EBCOG P1 – 3 month May 2022 – Maternal Medicine Part 2 – HIV/ sepsis – Day 4 EMQ

A.maraviroc
B.enfuvirtide
C.zidovudine
D.darunavir
E.raltegravir
F.nevirapine

For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.

1) it is a Fusion inhibitor

2)  it belongs to class of Non-nucleoside transcription inhibitors (NNRTls)

3)   it is  lntegrase inhibitors

4)  this drug is a Nucleoside reverse transcription inhibitors

5)it is a  Protease inhibitors [Pis]

A. antiviral therapy and HDU care
B. category 3 lower segment Caesarean section
C. catheterisation and oral antibiotics
D. combined vaccination and immunisation (active and passive)
E. high dependency care with intravenous antibiotics and hydration
F . immediate laparotomy
G . induction of labour
H. intramuscular betamethasone 12 mg 12 hours apart
I. MRI abdomen and pelvis
J . oral acyclovir 400 mg three times daily for 5 days
K. oral acyclovir 800 mg five times daily for 7 days
L. reassurance
M. serum antibody testing varicella IgG and IgM
N . urine routine analysis and midstream culture
O . varicella zoster immunoglobulin (VZIG) administration

For each of the following questions, choose the single-most appropriate option from the list
A–O. Each option may be chosen once, more than once or not at all.
Questions:
6.A 28-year-old woman presents to the A & E at 30 weeks gestation with fever, flank pain and palpitations. On examination, she is found to be febrile with pulse rate (PR) 100 bpm and BP 100/60 mmHG. She has diffuse tenderness over the abdomen with soft, non-tender uterus. Vaginal examination is normal and the fetal heart rate is found to be 200 bpm.

7.  A 30-year-old woman presents to the early pregnancy assessment unit with difficulty in passing urine at 12 weeks gestation. She denies any fever, dysuria or vaginal bleeding. On examination, she is found to have shallow painful ulcers over the perineum

8.A 21-year-old woman presents to the early pregnancy assessment unit at 9-week gestation with fever and vesicular generalised rashes of 3 days duration. There is no difficulty in breathing or neck stiffness. Clinical examination shows a PR of 96 bpm and BP of 110/60 mmHG.

9.A 20-year-old primigravida presents at term +4 to the delivery suite for induction of labour. She perceives fetal movements well and obstetric ultrasonogram is normal. On examination, she is noted to have painful ulcers over the perineum. She denies any difficulty in passing urine or facing similar episodes in the past.

10.An 18-year-old girl presents to the A & E with watery vaginal discharge. She is found to be 32 weeks pregnant. She had not returned to the obstetric unit after her initial visit in early pregnancy. Her uterus is contracting mildly. On vaginal examination, her cervix is found to be partially effaced with clear liquor draining. Ultrasound shows a normally grown fetus with adequate liquor. Her blood results are positive for HBsAg and negative for anti-HCV antibodies. Liver function tests are within normal limits.