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MRCOG - PART 1 > Clinical management & Data interpretation > Flashcards

Clinical management & Data interpretation Flashcards

1
Q

Test for ovarian reserve?

A

Anti-mullerian hormone

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2
Q

Metabolic abnormality seen in congenital hypertrophic pyloric stenosis is?

A

Hypochloremic hypokalemic metabolic alkalosis

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3
Q

What is the most common site for tubal ectopic gestaQon?

A

Ampulla

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4
Q

In which circumstance is rhesus immunisation NOT required in a rhesus negative mother?

A

Sweeping membranes

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5
Q

Amniotic fluid embolism characterized by acute onset of:

A

• Hypoxia and respiratory arrest
• Hypotension
• Fetal distress
• Convulsion
• Shock
• Altered mental status
• Cardiac arrest

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6
Q

What is the most common type of episiotomy performed in the United kingdom (UK)?

A

Mediolateral

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7
Q

Which screening test has high negative predictive value for detection of preterm pre-labour rupture of the membranes?

A

Fetal fibronectin test

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8
Q

Oxybutynin hydrochloride is a non-selective muscarinic receptor antagonist used to treat bladder overactivity. Which diseases are aggravated by use of oxybutynin?

A

Closed angel glaucoma

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9
Q

When should the prophylactic dose of low molecular weight heparin (LMWH) be stopped before regional analgesia?

A

12 h

Treatment dose to be stoped before 24 hours

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10
Q

IUD+ Pregnancy. What is the risk of Ectopic Pregnancy?

A

1/20

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11
Q

Seizures in pregnancy can be caused by hyperemesis gravidarum.What is the most likely pathophysiology?

A

Hyponatremia

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12
Q

Which type of female pelvis favours direct occipito-posterior position?

A

Anthropoid

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13
Q

Calculation of RMI

A

Ultrasound score × menopausal status × CA-125

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14
Q

What is the most frequent cause of pathological hyperprolactinaemia

A

drugs (antiepileptics and some dopamine antagonist)

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15
Q

Regarding PCOS (PolyCystic Ovary Syndrome) which is recognized as the current gold standard for diagnosis of PCOS

A

Rotterdam criteria

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16
Q

according to NICE guideline At what week in pregnancy is testing for gestational diabetes (GD) advised

A

24-28 weeks of pregnancy if past history of GD

17
Q

According to the RCOG Green-top guideline published in 2013 at what stage of gestation should pregnant patients with PCOS be offered screening for gestational diabetes

A

24-28 Weeks

18
Q

Which of the following is considered 1st line treatment for Menorrhagia according to NICE?

A

LNG-IUS

19
Q

Assuming normal renal function, by how many days post-partum will the haemoglobin start to increase?

A

day 3

20
Q

In ECG lead V1 and aVR represent which portion of hear

A

Right atrium and ventricle

21
Q

HICH ECG LEADS REPRESENT THE INFERIOR MYOCARDIAL INFARCTION?

A

II, III, AVF

22
Q

Which ECG leads for ANTERIOR SURFACE OF THE HEART

A

V1 to V4

23
Q

Which ECG leads for lateral surface of the heart

A

Leads I, aVL, V5 and V6

24
Q

A woman who had a total abdominal hysterectomy, according to recent protocols, urinary catheter should be removed for at least

A

24 hours

25
Q

criteria for miscarriage

A

No fetal heart rate with:
(CRL >/= 7.0mm or Gestational sac >/= 25mm)

26
Q

Indications for FBS

A
  1. Pathological CTG in labour (cervix dilated >3 cm)
  2. Suspected acidosis in labour (cervix dilated >3 cm)
27
Q

Significant proteinuria is considered when:

A

 Urinary protein:creatinine ratio is >30 mg/mmol OR
 24‐hour urine collection >300 mg protein

28
Q

What is the normal arterial pH range for the cord sample

A

7.26 ‐ 7.30

29
Q

What is the maximum normal diameter of the yolk sac on transvaginal ultrasound?

A

6 mm

30
Q

the most common cause of hypercalcaemia.

A

primary hyperparathyroidism

(associated with inc. phosphate)

31
Q

What is the normal range for urea concentration in an adult?

A

2.5 ‐ 7.8 mmol/l

32
Q

What is the normal rage for adjusted serum calcium?

A

2.20 to 2.60 mmol/l

33
Q

Excessive IV saline may cause

A

hypernatremia

34
Q

Brow presentation in labor what is the head amateur?

A

Mentovertical 13 cm

MRCOG - PART 1 (15 decks)

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