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MRCOG PART 2 SBAs and EMQs

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MRCOG II July 2018 Theme

MRCOG II July 2018 Theme Posted by Farrukh G.

A 26 year old woman attends the family planning clinic for depomedroxyprogesterone acetate (DMPA) injection 14 weeks and 4 days after her last injection. She had unprotected sexual intercourse 4 days ago. She has been amenorrhoeic for 6 months due to DMPA use. Her pregnancy test is negative. (UPA-EC = Ulipristal acetate emergency contraception)

A) Administer DMPA

B) DMPA plus pregnancy test in 2 weeks

C) DMPA plus levonorgestrel emergency contraception

D) DMPA plus barrier contraception for 3 days

E) DMPA plus barrier contraception for 7 days

F) DMPA plus UPA-EC

G) DMPA plus UPA-EC plus barrier contraception for 7 days

H) DMPA plus UPA-EC plus barrier contraception for 14 days              

I) Repeat pregnancy test in 2 weeks

J) Barrier contraception plus pregnancy test in 2 weeks

K) Offer Cu IUCD

Posted by Farrukh G.

Correct answer = H