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MRCOG PART 2 SBAs and EMQs

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EMQ1500
SBA2111
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MCQ--Please explain

MCQ--Please explain Posted by H P.
: In a woman with three previous second trimester miscarriages

b. Randomised trials have shown that the combination of aspirin and heparin is superior to aspirin alone in improving pregnancy outcome
True False H\'s answer: true Correct answer: false

d. If a septate uterus is identified, uterine surgery has been shown to improve pregnancy outcome
True False H\'s answer: true Correct answer: false

Is hysteroscopic surgery helpful?

Posted by H P.
: With regard to female sterilisation in the UK
c. Most deaths are due to anaesthetic complications
True False H\'s answer: true Correct answer: false

The explanation say that 39% deaths are due to anaesthetic complications.
Please specify what is the most common cause.
Posted by H P.
With respect to gestational trophoblastic disease

3% of women with complete molar pregnancy develop choriocarcinoma
True False H\'s answer: false Correct answer: true

In the notes,
Complete mole has an incidence of persistent trophoblastic disease/tumour of 8% and patients with partial hydatidiform mole have an incidence of persistent disease/tumour of 0.5%. In patients following a full-term pregnancy, the risk is ~ 1 in 40 000 to 50 000.

About 2 to 3% of hydatidiform moles are complicated by the development of choriocarcinoma

so if the question says complete moles,the incidence should be 8%?
Posted by H P.
23: In a 30 year old woman complaining of severe dysmenorrhoea and deep dyspareunia

Further contraceptive measures are unnecessary once GnRH agonists have been started
True False H\'s answer: true Correct answer: false

Please explain even after medical castration, why the need for contraception?
Posted by H P.
Thank you, Sir.