SBAs and EMQs in Obstetrics and Gynaecology for Medical Students

Neel Sharma

• Publisher: CRC Press
• Year: 2022
• Print ISBN: 9781138447592
• eBook ISBN: 9780429533549
• Edition: 1
• Topic: Medicine
• Subtopic: Gynecology, Obstetrics & Midwifery

'Regardless of your level of obstetrics and gynaecology knowledge and experience, this book will most definitely have something to offer you.'- Tiago Villanueva in his Foreword. Undergraduate medical students often struggle with at least some of the specialty elements of their studies. Some face a further challenge with the advent of the Medical Schools Council Assessment Alliance (MSC-AA, formerly known as UMAP), with a move away from testing specific clinical facts to an assessment focused on preparing to be a foundation doctor and the knowledge such a trainee needs on a daily basis. Neel Sharma has written three self-assessment books - on psychiatry, obstetrics and gynaecology, and paediatrics - designed to help students tackle both the new form of assessment as well as the traditional style of examination. Questions covering all common presentations are included in SBA and EMQ formats with relevant, concise explanations as answers.

Questions

Single best answer

1 A middle-aged woman presents to her GP. She has been trying to get pregnant, but despite regular intercourse with her partner has been unable to do so. She enquires about when in her menstrual cycle she is likely to conceive. What is the most likely time frame in an average 28-day cycle when women are most likely to conceive?

1. Day 2-4
2. Day 4-6
3. Day 8-10
4. Day 8-14
5. Day 16-20

2 The following are all common fetal complications associated with smoking in pregnancy EXCEPT:

1. Prematurity
2. Respiratory disease
3. Intrauterine growth retardation
4. Cot death
5. Cystic fibrosis

3 The following are all common fetal complications associated with excessive alcohol consumption in pregnancy EXCEPT:

1. Neurological damage
2. Facial deformities
3. Fetal growth retardation
4. Increased birth weight
5. Spontaneous miscarriage

4 A 32-year-old woman who is currently pregnant attends a routine antenatal care appointment. She enquires about the types of food she should avoid. She is requested to avoid eating large quantities of liver as it contains a vitamin strongly associated with congenital abnormalities. What is the vitamin most commonly associated with such abnormalities?

1. Vitamin B
2. Vitamin E
3. Vitamin A
4. Vitamin K
5. Vitamin D

5 A 23-year-old recently pregnant woman attends a routine GP follow up appointment. The GP advises her to commence taking folic acid to reduce the risk of neural tube defects. What is the most commonly recommended dose of folic acid she should take?

1. 100 micrograms
2. 200 micrograms
3. 300 micrograms
4. 400 micrograms
5. 500 micrograms

6 The following drugs should most definitely be avoided in pregnancy EXCEPT:

1. Paracetamol
2. Propranolol
3. Warfarin
4. Diclofenac
5. Furosemide

7 A 25-year-old recently pregnant woman presents to her GP. She is keen to know the risk of her baby having Down’s syndrome. The GP explains the possibility of having a triple test. What are the most common serum markers that comprise the triple test?

1. Beta human chorionic gonadotropin (βhCG), estriol, alpha-fetoprotein (AFP)
2. Alpha-fetoprotein (AFP), inhibin A, pregnancy-associated plasma protein A (PAPP A)
3. Estriol, alpha-fetoprotein (AFP), inhibin A
4. Beta human chorionic gonadotropin (βhCG), alpha-fetoprotein (AFP), inhibin A
5. Pregnancy-associated plasma protein A (PAPP A), alpha-fetoprotein (AFP), estriol

8 A 26-year-old recently pregnant woman presents to her GP. She is keen to know the risk of her baby having Down’s syndrome. The GP explains the possibility of having an ultrasound scan. What is the most appropriate time frame for performing such a scan?

1. 2-4 weeks gestation
2. 4-6 weeks gestation
3. 8-10 weeks gestation
4. 11-14 weeks gestation
5. 14-18 weeks gestation

9 A 26-year-old recently pregnant woman presents to her GP. She is keen to know whether her baby has Down’s syndrome. The GP explains the possibility of an amniocentesis. What is the most appropriate time frame for performing such a procedure?

1. 6 weeks gestation
2. 8 weeks gestation
3. 10 weeks gestation
4. 12 weeks gestation
5. 15 weeks gestation

10 A recently pregnant woman is keen to undergo amniocentesis to determine whether her baby has Down’s syndrome. You explain the procedure and inform her that there is a risk of miscarriage. What is the most likely percentage risk of a miscarriage?

1. 1%
2. 2%
3. 3%
4. 4%
5. 5%

11 A recently pregnant woman presents to her GP wanting to know if her baby has Down’s syndrome. Her GP refers her for chorionic villous sampling. What is the most appropriate time frame for such an investigation?

1. 6–8 weeks gestation
2. 8–10 weeks gestation
3. 11–14 weeks gestation
4. 16–18 weeks gestation
5. 18–20 weeks gestation

12 A middle-aged woman who is currently 12 weeks pregnant is referred for a routine ultrasound scan. The following are all commonly detected at this time EXCEPT:

1. Anencephaly
2. Oligohydramnios
3. Cystic hydroma
4. Bladder outflow obstruction
5. Abdominal wall defects

13 A middle-aged woman attends her 25-week antenatal care appointment. The following are all commonly assessed at this time EXCEPT:

1. Blood pressure
2. Urine
3. Symphysis fundal height (SFH)
4. Fetal heart beat
5. Fetal position

14 The following physiological changes occur during pregnancy EXCEPT:

1. A fall in blood pressure in early pregnancy
2. An increase in maternal ventilation
3. Hypercoagulability
4. An increase in the glomerular filtration rate
5. An increase in gastric emptying

15 A middle-aged pregnant women presents to her GP complaining of feeling nauseous and vomiting up to four times a week. What is the most likely aetiological cause for her symptoms?

1. Prolactin
2. Progesterone
3. Oestrogen
4. βhCG
5. AFP

16 The following serum markers increase during pregnancy EXCEPT:

1. T3
2. Protein
3. Alkaline phosphatase
4. T4
5. Thyroxine-binding globulin (TBG)

17 A middle-aged pregnant woman presents to her GP complaining of a sudden onset headache and visual disturbance. She has no known past medical history. On examination you note her blood pressure is 145/90 mm Hg. She has evidence of epigastric tenderness and facial swelling. Urine dipstick confirms 1+ protein. What is the most likely diagnosis?

1. Nephrotic syndrome
2. Pre-eclampsia
3. Protein deficiency
4. Hypothyroidism
5. None of the above

18 A middle-aged pregnant woman is recently diagnosed with preeclampsia. The following are all risk factors for pre-eclampsia EXCEPT:

1. Diabetes
2. Hypertension
3. Renal disease
4. Molar pregnancy
5. Anorexia

19 The following serum m...

Table of contents

• Cover
• Half Title
• Title
• Copyright
• Table of Contents
• Foreword
• Preface
• Dedication
• Useful references
• Questions
• Answers
• Index