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1. Ms. X, a 32-year-old woman is in labour in her second pregnancy. Her previous delivery was by caesarean section. What is the most consistent indicator of uterine rupture for this woman?
2. Mrs. X is 30 years old at36 weeks pregnancy in her third pregnancy. Her first pregnancy was low risk normal delivery with midwife, second pregnancy was emergency cesarean section for fetal distress. Now opted for VBAC, what is the success rate VBAC for her ?
3. Patient present in labour nulliparous, was low risk following with consultant, serial scan baby in 70th centile.How to follow her in labour:
4. The most common side effect of excessive use of oxytocin is
5. You are asked to repair a vaginal tear following a normal delivery. The mother’s weight is 50 kg. She is otherwise well with no allergies. What is the maximum dose of lidocaine 1% without epinephrine that you can use for perineal infiltration?
6. Primary PPH is defined as
7. Secondary PPH is defined as
8. The most common cause of PPH is
9. Clinicians should consider the use of intravenous tranexamic acid (0.5–1.0 g), in addition to oxytocin, at caesarean section to reduce blood loss in women at increased risk of PPH. Which statement is true about tranexamic acid ?
10. Mrs. Maria Has delivered by rotational forceps delivery 6hrs before . You have been called as staff noticed increased vaginal bleeding . On examination her pulse is 114/min .Blood pressure is 70/40 mm of Hg RR-24/min .she looks pale and very tired On examination – uterus is relaxed and atonic . What is the probable blood loss ?
11. Shock index is
12. Regarding Postpartum Haemorrhage,
13. Elective caesarean section is best recommended to prevent morbidity from shoulder dystocia in which of the following clinical situations:
14. Ms.Rebecca , primipara low risk pregnancy ,delivered yesterday is for discharge. Her labour was complicated by shoulder dystocia .her baby had fracture clavicle managed conservatively, otherwise baby is doing good.she is asking you recurrence of shoulder dystocia in furtive pregnancies
15. Sara , low risk multiparous lady in her third pregnancy , she has been low risk ,EFW was 2800gms .she planned home delivery with her midwife , Ms, Angel.
Sara had spontaneous onset of labour , progressed well , delivered baby head but Ms. angel noticed difficulty with delivery of the face and chin & head started retracting . Midwife positioned sars thighs on her abdomen and tried with axial traction it wasn’t successful , what’s is best manoeuvre Angel should try in this Situation
16. You have been asked to teach a group ofFY1 about management of shoulder dystocia . When u checked their back ground knowledge , they have already a good knowledge .which method you will apply here ?
17. All are true regarding The McRoberts’ manoeuvre except
18. Mrs sweetie , is primigravida now 36 weeks of pregnancy with breech presentation . recent scan shows Flexed breech with good cardiac activity .Estimatedfetal weight is 2450grams.what is advise you will give for delivery ?
19. Mrs. Rosy, primigravida with 36weeks gestation with persistent breech presentation. She has been offered External cephalic version . She wants to Know the
Risk of spontaneous re-version after successful External cephalic version.
20. A 25-year-old primigravida woman is admitted to the labour ward with regular contractions and draining clear liquor. She is a known carrier for Streptococcus B in this pregnancy. Shortly after being given a loading dose of benzylpenicillin, she becomes wheezy, develops a rash and has difficulty breathing.
What is the most appropriate initial dose of intramuscular adrenaline?
21. Mrs.Susan is primigravida relieved at 36 weeks .she had history spontaneous rupture of membranes 22 hours prior. developed a temperature of 38°C in the last hour of the labour. Six hours after delivery Mrs.Susan notices that the baby is lethargic and not feeding well
What is the most likely aetiology?
22. Ms. XY is a Para 1 who has had an emergency caesarean section for failure to progress. Her epidural catheter was removed at 8:00 AM today, 6 h after her CS. She is written up to have prophylactic LMWH daily, commencing today for 10 days. Her postnatal check is satisfactory. Which of the following times is most appropriate for her to have the LMWH?
23. As a senior O&G Speciality Trainee you are supervising a junior colleague who is performing a caesarean section in the second stage of labour following an unsuccessful attempt at operative vaginal delivery. Your colleague has some difficulty with delivery of the baby and you immediately take over the procedure. You are unable to disimpact the fetal head from the maternal pelvis.
What should you do next?
24. 28 year old Swati Patel, primigravida,38 weeks pregnancy, is in active labour. She is getting 3 strong contractions in 10minutes, she is now 4 cm dilated. She is requesting for epidural analgesia. She can be offered epidural analgesia in all scenarios except
25. MEOWS is important risk assessment tool. All regarding MEOWS score are true except
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