EBCOG P1 – 3 month May 2022 – PRECONCEPTION CARE and ANTENATAL CARE – Day 3 EMQ

A. laser ablatation
B. selective amnioreduction
C. intrauterine selective feticide
D. preterm delivery after course of steroid as early as possible
E. serial USG 2 weekly starting from 16 weeks
F. Twin anemia polycythemia sequence
G. Twin reverse arterial perfusion
H. Single intrauterine fetal death
I. Selective fetal growth restriction
J. Twin to twin transfusion syndrome
K. Intrauterine blood transfusion
L. Conservative management with steroid, doppler and delivery at 34 – 36 weeks
M. Preterm cesarean section
N. Counselling that 15% chance of neurological abnomality and 15% chance of co twin death

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.
Explanations (ref: EBCOG Textbook )
1 . Best treatment option for monochorionic twin at 19 weeks with one twin showing DVP 12 cm with other twin DVP 1.5 cm with absent bladder.

2.This complication might occur in 2 – 13 % after laser ablation for TTTS?

3.EDF cyclical/ intermittent changes in doppler from positive to AREDF flow is seem in ?

4.Intrafetal laser or RFA is used to treat which complication in twin?

5.best management plan for monochorionic twin present with one co twin demise 31 weeks without fetal distress and obstetric  complication ?

A. 32weeks
B. 32 – 34 weeks
C. 34 – 36 weeks
D. 35 weeks
E. 36weeks
F. 37 weeks
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.
6.Optimal time of delivery of uncomplicated dichorinic dimaniotc twin?

7.Optimal time of delivery of MCDA ( Sfgr III) ?

8.Optimal time of delivery of MCMC ?

9.Optimal time of delivery of MCDA Sfgr II ?

10.Optimal time of delivery of uncomplicated MCDA ?