Match the list-I with list-II

List-I

A. Oxytocin,

B. MgSO4,

C. Misoprostol,

D. Methylergometrine)

List-II

I. Management of eclampsia,

II. Induction of labor,

III. To manage postpartum haemorrhage, I

V. Cervical ripening)

1. A

   A-II, B-I, C-IV, D-III

2. B

   A-I, B-II, C-IV, D-III

3. C

   A-I, B-II, C-III, D-IV

4. D

   A-IV, B-I, C-III, D-II

Appeared in: NORCET 8 Prelims-2025

Explanation

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• This option correctly pairs each drug with its primary use in obstetrics.
• Oxytocin (A) is the standard drug for inducing labor (II) by stimulating uterine contractions.
• Magnesium Sulfate (MgSO₄) (B) is the gold standard for managing eclamptic seizures (I).
• Misoprostol (C), a prostaglandin, is used for cervical ripening (IV) to prepare an unfavorable cervix for labor.
• Methylergometrine (D) is an ergot alkaloid used to cause strong uterine contractions to manage postpartum hemorrhage (III).

Why Other Options Were Wrong

• Option B: This option incorrectly matches Oxytocin (A) with eclampsia management (I) and MgSO₄ (B) with labor induction (II). Oxytocin induces labor, and MgSO₄ treats eclampsia.
• Option C: This option has multiple incorrect pairings. It wrongly links Oxytocin (A) to eclampsia (I), MgSO₄ (B) to labor induction (II), Misoprostol (C) to PPH (III), and Methylergometrine (D) to cervical ripening (IV).
• Option D: This option incorrectly matches Oxytocin (A) with cervical ripening (IV), Misoprostol (C) with PPH (III), and Methylergometrine (D) with labor induction (II).

Related Visual

• Visual 1: Infographic: A chart displaying the four drugs (Oxytocin, MgSO₄, Misoprostol, Methylergometrine), their drug class, primary obstetric indication, mechanism of action, and key nursing considerations/contraindications.

Clinical Relevance

• Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Matching common obstetric drugs to their primary clinical indications as background academic context rather than a clinical decision trigger.
• Knowing the correct indications for these drugs is critical for patient safety in the labor and delivery unit.
• Administering the wrong drug can have severe consequences, such as giving Methylergometrine (for PPH) to induce labor, which could cause uterine rupture and fetal death.
• Nurses must be aware of contraindications. For example, Methylergometrine is contraindicated in patients with hypertension or pre-eclampsia due to its vasoconstrictive effects.

How to Approach the Question

• This is a 'Match the Following' question, which requires connecting items from two lists.
• First, read through all the drugs in List-I and all the clinical uses in List-II to get an overview.
• Start with the most familiar pairing. For many, Oxytocin and 'Induction of labor' (A-II) is a well-known connection.
• Next, match another clear pair, such as Methylergometrine and 'Postpartum haemorrhage' (D-III).
• With A-II and D-III identified, look at the options. Only Option A contains both of these correct pairs.
• Confirm the remaining matches (B-I and C-IV) to ensure the entire combination is correct before selecting the final answer.

Concept Tested & Keywords

• Concept Tested: Matching common obstetric drugs to their primary clinical indications.
• Stem keywords: Oxytocin, MgSO4, Misoprostol, Methylergometrine, Eclampsia, Induction of labor, Postpartum haemorrhage, Cervical ripening
• Lead-in keywords: Match the list
• Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

Question ID

Q5urwDLrXlPN3X_ec8e3uu

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