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MRCOG PART 2 SBAs and EMQs

Course PAID
notes336
EMQ1502
SBA2115
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EXPLANATION PENDING Posted by H P.
Question 9: A fetal karyotype is indicated in the presence of the following anomalies

| EXPLANATION |
Talipes equinovarus

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Bilateral renal agenesis
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Congenital diaphragmatic herniA

Cystic hygroma


Question 10: In an uncomplicated pregnancy that has progressed beyond 41 weeks gestation, induction of labour, when compared to expectant management, is associated with

| EXPLANATION |
Increased caesarean section rate
True False
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Decreased perinatal mortality

Increased risk of meconium aspiration

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Increased instrumental delivery rate
Question 18: Primary dysmenorrhoea

| EXPLANATION |
Is associated with post-menarchal anovulatory cycles
True False Hetal\'s answer: false Correct answer: false
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Of a severe degree occurs in up to 15% of teenage girls
True False Hetal\'s answer: true Correct answer: true
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Will respond to treatment with NSAIDs or COCP in 30% of cases
True False Hetal\'s answer: true Correct answer: false
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Is associated with chronic PID
True False Hetal\'s answer: false Correct answer: false
Posted by H P.
Question 2: Following gynaecological surgery in which the peritoneum is not closed

| EXPLANATION |
Re-peritonisation occurs within 48h
Complete healing of peritoneal surfaces occurs within 5 days

There is more adhesion formation compared to procedures in which the peritoneum is closed

Adhesion formation is a result of raw surfaces being apposed
True False Hetal\'s answer: true Correct answer: false
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The following are recognised causes for a delay in recovery of consciousness after general anaesthesia

| EXPLANATION |
Fat embolism
True False Hetal\'s answer: true Correct answer: true
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Acute intermittent porphyria
True False Hetal\'s answer: true Correct answer: true
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Phaeochromocytoma
True False Hetal\'s answer: true Correct answer: true
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Residual curarisation
True False Hetal\'s answer: true Correct answer: false

19: Hysterectomy

| EXPLANATION |
Reduces the risk of ovarian cancer by 50%
True False Hetal\'s answer: false Correct answer: true
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With conservation of the ovaries is associated with residual ovary syndrome in about 20% of women
True False Hetal\'s answer: false Correct answer: false
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With bilateral oophrectomy is never associated with the ovarian remnant syndrome
True False Hetal\'s answer: false Correct answer: false
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For benign disease is associated with bladder injury in 1:200 cases
True False Hetal\'s answer: true Correct answer: true

With respect to diathermy

| EXPLANATION |
Unipolar diathermy is safer than bipolar diathermy
True False Hetal\'s answer: false Correct answer: false
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Bipolar diathermy generates higher tissue temperatures than unipolar diathermy
True False Hetal\'s answer: false Correct answer: true
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The patient does not have to be earthed when bipolar diathermy is used
True False Hetal\'s answer: false Correct answer: false
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Bipolar diathermy is ideal for cutting
True False Hetal\'s answer: false Correct answer: false

A vesico-vaginal fistula

| EXPLANATION |
Should be left for ten days before repair
True False Hetal\'s answer: false Correct answer: false
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Is associated with pyelonephritis
True False Hetal\'s answer: true Correct answer: false
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Is associated with amenorrhoea
True False Hetal\'s answer: true Correct answer: true
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Is associated with lower limb weakness, foot drop and limb contractures
True False Hetal\'s answer: false Correct answer: true
35 year old woman develops a vesico-vaginal fistula 10 days after abdominal hysterectomy

| EXPLANATION |
Surgical repair should be performed immediately
True False Hetal\'s answer: false Correct answer: false
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Pyelonephritis is a common complication
True False Hetal\'s answer: true Correct answer: false
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If left untreated, the majority of such fistulae would heal spontaneously
True False Hetal\'s answer: false Correct answer: false
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Catheterisation for 6 weeks is acceptable treatment
True False Hetal\'s answer: true Correct answer: true

With respect to diathermy

| EXPLANATION |
Unipolar diathermy achieves a cutting effect when the cutting electrode is not quite in contact with the tissue
True False Hetal\'s answer: false Correct answer: true
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Unipolar diathermy can be used for coagulation
True False Hetal\'s answer: false Correct answer: true
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Diathermy endometrial resection may be performed with saline as distending medium
True False Hetal\'s answer: false Correct answer: false
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With bipolar diathermy, both electrical contacts are on the surgical instrument
True False Hetal\'s answer: true Correct answer: true



Question 3: Internal iliac artery ligation

| EXPLANATION |
Causes necrosis of pelvic tissue
Arrests blood flow in a severed uterine artery

May be used in the management of post-partum haemorrhage

Is performed just below the origin of the ovarian artery