O & G Exam

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O & G Exam
2012-03-26 04:04:18
Obstetrics Gynaecology

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  1. A patient is seen in a scheduled antenatal visit at 36 weeks. She is G5 P4 - last delivery by emergency Caesarian section for failed progress in labour. You detect a transverse lie and advise the patient that this occurs because of:
    A. THe foetal head not fitting well in the pelvic brim
    B. Reduced liquor volume
    C. Active foetus
    D. All of the above
  2. G5 P4 - last delivery by emergency Caesarian section for failed progress in labour. At 37 weeks, she presents with moderate amount of vaginal bleeding. If you suspect placenta praevia, the following clinical signs are true:
    A. Non-reassuring CTG
    B. Tender uterus
    C. Small-for-dates uterus
    D. High presenting foetal part
    (this multiple choice question has been scrambled)
  3. A patient is said to be in pre-term labour, with twins. As her attending doctor, you tell her:
    A. Complications do not tend to recur in subsequent pregnancies.
    B. Steroid therapy should be started as soon as possible.
    C. Nifedipine ust be given to prevent vaginal bleeding.
    D. Pre-term labour is defined as start of progressive contractions before rupture of membranes.
    (this multiple choice question has been scrambled)
  4. Pre-term labour with twins: when you use continuous CTG monitoring, you know that it is:
    A. Not useful in presence of meconium stained liquor
    B. Better than hand-held Doppler monitoring in low risk pregnancy
    C. Useful with vaginal birth after previous Caesarian section (VBAC)
    D. All of them.
  5. You are asked ot attend a patient who is bleeding heavily after difficult delivery of the placenta, with piecemeal removal. Your immediate response is:
    A. Check general condition of the patient for hypovolaemic shock
    B. Institute IV line and take blood sample for FBC and Xmatching
    C. Ensure uterus is contracted; if not, give synotcinon
    D. Estimate amount of blood loss
    (this multiple choice question has been scrambled)
  6. Bleeding heavily after difficult delivery, with piecemeal placental removal. She is reported to show swinging high temperature for the first 48h postpartum. You will tell her:
    A. A blood culture must be ordered
    B. It is important to check for causes
    C. If <38C, it does not require antibiotic therapy
    D. It is commonly due to breast engorgement
    (this multiple choice question has been scrambled)
  7. Patient presents for pregnancy care at 8 weeks. She is aged 40 and has anxiety about an abnormal foetus. You tell her that an 18 week ultrasound scan is able to show:
    A. Trachea-oesophageal fistula
    B. Renal agenesis
    C. Urethral valves
    D. All of the above
  8. 8 week pregnant 40 yo patient. You tell her that an increased nuchal translucency in the first trimester is associated with increased risk of:
    A. Major cardsiac abnormalities
    B. Sacrococygeal tumour
    C. Diaphragmatic hernia
    D. All of the above
  9. In testing for foetal karyotype, the following techniques can be used:
    A. Amniocentesis
    B. Chorion villus sampling
    C. Umbilical cord blood sampling
    D. All of the above
    ?D (answer says B)
  10. 35yo F with DM2. Previous babies weighed 3850g and 4200g, delivered with difficulty. Now at term. What are the warning signs for shoulder dystocia during labour?
    A. Protracted early active phase of labour
    B. Prolonged first stage of labour
    C. Foetal face burrows into perineum with contractions
    D. Rapid second stage of labour
    C. (also called the turtle sign)
    (this multiple choice question has been scrambled)
  11. What conditions are associated with macrosomia?
    A. Maternal obesity
    B. Post-dates
    C. Previous large baby
    D. All of the above