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WorksheetsO+G Induction day SBAs
Total questions: 20
Worksheet time: 40mins
Which of the following statements about the menopause is correct?
Progesterone levels rise after the menopause
The average age of the menopause in the UK is 39
FSH levels increase at menopause
Menstrual cycles remain regular until the last menstrual period
Inhibin and oestradiol levels rise during the menopause
Which of the following best describes how COCP prevents pregnancy?
By increasing viscosity cervical mucus
By inhibiting ovulation
By causing endometrial atrophy
By stopping fertilisation of ovum
By preventing implantation in endometrium
A 27 year old woman presents to GUM clinic with a 7 day history of vaginal discharge and dysuria after an episode of unprotected intercourse 3 weeks ago. Vaginal swab shows a gram negative diplococci. What is the most likely diagnosis?
Urinary Trace Infection
Syphilis
Bacterial Vaginosis
Chlamydia
Gonorrhea
Fibroids mainly form within which part of the uterine anatomy?
Endometrium
Myometrium
Serosa
Cervix
Fallopian tube
A 34 year old woman presents to GP with a 4 month history of heavy menstrual bleeding. She had no abdominal pain but has been feeling lethargic. On examination she has a palpable abdominal mass. What is the most likely diagnosis?
Ovarian cancer
Endometriosis
Fibroids
Dysfunctional Uterine Bleeding
Endometrial polyps
What is the primary mode of action of Copper-containing IUDs in preventing pregnancy?
Copper ions are toxic to sperm and ovum
Block implantation
Thicken cervical mucus
Inhibit ovulation
Inhibit fertilisation
All of the following are effects of premature menopause apart from:
Regular menstruation
Infertility
Osteoporosis
Vasomotor symptoms
Vaginal dryness
The majority of ectopic pregnancies occur where?
Fallopian tubes
Cervical
Ovarian
Interstitial
Fimbrial
Which of these statements about subfertility is most correct?
Fertility is not affected by lifestyle
Tubal damage is estimated to account for 90% of infertility in women
Premature ovarian failure occurs in about 10% of women.
An earlier referral for specialist consultation should be offered when the woman is aged ≥30 years.
PCOS is responsible for the majority of ovulation disorders
A patient you see in antental clinic is described as G3P2. How many times has she been pregnant?
2
3
4
5
6
Which one of the following statement is correct regarding respiratory function in pregnancy?
Maternal respiratory rate falls
Maternal PaO2 falls by ~15%
There is no change in tidal volume
Maternal oxygen-carrying capacity rises by ~18%
There is no change in respiratory function during pregancy
What is the best definition of primary postpartum haemorrhage (PPH)?
Abnormal bleeding from the genital tract in any patient who has been pregnant
Abnormal bleeding from the genital tract, from 24 hours after delivery until six weeks postpartum
Loss of blood estimated to be >500 ml, from the genital tract, within 48 hours of delivery
Loss of blood estimated to be >500 ml, from the genital tract, within 24 hours of delivery
Loss of blood estimated to be >1000 ml, from the genital tract, within 24 hours of delivery
What blood tests are included in an antenatal booking appointment?
FBC, U+Es, Screening for HIV, hep C and toxoplasmosis
FBC, LFTs, U+Es
FBC, Blood group and Rh state, Screening for HIV, hep B and syphilis
Screening for Rubella, hep A and toxoplasmosis
FBC, LFTs, Screening for HIV, hep B and syphilis
Normal pregnancy is associated with which one of the following haemodynamic changes?
A 20% reduction in blood volume and cardiac output
A drop in diastolic blood pressure during the second trimester
Bradycardia with a radial pulse rate of between 45 to 55 bpm
Development of a pansystolic murmur, heard at the apex
There are no haemodynamic changes during pregnancy
What is the most accurate definition of the 3rd stage of normal labour?
Contractions are not particularly painful and at 5 to 10 minute intervals
It starts with the birth of the baby and ends with the delivery of the placenta and membranes
It begins with regular contractions and ends when the cervix is fully dilated (10 cm).
Contractions are stronger, occur at 2- to 5-minute intervals and last 60-90 seconds
It starts when the cervix is fully dilated and ends with the birth of the baby
Which of the below is best defined as "excessive menstrual blood loss which interferes with a woman's physical, social, emotional and/or material quality of life"
Menhorrhagia
Metorrhagia
Irregular menses
Polymenorrhoea
Oligomenorrhoea
Cervical screening aims to collect a sample of which tissue?
Vaginal
Endocervical
Endometrial
Myometrial
Fimbrial
A 25 year old patient who is 36 weeks gestation attends AMU with itching on the palms of her hands and soles of her feet. She also complains of feeling lethargic. On examination she has no rash, and blood pressure is normal. What is the most likely diagnosis?
Obstetric cholestasis
Iron deficiency anaemia
Pre-eclampsia
Acute fatty liver of pregnancy
Gallstones
At 36 weeks gestation where should you be able to palpate the uterine fundus?
Umbilicus
Xiphisternum
Midway between the umbilicus and the xiphisternum
Pubic symphysis
What is considered first trimester of pregnancy?
1 to 16 weeks gestation
12 to 29 weeks gestation
1 to 12 weeks gestation
29 to 41 weeks gestation
1 to 29 weeks gestation
