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ASRB NET and ARS / SMS / STO Veterinary Obstetrics: practice questions

ASRB NET and ARS / SMS / STO (Agricultural Scientists Recruitment Board) · India · Agricultural Scientists Recruitment Board

Original practice questions written to the published syllabus · not past papers
10worked here, free
45written to this exam in this subject
14syllabus units

What this subject covers

Pregnancy accidents, normal birth, dystocia and the operations that relieve it, and the complications of the post-partum period and the newborn.

In the exams: ICAR AICE-JRF core group 07; ICAR AIEEA-PG 13 (ARGO); Nepal NLEV Theriogenology 8

Where the 45 questions fall

How our questions for ASRB NET and ARS / SMS / STO spread across the units of Veterinary Obstetrics. Difficulty: 4 easy, 21 medium, 20 hard.

Abortion5
Normal parturition5
Uterine torsion4
Foetal dystocia4
Neonatal care4
Maternal dystocia3
Obstetrical operations3
Fetotomy3
Caesarean section3
Post-partum complications3
Foetal mummification2
Hydrops of the foetal membranes2
Uterine prolapse2
Retained placenta2

10 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · Uterine torsion · medium

A cow has a clockwise (right) uterine torsion. How should she be rolled to correct it?

  1. Rolled in either direction; the direction does not matter
  2. Cast on her right side and rolled slowly to the left
  3. Cast on her right side and rolled quickly to the right
  4. Cast on her left side and rolled quickly to the left
Answer and working

C. Cast on her right side and rolled quickly to the right

The dam is cast on the side toward which the torsion is directed and rolled rapidly in the same direction, so her body turns faster than the heavy uterus and catches up with it. Rolling the wrong way increases the torsion.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

2 · Uterine torsion · hard

Per rectum in a cow with uterine torsion, the left broad ligament is felt passing tightly over the top of the uterus towards the right, and the right ligament passes down beneath. What is the direction of the torsion as viewed from behind?

  1. A pre-cervical torsion of less than 45 degrees that needs no action
  2. No torsion; this is normal
  3. Anticlockwise (to the left)
  4. Clockwise (to the right)
Answer and working

D. Clockwise (to the right)

In a clockwise torsion the left side of the uterus rotates upward and over to the right, dragging the left broad ligament tightly across the top, while the right ligament is pulled down beneath. The reverse arrangement indicates an anticlockwise torsion.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

3 · Foetal dystocia · medium

Which fetal monster has a sharply flexed spine so that head and tail approach each other, with exposed abdominal viscera?

  1. Anasarca
  2. Hydrocephalus
  3. Perosomus elumbis
  4. Schistosomus reflexus
Answer and working

D. Schistosomus reflexus

Schistosomus reflexus is the most important bovine monster; viscera, or four limbs and head together, may be felt in the canal. Perosomus elumbis lacks lumbar and sacral segments and has rigid hindlimbs.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

4 · Foetal dystocia · hard

Perosomus elumbis in the calf causes dystocia mainly because:

  1. It lacks lumbosacral spinal segments, so its hindlimbs are rigid and cannot be extended
  2. The skull is enlarged by fluid and cannot pass through the bony pelvis
  3. The fetus is covered in subcutaneous oedema
  4. The spine is acutely flexed so that head and tail meet, with the abdominal viscera exposed
Answer and working

A. It lacks lumbosacral spinal segments, so its hindlimbs are rigid and cannot be extended

Absent lumbar and sacral segments leave the hindquarters with ankylosed limbs that cannot be positioned. The distractors describe hydrocephalus, schistosomus reflexus and anasarca respectively.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

5 · Obstetrical operations · hard

A calf is in posterior presentation with bilateral hip flexion (breech). What is the correct order of correction for each hindlimb?

  1. Extend the hock first while leaving the hip flexed, then pull the calf out by the tail and hocks
  2. Pull on the tail until the limbs extend
  3. Repel the rump, convert hip flexion to hock flexion, then flex the hock and bring up the cupped foot
  4. Perform fetotomy through both hocks with the wire saw before any repulsion or correction is attempted
Answer and working

C. Repel the rump, convert hip flexion to hock flexion, then flex the hock and bring up the cupped foot

The limb is corrected stage by stage: hip flexion becomes hock flexion, and hock flexion is then corrected by bringing the foot up in an arc. Traction on the tail does nothing and can injure the calf.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

6 · Fetotomy · hard

Why is the number of fetotomy cuts kept to a minimum in the mare?

  1. Fetotomy is illegal in horses in all countries, so every cut must be justified to the regulator
  2. The equine cervix and vagina are easily damaged, and complications reduce future fertility
  3. Mares cannot receive epidural anaesthesia
  4. Equine fetuses cannot be divided with a wire saw because their long bones are too dense
Answer and working

B. The equine cervix and vagina are easily damaged, and complications reduce future fertility

The mare's genital tract is delicate and prone to lacerations, adhesions and infection, so fetotomy is limited to one or two cuts or replaced by assisted vaginal delivery under anaesthesia or caesarean section. Epidural anaesthesia can be used in the mare.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

7 · Caesarean section · medium

Which spinal nerves are blocked in a paravertebral block for bovine flank laparotomy?

  1. L4, L5 and L6
  2. T13, L1 and L2
  3. S2, S3 and S4
  4. C6, C7 and C8
Answer and working

B. T13, L1 and L2

The paralumbar fossa is supplied by the thirteenth thoracic and first and second lumbar nerves. L4-L6 contribute to the obturator nerve, and S2-S4 are sacral nerves supplying the pelvic viscera and perineum, not the flank.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

8 · Post-partum complications · medium

Using the widely accepted definitions, puerperal metritis in the dairy cow is:

  1. Pus in the uterus with a persistent corpus luteum
  2. Within 21 days of calving: enlarged uterus, fetid red-brown discharge and systemic illness
  3. Inflammation found only on endometrial cytology
  4. Purulent discharge 21 days or more after calving, without any fever or other systemic illness
Answer and working

B. Within 21 days of calving: enlarged uterus, fetid red-brown discharge and systemic illness

Puerperal metritis combines uterine signs with systemic illness in the first 21 days. Purulent discharge after 21 days is clinical endometritis, cytology-only disease is subclinical endometritis, and pus with a corpus luteum is pyometra.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

9 · Neonatal care · hard

Neonatal isoerythrolysis in the foal most often involves antibodies against which red cell antigens?

  1. Aa and Qa
  2. DEA 1 and DEA 4
  3. A and B feline antigens
  4. Rh D
Answer and working

A. Aa and Qa

Mares lacking Aa or Qa, sensitised in earlier pregnancies, produce antibodies that the foal absorbs from colostrum. DEA antigens are canine, and A/B are feline blood groups.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

10 · Normal parturition · hard

Why can a calf with an absent or non-functional pituitary remain in utero well beyond term?

  1. The fetus produces excess relaxin, which keeps the cervix and pelvic ligaments from relaxing
  2. Birth in ruminants is triggered by fetal ACTH and cortisol, which this fetus cannot produce
  3. Its dam's corpus luteum regresses early
  4. Maternal oxytocin is blocked by the fetus
Answer and working

B. Birth in ruminants is triggered by fetal ACTH and cortisol, which this fetus cannot produce

Without fetal pituitary ACTH there is no adrenal cortisol surge, so the placental switch and luteolysis do not happen and gestation is prolonged. It is a classic demonstration that the ruminant fetus initiates parturition.

Further reading: Noakes, Parkinson & England, Veterinary Reproduction and Obstetrics

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Read the subject

Veterinary ObstetricsThe full study manual, free ASRB NET and ARS / SMS / STOFormat, sections and how it has changed

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Veterinary Obstetrics for other exams

ENADE · BrazilNational Veterinary Examination · JapanAustralasian Veterinary Examination, formerly the National Veterinary Examination · Australia / New ZealandNAVLE · USA / CanadaRCVS Statutory Membership Examination · UKSAVC Registration Examination · South AfricaNational Licensure Examination for Veterinarians · NepalVeterinary Council of Sri Lanka registration exam · Sri Lanka

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