregnancy, evaluation of acute kidney injury should include which component?
• What are signs of pulmonary edema in pregnancy?
• Recurrence risk for PAS in subsequent pregnancies is approximately what percent?
• Peripartum cardiomyopathy most commonly presents when?
• Common causes of acute kidney injury in pregnancy include which of the following?
• Perimortem cesarean section timing: initiate within how many minutes of arrest, with delivery by what time?
• In pregnancy-associated ischemic stroke, tPA is considered when?
• What is the mechanism of action of tranexamic acid (TXA)?
• Placenta Accreta Spectrum is defined as abnormal adherence of the placenta to the myometrium due to defective decidua basalis formation.
• Which arrhythmia is most common in pregnancy?
• What are the diagnostic criteria for DKA in pregnancy?
• In sepsis prevention, which population requires closer monitoring?
• What is the recommended treatment for chorioamnionitis?
• What is the most common trigger for diabetic ketoacidosis in pregnancy?
• Which signs are considered early indicators of maternal decompensation?
• Which anticoagulant is preferred in pregnancy?
• What is the treatment for hypoglycemia in a pregnant patient?
• What is a primary component of management for ARDS in pregnancy?
• What platelet count is used as a threshold to guide ongoing transfusion therapy?
• PAS results from defective formation of which uterine layer?
• What triage signs define intraamniotic infection in pregnancy?
• Which statement best describes the use of misoprostol (Cytotec) in postpartum hemorrhage management?
• What is an appropriate first-line treatment for hypotension caused by high spinal anesthesia?
• Which of the following is a recognized risk factor for ectopic pregnancy?
• How is asthma exacerbation managed in pregnancy?
• Term gestation is defined as what gestational age?
• What is the primary goal of debriefing after obstetric emergencies?
• After an ischemic stroke in pregnancy, which of the following is typically part of management after the acute event?
• Why is early fibrinogen replacement emphasized in obstetric hemorrhage?
• For suspected ischemic stroke in pregnancy, which diagnostic step is typically considered first?
• Methergine is contraindicated in which condition?
• What ratio defines the Mass Transfusion Protocol for PRBCs, plasma, and platelets?
• Which signs indicate high spinal anesthesia requiring airway support and vasopressors?
• Which scoring system is specifically used for obstetric early warning in pregnancy?
• Which set of medications is listed as uterotonics in postpartum hemorrhage management?
• Which grade of placental abruption is associated with fetal demise and DIC?
• Which symptom can occur with ectopic pregnancy due to diaphragmatic irritation?
• Which rectal dose of Cytotec is used for uterine atony?
• What hemoglobin level is used as the threshold to guide ongoing transfusion therapy?
• What sequence correctly describes standard shoulder dystocia management?
• What is the TXA dosing regimen described for obstetric hemorrhage?
• Methergine (methylergonovine) has which onset and duration when given intramuscularly, and in which condition should it be avoided?
• What fibrinogen level is used to guide ongoing transfusion therapy?
• How is uterine rupture defined?
• Which tests are used as viscoelastic testing to guide transfusion decisions?
• Which statement best distinguishes rupture from dehiscence?
• When should vasopressors be started in maternal septic shock?
• A pregnant patient presents with dyspnea, fatigue, and pulmonary edema. Physical exam reveals CHF with JVD, rales, and S3 gallop. The most likely diagnosis would be?
• Which imaging finding supports pulmonary edema in pregnancy?
• In pregnancy, which treatments are recommended for asthma exacerbations?
• What is the role of Rh immunoglobulin in ectopic pregnancy?
• Which statement is NOT a criterion for considering vaginal breech delivery?
• In the management of trauma during pregnancy, which initial steps are recommended?
• Why must left uterine displacement be maintained during resuscitation in pregnancy?
• Which obstetric emergency is classically associated with sudden, rapid maternal decompensation?
• In abruption-related DIC, which laboratory finding is typically elevated?
• Early warning signs of maternal decompensation include which combination?
• Which of the following are risk factors for placental abruption?
• Which is an early warning sign of maternal decompensation in uterine rupture?
• Which maneuver is designed to deliver extended legs during breech birth?
• Which factors increase the risk for placenta accreta spectrum?
• What is the indicated mode of delivery when there is fetal or maternal distress in abruption?