IMM Part 2 Written – 3 Months August 22 – Hormonal control of menstrual cycle & hormonal disorders and Menstrual disorder- Day 3
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1.The incidence of clinically recognised miscarriage in pregnancy is about:CorrectIncorrect
2.The most common indication for women attending gynaecology emergency in the is:CorrectIncorrect
3.Which of the following routes of administration is inappropriate for the drug misoprostol:CorrectIncorrect
4.Which one of the following ultrasound descriptions is diagnostic of miscarriage (GS, gestational sac; CRL, crown-rump length; FHR, fetal heart rate)?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect
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?CorrectIncorrect