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MRCOG PART 2 SBAs and EMQs

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notes334
EMQ1478
SBA2084
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hyperstimulation

hyperstimulation Posted by g.b. D.
dear dr paul,



Options for Questions 25-26

A Commence iv oxytocin
B Deliver by caesarean section
C Evacuation of retained products of conception
D Artificial rupture of membranes
E Bimanual compression of the uterus
F Venous access and resuscitation
G Examination under spinal anaesthesia
H Intra-muscular analgesia
I Intravenous ritodrine
J Manual replacement of the uterus
K Sub-cutaneous terbutalline
L Administer uterotonic agent

Instructions: For each of the case histories described below, choose the single most appropriate management from the above list. Each option may be used once, more than once, or not at all.



Question 26 A 23 year old primigravida is admitted for induction of labour at 39 weeks gestation because of symphysis pubis diastasis. Three hours after vaginal prostaglandin administration, she complains of painful contractions every minute. CTG shows contractions 8:10 lasting ~30s. The fetal heart rate is 140bpm with good variability and accelerations.

Your answer: K

Correct answer: H

Question 2 A 23 year old primigravida is admitted for induction of labour at 42 weeks gestation. Three hours after vaginal prostaglandin administration, she complains of painful contractions every minute. CTG shows contractions 8:10 lasting ~30s. The fetal heart rate is 140bpm with good variability and deep variable decelerations.

Your answer: K

Correct answer: K

similar question why diff answer?..
wat is difference between hyperstimulation and uterine taccysyatole? pl clarify
Posted by g.b. D.
thank you.