EBCOG Part 1-Early Pregnancy-Day 3(SBA)

1. In a patient with recurrent miscarriage, the diagnosis of antiphospholipid syndrome requires

2.healthy 30-year-old woman with recurrent first-trimester miscarriage attends the clinic for investigation and all testsrecommended in the RCOG guideline are reported as normal. The woman is a member of an internet support groupfor miscarriage and has heard from other members that there may be other adjunctive treatments that can be used.What treatment would you recommend?

3. Which objective and validated index is typically used to classify the severity of nausea and vomiting in pregnancy(NVP)?

4. At what gestation do the symptoms of NVP typically peak?

5. Which abnormality of acid–base balance is most commonly seen in women with NVP?

6. What is the most appropriate solution for intravenous rehydration in women with NVP?

7.  What proportion of women with hyperemesis gravidarum have abnormal thyroid function tests?

8. A 25-year-old woman with no live births attends the recurrent miscarriage clinic. She has had three first-trimester miscarriages in the past. During consultation, she enquires about her chances of a successful pregnancy when she next becomes pregnant. Which figure should be quoted?

9. What proportion of parents with recurrent miscarriage will be found to have a balanced chromosomal translocation if peripheral blood karyotyping is performed?

10.A woman presents at 8 weeks gestation in her first pregnancy with severe nausea and vomiting of pregnancy (NVP).Her thyroid function test (TFT) results are as follows: TSH: 0.1 mU/l FT4: 20 pmol/l. What is the most appropriatemanagement plan?

11. A 30-year-old woman visits her GP at 8 weeks gestation in her second pregnancy with mild symptoms of NVP. Shehad severe NVP in her first pregnancy requiring hospital admission and is concerned that her symptoms will worsen.What is the most appropriate advice from her GP?

12. What percentage of pregnant women with hyperemesis gravidarum in early pregnancy experience transient hyperthyroidism?

13. What is the age-related risk of miscarriage in women under 20 years of age?

14. Which B vitamin has been shown to be effective in the reduction of nausea and vomiting of pregnancy (NVP)?

15. What investigation is indicated for women following a second trimester miscarriage, which is not indicated in recurrent first trimester loss?

16.All are true regarding abortion care except

17. 28 year old with 7 weeks of pregnancy options medical termination because of social reasons.she is wanting to know her future risks ,all are true except

18.Anti D prophylaxis to be given In non sensitised Rh negative women for all of the following except

19. Regarding antibiotic prophylaxis all are true except

20. 24year old woman with BMI of 45 , with 7weeks of pregnancy ,unplanned one , opting for surgical termination of pregnancy Her brother recently died of pulmonary embolism .She is tested positive for homozygous factor v deficiency and antithrombin deficiency Your consultant after discussion with Hematologist has decided ned for low molecular weight Heparin for her All of these statements are true expect

21. 22year old woman primiparous at 14 weeks requesting for medical termination of pregnancy.her blood group is A Positive ,she has undergone counselling as well and she is sure of her decision.The recommended regimen all are true except