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MRCOG Part 1
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MRCOG 1
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MRCOG Part 2
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MRCOG 2
Medicine
BusySpR Obstetrics & Gynaecology for Med. Students
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0 random questions for MCQ
Question:
The following are used in formulations of the combined oral contraceptive pill
Progesterone
True
False
Ethinyloestradiol
True
False
Oestriol
True
False
Oestradiol
True
False
Question:
The following are non-contraceptive benefits of the combined oral contraceptive pill
Decreased risk of ovarian cancer
True
False
Decreased volume of menstrual blood loss
True
False
Decreased risk of cervical cancer
True
False
Decreased risk of benign breast disease
True
False
Question:
The following are recognised side-effects of the combined oral contraceptive pill
Weight gain
True
False
Headache
True
False
Nausea
True
False
Breast tenderness
True
False
Question:
The following are recognised complications of surgical termination of pregnancy
Cervical trauma
True
False
Haemorrhage
True
False
Pelvic inflammatory disease
True
False
Uterine perforation
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
Enquiry about contraception
True
False
Breast examination
True
False
Abdominal examination
True
False
Measurement of BP
True
False
Question:
A healthy 25 year old woman presents with vaginal bleeding at 8 weeks gestation. The following are possible causes:
Placental abruption
True
False
Placenta previa
True
False
Cervical ectropion
True
False
Molar pregnancy
True
False
Question:
The following definitions are correct
Rectocele – prolapse of the rectum through the anterior vaginal wall
True
False
Cystocele – prolapse of an ovarian cyst through the anterior vaginal wall
True
False
Enterocele – prolapse of bowel through the posterior vaginal wall
True
False
Procidentia – complete prolapse of the uterus with the fundus visible at the introitus
True
False
Question:
With respect to blood loss during menstruation
The average blood loss is 35ml per day
True
False
Menorrhagia accounts for ~4% of gynaecological referrals in the UK
True
False
There is an increased risk of anaemia with menstrual blood loss over 80ml per cycle
True
False
Menstrual blood loss is higher in nulliparous women
True
False
Question:
With respect to the disorders of menstruation
Primary dysmenorrhoea is typically associated with anovulatory cycles
True
False
Primary dysmenorrhoea typically begins after the age of 30 years
True
False
Primary dysmenorrhoea is thought to be due to myometrial contractions
True
False
Endometriosis is a common cause of primary dysmenorrhoea
True
False
Question:
The following are recognised causes of secondary amenorrhoea
Severe chronic illness
True
False
Treatment with dopamine agonists
True
False
Use of the combined oral contraceptive pill
True
False
Hyperprolactinaemia
True
False
Question:
Criteria for the diagnosis of the polycystic ovary syndrome include
Infertility
True
False
Normal serum prolactin levels
True
False
BMI over 30
True
False
Raised serum androgen levels
True
False
Question:
The following drugs are contraindicated in pregnancy
Aspirin
True
False
ACE-inhibitors
True
False
Sodium valproate
True
False
Warfarin
True
False
Question:
With respect to the management of pregnancy in women with epilepsy
Anti-epileptic drugs should be discontinued during labour
True
False
If the woman is taking anti-epileptic drugs, neonatal im vitamin K should be recommended
True
False
Breastfeeding is not contraindicated in women taking carbamazepine
True
False
Breastfeeding is contraindicated in women taking valproic acid
True
False
Question:
A 32 year old woman with Graves disease has a normal delivery at 39 weeks gestation
Symptoms of neonatal Graves disease may present 1 week after delivery
True
False
Neonatal Graves disease will not occur if the woman was euthyroid during pregnancy
True
False
Neonatal Graves disease may present with poor feeding
True
False
Neonatal hypothyroidism may occur
True
False
Question:
Obstetric cholestasis
Is the commonest cause of jaundice in pregnant women
True
False
Is associated with dark urine
True
False
Is associated with anorexia
True
False
Is associated with steatorrhoea
True
False
Question:
Obstetric cholestasis
Typically presents with a rash on the abdomen
True
False
Symptoms typically resolve 6 weeks after delivery
True
False
Is commoner in multiple pregnancy
True
False
Typically present with itching on the palms and soles
True
False
Question:
With respect to hypertensive disorders of pregnancy
Hypertension is diagnosed if systolic BP is 30 mmHg higher than BP at booking
True
False
Hypertension is diagnosed if diastolic BP is 25 mmHg higher than BP at booking
True
False
Hypertension is diagnosed if a single BP reading is 150/112 mmHg
True
False
Hypertension is diagnosed if a single BP reading is 142/96 mmHg
True
False
Question:
The following are high risk factors for developing hypertensive disorders in pregnancy
15 year history of insulin-dependent diabetes mellitus
True
False
Inter-pregnancy interval more than 10 years
True
False
Family history of pre-eclampsia
True
False
Pregnancy with a new partner
True
False
Question:
Aspirin 75mg daily to reduce the risk of hypertensive disease should be offered from 12 weeks gestation until delivery in the following women
A 23 year old insulin-dependent diabetic with a BMI of 23 kg/m2 at booking
True
False
A 23 year old who developed pre-eclampsia at 39 weeks in her last pregnancy
True
False
A 16 year old in her first pregnancy with a BMI of 22 kg/m2 at booking
True
False
A 35 year old in her first pregnancy with a BMI of 40 kg/m2 at booking
True
False
Question:
A 32 year old woman has been admitted because of pre-eclampsia at 28 weeks gestation. Appropriate investigations include
Weekly 24 hour urine collection
True
False
Daily urine testing for proteinuria
True
False
Glucose tolerance test
True
False
Liver ultrasound scan
True
False