FCPS OBG Part 2 Written – Early Pregnancy

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Question 1 of 5

1. Question
1. A 22 years old woman presented in emergency at 17 weeks pregnancy with complain of lower abdominal pain, transparent vaginal discharge and vaginal spotting she is vitally stable and mild tightness in abdomen, admitted with suspected second trimester miscarriage the following feature is highly suggestive of pregnancy loss:
- A. Is typically painless.
- B. Occurs between 12 and 27 weeks’ gestation.
- C. Always it is associated with rupture of the fetal membranes.
- D. May be associated with haemorrhage, infection and multiple pregnancy.
- E. Antibiotic prophylaxis is usually given
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Question 2 of 5

2. Question
2. In early pregnancy:
- A. Total loss of conception after fertilization is around 20 -40 per cent.
- B. The total rate of clinical miscarriage is around 10% of all pregnancies.
- C. Miscarriage is much greater before 6 weeks than after 9 weeks.
- D. The rate of miscarriage is the same in women over forty years of age as with women under forty.
- E. The most common cause of spontaneous miscarriage is infection.
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Question 3 of 5

3. Question
3. A nineteen year-old-girl is admitted with pelvic pain, a positive pregnancy test and a 3 cm viabe ectopic pregnancy seen in the right fallopian tube on ultrasound. She has already had a left saplingectomy for a previous ectopic. The best management would be:
- A. Laparoscopic salpingectomy.
- B. Laparoscopic salpingostomy.
- C. Conservative management with serial ββHCGs.
- D. Laparotomy.
- E. Methotrexate.
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Question 4 of 5

4. Question
4. A-27 years old woman is suspected to have a partial molar pregnancy which of the following management is correct?
- A. Perform surgical evacuation, with oxytocin administered prior to completing the evacution.
- B. MRI should be performed to exculed metastases.
- C. An ultrasound scan is required to make a definitive diagnosis.
- D. Upon surgical evacution, partial moles are found to have fetal tissue or fetal red blood cells present.
- E. Women with gestational throphblastic neoplasia will require radiotherapy.
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Question 5 of 5

5. Question
5. A 42 years old woman and her partner present to infertility clinic following a miscarriage at 8 weeks gestation. This is her second first trimester miscarriage, they have a 5 years old son. Which of the following is true regarding recurrent miscarriage?
- A. The age related risk of miscarriage in women more than 45 years is over 90%.
- B. Anti phospholipid antibodies are present in 1%of women who experience recurrent miscarriage.
- C. In women with unexplained recurrent miscarriage, preimplantation genetic screening followed by in vitro fertilization increase live birth rate,
- D. It affected 5% of couples.
- E. Paternal age is not a risk factor for miscarriage.
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