EBCOG – PART 1 – DATA INTERPRETATION

1.Which of the following is true concerning CTG monitoring.

2.Which of the following regarding diagnosis of diabetes in pregnancy is incorrect?

3.A positive result for protein on urine dipstick can indicate all of the following except

4.Regarding serum β HCG ,which of the following is incorrect?

5.Regarding semen analysis,which of the following is correct?

6.Fetal blood sample is performed on a primiparous 24 year old woman at 7 cm dilatation,due to a pathological CTG.The result shows a pH of 7.24.Which is the most appropriate action based on this result?

7.An 18 year old pregnant woman attends antenatal clinic at 32 weeks gestation.Her urine sample reveals protein + & leucocytes +.She is asymptomatic of a urinary tract infection & is otherwise well.What is the most appropriate action?

8.A 22 year old primi books her pregnancy at 11 weeks gestation.Her booking blood tests reveal a Hb level of 10.1 g/dl.Electrophoresis reveals Hb karyotype HbAS.what is the diagnosis?

9.A 32 year old woman is being continuously monitored during labour using a CTG.she has had one previous LSCS for breech presentation at term.She is currently 40 weeks gestation & in spontaneous labour.The baseline of the CTG is 115 bpm.What is the accepted range for the baseline rate?

10.A 32 year old multiparous pregnant woman attends the antenatal clinic for review at 28 weeks gestation.she mentions that her 4 year old daughter has chicken pox.she is unsure whether she has had chicken pox before.serology results are as follows. VZ virus IgM—negative,VZ virus IgG—positive.what do the serology results suggest regarding her immune status with respect to chicken pox?

11.A 40 year old primi is admitted & investigated for raised BP.Protein is 3+ on urine dipstick.a 24 hr urine collection is sent for protein calculation.What level of urinary protein excretion in 24 hrs indicates significant proteinuria?

12.A 27 year old primi presents with lower abdominal pain & some vaginal spotting.Her LMP was 5 weeks ago.Her se.βHCG on presentation is 258iu/L.as she is clinically stable ,with no risk factors for ectopic pregnancy,she goes home & returns to the EPAY 2 days later for a repeat se.βHCG.The results are as follows D1-βHCG 258,D2 –βHCG 460 iu/L.Which of the statements below best describes this pts se.βHCG trend?

13.A couple with primary subfertility who have been trying to conceive for over 12 mths,attend a reproductive medicine unit.The male partner has already given a sample for analysis.The results of semen analysis are as follows—volume 4.5ml,sperm count 12million/ml,total motility 61%.What does this analysis indicate?

14.A 34 year old primi is induced at 40 weeks gestation & 12 days for postdates.The fetus is continuously monitored via a CTG.At 6 cm dilatation the CTG becomes pathological & FBS is done.the results of the FBS are as follows-sample 1-pH 7.19,sample 2-pH 7.20.What are the most appropriate interpretation & action based on the FBS results?

15. A 37-year-old multiparous woman with gestational diabetes is in labour. The labour is being continuously monitored using a cardiotocograph (CTG). She is reviewed by the obstetric team and the parameters of the CTG are noted.
Baseline: 130 beats per minute
Accelerations: present
Variability: < 5 beats per minute for 50 minutes
Decelerations: typical variable decelerations with more than 50% of contractions for 30 minutes
Contractions: three to four contractions in 10 minutes
On the basis of this report how is the CTG best classified?

16. A 23-year-old woman is admitted at 6 weeks’ gestation with severe hyperemesis gravidarum. Her serum potassium is 2.7 mmol/L. What is the normal range of serum potassium?

17.A 64 year old woman undergoes a TAH with BSO for endometrial carcinoma.The staging of the specimen is described as stage 1b.What is the definition of stage 1b endometrial carcinoma?

18. An 82-year-old woman is undergoing investigation for postmenopausal bleeding. Her serum lactate dehydrogenase (LDH) is found to be raised. Which of the following conditions is associated with a normal level of LDH?

19. A 54-year-old woman is investigated for abdominal bloating and weight loss. A range of blood tests are sent as part of her investigations. Which of the following serum levels would be increased if the she had hepatocellular cancer?

20. A 67-year-old woman is undergoing investigation for postmenopausal bleeding. An ultrasound scan shows her endometrial thickness to be 6 mm. What is considered a normal endometrial thickness for a postmenopausal woman?

21. A 32-year-old primiparous woman attends the maternity day unit at 34 weeks’ gestation complaining of itching of the palms of her hands. Her blood tests show raised bile acids of 17 μmol/L. Her alanine aminotransferase is raised to 180 IU/L. What is the most likely diagnosis?

22. A 38-year-old woman attends a colposcopy clinic following an abnormal result of moderate dyskaryosis at cervical screening. The results of the biopsy taken at colposcopy indicate cervical intraepithelial neoplasia (CIN) II. What is the extent of cervical involvement in CIN II?

23. A 25-year-old nulliparous woman attends cervical screening for the first time. The results of her smear test show borderline nuclear changes. What is the appropriate follow-up for this woman?

24. A 25-year-old primiparous woman has a forceps delivery. She sustains trauma to the perineum. You perform a per rectal examination. You note that <50% of the thickness of the external sphincter has been torn. What grade of perineal tear has the patient sustained?

25. A 38-year-old multiparous woman is admitted with a heavy antepartum haemorrhage (APH) at 26 weeks’ gestation. She has had three previous caesarean sections. On examination, her abdomen is soft and non-tender. What is the most likely cause of this woman’s APH?

26. A 32-year-old primiparous woman with gestational diabetes is 32 weeks pregnant. At her antenatal clinic review her symphysis fundal height is measured as 38 cm.She is referred for an urgent scan to assess fetal growth and amniotic fluid index. Which amniotic fluid index would indicate polyhydramnios?