EBCOG Part 1 Random Practice Ques Paper E(E.M.Q)

A. Combined active and passive immunization
B. Confirm primary genital herpes by serological tests
C. Emergency caesarean section
D. HVS for GBS at 36 weeks and if –ve no further action
E. HVS every 4 weeks from 24 weeks of pregnancy and intra-partum benzyl penicillin if +ve
F. If she gives a history of having suffered from chickenpox before, no further action is required
G. IV acyclovir before and during labour
H. Neonatal hepatitis B vaccine
I. The neonate should be given neonatal VZIG
J. The neonate should be tested for VZ IgM before initiating any treatment
K. Prophylactic IV Benzyl penicillin in labour without testing
L.Start immunoglobulins only if serological tests are negative
M. Start immunoglobulins while awaiting serological test results
N. Tocolysis for 24 hours with IV acyclovir and then planned CS
O. Teat mother with lamivudine theraphy

1. A 29-yr old school teacher at 8 weeks of pregnancy comes to her GP saying a few children in her class have recently been diagnosed with chickenpox. What will be the GP’s next course of action?

2. A 32-yr old woman whose previous pregnancy was complicated by neonatal GBS infection is worried about the same happening in this pregnancy. How will you councel her?

3. A 26-yr old woman attends the AN clinic at 19 weeks of pregnancy. Her AN screening bloods shows her to be HBs Ag +ve, HBe Ag –ve  and anti-HBe Ag reactive. Her liver function tests are as follows; bilirubin 25mg/dl, AST 96 IU, ALT 70 IU, and alkaline phosphatase 900 IU. What is the most appropriate intervention in preventing mother to child transmission?

4. A 26-yr old woman develops chickenpox rash 2 days after giving birth. Her booking bloods had shown her to be non-immune to varicella. Her baby appears healthy and is breastfeeding. What will be the next step in your management?

5. A 30-yr old woman in her first pregnancy is admitted in labour with ruptured membranes at term. During speculum examination she found to have vulval lesions highly suggestive of herpetic eruptions. When asked, the patient denied having similar eruptions before. How will you plan her labour?

A. Accept infertility
B. Adoption
C. Bromocriptine
D. Clomiphene
E. Cryopreservation of semen
F. Donor insemination
G. Electro-ejaculation for insemination
H. GnRH
I. ICSI
J. Natural intercourse
K. Ovarian stimulation and IUI
L. Testicular sperm aspiration

6. A 30-yr old man with Klinefelter syndrome is seen at the infertility clinic accompanied by a female partner with normal investigation.

7. A 35-yr old man with oligo-azoospermia with low FSH, low LH and low testosterone.

8. A 25-yr old man with spinal cord injury with a normal semen analysis attends the infertilityclinic along with his healthy female partner; they have a 3yr history of infertility.

9. An 18-yr old man diagnosed with leukaemia requiring chemotherapy.

10. A 35-yr old man with oligo-azoospermia noted to have a first-grade varicocele.

A. Adrenaline 1mg IV every 3-5 mins
B. Atropine 3mg IV once only
C. Basic life support
D. Calcium gluconate 10mg IV
E. Cardiac pacing
F. Cardiac shock using a current of 200 joules and repeated as necessary
G. Dobutamine infusion
H. Emergency CS in operating theatre
I. Hydrocortisone
J. Intralipid
K. IV bicarbonate
L. Intubate and transfer to ITU for ventilation
M. Obstetric USS
N. Peri-mortem CS in emergency department
O. Steroids to help mature fetal lungs
P. Thrombolysis for massive pulmonary embolism

11. A previously fit, 37-yr old obese primiparous woman attends the emergency department with acute-onset chest pain and some shortness of breath at 32 weeks of gestation. Whilst waiting to be seen, she suddenly collapses on the floor. A junior doctor assesses the patient and on finding no cardiac output, the ‘crash team’ is summoned and CPR started. The obstetric, anaesthetic, operating theatre and neonatal team are all alerted. There is no response to CPR at 5mins.

12. A 26-yr old woman who has collapsed upon transfer to the local central delivery unit from a stand-alone birth centre (BC) situated 13 miles away. After an uneventful birth, she sustained approximately 700ml of blood loss (in the BC) with a partially separated placenta.

13. A 28-yr old nulliparous woman at 30 weeks of pregnancy was admitted to the labour ward with a history of sudden onset of abdominal pain and no bleeding. Her pulse is 120 bpm and BP is 140/105. Her abdomen seems hard.

14. A 18-yr old nulliparous woman with a previous history of PE had a rapid forceps delivery for acute fetal distress. She sustained a second-degree tear. Local anaesthetic was infiltrated for repair. Her midwife noted that she has suddenly turned blue and has now become unresponsive.

15. A 26-yr old multiparous known asthmatic, now 34 weeks pregnant. She was working in her garden and suddenly started experiencing difficulty in breathing. She turned blue and suddenly collapsed.

1. Category 1
2. Category 2
3. Category 3
4. Category 4
5. Category 5
6. None of the above

16. A 38-yr old woman is interested in using the combined vaginal ring (CVR) for contraception. She previously used the COC from age 17 yrs to age 34 yrs without any problems. There are no medical illnesses. Her BP is normal and her BMI is 24. She stopped smoking 8 months ago, prior to that she smoked 5-10 cigarettes per day.

17. A 30-yr old nulliparous woman requests intrauterine contraception. She has a past medical history of subacute bacterial endocarditis. There are no other medical illnesses.

18. A 42-yr old woman requests the subdermal implant for contraception. Approximately 8 years ago she had a mastectomy for an estrogen receptor +ve breast cancer followed by chemotherapy and treatment with tamoxifen. There is no evidence of recurrent disease. She does not have any other medical illnesses.

19. A 24-yr old woman would like to restart CHC, which she has used without problems in the past. She was diagnosed with gestational trophoblastic disease following a miscarriage 3 months ago. Her b-hCG levels are gradually declining but are still detectable. She has not been sexually active since the miscarriage.

20. A 24-yr old woman requests the combined transdermal patch for contraception and to control her heavy painful periods. She used the COC when she was 17 yrs with good effect for her periods, but had problems with compliance. She was diagnosed with essential hypertension 2yr ago. Her BP is well-controlled on antihypertensive medication. There are no other illnesses. Her BMI is 35. She smokes 5-10 cigarettes per day.