EMQs in Obstetrics and Gynaecology

Pt. 1, MCQs and Key Concepts

Andrea Akkad, Marwan Habiba, Justin Konje

• Publisher: CRC Press
• Year: 2017
• eBook ISBN: 9781315347592
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

This work features a Foreword by David Taylor, Vice Dean, Leicester Medical School. "This book is the first to assist students with a new format of testing knowledge and clinical skills, i.e., the extended matching question. I am delighted my colleagues here in Leicester, where undergraduate education is given the very highest priority, have found the time and energy to write this book. This book comprehensively tests a whole range of obstetrics and gynaecology and I congratulate them for it." - David Taylor, in the Foreword. This revision aid in Obstetrics and Gynaecology is based on the Extended Matching Question format (EMQ). It contains over 200 patient vignettes arranged in topic areas covering a broad range of themes and degrees of difficulty. It provides test EMQs and detailed answers at the completion of each section. "EMQs in Obstetrics and Gynaecology" is an indispensable study and revision aid for undergraduate medical students preparing for in-course assessment in obstetrics and gynaecology as well as final exams. It also provides a vital review for specialist trainees in obstetrics and gynaecology preparing to take postgraduate exams.

EMQs in Obstetrics

1
Normal pregnancy

Theme: Physiological changes in pregnancy

Options:

A	Increase in plasma fibrinogen
B	Reduction of renal threshold for glucose
C	Rise in cardiac output
D	Increase in red cell mass
E	Increase in creatinine clearance
F	Increase in plasma volume
G	Delayed gastric emptying
H	Inhibition of gonadotrophin secretion
I	Decrease in peripheral vascular resistance
J	Venous compression by enlarging uterus

Lead-in:

For each of the following case scenarios, please select the relevant physiological mechanism from the option list. Each option may be used once, more than once or not at all.

Q1 A 30-year-old G3 P2 presents for a routine ante-natal clinic visit at 22 weeks’ gestation. She is very well and the pregnancy has been progressing in a satisfactory fashion. Her last recorded pre-pregnancy blood pressure was 138/85 mmHg. Today her BP is 88/50 mmHg.

Q2 A 23-year-old Gl P0 has a routine FBC taken at 36 weeks’ gestation. This reveals an Hb of 10.0 g/dl (11.5-16.5), an MCV of 81 fl (80-90) and an MCH of 28 pg (27-32).

Q3 A 31-year-old G2 P1 presents for a routine ante-natal clinic visit at 32 weeks’ gestation. Her blood pressure is 110/76 mmHg and the urinalysis reveals no protein, no nitrites and + of glucose.

Q4 A 22-year-old primigravida is admitted to the labour ward at 41 weeks’ gestation in advanced labour; her cervix is 6 cm dilated and the fetal membranes are absent on vaginal examination. The fetal heart rate is satisfactory. She is given oral ranitidine by her attending midwife.

Q5 A 27-year-old primigravida at 36 weeks’ gestation attends the ante-natal clinic for a routine appointment. She complains of vulval discomfort and on examination vulval varicosities are apparent.

Theme: Pregnancy milestones

Options:

A	20-22 weeks
B	9 weeks
C	6 weeks
D	16 weeks
E	34 weeks
F	12 weeks
G	3 days post-partum
H	42 weeks
I	36-38 weeks
J	12 hours post-partum

Lead-in:

For each of the following case scenarios, please select the most likely time of onset from the option list. Each option may be used once, more than once or not at all.

Q6 A 33-year-old G3 P2, who has had two spontaneous vaginal deliveries at term previously, attends for routine ante-natal care in her third pregnancy. She has just started feeling fetal movements.

Q7 A 23-year-old woman in her first pregnancy has undergone an emergency Caesarean section for delay in the first stage at 42 weeks’ gestation. The baby was born in good condition. She is now feeling low, tired and tearful.

Q8 A 29-year-old G2 P1 with an uncomplicated singleton pregnancy attends a routine ante-natal clinic appointment. Her symphysio-fundal height has been satisfactory so far. On examination today, the uterine fundus...

Table of contents

• Cover Page
• Title Page
• Copyright Page
• Contents
• Foreword
• Preface
• About the authors
• How to answer EMQs
• Reading list
• Abbreviations
• EMQs in Obstetrics
• EMQs in Gynaecology
• Answers in Obstetrics
• Answers in Gynaecology