Obstetric & Gynaecology Mock Exam
A 25-year old woman presents with absent fetal movements for 24 h. What would be the best method of diagnosing an intrauterine fetal death (IUFD) in this woman?
CTG showing absent fetal heartbeat
Auscultation of fetal heart with a sonicaid
Doppler ultrasound
Real-time ultrasound
Real-time ultrasound with colour doppler
When will you summon a multidisciplinary team of senior staff to attend a women with primary postpartum hemorrhage?
She has lost in excess of 500 mL blood & bleeding is ongoing or she is in clinical shock
She has lost in excess of 750 mL blood & bleeding is ongoing or she is in clinical shock
She has lost in excess of 1000 mL blood & bleeding is ongoing or she is in clinical shock
She has lost in excess of 1500 mL blood & bleeding is ongoing or she is in clinical shock
She has lost in excess of 2000 mL blood & bleeding is ongoing or she is in clinical shock
You are performing an elective caesarean section on a 33-year old woman for breech presentation at 39 weeks of gestation. What would be the best prophylactic drug for the prevention of primary PPH in this woman?
IM prostaglandin (Carboprost)
IM Syntometrine
IV Carbetocin (100 ug, slowly)
IV Oxytocin (5 IU, slowly)
IV Tranexamic Acid
A 30-year-old woman has just had cardiac arrest on the ward. You commenced CPR & need to instruct your assistant to deliver continuous oxygen by face mask. What is the recommended rate of delivery of oxygen to this woman?
1-2 L/min
2-4 L/min
4-6 L/min
6-10 L/min
10-15 L/min
What is the ideal time within which a perimortem caesarean section should be completed in the interest of mother from the cardiac arrest?
3 min after cardiac arrest
4 min after cardiac arrest
5 min after cardiac arrest
6 min after cardiac arrest
10 min after cardiac arrest
A 30-year-old pregnant woman has had a cardiac arrest & is undergoing CPR. When should a perimortem caesarean section be considered in this woman?
She is greater than 20 weeks pregnant, & correctly performed CPR has failed to result in rapid return of spontaneous circulation (ROCS) after 4 min
She is greater than 20 weeks pregnant, & correctly performed CPR has failed to result in rapid return of spontaneous circulation (ROCS) after 5 min
She is at least 24 weeks pregnant, & has had cardiac arrest for more than 5 min
She is at least 24 weeks pregnant, & correctly performed CPR has failed to result in rapid return of spontaneous circulation (ROCS) after 4 min
She is at least 24 weeks pregnant, & correctly performed CPR has failed to result in rapid return of spontaneous circulation (ROCS) after 5 min
A primigravida presents at 34 weeks of gestation with a BP of 160/115 mmHg, 3+ proteinuria, & brisk reflexes. She is known case of acute kidney injury, diagnosed at 30 weeks of gestation. What treatment & what dose should she be given to prevent the risk of fits?
Loading dose of MgSO4 1 g followed by infusion dose of 0.5 g/h
Loading dose of MgSO4 2 g followed by maintenance dose of 0.5 g/h
Loading dose of MgSO4 2 g followed by maintenance dose of 1 g/h
Loading dose of MgSO4 4 g followed by infusion dose of 0.5 g/h
Loading dose of MgSO4 4 g followed by infusion dose of 1 g/h
A 30-year-old woman has been diagnosed with acute kidney injury following an obstetric complication. What is the most common cause of AKI in obstetric?
Antepartum hemorrhage especially placental abruption
Drugs such as NSAIDs
Postpartum hemorrhage
Pre-eclampsia
Sepsis
Physical changes that occur during puberty
Breast development
Pubic hair
Menstruation
All
Which of the pituitary hormone is to stimulate secretion of the breast milk from mammary gland?
Prolactin
HCG
LH
Vasopressin
Which of the following condition oligohydramnios is related?
Renal agenesis
Down syndrome
Anencephaly
Esophageal atresia
Which of the following is NOT a step in normal labour
Engagement
Internal Rotation
Restitution
Lateral rotation
A 35-year-old primigravida presents with a sudden onset of epigastric pain that is radiating to the back. Prior to this, she had been seen repeatedly with right hypochondriac pain. She is now 30 weeks pregnant. Her BP at the last antenatal clinic visit was normal. She is aprexial, but tachycardic (pulse: 110 bpm) & hypotensive (BP= 80/50). What is the most likely diagnosis?
Abruptio placenta
Hepatic rupture
Pre-eclampsia
Rupture of aortic aneurysm
Splenic rupture
A 28-year-old woman is suspected to have severe sepsis following normal vaginal delivery at 35 weeks of gestation. She had presented with spontaneous rupture of membranes 12 h before being induced. A blood test performed as part of investigation. What lactate level will influence your care of this patient?
2 mmol/L
4 mmol/L
6 mmol/L
8 mmol/L
10 mmol/L
A 30-year-old woman who has just had a normal vaginal delivery at term sustains a perineal tear that involves 50% of the external anal sphincter. You are called to suture this tear. How will you classify the degree of tear?
2nd degree
3a degree
3b degree
3c degree
4th degree
A 32-year-old multiparous woman went into spontaneous labour at 40 weeks of gestation. Labour was progressing normally but at 8 cm dilatation, when fetal membranes ruptured spontaneously, she collapsed. What is the most likely cause of the collapse?
Amniotic fluid embolism
Myocardial infarction
Pulmonary embolism
Sepsis
Uterine rupture
A multigravida had a forceps delivery & suffered from a major hemorrhage. What is the definition of major PPH?
Estimated blood loss of 500 mL & continuing or associated with clinical shock
Estimated blood loss of 750 mL & continuing or associated with clinical shock
Estimated blood loss of 1000 mL & continuing or associated with clinical shock
A 26-year-old G2P1 was induced at 37 weeks following prolonged rupture of fetal membranes. Labour was augmented with syntocinon following slow progress at 4 cm dilatation. She progressed to full dilatation & delivered 6 hr after augmentation with syntocinon. Syntocinon (10 units) was given IM with delivery of the anterior shoulder. The midwife has called you because since the delivery of placenta, the patient has been bleeding & has lost a total of 600 mL blood. What will the first step you will take in the management?
Examine the placenta to see if it complete
Empty the bladder by inserting Foley catheter
Rub uterine contraction
Secure an intravenous access with 14 gauge cannula
Send blood for cross-matching
Choose an answer from lists above: You have been called to see a 24-year-old woman in labour at 6 cm dilatation with a CTG that shows a baseline of 170 bpm with reduced baseline variability. This was an uncomplicated pregnancy. You offer conservative measures but this persists after 30 min
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X
Choose an answer from lists above: A midwife has asked you to review a multiparous woman's CTG; she is concerned that it's abnormal. This woman who is 39 weeks is 3 cm dilated. The CTG shows a baseline heart rate of 100 bpm with reduced baseline variability & late decelerations that last over 50% of the contractions. These have been present in the last 20 min
A
B
C
D
E
F
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Choose an answer from lists above: You set out to perform an FBS on a 27 year-old primigravida because of persistent reduced baseline variability & variable deceleration. You unfortunately failed to obtain a blood sample, but during the procedure you simulated a fetal heart rate deceleration
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B
C
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E
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X
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