Day 5 – SBA – Studyebcog

1. A 28-year-old woman books late in pregnancy at approximately 28 weeks gestation. She is known to be hyperthyroid prior to pregnancy, but has stopped taking her medication due to the pregnancy. What risk is associated with uncontrolled hyperthyroidism?

A. Antepartum haemorrhage
B. Diabetes
C. Microcephaly
D. Neonatal hyperthyroidism
E. Polyhydramnios

2. You are asked to review a 56-year-old woman found to have a unilateral complex 7 cm ovarian cyst with some ascites. She is asymptomatic, and you calculate her RMI to be 265.Which of the following is correct management?

A. Perform a laparoscopic cystectomy
B. Perform ultrasound-guided cyst aspiration
C. Repeat ultrasound in four months
D. Request an MRI and refer to gynaecology oncologist
E. Request LDH

3. You review a 34-year-old woman with pyrexia 48 hours following an emergency caesarean section. Which of the following antibiotics is correctly matched to its corresponding infection?

A. Clindamycin does not cover for anaerobic bacteria
B. Co-amoxiclav is effective in treating methicillin-resistant Staphylococcus aureus (MRSA)
C. Gentamycin is effective against group A Streptococcus
D. Meropenem is effective against group A Streptococcus
E. Pseudomonas infection is effectively treated with metronidazole

4. A 16-year-old girl and her mother visit you to discuss the merits of the HPV vaccine. Which of the following is correct?

A. Both HPV vaccinations administered in the UK are quadrivalent
B. The HPV vaccination can be given in children and adolescents aged 9 to 15 years and adult females aged 16 to 26
C. HPV vaccinations aim to target HPV 8, 11, 16, and 18
D. Two prophylactic HPV vaccinations have been developed which aim to avert 90% of squamous cell cancers by HPV prevention
E. The vaccination is a single-dose vaccine largely delivered through secondary schools

5. A 34-year-old nulliparous woman is found to have premature ovarian failure but wishes to get pregnant. Which treatment would you consider?

A. Clomiphene and metformin
B. Egg donation
C. Gonadotrophin therapy
D. Ovarian drilling
E. Pulsatile gonadotrophin-releasing hormone

6. A 23-year-old primiparous woman comes to see you at 38 weeks gestation with breech presentation, following a failed external cephalic version. She has come to discuss the benefits of an elective caesarean section versus a normal vaginal breech delivery. What place of information about the baby should be given to her regarding the benefits of an elective caesarean section?

A. Reduces long-term neonatal morbidity
B. Reduces neonatal mortality
C. Reduces perinatal mortality and early neonatal morbidity
D. Reduces perinatal mortality and intermediate term neonatal morbidity
E. Reduces perinatal mortality and long-term neonatal mortality

7. A 36-year-old woman with known toxoplasmosis infection delivers at 38 weeks gestation. What clinical manifestation of toxoplasmosis may be seen in the neonate?

A. Cleft lip/palate
B. Easy bruising
C. High-pitched cry
D. Imperforate anus
E. Jaundice

8. A 57-year-old woman presents following two episodes of postmenopausal bleeding. What is her risk of endometrial polyps or endometrial hyperplasia?

A. 10%
B. 15%
C. 20%
D. 30%
E. 40%

9. Regarding statistical analysis, which of the following is true?

A. Chi-squared tests are used to compare the difference between two medians
B. If p <0.5, it is statistically significant
C. If p = 0, this means the chance of something happening is 100%
D. A test which has 90% sensitivity to predict preterm labour implies that 90% of women going into preterm labour would have an abnormal test results
E. Type 1 errors occur when the null hypothesis is wrongly accepted

10. Which one of the following is a normal physiological change in pregnancy?

A. Decreased systemic vascular resistance
B. Increased arterial blood pressure by 10-15 mmHg
C. Increased arterial pCO2
D. Plasma volume increased by up to 20%
E. Residual capacity is increased by 25%

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