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80 random questions for MCQ
Question: The efficacy of the progestogen-only oral contraceptive pill is reduced in women who are also taking the following drugs
Carbamazepine
  True   False
Phenytoin
  True   False
Sodium valproate
  True   False
Lamotrigine
  True   False


Question: The following are recognised complications of surgical termination of pregnancy
Continuing pregnancy
  True   False
Bladder injury
  True   False
Inflammatory bowel disease
  True   False
Bowel injury
  True   False


Question: A healthy 23 year old woman attends for her 6 weeks post-natal visit following a normal vaginal delivery. Routine clinical assessment should include
Abdominal examination
  True   False
Breast examination
  True   False
Measurement of BP
  True   False
Enquiry about contraception
  True   False


Question: The following are risk factors for post-partum haemorrhage
Forceps delivery
  True   False
Grand multiparity
  True   False
Small for gestation age fetus
  True   False
Emergency caesarean section
  True   False


Question: With respect to the physiology of lactation
Suckling stimulates a rise in maternal prolactin levels
  True   False
Serum progesterone levels rise following delivery
  True   False
During pregnancy, high progesterone levels stimulate breast milk production
  True   False
Serum prolactin levels rise following delivery
  True   False


Question: With respect to miscarriage
Incomplete miscarriage is one in which there are products of conception within the uterine cavity
  True   False
Inevitable miscarriage is one in which all products of conception have been expelled
  True   False
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
Septic miscarriage is a miscarriage caused by infection
  True   False


Question: The following drugs have anti-cholinergic effects on the urinary bladder
Solifenacin
  True   False
Amitriptyline
  True   False
Oestradiol
  True   False
Alcohol
  True   False


Question: The following are recognised surgical treatments for urodynamic stress incontinence
Colposuspension
  True   False
Urethral dilatation
  True   False
Augmentation cystoplasty
  True   False
Tension-free vaginal tape (TVT)
  True   False


Question: The following are recognised causes of menorrhagia
NSAID therapy
  True   False
Warfarin therapy
  True   False
Heparin therapy
  True   False
The copper IUCD
  True   False


Question: The following are recognized symptoms of the premenstrual syndrome
Headache
  True   False
Hallucinations
  True   False
Hot flushes
  True   False
Mastalgia
  True   False


Question: Routine screening for the following infections is recommended in pregnancy
Asymptomatic bacteriuria
  True   False
Bacterial vaginosis
  True   False
Cytomegalovirus
  True   False
Chlamydia
  True   False


Question: Varicella zoster
Is a DNA virus
  True   False
Is infectious for 48h before the rash appears
  True   False
Has an incubation period of 7-10 days
  True   False
Is terratogenic
  True   False


Question: With respect to cytomegalovirus infection in pregnancy
Diagnosis of infection is mainly based on maternal symptoms and presence of a rash
  True   False
Termination of pregnancy should be offered if infection occurs in the first trimester
  True   False
It is the commonest cause of congenital sensori-neural deafness
  True   False
Routine antenatal screening is recommended
  True   False


Question: Toxoplasma gondii
Is a gram negative bacterium
  True   False
Is terratogenic
  True   False
May be acquired from eating contaminated meet
  True   False
May be acquired from cat litter
  True   False


Question: A 35 year old woman is found to have primary syphilis at 10 weeks gestation
Treatment of maternal infection will reduce the risk of congenital syphilis
  True   False
The baby will require follow-up to detect congenital syphilis
  True   False
Breastfeeding is not contraindicated
  True   False
Treatment should be with parenteral gentamicin
  True   False


Question: The following drugs are terratogenic
Methyldopa
  True   False
Zidovudine
  True   False
Carbimazole
  True   False
Progesterone-only contraceptive pill
  True   False


Question: In a woman who is planning a pregnancy, the following drugs should be discontinued and replaced with safer alternatives
Paroxetine
  True   False
Carbamazepine
  True   False
Warfarin
  True   False
Carbimazole
  True   False


Question: Hypothyroidism
Is more common in pregnancy than hyperthyroidism
  True   False
In pregnancy is most commonly due to Graves disease
  True   False
Is associated with an increased risk of fetal growth restriction
  True   False
If untreated in pregnancy, is associated with neuro-developmental delay in the child
  True   False


Question: Obstetric cholestasis
Has a 75-90% recurrence rate
  True   False
Is not associated with a rash
  True   False
Is commoner in the second than in the third trimester
  True   False
Is caused by obstruction of the bile ducts
  True   False


Question: The following are possible causes of jaundice in a woman who is 32 weeks pregnant
Obstetric cholestasis
  True   False
Hyperemesis gravidarum
  True   False
Auto-immune hepatitis
  True   False
Viral hepatitis
  True   False