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MRCOG Part 1
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MRCOG 1
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MRCOG Part 2
•
MRCOG 2
Medicine
BusySpR Obstetrics & Gynaecology for Med. Students
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0 random questions for MCQ
Question:
Use of the combined oral contraceptive pill is associated with
An increase in the risk of benign ovarian cysts
True
False
An increased risk of non-insulin-dependent diabetes mellitus
True
False
An increased risk of insulin-dependent diabetes mellitus
True
False
An increased risk of venous thrombo-embolism
True
False
Question:
Use of the combined oral contraceptive pill is associated with unacceptable health risks (UKMEC 4) in the following circumstances
A 45 year old woman with BMI of 23 kg/m2
True
False
A healthy 45 year old woman
True
False
A 23 year old woman with grand-mal epilepsy
True
False
A 23 year old woman who had a DVT 12 months ago
True
False
Question:
In a woman undergoing laparoscopic sterilisation, the following are associated with an increased risk of regret
Age over 40 years
True
False
Nulliparity
True
False
Sterilisation performed at the time of surgical termination of pregnancy
True
False
Sterilisation performed over 5 years after last pregnancy
True
False
Question:
When counselling a patient who requests sterilisation, the doctor should
Not proceed with the operation until the partner has also attended the clinic
True
False
Advise women to use effective contraception until the date of sterilisation
True
False
Explain that the procedure is permanent and irreversible
True
False
Provide information on alternative methods of long-term reversible contraception
True
False
Question:
The following are recognised complications of surgical termination of pregnancy
Retained products of conception T
True
False
Molar pregnancy F
True
False
Increased risk of ectopic pregnancy F
True
False
Endometritis T
True
False
Question:
With respect to post-partum haemorrhage (PPH)
Secondary PPH refers to PPH for which there is an underlying cause
True
False
Primary PPH does not occur following caesarean section
True
False
Secondary PPH is usually caused by infection or retained products of conception
True
False
Primary PPH is blood loss over 500ml from the genital tract within 24 hours of birth
True
False
Question:
With respect to post-partum haemorrhage (PPH)
Primary PPH refers to bleeding for which there is no underlying cause
True
False
Blood loss of 300ml 4 days after delivery should not be classified as PPH
True
False
Uterine atony is the commonest cause of secondary PPH
True
False
Maternal clotting disorders are the commonest cause of primary PPH
True
False
Question:
The following are risk factors for first trimester miscarriage
Well controlled insulin dependent diabetes mellitus
True
False
Family history of first trimester miscarriage
True
False
Previous first trimester miscarriage
True
False
Treated hypothyroidism
True
False
Question:
The following are associated with miscarriage
Fetal structural anomalies
True
False
Cervical ectropion
True
False
Cervical incompetence
True
False
Fetal chromosomal anomalies
True
False
Question:
With respect to miscarriage
Threatened miscarriage is one in which there is no vaginal bleeding but the pregnancy is found to be non-viable on ultrasound scan
True
False
Inevitable miscarriage is one in which all products of conception have been expelled
True
False
Incomplete miscarriage is one in which there are products of conception within the uterine cavity
True
False
Septic miscarriage is a miscarriage caused by infection
True
False
Question:
The following are recognised surgical treatments for urodynamic stress incontinence
Urethral dilatation
True
False
Tension-free vaginal tape (TVT)
True
False
Augmentation cystoplasty
True
False
Colposuspension
True
False
Question:
Detrusor over activity
Accounts for 10% of urinary incontinence in women
True
False
Cannot be diagnosed without urodynamic investigations
True
False
Is caused by recurrent urinary tract infection
True
False
Can occur in women with urodynamic stress incontinence
True
False
Question:
The following are effective interventions in a healthy 35 year old woman complaining of urinary frequency, urgency and urge incontinence and no other symptoms
Treatment with doloxetine
True
False
Bladder drill
True
False
Reducing fluid and caffeine intake
True
False
Pelvic floor physiotherapy
True
False
Question:
Criteria for the diagnosis of the polycystic ovary syndrome include
Raised serum androgen levels
True
False
Normal serum prolactin levels
True
False
BMI over 30
True
False
Infertility
True
False
Question:
The following are recognized long-term consequences of the polycystic ovary syndrome
Increased risk of gestational diabetes
True
False
Increased risk of cardiovascular disease
True
False
Increased risk of cervical cancer
True
False
Increased risk of endometrial cancer
True
False
Question:
Rubella
Is mainly transmitted by sexual intercourse
True
False
Has an incubation period of 2-3 months
True
False
Vaccination results in life-long immunity
True
False
Is a DNA virus
True
False
Question:
A healthy 30 year old woman develops chickenpox 2 days after vaginal delivery
The neonate is not at risk because of antibodies acquired from the mother
True
False
The woman should be re-admitted to hospital
True
False
Varicella zoster immune globulin should be administered to the neonate
True
False
The neonate should be observed for signs of chickenpox for 7 days after maternal rash
True
False
Question:
The following drugs are terratogenic
Progesterone-only contraceptive pill
True
False
Methyldopa
True
False
Carbimazole
True
False
Zidovudine
True
False
Question:
With respect to diabetes mellitus and glucose metabolism in pregnancy
Fetal hyperglycaemia causes beta cell hypoplasia
True
False
Hyperglycaemia is associated with lactic acidosis
True
False
Fasting blood glucose levels are higher in pregnancy compared to non-pregnant
True
False
Maternal hyperglycaemia leads to fetal hyperglycaemia
True
False
Question:
Insulin-dependent diabetes mellitus is characteristically associated with
Neonatal hyperglycaemia
True
False
An increased risk of neonatal jaundice
True
False
An increased risk of neonatal anaemia
True
False
An increased risk of neonatal hypercalcaemia
True
False