FCPS P2 Written – 3 month – Urogynecology & Sexual Well being – Day 3

1.The incidence of clinically recognised miscarriage in pregnancy is about:

2. The most common indication for women attending gynaecology emergency in the is:

3. Which of the following routes of administration is inappropriate for the drug misoprostol:

4. Which one of the following ultrasound descriptions is diagnostic of miscarriage (GS, gestational sac; CRL, crown-rump length; FHR, fetal heart rate)?

5. A 20-year-old, who is at 12 weeks’ gestation, has a 2-day history of vaginal bleeding and lower abdominal pain. Ultrasound shows a 25 mm fetal pole with absent fetal heart rate. Pelvic examination reveals her cervix to be 4 cm dilated with bulging intact membranes. Which one of the following is the most likely diagnosis?

6. A 29-year-old, who is at 6 weeks’ gestation, is diagnosed to have a right tubal ectopic pregnancy by transvaginal pelvic ultrasound. Which one of the following factors would enable systematic methotrexate to be offered as a medical treatment option for the ectopic pregnancy?

7. A 29-year-old, who is at 6 weeks’ gestation, presents with slight vaginal spotting. Transvaginal pelvic ultrasound shows no evidence of any intrauterine or extrauterine pregnancy. A serum βhCG is measured at initial presentation and repeated 48 h later. Which one of the following βhCG results is suspicious for a clinically signifi – cant ectopic pregnancy?

8. A patient with a positive pregnancy test, small amount of PV bleeding and no abdominal pain present has a single transvaginal ultrasound scan, showing an intrauterine gestational sac, with a crown-rump length (CRL) of 5 mm, with no fetal heart beat. Which of the following would be the most appropriate management plan?

9. A 25-year-old woman presents to the A+E department with left iliac fossa pain, vaginal bleeding and a positive pregnancy test. Which symptoms may be associated with an ectopic pregnancy?

10.A 25-year-old woman presents to the A + E department with abdominal pain and a positive pregnancy test (8/40). USS is performed to rule out a miscarriage. USS shows an intrauterine gestational sac with the ratio of transverse to anteroposteriordimension, greater than 1.5 with cystic spaces in the placenta. What is the likely ultrasonographic diagnosis?

11.A 25-year-old woman diagnosed with a complete mole  is scheduled to undergo surgical evacuation in theatre. Which is the only acceptable management plan in her case?