EBCOG PART 1 – FREE MINI MOCK (EMQ)

Options list:
a. Speculum examination
b. Obstetric ultrasound for liquor volume
c. insulin‐like growth factor‐binding protein 1 (IGFBP‐1) test on vaginal fluid
d. nitrazine test
e. Consider prophylactic vaginal progesterone
f. Consider prophylactic cervical cerclage
g. Consider both vaginal progesterone or cervical cercalage
h. Start tocolysis +  corticosteroids
i. Arrange Trasvaginal scan
j. Arrange fetal fibronectin test

What would be the next step of the management in the provided cases, you can choose the option once, more then once or none of them

1. A 32-year-old woman G2P1 at 30 weeks of gestation in an uncomplicated pregnancy attends the Day Assessment Unit complaining of losing a ‘gush’ of fluid through her vagina 2 hours ago followed by irregular, intermittent abdominal pains

2. A 32-year-old woman G2P1 at 30 weeks of gestation in an uncomplicated pregnancy attends the Day Assessment Unit complaining of losing a ‘gush’ of fluid through her vagina 2 hours ago followed by irregular, intermittent abdominal pains, speculum examination does not revealed any fluid in vagina

3. A 26-year-old woman G1P0 at 28 weeks of gestation attends the labour ward complaining of regular painful contractions.There is no history of rupture of the fetal membranes.

4. A 35-year-old woman G3P2 at 10 weeks of gestation with history of cervical cone biopsy p1 year back due to CIN 2 , her pregnancy has been uncomplicated so far. She attends the Day Assessment unit, her TVS revealed cervical length of 3 cm.

5. A 22 years old low risk primigravida attended antenatal clinic for fetal anomaly scan at 20 weeks of gestation, the scan revealed cervical length of 22mm.