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MRCOG part 2 March 2017 Recalls
INCIDENCES/FIGUERS:
1.Patient 1. Patient with endometrial hyperplasia without atypia risk of progression to endometrial cancer: A.<1% B.2% C.4% D.10%
2. Risk 2. Risk of placenta previa after 3 CS: A.3% B.10% C.30% D.50% E.60%
3. Para 3. Para 1 CS due to labour dystocia want to know her chance to have successful VBAC: A.30% B.40 C.60% D.70% E.80%
4. Patient 4. Patient for elective CS at 38wks need to know how much steroid will reduce respiratory morbidity at this GA: A.4-6% B.40% C.50%
2 D.60% E.70%
5.Patient 5. Patient with previous abruption need to know recurrence in current pregnancy: A.3% B.4-6% C.10% D.19% E.25%
6.Previous 6. Previous shoulder dystocia want to know recurrence compared to general population: A. 2fold B.3fold C.4fold D.5fold E.10fold
7.female 7. female and partner retained from trip from somewhere suspected zika virus infection when to check for zika virus infection or seroconversion: A.2wks B.4wks C.8wks D.12wks E.16wks
8. The 8. The most common time for presentation of post partum psychosis: A. 1-3 days B.1-3wks C.4wks D.6wks E.8wks
3 9. Haemophilia 9. Haemophilia male female stutus not mentioned pregnant by baby boy want to know risk to baby: A.zero B.1in2 C.1in4 D.1in8 E.1in 16
10. Precious puberty the cut off time: A.7yrs B.8yrs C.9yrs D.10yrs E.12yrs
11.Hospital 11. Hospital want to benchmark still still birth rate which is consistent with UK stillbirth rate: A.1in 200 B.0.5/1000 C.5/10000 D.5/100000
13. During laproscopy for severe endometriosis ureteric injury is: A.1in 5 B.1in10
4 C.1in 20 D.1in 25 E.1in 30
14.After 14. After ventose delivery ask about the accepted preductal oxygen in 2min: A. 60 - 65 B. 65- 70 C. 70 - 90 D.80 - 95 E. 90- 95
15. When 15. When prescribed complication in OB&GYN as very rare means: A.1in 1000 B.1in 1500 C.1in10000-1/100000 D.<1/100000
16.40 16. 40 years lady first trimester pregnancy ask about her risk to have miscarriage : A. 12% B.20% C.30% D.40% E.50%
17.Patient 17. Patient need to have forceps delivery in second stage ask about risk of 3/4 perineal tear with forceps: A.5% B.10% C.15% D.20% E.25%
5 18. Patient 18. Patient present in labour nulliparous was low risk following with consultant serial scan baby in 70th centile how to follow her in labour: A.intial cefm for 30 minutes then intermittent auscultation B. intermittent A using hand held Doppler C. intermittent auscul using ctg machine D.CEFM E. US to see fetal heart
19. Patient 19. Patient delivered baby at the acid base PH7.1 HCO -11 at z ero APGAR 3 then 5 and 9 he and his mother did fine for how long do you keep the ctg paper : A.5yrs B. 10yrs C.20yrs D.25yrs E.indefinitely
20.Main 20. Main cause of litigation due to ctg is: A. failure to act B.failure to recognise an abnormal one C.failure to monitor D.failure to refer D.inappropriate oxytocin use *Choose the most appropriate action A.CS B.oxytocin C.ARM D.CEFM E.exam in 2hrs F.forceps D
6 21.multiparous 21. multiparous poor uterine contraction contraction 2/10 admitted cx os 4cm check in 4hrs 8cm 8c m MI 22.nulliparous 22. nulliparous contraction3/10 admitted admitted cx 4cm checked in 4hrs was cx 5cm 23.Unstable 23. Unstable neonate post ventouse delivery low APGAR found to have scalp swelling with ill defined edges whats your diagnosis: A. cephalohaematoma B.subglialial H C.capaut D.ICH E.chingon * Choose appropriate mangment A.cat1cs B.cat2 cs C.cat3 cs D.cat4 cs E.ECV F.ARM G.instrumental delivery H.exam in 2hr I.exam in4hrs
24. 3rd 24. 3rd pregnancy 38wks now breech present with reduced fetal movement twice normal US AF breech extended and normal ctg opted for VD 25. parous 25. parous term low risk pregnancy present in labour at 4cm intact membranes cord felt pulsating through through the membrane on pelvic exam 26. Patient 26. Patient low risk pregnancy at 39wks present in labour Cx 6cm fully effaced MI at ischial spine : A. intermittent auscultation B. CEFM C.exam in 2hrs D.exam in 4hrs
7 E.ARM
27. Patient 27. Patient in second stage of labour you want to infiltrate the perineum with lignocaine without vasopressor how much you give A. 1mg/kg B.2mg/kg C.3mg/kg D.5mg/kg E.7mg/kg
28.SLE 28. SLE lady pregnant worried about fetal risk what test should be done: A. APS antibodies B.lupus anticoagulant C. Anti Ro &La antibodies D.dstranded DNA E.antinuclear abs
29.38 29. 38 wks patient with primery herps plus HIV what measures you do to prevent vertical transmission: A. IOL B. acyclovir C. ELCS at 39wks D.vaginal delivery E.? * most appropriate mangment A.admit to control glucose B.IOL 37 -40wks C. increase pre lunch insulin D.US for umbilical artery Doppler E.CS at 38 wks F. reassurance and to be seen in 2wks G.many others options
8 30. known 30. known type 1 daibeties at 36wks GA controlled in insulin HBA1C 6.5% came after lunch to diabetic joint clinic urine++ urine++ glucose US baby ok in 40th centile otherwise otherwise patient stablE
.
31. known 31. known diabetic at 33wks variable control HBA1C HBA1C 7.4% urine++ glucose US baby in 10th centile centile otherwise ok. 33. type 33. type 2 diabeties para 2 with 1 previous CS HBA1C 7.4% US baby in 70th centile keen for vaginal vaginal delivery *Causative agent A. zika virus B.Epstien bar virus C.p.falcipram D.measels virus E.varicella virus F.others 2
34 . Patient . Patient pregnanat came from Zambia found to have parasitaemia >2% 35. pregnant present with flu like symptom tell to come back if she devolped any …presented 2days latter with itchy red spot behind ears and scalp then the forehead 35. pregnant 35. pregnant at 38 wks admitted with pnaemonia her GP give history of generlised skin rash and conjunctivitis and otitis media 3days ago 36. what 36. what is commonest cause for malaria in UK A. p.malarae B.p.ovale C.p.falcipram D.p.vivax E.p.? *suitable prophylaxis A.aneinatal LMWH and 6wks post natal B. highdose antenatal LMWH and 6wks postnatal C.theraputic LMWH and 6wks postnatal D.antenatal antiembolism stoking and 10 days postnatalLMWH E.LMWH 10days post natal
9 F. thromboprophylaxis from 28wks G. no need for thromboprophylaxis h.many others options
37. smocker with HTN BMI 32 admitted to control her BP onther pregnant with antithrombin deficiency and prvious history of VTE 38 .
31yrs lady undergone CS BMI 30 blood loss 1100 ml 39 .
patient with growth varicose vein and instrumental delivery 40 .
Patient delivered vaginaly and devolped PPH whats the level of HB to define postnatal anaemia 41 .
A. 120g B.110 C.115 D.100 E. 105
Breast cancer suspected in pregnant lady referred to breast specialist 1st line investigation: 42 .
A.mamogram B.US C.CT D. MRI E.CXR
Patient pregnant with breast cancer need chemotherapy needed 43 .
A. cyclophpshamide B.anthracycline C.steroid D.etoposide E.?? *coming step in MX A.oxytocin B.Bakri balloon
44. patient 44. patient with previous scar in her 2nd CS placenta found to involve the uterovesical space deliverd and trying to control bleeding uterotonic and B lynch but still there is bleeding from one corner at vesicoureteric junction.. anesthetist concerned but said patient stable 45.patient 45. patient previous 3 scar have atony respond at start to oxytocin,ergometrine and 2doses of carboprost intramyometrial intramyometrial but again start to bleed anesthetist concerned and mention patient unstable 46. Patient 46. Patient pregnant came from vacation to some African area screening for syphilis was positive need confirmation which test: A. VDRL B.tropenema agglutination particles C. tropenema fluorescent test D. lesion smear E.RPR
46. patient with MCDA when to start US A. 12wks B. 16 C. 20 D.24 E.28
47.MCDA 47. MCDA with co twin death next step A. IOL B. CS C. MRI brain for other twin D.? E.? forget
11 48.Ptient 48 .Ptient with HIV on HAART present at 35wks with PPROM VL <50 next step A. CS now B.CS at term C.IOL now D. wait for VD E.?
49.Screening 49. Screening for GDM in current current pregnancy for patient with previous previous GDM should be done when A.at booking if negative repeat at 24-28wks B. at 18wks and if negative repeat 24-28wks C. at 24-28wks D.at 28wks E.at16 -24wks
50.Postpartum 50. Postpartum patient with preeclampsia devolped dyspnia ,tachycardia,basal creptation and O2 saturation 91 and low urine out put diagnosis : A.pul embolism B.pul.edema
51. pregnant 51. pregnant lady with high BP C/O of headache headache for many days present collapse GCS3 GCS3 BP 200/120 your diagnosis A. SAH B.CVT
52. Patient 52. Patient have massive PPH finding platelets 80 APTT 1. 3 fibrinogen 1.2 what blood component pt need A. FFP B.cryopreciptate C. platelets D. factor VIII E.packed RBCs
12 53.Patient 53. Patient postoperative postoperative 18 hrs on PCA collapsed with pinpoint pupil RR12 normal O2 saturation wt medication A. adrenaline B. naloxone C.others
54.During 54. During second stage CS which measure has evidence in reduction of neonatal trauma: A. delivery by breech B. forceps for disimpaction C. pressure from below by other D.Pull method * what action you do A. deliver by CS B. IOL C.report to occupational health tomorrow D. Reassure and check for seroconversion E. start cART F.many other options
55. patient 55. patient asylum seeker seeker refused HIV testing during during CS on Friday evening your assistant ST2 have needle stick injury 56. Patient 56. Patient pregnant HIV negative at booking discovered her hasband HIV positive 6month ago she is worried about risk to baby 57. Perimortem 57. Perimortem cs time A.3mins B.4mins C.6mins D.10mins * select the suitable Mx A.steroid
13 B.plan delivery C. uterine artery Doppler D. umbilical artery Doppler E.US for EFW G.many others options
Midwife referred patient at 28wks with SFH less than 10th centile 58 .
Patient serial scan indicate static growth 59 .
Patient high BMI and first pregnancy smoke on occasion her sister has still birth because of 60 .
SGA want to know at 18wks GA * Primigravida come to booking at 11 to 12 wks A.CVS B.amniocentesis C.haemoglubinopathy for the hasband D. use of nuccal translucency E.non invasive maternal test F. many other options
61.Patient 61. Patient known thalsaemia thalsaemia carrier hasband status unknown and cant test him he is in prison 62. Midwife 62. Midwife did the family questionare patient and hasband born in UK ,hasband parent born in Turkey 63. Midwife 63. Midwife did family questionare patient and hasband born in UK hasband was adoption know nothing about his mother 64. Pregnant 64. Pregnant lady combined test show risk for Down 1/12 patient declined invasive perinatal test.. second TM scan showed cystic hygroma and short femur whats your diagnosis A.Down syn B.Edward synd C. Patau D.Turner
65.Patient 65. Patient with protracted vomiting at 11 wks pregnancy first line antiemetic
14 A. cyclizine im iv oral B.meteclopromide C.ondansteron D.corticosteroid
66.Couple 66. Couple with 1st and 2nd trimester miscarriage miscarriage came for counseling what can be the most likely cause of miscarriage: miscarriage: A.women age <20 yrs B. man age>40 yrs C.working with vedio monitor
67. Common 67. Common finding in ECG of patient with MI A. depressed st in lead avl B.elevation of t wave in V2 V3 V6
68. patient blood group negative received FFP group positive what you give A.anti D 250 B.anti D 500 C. plasmaphresis D. no need for antiD
69.Pregnant 69. Pregnant lady known haemophillia her baby status not known. plan of delivery will be and when to check factor VIII A. CS check factor VIII now B. induction of labour C.allow VD and avoid FBS and and instrumental delivery delivery check factor VIII in 3 rd tm
70. Patient 70. Patient known Von W disease bleed during labour wt medication A. fVII B.fVIII C.platelet D. desmopressin E.cryopreciptate
15 71.Asthmatic 71. Asthmatic pregnant lady received short acting beta blocker and 800 steroid but her asthma not controlled next step: A. steroid B. LABA C.theophillin D.leukotriene
72.Pregnant 72. Pregnant lady with renal transplant stable came for prepregnancy counseling which drug to stop A.ciclosporin B.predinsolone C.calcium D. Ramipril
73. Which condition put pregnant lady in high risk of MI A.hypothyoidism B.migraine C.celiac disease D.marfan
74. which condition without other risk factor let you consider thromboprophylaxis thromboprophylaxis during pregnancy A.diabeties B.sickle cell anaemia C. IUGR D.?? *AntiD A.offer antiD 250 B.anti D 500 C. no anti D needed D. paternal genotype
75. early 75. early pregnancy confirmed IUP 2wks ago at 8 wks presented with vaginal bleeding US done empty uterus. 76. pregnant 76. pregnant lady has previous hydropic baby father is DD RH negative 77. pregnant 77. pregnant at 12 wks had vaginal bleeding and evacuation of ROPC after 4 days discovered RH D negative *antibiotics A. gentamycin plus clindamycin B. benzyl penicillin 3g then 1.5g 4hrly C. benzyl penicillin 2.4 stat D. cefodar different concenteration oral E.augmentin F. all PID regimen
78. Sudanese 78. Sudanese asylum seeker screening venereal disease confirmed by TPHA and also HIV positive has mitronidazole allergy cause her vomiting and rash. 79. 3days 79. 3days postpartum referred by her midwife due to excessive lochia and clots abd pain and mild pyrexiA
.
80.Pregnant 80. Pregnant lady with headache no neurological deficit O/E what investigation A.CT with contrast B.MRI without contrast C.MRV D.2 others not remember * maternal mortality A.direct B.indirect C.coincidental
17 D.accidental E.late F.not maternal death
81. Lady with pre eclampsia developed ICH take 5wks in ICU and died 82. Lady is collapsed 48 hrs post delivery postmortem was Esimenger synd 83. Lady murded by her hasband * early pregnancy A. scan in 7 to 10 days B.HCG in 48 hrs C.surgicalmx D.expectant mx E. evacuation RPOC F.others options
84. Pregnant lady US CRL 8mm no cardiac activity 85. Pregnant US show MGD 24mm 86.there 86. there is 3rd scenario * Diagnosis A. ectopic B.appendicitis C. OHSS D.hetertopic E. tortion F.miscarriage
87. Surrogate for her her sister retained 2 babies at 6wks confirmed single single IUP present present with sudden onset of lower abd pain and tenderness 88.Lady 88. Lady after egg collection of 20 folliclle present with abd pain and sense of fullness in the lower tight clothes at width (not exactly but near) 89. Young lady present with sudden onset of LT iliac fossa pain nausea and vomitinG..
18 90.Patient 90. Patient with RH D negative kell negative devolped PPH need blood A.O negative B. cross match blood C.others
91. Indication 91. Indication for IAP for patient had GBS in previous pregnancy and had healthy baby : A. previous colonization
B. GBS bacturia in current C.PPROM D.PROM
92.Which 92. Which analgesic should be avoided during sepsis: A. morphine B.NSAID C. cocodamol D.paracetamol
93.Booking 93. Booking US CRL 90 BPD 12 AC ? what to use to date her pregnancy A.BPD B.AC C.CRL D.HC E.FL * TOP next step A. reassure and prescribe analgesic B.surgical evacuation C. US D. do pregnancy test 1wk later E.others
19 94. early 94. early pregnancy loss follow medical TOP call gyn C/O of cramps and some bleeding otherwise ok. 95. 14 95. 14 days post medical TOP call the midwife that her PT is positive 96.Pregnant 96. Pregnant with IUFD at 26 wks wt the best regimen to induce labour : A. mife 200mg miso 100 mg 6hrly max 4doses B.mife 200mcg miso 100mcg 6hrly 4doses C. mife 200mg miso 100mg 6hrly 5doses D.mife 200 mg miso200mcg 6hrly 5doses
97.Pregnant 97. Pregnant lady with rash involve the abd striae what is good prognostic finding for baby A. involve face B. periumlical spare C.presence of C3
98.Cystic 98. Cystic fibrosis both parent carrier under gone IVF 12 embryo how many will be affected A. 2 B.3 C.4 D.6
99.Evidence 99. Evidence based step to avoid perineal trauma during vaginal delivery A. perineal massage B. hand on technique C.warm compresses
100. CEMAC report 2006-2008 common cause of death in preeclampsia is: A. eclampsia B.ICH C.P.edema * Demonstrated pictures for many instrument
101. instrument used to dissect the ureter in abd hysterectomy Lahey
20 102.Instrument 102. Instrument used to held skin edges together for staples to be in situ Allis
103.Hyperplasia 103. Hyperplasia description description low gland to stroma ratio ratio but cells show large large nucleus A. simple without atypia B.simple with atypia C.complex with atypia D.complex without atypia
104 .Patient .Patient with HMB diagnosed as having endometrial hyperplasia without atypia whats the risk of it to devolp cancer A.<1% B.3% C.4% D.8%
105.Couple 105. Couple with infertility infertility of one yr women 25yrs man 40yrs whatis the most likely cause; A.unexplained B.male problem C.tubal factor D.uterine factor E.ovulotory * infertility A.clomid 50mg od B.clomid 100mg od C.clomid 50mg +timed hcg D.clomid 100mg +timed hcg E. gnrh analo F.ovarian drilling G.IUI h.IVF
21 106. infertile couple man man ok woman PCO with anovulation anovulation induced with clomid clomid 50mg estrogen
level was high follicle 20mm but progestron on day 23 of 26 cycle showed un ovulation 3 ithink 107. infertility 2yrs all investigations normal except woman PCO with anovulation evident by
progestron level 108. Infertility 3 yrs all normal woman PCO received 6 cycle of clomifen citrate day 23 out of 26
cycle progestron range between 32 to 67 *Oligomenorrhea A.ocp B.progestron C.repeat hormone premenstrual wk D.repeat hormone day 1 to 5 of cycle E. PT F. cc G.CT h.MR i.karyotyping j.many other options
109 .Young .Young referred from her gp with oligomenorrhea oligomenorrhea every 3 to 5month ithink her hormonal hormonal profile FSH 28, LH 11 prolactin 500. 110.Young 110. Young oligomenorrhea feel nausea ,fatigue,breast pain ,control her family by barrier method ,,hormonal profile profile FSH 0.2 LH 1 prolactin 750. 111.19 111. 19 yrs secondary amenorrhea hormonal profile FSH 88 LH high prolactin low *oligomenorrhea A. ocp B.vaginal progesterone dialy C.cyclical progesterone D.merina E.induction of ovulation F.CC
22 G.other options not remember
112.Young 112. Young concerned about her period .irregular last was 9month ago.BP 150/104 not in sexual relation ship 113. same 113. same scenario with high BP and adult polycystic kidney PCO and not in sexaual relation. 114. 28yrs in relationship not want pregnancy concerned about her irregular perioD.. * Ethics A. non malficience B.beneficience C. veracy D.paternalism E. autonomy F.justice G.others
115. Patient 115. Patient Down syn with HMB affecting her quality of life accompanied by her mother who agree to offer merina to her daughter ..You discuss the mother and patient about merina pros and cons. 116.Patient 116. Patient with IUGR Ithink abnormal CTG need CS patient refused and said she rely on nature and every thing will be ok. 117.Pregnant 117. Pregnant at 36wks ask for induction because her hasband will travel somewhere you refuse to offer her induction *study A.cohort B.case control C.retrospective observational study D.systematic review E. metaanalysis F.RCT G.other option
23 118. DR conducted study over 15 yrs to see effect of carbiplatin on 5yrs survival of patient with cancer 119.DR 119. DR looks in literature to see effect of merina in HMB 120. DR conduct study among drs to see effect of smoking and non smoking in lung cancer . * Learning A.brainstorming B.ischema activation C.ischema refinement D.1step perception E.snowballing F.goldfishbowel G.icebreaking
121. The facilitator let group of learners to study about physiology,pathology of subject(not remember it) 122. scenario 122. scenario for 5 steps of 1minute perception 123. Group of student sit discuss how to solve problem of project 124. Senario about trainee score 3 in appraisal his consultant comment that they extend to him due to poor performance and he sit many times for part one .what to do for him now: A. extend again B.specific attention and not to extend again C. questionable information need confirmation D.stop training
125. Mechanism of action of asprin: A. increase thromboxane B. irreversible inhibition of COX C.platelet aggregation
126 .Active .Active metabolite of androgen is: A.testesterone
24 B. DHEA C.DHEAS D.dihydrosterone
127. AED that reduced by COCs is A. phenytoin B.carbamazepine C.lamotrigne D. phenobarbitone *Postmenopausal ovarian cyst A.repeat US in 4 month B.BSO C. TAH+BSO D. CA125 E. MRI F.CT G. expectant without follow up h.unilateral SO
128.60 128. 60 yrs present with mulocular ovarian cyst cyst CA125 30 129. 50yrs present with simple ovarian cyst 4x4x4.5 and in her note there cyst 1 yr ago not followed 4x4x4.5 and CA125 is 25 (repeated question inall recalls) 130. 40 yrs lady present with multilocular multilocular or solid component( not sure ) not simple cyst CA125 30. 131. 9years girl came with her parent to the ER with sudden onset of Lt iliac fossa pain with nausea and vomiting ithink high TWBC A. analgesia and observation B. diagnose cyst accident give analgesia C. diagnose appendicitis sen for surgery D. diagnose tortion and prepair for labroscopy
25 132. Patient with history of subfertility and PID present with Rt iliac fossa pain nausea and vomiting …TWBCS 19.000 CRP 20 US non compressible mass 5cm diameter 10mm what is the
diagnosis: A. acute appendicitis B. fallopian tube infection C.pelvic abscess * 5yrs survival A. 40 -50 B.60-70 C.70-80 D.80-90 E. (not exact numbers)
133. Ovarian cancer in young did unilateral unilateral SO histopathology histopathology reviled tumor confined to ovary intact capsule negative wash. 134. Cervical cancer undergone radical trachelectomy tumor completely excised found parameterial invasion and no other abnormalities abnormalities 135. Vulvar cancer histopathology come after surgery positive 1 LN with extracapsular extension. 136. 80 yrs lady present with 1cm vulval mass near the clitoreal hood next step A. excisional biopsy B. keyes biopsy from margin C. wide local excision D. biopsy from centre( ithink)
137. Young lady in sexually active present with pain less fleshy lesion at vulva diagnosis: A.hpv B.syphlis C.herps simplex D.H.dec
138.Lady 138. Lady using IUD for yrs asymptomatic cervical screening revieled actinomycosis
26 A.treat the condition B.remove IUD C. no intervention now
139. 50 yrs Cx screening mild dyskaryosis HPV negative next step: A. colposcopy B.RR in 3yrs C.RR 5yrs D. hystrctomy
140.50 140. 50 yrs Cx screening high grade colposcopy unsatisfactory next step: A.hysterectomy B.multiple punch biopsies C. HPV d RR 5yrs E.RR 3yrs
141. After how long risk of HRT for breast cancer revert like general population fo r lady taking HRT for 5yrs after stop treatment: A.1 yr B.2ys C.3yrs D.4yrs E.5yrs *Vascular injury A. Superior gluteal B. inferior gluteal C. ovarian D. uterine E.internal pudendal
27 F. internal iliac G.others
142. Patient undergone laproscopic salpingectomy for ectopic pregnancy surgon tell intraoperative haemostesis haemostesis secureD..in the recovery room patient devolped hypovolumic shock retained for laprotomy . 143.. Patient durig VD had 4th degree tear and massive bleeding 143 144.Patient 144 .Patient bleed after sacrospinous fixation * unexpected pathology A. abundant and medical ttt B.abundant and further assessment C.laproscopic removal of the tube D. remove x from y E.remove x &y F. laprscopic biopsy and abundant G. go as planned
145. Patient 145. Patient consented for laproscopic hysterectomy with past history of dermoid cyst removal. Intra op surgeon find dermoid cyst X 4cm adherent to the pelvic wall in the overy Y. 146. Opened for appendicitis laproscopically laproscopically appendix found normal but there is torted ischemic Rt fallopian tube with watery dischargE.. *Post hysterectomy complication A. wound infection B. chest infection C. UTI D.infected vault haematoma E. vault haematoma F. bowel injury G. check fluid blance h.active bleeding I .others post op complication
28 147. Patient smocker present 48 hrs post hysterectomy with fever temp 39 ,tachycardia and tachypnia 148. 3days post op not recoverd well ask for analgesia with abd and back pain not febrile mild tachycardia poor urine out put. 149.. 12 hrs post surgery pulse 100 BP 90/45 poor urine out put but said in 3hrs its 80 ml O/E 149 tender abdomen.. 150. The commonest site for uterine perforation during surgical evacuation A.anterior wall B.posterior C. cervical D.fundus
151. What you do to reduce risk of uterine perforation during evacuation A. straiten the Cx caudally B. done under US guidance C. less Cx dilatation
152. Patient with breast cancer positive receptors on tamoxifen with severe PMS ttt A. SSRI B.OCP C. E patch +merina D. GNRH anal +tibilone 153. MRCOG 2+MRCOG3 is A.summative summative B.formmative formative C. sum +form D.form + sum
154. Multiple 154. Multiple sclerosis patient with history of difficulty difficulty emptying bladder with high residual volume: A. indwelling catheter B. CISC
29 C.urodynamic
155. Commonest symptom of vault prolapsed: A. vaginal bulge B.SUI C. constipation D.voiding dysfunction E.sexual symptom
156.Patient 156. Patient tried 3 antimuscurinic antimuscurinic not tolerate them next step A. mirabegron B.trospium C. deluxtine
157. SUI 157. SUI in 82 years old ttt A. oxybutanin B. merabegron C.trospium D.deluxtine
158. actually 158. actually EMQ patient SLE on methotrexate and predinsolone predinsolone devolped herps simplex with pain and palbable bladder optins: A.give acyclovir B. refer to GUM C.admit
159. EMQ 159. EMQ patient C/O watery blood stained vaginal discharge and colicky pelvic pain w t finding? A. polyp protruding through Cx *Vault prolapsed A. PMFT B. PMFT &bladder retraining C.ASC
30 D. SSF E. pessay F.pessary plus local estrogen G.laproscopic SC h. V.hystrectomy
160. 80yrs 160. 80yrs with vault prolapse and sopting normal vaginal exam patient had comorbidities 161.PHVP 161. PHVP with short vagina 162. Patient with anterior vaginal wall prolapsed and uterine prolapse ask for definitive ttt 16 3. Patient athlet devolped SUI post VD O/E anterior prolapse grade 2 patient start PFMT not improved next step A. colposuspension B. urodynamic C. bladder retraining
164.Confirmatio 164. Confirmation n of post hystroscopic sterlisation: A.it work immidiatly B. X.ray with out time limit C. HSG in 3month
165.The 165. The following enhanced recovery in gyn surgery A. complex carbohydrate drink before major surgery B.can drink up to 4 hrs to prevent dehydration
166. Risk of pelvic adhesion following midline episiotomy A.10% B.20% C.40% D.50%
167. Most common serious complication with abd hysterectomy A. PE
168. Subfertility 168. Subfertility couple normal male partner female mild endometeriosis endometeriosis when to offer IVF A.6month B.12month C.18 month D.24month E.30month
169.Which 169. Which of the following reduce post operative wound infection A. sheaving use clipers A. wash with antiseptic solution C.bowel preparation * Pelvic pain A.uretheral prolapsed B.abnormal Cx C.fistula D.vaginal septum C.thikening of uterosacral ligment E.tender bilateral adenxial mass
170. 17 170. 17 yrs with history of dysuria recurrent UTI and dyspareunia 171. Patient 171. Patient age ? with dysmenorrhea and blood with defecation( defecation( or something something like this) this) 172.37 172. 37 yrs yrs with history of chronic pelvic pain 173. Patient 173. Patient with suspected deletion of chromosome 9 or 10 want to know investigation of choice to confirm A. microarray CGH
32 B. PCR C.FISH
174. 56yrs 174. 56yrs old thin vulval skin fused labia taken fluconazole orally and topically no relieve best option: A. biopsy B.high potency steroid C. emollient
Great thanks to all invovlved in sharing these recall from different different group , may Allah give succes to all … Difficult to count the names. Apolgise for mistakes and some deficient scenarios I tried to to compile please any one remember remember question or to add any ,welcomE.. ,welcomE..
