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1. Sequential use of instruments increases neonatal trauma. By what factor is the incidence of subdural and intracranial haemorrhage increased in this situation?CorrectIncorrect
2. What type of morbidity is less likely to be associated with vacuum extraction than with forceps delivery?CorrectIncorrect
3. A woman at 36 weeks of gestation presents with an uncomplicated breech presentation and consents to undergo an external cephalic version (ECV) after consultation. Unfortunately, due to logistics, this service will not be available when she is 37 weeks. What management is most appropriate?CorrectIncorrect
4. 89 A woman undergoes a successful external cephalic version at 37 weeks gestation. What is the chance of spontaneous reversion to breech?CorrectIncorrect
5. A Gravida 3, Para 2 (both full term normal deliveries) is diagnosed with breech presentation at 35+1 weeks of gestation and is keen to have an external cephalic version. At what gestation is external cephalic version recommended for this mother?CorrectIncorrect
6. 107 A healthy 35-year-old woman attends the antenatal clinic at 37 weeks gestation in her third pregnancy. She has had two previous caesarean sections for breech presentation, but the current pregnancy has a cephalic presentation and she would like to have a vaginal birth after caesarean (VBAC). What would be the risk of uterine rupture if she labours with such a history?CorrectIncorrect
7. You are asked to assess a woman’s perineum after a vaginal delivery. There is an extensive tear disrupting the superficial muscle and 70 % of the external anal sphincter. There is no disruption of the internal anal sphincter. How would you classify this perineal trauma?CorrectIncorrect
8. 174 A gravida 3 Para 2 (both full term normal deliveries) is admitted at term with confirmed rupture of membranes and labour has been augmented with syntocinon. The woman has suffered from recurrent herpes during pregnancy and is noted to have recurrent genital lesions on admission. At 4–5 cm dilatation, the liquor is noted to have grade II meconium and the CTG has been suspicious for the last 40 minutes. What is the most appropriate action at this stage?CorrectIncorrect
9. A 24-year-old with a known hypersensitivity reaction to penicillin presents at 36 weeks of gestation in established labour. A high vaginal swab in this pregnancy has noted a growth of group B streptococcus. What intrapartum antibiotic prophylaxis would you offer?CorrectIncorrect
10. 182 What is the incidence of cord prolapse with breech presentation?CorrectIncorrect
11. Which one of the following is correct in relation to polycystic ovarian syndrome, PCOS?CorrectIncorrect
12. A 22 years old female has recently been diagnosed with PCOS. Her BMI is 23. Her modiﬁed GTT was normal. She has very irregular oligomenorrheic cycles. She is extremely anxious about her general health and the risk of cancer. She is not planning a pregnancy in the near future. She suffers from migraines. Which of the following treatment options are best suited to her?CorrectIncorrect
13. Women with premature ovarian insufﬁciency are not at increased risk of:CorrectIncorrect
14. 30-year-old woman has been trying to conceive for 3 years. She has infrequent menstrual cycles. Ultrasound conﬁrms a normal uterus and polycystic ovaries. X-ray hysterosalpingogram has conﬁrmed bilateral patent fallopian tubes. Her partner’s semen analysis is reported as within normal limits. Her BMI is 25 kg/m 2 . She has normal prolactin, FSH, oestradiol and testosterone. Of the options listed, which one of the following therapies is considered the most appropriate initial therapy?CorrectIncorrect
15. the WHO classiﬁcation of ovulation disorders describes three classes. Which one of the following is characteristically associated with low FSH and low oestrogen (WHO Class I)?CorrectIncorrect
16. Which of the following events aids in closure of the ductus arteriosus in the newborn?CorrectIncorrect
17. Delayed removal or absorption of amnionic fluid from the pulmonary system results in which of the following conditions?CorrectIncorrect
18. What interval following delivery is required for the typical uterus to complete involution?CorrectIncorrect
19. Which of following peritoneal implant most commonly correlates with histologic findings of endometriosis?CorrectIncorrect
20. Which of the following statements regarding parametrial phlegmon is true?CorrectIncorrect
21. What is the karyotype of a woman with Mayer–Rokitansky– Kuster–Hauser (MRKH) syndrome (mullerian agenesis)?CorrectIncorrect
22. A 20-year-old girl attends the Gynaecology clinic with her mother. She presents with primary amenorrhoea. On examination she is tall with a BMI of 19 kg/m2. She has normal breast development, but a short blind-ending vagina. There is no axillary or pubic hair.
What is the most likely diagnosis?CorrectIncorrect
23 A 48-year-old woman attends the gynaecology clinic complaining of heavymenstrual bleeding (HMB) and occasional intermenstrual bleeding. Her haemoglobin level is 112 g/l. An ultrasound scan demonstrated no obvious abnormality.
What other investigation is required?CorrectIncorrect
24 A 35-year-old woman attends the gynaecology clinic complaining of worsening HMB. Investigations have been performed in primary care. Her haemoglobin level is 123 g/l and a pelvic ultrasound scan showed no obvious abnormality.
What is the most appropriate first-line pharmacological treatment?CorrectIncorrect
25. What percentage of women experience severe premenstrual symptoms?CorrectIncorrect
26. The aetiology of premenstrual syndrome (PMS) remains unclear but appears to be related to the effect of cyclical ovarian activity on neurotransmitters. Which neurotransmitters are considered to have a key role?CorrectIncorrect
27. A 24-year-old girl attends the gynaecology clinic with persistent pain over her Pfannenstiel scar that has not settled since her caesarean section of 6 months. What is the incidence of nerve entrapment (defined as highly localised, sharp, stabbing or aching pain, exacerbated by particular movements and persisting beyond 5 weeks or occurring after a pain free interval) after one Pfannenstiel incision ?CorrectIncorrect
28. A 47-year-old Para 3 who has had three previous vaginal deliveries presents with a history of HMB that has not responded to medical treatment or the levonorgestrel-containing intrauterine system (LNG-IUS). The patient was offered endometrial ablation but declined. On examination, the uterus is bulky, no masses palpable in the adnexa and the cervix descends to about 2 cm above the hymenal ring. An ultrasound confirms the physical examination findings. What is the most appropriate treatment option?CorrectIncorrect
29. A 40-year-old woman attends for a consultation in primary care complaining of HMB. She is otherwise fit and well and examination is unremarkable. What investigation should be undertaken?CorrectIncorrect
30. Following referral to secondary care for HMB, a 38-year old woman undergoes pelvic examination, which confirms that the uterus is palpable abdominally. What is the first line diagnostic test to identify structural abnormalities in this situation?CorrectIncorrect
31. You are asked to review a woman following a forceps delivery. She presents with left lateral calf paraesthesia, sensory loss between her first and second toes and foot drop with inversion. Which nerve compression is the likely cause of her symptoms?CorrectIncorrect
32. Patient has undergone sacrospinous fixation having sever haemorrhage which artery got damaged?CorrectIncorrect
33. 18 years old primary amenorrhea. Physical examination is normal. FSH, LH is elevated, estrogen suboptimalCorrectIncorrect
34. While doing pelvic surgery on patient distal end of the ureter is damaged what to do?CorrectIncorrect
35. Common site of ureteric injury?CorrectIncorrect
36. Post laparoscopy patient came with shoulder tip pain after 24 hour in emergency?CorrectIncorrect
37. Women with mastectomy taking HRT for menopausal symptoms taking tibolone and having irregular vaginal bleeding?CorrectIncorrect
38. Patient with history of TAH + BSO for endometriosis 10 years ago now complains of left iliac pain with adnexal mass 4cm?CorrectIncorrect
39. Patient presents with primary amenorrhea and normal axillary and pubic hair, breast poorly developed. Karyotype s xy. What is diagnosis?CorrectIncorrect
40. A young girl presents with cyclic abdominal pain dysmenorrhea ,amenorrhea right sided abdominal pain uterus shifted to one side what is diagnosis?CorrectIncorrect
41. Patient’s vaginal hysterectomy done injury to lower urinary tract and vagina (VVF)? Best testCorrectIncorrect
42. 18 years young patient with heavy period since menarche her platelet was normal with raised ptt?CorrectIncorrect
43. Mrs, Reshma , admitted with established preterm labour at 30 weeks .
She delivered female baby born 4hrs after admission,
On assessment, the neonate is pale and floppy with a respiratory rate of 8 breaths per minute, and a heart rate of 70 beats per minute.
Which of the following is true?CorrectIncorrect
44. Mrs. Ruben a , 30-year-old primiparous woman with background of anxiety went into spontaneous labour at 38 weeks following a 2-day history of rupture of membranes. Following a slow progress of labour she had a difficult ventouse delivery. The baby developed a large cephalohematoma post-delivery. The infection markers in the baby were normal.
Which of the following aspects in maternal history is most likely to increase risk of neonatal jaundice?CorrectIncorrect
45. A baby has developed jaundice on day 21 following vaginal breech delivery at 36 weeks of gestation. The mother is from South Africa. She is known to be Rhesus-negative and hyperthyroid. She is breastfeeding successfully. The bilirubin is conjugated.
Which of the following answers may be causing the jaundice?CorrectIncorrect
46. A woman has a massive PPH and receives a transfusion of 18 units of red blood cells, 12 units of fresh frozen plasma, 5 units of platelets and 3 units of cryoprecipitate. At the time of hysterectomy it was decided to give her recombinant factor VIIa.
Which of the following are blood marker targets prior to giving this agent?CorrectIncorrect
47. Mrs, Shelley , A 32 year old para two presents on day 7 post emergency caesarean section, has tprsented with pain and oozing around cesarean scar ,
Image is enclosed .
she is alert and well.
Observations are as follows :
. BMI is 38, she has no other past medical history. You review the operative notes and discover that it was a challenging caesarean due to adhesions, it was performed by a consultant and a drain was used, removed on day one post-op. The wound was closed with a subcuticular absorbable monofilament suture. What is the most important risk factor in her history for development of wound infection?CorrectIncorrect
48. Breastfeeding is absolutely contraindicated in women taking.CorrectIncorrect
49. healthy 32-year-old P3 has a 12-hour history of increasingly severe bouts of central abdominal pain with vomiting during the height of the pain, which slowly passes off, with loss of appetite. She gave birth to a healthy male infant – birthweight 3456 g – 4 days ago and is breastfeeding. The lochia and uterine involution have been recorded by the midwife as being normal. The pregnancy was uncomplicated throughout. The anomaly ultrasound scan at 20 weeks of gestation was normal apart from a simple right ovarian cyst that measured 8–9 cm in diameter. She is a non-smoker and was well prior to the onset of the pain and has never experienced anything like this pain in the past.
On examination she looks distressed, pale and dehydrated; the abdomen is very tender in the lower half with no peritonism, and the uterus is just palpable; no other masses. Vaginal examination is normal.
Observations are as follows:
* pulse rate = 110 beats per minute
* blood pressure = 140/90 mmHg
* respiratory rate = 12 breaths per minute
* temperature = 37.2°C
* urine analysis = blood ++, ketones +++, protein trace
* O2 saturation on air = 98%.
What’s best investigations to diagnose ?CorrectIncorrect
50. Ms, Tina , A 16-year-old patient delivered a term infant yesterday. She is placing the child for adoption and is not going to breast-feed. She asks for something to suppress lactation. What is simplest and safest method of lactation suppression?CorrectIncorrect