Hello !!!

Greetings !! It’s been some time since we last spoke. We want to apologize for the absence of daily quizzes on Obgresource. However, we’re happy to let you know that we’re back with even more challenging brainteasers. Keep an eye out for them!This week’s topic […]

Next Week’s Topic

Next Week’s topis is Placenta Praevia and Placenta Accreta- The link to the RCOG Guideline is HERE

Lessons from MBRRACE

I am reading the 2020 MBBRACE report and think that many of us will benefit from bite sized learnings. MBBRACE is the report of confidential inquiries into maternal deaths in UK. The lessons learnt are may help in reducing maternal mortality and morbidity. The report […]

Next Week’s Topic – Perinatal Mental Health

The links to the relevant guidelines are – NICE Guideline cg192 RCOG Good Practice Paper

Next Week’s Topic-

Anti D immunoglobulin for prevention of Heamolytic Disease of Fetus and Newborn. The link to the guideline is – HERE

Next Week’s Topic- Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum

Next Week’s Topic- Nausea and Vomiting of Pregnancy-The link to the Guideline is –HERE

Next Week’s Topic- Chickenpox ( Varicella Zoster) in Pregnancy

The link to the RCOG Guideline is – HERE

Next Week’s Topic- Multiple Pregnancy

Next Week, we are going to post questions on Twin and Triplet Pregnancy. The link to the NICE guidance is HERE

Next Week’s Topic-

Cystic Fibrosis in Pregnancy. The main resource is a TOG article ( which , unfortunately is not free access). The link is HERE

Next Week’s Topic

This week, we will post questions on Post Partum Haemorrhage.The link to the RCOG guideline is HERE

Next Week’s Topic

Next Week’s Topic is Anti D in Pregnancy – The link to the British Society for Heamatology is – HERE

Next Week’s Topic- VTE Prevention

Next Week’s Topic is VTE Prevention- The Link to the Greentop Guideline 37 a is HERE

Next Week’s Topic

Next Week’s Topic is – VBACThe link to the Guideline is HERE

This Week’s Topic

After a long gap , we are back with the daily Quiz- This week’s Topic is – Pelvic Inflammatory Disease. The link to the BASSH Guideline is – HERE

Next Week’s Topic

This week, we are going to post questions on ‘Breast Cancer in Pregnancy’. The link to the guideline is HERE

This Week’s Topic- Urinary Incontinence

This week’s topic is Urinary Incontinence- The link to the NICE Guidance is – HERE

Next Week’s Topic- Management of Third- and Fourth-degree Perineal Tears

Next week’s topic is OASIS/ Management of Third- and Fourth-degree Perineal Tears- The link to the Green Top Guideline is HERE Watch a video on ‘Repair of Third Degree perineal Tear’

This Week’s Topic

This week’s topic is Obesity in Pregnancy. The link to the RCOG guideline is here

Next Week’s Topic- Cervical cerclage

Next Week, we are going to post questions on Cervical Cerclage. CLICK HERE TO READ THE RCOG GUIDELINE

This Week’s Topic- Assisted Vaginal Birth

This week , we are going to post questions on ‘assisted Vaginal Birth’ The link to the Green Top Guideline is https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.16092

Today’s Quiz

Next Week’s Topic- Diagnosis and Treatment of Malaria in Pregnancy

CLICK HERE TO READ THE RCOG GUIDELINE

Next Week’s Topic- Malaria Prevention in Pregnancy

Next week we are going to post questions on Malaria prevention in Pregnancy. The link to the RCOG guideline is – https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/malaria-in-pregnancy-prevention-green-top-guideline-no-54a/

This Week’s Topic- Intrahepatic Cholestasis of Pregnancy

In August 2022, the RCOG released a newer Guideline on ICP. This week, our questions will be based on that guideline. The link to the guideline is https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/intrahepatic-cholestasis-of-pregnancy-green-top-guideline-no-43/

This Week’s Topic- Maternal Collapse.

This week, we will post questions on Maternal Collapse. The link to the RCOG Guideline is – https://www-temp.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/maternal-collapse-in-pregnancy-and-the-puerperium-green-top-guideline-no-56/ The Link to the obgresource Summary on Maternal Collapse is- https://obgresource.com/topics/maternal-collapse/

Next Week’s Topic- Red Cell Antibodies in Pregnancy

Next Week, we are going to post questions on Red Cell Antibodies in Pregnancy- Click Here to Read the Guideline–

Today’s Quiz 5/8/22

Today’s Quiz

A woman at 11 weeks gestation presents with Hyperemesis Gravidarum. Which intravenous fluid should be the started at first ?
A. Lactated Ringer

B. Sodium Chloride 0.9% with Potassium

C. Dextrose 5%

Next Week’s Topic- NVP

Next Week, we will revise the Green Top Guideline on Nausea and Vomiting of Pregnancy. CLICK HERE TO READ THE GUIDELINE

World Hepatitis Day 28 July

Today’s Quiz 26/7/22

Today’s Quiz 25/7/22

Next Week’s Topic

Next week , we are going to post questions on ‘Hypertension in Pregnancy’. The link to the NICE Guideline is here- https://www.nice.org.uk/guidance/ng133

WHO Semen Parameters

The WHO Reference Limits are as follows- ( the 95%Confidence Intervals are mentioned in the free access TOG article) Semen volume (ml) 1.5 Sperm concentration (106/ml) 15.0 Total number (106/ejaculate) 39.0 Total motility (PR+NP, %) 40.0 PR (%) 32.0 Normal forms (%) 4.0 Vitality (%) […]

Next Week’s Topic- Male Infertility

Next week, we are going to post questions on the topic ‘Male Infertility’. Link to TO articles- https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/j.1744-4667.2012.00145.x and https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/tog.12688

Today’s Quiz 17/7/22

Next Week’s Topic- Cystic Fibrosis in Pregnancy

Next Week’s Topic- Cystic Fibrosis in Pregnancy.
Next week, we will post questions on Cystic Fibrosis in Pregnancy. The link to the TOG article is on our blog.

Today’s Quiz

Today’s Quiz

Today’s Quiz

10 Years ago- On 4 July 2012 the Higgs Boson was discovered. Today is the Anniversary of the discovery of the Higgs boson. Galarza Creador, CC BY 4.0, via Wikimedia Commons

Next Week’s Topic- Perinatal Mental Health

The links to the relevant guidelines are – NICE Guidance cg192RCOG Good Practice Paper

Today’s Quiz 2/7/22

Today’s Quiz

Today’s Quiz 28/6/22

Today’s Quiz 26/5/22

Next Week’s Topic- OHSS

Next week, we are going to post questions on Ovarian Hyperstimulation Syndrome.The link to the RCOG Guideline is – CLICK HERE

Today’s Quiz 23/6/22

Today’s Quiz 21/6/22

Today’s Quiz 20/6/22

Today’s Quiz

Next Week’s Topic- Beta Thalassemia in Pregnancy

Next week, we are going to post questions on Beta Thalassemia in Pregnancy. Here is the link to the RCOG Guideline – LINK TO GUIDELINE GET THE QUIZ QUESTIONS DELIVERED TO YOU BY WHATSAPP OR TELEGRAM-

Next Week’s Topic

Next week, we are going to ask questions on two of the most causes of vaginal discharge- Vulvovaginal Candidiasis and Bacterial Vaginosis. CLICK HERE TO READ THE BASHH GUIDELINE ON VVC- https://www.bashhguidelines.org/current-guidelines/vaginal-discharge/vulvovaginal-candidiasis-2019/ CLICK HERE TO READ THE BASHH GUIDELINE ON BV– https://www.bashhguidelines.org/current-guidelines/vaginal-discharge/bacterial-vaginosis-2012/

Today’s Quiz

Today’s Quiz 10/6/22

Today’s Quiz 9/6/22

Today’s Quiz 8/6/22

Today’s Quiz 7/6/22

Today’s Quiz 6/6/22

Next Week’s Topic- Contraception for Women Aged over 40 Years

Next Week, we are going to post questions on ‘Contraception for Women Aged over 40 Years’. The link to DOWNLOAD THE GUIDELINE IS HERE ( The download starts automatically).

Today’s Quiz

Next Week’s Topic- Obesity in Pregnancy

Next Week, we are going to post Quiz Questions on Obesity in PregnancyCLICK HERE read the RCOG Guideline Loading…

Today’s Quiz 28/5/22

Loading…

Today’s Quiz 26/5/22

Today’s Quiz 25/5/22

Today’s Quiz

TODAY IS INTERNATIONAL DAY TO END OBSTETRIC FISTULA- CLICK HERE TO READ MORE

Today’s Quiz 22/5/22

Next Week’s Topic

Next week we are going to post questions on a difficult infection- Syphilis. What is the origin of the word Syphilis? A. It has been derived from a Latin word meaning ‘Ulcer’B. It the Old Time English word for ‘Horrible’C. From the name of the […]

Today’s Quiz 20/5/22

Today’s Quiz

Today’s Quiz 17/5/22

Today’s Quiz

Today’s Quiz 15/5/22

Next Week’s Topic – PID

Next week’s Quiz Questions will be on Pelvic Inflammatory Disease.CLICK HERE TO READ THE BASSH GUIDELINE

Today’s Quiz 14/5/22

Today’s Quiz 13/5/22

Today’s Quiz 12/5/22

Today’s Quiz 10/5/22

Today’s Quiz 9/5/22

Next Week’s Topic- PPROM

Next Week’s Questions will be on Preterm Prelabor Rupture of Membranes- The link to the Guideline is HERE

Today’s Quiz 7/5/22

Today’s Quiz 5/5/22

Today’s Quiz

Today’s Quiz 3/5/22

Today’s Quiz

Today’s Quiz 1/5/22

Next Week’s Topic- Preterm Labor and Birth

The link to the relevant Resources is as follows- 1. NICE Guideline2. TOG Article- Use of magnesium sulfate in preterm deliveries for neuroprotection of the neonate3. TOG Article- Extreme prematurity and perinatal management

Today’s Quiz 30/2/22

Today’s Quiz 29/4/22

Today’s Quiz 28/4/22

Today’s Quiz 27/4/22

Note- We are aware of a software issue with the website login, and the fact that several of our users were locked out of the website. The issues has been resolved, and users can now login freely. We sincerely apologize for the inconvenience.

Today’s Quiz 26/4/22

Today’s Quiz 25/4/22

Today’s Quiz 24/4/22

Next Week’s Topic

Next Week’s Quiz Questions will be on ‘Ovarian Cysts’. The Links to the relevant Guidelines are below- 1. Management of Suspected Ovarian Masses in Premenopausal Women (Green-top Guideline No. 62)2. Ovarian Cysts in Postmenopausal Women (Green-top Guideline No. 34)

Today’s Quiz 21/4/22

Today’s Quiz 20/4/22

Today’s Quiz

Answer to Today’s Quiz 18/4/22

1. 75 to 80% of Complete molar pregnancies usually arise as a consequence of duplication of a single sperm followingfertilisation of an ‘empty’ ovum. Some complete moles (20–25%) can arise after dispermic fertilisation of an ‘empty’ovum.2. Partial molar pregnancies are usually (90%) triploid in origin, […]

Today’s Quiz 18/4/22

Today’s Quiz 17/4/22

Next Week’s Topic

Next Week’s Quiz Questions will be on Gestational Trophoblastic DiseaseCLICK HERE TO READ THE RCOG GUIDELINE Let us know what topics you would like quizzes on in the comments section below.

Today’s Quiz 16/4/22

Today’s Quiz – 14/3/22

Today’s Quiz 13/4/22

Today’s Quiz- 12/4/22

Today’s Quiz 11/4/22

Warning- This is a long question with an equally long answer ?

Today’s Quiz 10/4/22

Next Week’s Topic

Next Week’s Quiz Questions will be on Obstetric CholestasisLinks for the relevant study material- Click here to go to the RCOG Guideline. Click here for the TOG article

Today’s Quiz

Epilepsy in Pregnancy

Today’s Quiz 7/4/22

Today’s Quiz 6/4/22

Today’s Quiz 5/4/22

Today’s Quiz 3/4/22

A woman with epilepsy (WWE) on polytherapy is planning to get pregnant. If you had the option of stopping ONE of her medicines, which of the following medicines would you like to stop?

A. Lamotrigine

B. Sodium Valproate

C. Carbamazepine

D. Topiramate

Next Week’s Topic-

Next Week’s Questions will be on Epilepsy in Pregnancy- CLICK HERE TO READ THE RCOG GUIDELINE Tell us what topics you would like to read in the next few weeks in the comments.

Today’s Quiz 2/4/22

Today’s Quiz 1/4/22

Today’s Quiz 31/3/22

TToday’s Quiz 30/3/22

Today’s Quiz 29/3/22

Today’s Quiz 28/3/22

Today’s Quiz 27/3/22

Next Week’s Topic

Next Week’s Quiz Questions will be on – Hereditary Gynecologic Cancer SyndromesThe links to the relevant articles are- FREE ACCESS TOG ARTICLE ON LYNCH SYNDROME SCIENTIFIC IMPACT PAPER No 48 SCIENTIFIC IMPACT PAPER No. 66

Today’s Quiz 26/3/22

Today’s Quiz

Today’s Quiz 24/3/22

Today’s Quiz 23/3/22

Today’s Quiz 20/3/22

“Happiness is not a station you arrive at, but a manner of traveling.” Margaret Lee RunbeckToday is UN International Day of Happiness.

Next week’s Topic

Next Week’s Quiz Questions will be on ‘Twin and Triplet Pregnancy’. The link to the NICE Guideline is – https://www.nice.org.uk/guidance/ng137/resources/twin-and-triplet-pregnancy-pdf-66141724389829

Today’s Quiz 18/3/22

Today’s Quiz 17/3/22

Today’s Quiz 16/3/22

Today’s Quiz 15/3/22

Today’s Quiz 14/3/22

Today’s Quiz 13/3/22

Next Week’s Topic

Next Weeks’s Quiz Questions will be on ‘Sickle Cell Disease in Pregnancy’ Click here for the link to the Green Top Guideline

Today’s Quiz

z6 Varicella In Pregnancy

Today’s Quiz

Today’s Quiz

Today’s Quiz 7/3/22

Today’s Quiz 6/3/22

Next Week’s Topic

Next Week’s Quiz Questions will be on ‘Chickenpox in Pregnancy’ CLICK HERE TO GO THE RCOG GUIDELINE

Today’s Quiz 15/2/2022

Today’s Quiz 15/2/22

Today’s Quiz 14/2/22

Today’s Quiz

Today’s Quiz 12/2/22

Today’s Quiz 11/2/22

Today’s Quiz 10/2/22

Today’s Quiz 9/2/22

Today’s Quiz 8/2/22

Today’s Quiz 7/2/22

Today’s Quiz 6/2/22

Next week’s Topic

Next Week’s Quiz Questions will be on ‘Endometrial Hyperplasia’. For the link to the RCOG Guideline CLICK HERE

Today’s Quiz

Today’s Quiz

How are swabs for GBS collected ?

Today’s Quiz 3/2/22

Today’s Quiz 2/2/22

Today’s Quiz 1/2/22

Today’s Quiz 31/1/22

When should screening for Group B Streptoccus be done in pregnant women with twin pregnancy?

Today’s Quiz 30/1/22

About what proportion of pregnant women are colonized with Group B Streptococcus?

Next week’s Topic

Next week’s Quiz Questions will be on Early onset Group B Streptococcus Disease The relevant RCOG guideline can be found here- CLICK HERE

Today’s Quiz 29/1/22

Written consent is essential for Emergency Caesarean section done for Cord Prolapse.A. TrueB. False

Today’s Quiz 28/1/22

What is the treatment of cord prolapse in active labor?

Today’s Quiz 27/1/22

Routine ultrasound screening is useful in detecting cord presentation, and therefore in prevention of cord prolapse. A. TrueB. False

Today’s Quiz 26/1/22

Cord presentation is when the cord is present below the fetal presenting part , has not passed through the cervix, and the membranes have ruptured –A. TrueB. False

Today’s Quiz 25/1/22

A 34 weeks pregnant lady comes to the Maternity Unit at 11 PM. She complains of reduced fetal movements. This is the first time she has had reduced fetal movement. Her pregnancy has been low risk and a follow up with the midwife 1 day […]

Today’s Quiz

Use of corticosteroids ( For fetal lung maturation) can lead to reduced fetal movement perceptionA. TrueB. False

Today’s Quiz 22/1/22

A 49 years old lady underwent vaginal hysterectomy for central prolapse.  The patient is not sexually active. At the end of the surgery, the vault is seen to descend to the introitus. What can be done to reduce the risk of post hysterectomy vaginal vault […]

Today’s Quiz 21/1/2022

Which Surgeries can be offered in Post Hysterectomy Vaginal Vault Prolapse ? A. Abdominal SacrocolpopexyB ColpocleisisC. Vaginal Scarospinous Fixation

Today’s Quiz 20/01/2022

Today’s Quiz 17/1/2022

Today’s Quiz

Next Week’s Topic

Next week’s questions will be on Uterovaginal prolapse. The link to the relevant NICE and RCOG guidelines are below- RCOG Guideline on Post hysterectomy Vaginal Vault Prolapse- CLICK HERENICE Guidance- CLICK HERE

Today’s Quiz 15/01/2022

Today’s Quiz 14/1/2022

Today’s Quiz 12/1/2022

Today’s Quiz 11/02/2022

Today’s Quiz 10/1/2021

Today’s Quiz 9/1/2022

Today’s Quiz

Today’s Quiz 7/1/2022

Today’s Quiz 4/01/2021

Today’s Quiz 3/1/2022

A woman presents at 18 weeks pregnancy for ultrasound scan.  On ultrasound, the placenta is 1 cm from internal os. What is the diagnosis? A. Placenta praevia B. Low lying placenta C. Placenta previa type 2 D. Diagnosis will be decided at 28 week ultrasound […]

Today’s Quiz 2/1/2022

Placenta Praevia- Fact sheet

Today’s Quiz 01/01/2022

So this is the first question of 2022! May you all have a wonderful year full of joy and health.

Next Week’s Topic

Next Week’s Quiz Questions will be on Placenta Praevia and Placenta Accreta. The relevant RCOG Guideline can be downloaded HERE

Today’s Quiz 30/12/2021

Unfractionated heparin put the patient at risk of Heparin Induced Thrombocytopenia. What is the frequency and duration of checking of platelet count in a patient who is receiving unfractionated heparin?

Today’s Quiz 29/12/2021

Today’s Quiz 28/12/2021

A woman is diagnosed with calf vein DVT during pregnancy at 26 weeks pregnancy. How long should she receive treatment with LMWH?A. Toll 36 weeks B. Throughout pregnancy and should continue at least till 6 weeks postpartum.C. For 3 months from the start of treatmentD. […]

Today’s Quiz 27/12/2021

What is the recommendation regarding commencing treatment with LMWH (Low Molecular Weight Heparin) in a Pregnant lady presenting with Suspected DVT or Pulmonary Embolism?A. Treatment should be commenced in Suspected PE, But not in suspected DVT before confirmation.B. In both the conditions, Treatment should be […]

Today’s Quiz 26/12/2021

A 32 years old , who has delivered 3 days ago is admitted with tachycardia and breathlessness. On examination- There is painful edema of the left calf muscle. Check all the investigations you would want to do –

Next Week’s Topic

Next week’s quiz questions will be on Thromboembolic Disease inPregnancy and the Puerperium: Acute Management. the download link to the Green Top Guideline is HERE

Today’s Quiz 25/12/2021

Select the contraindications/Cautions to use of Low molecular weight heparin- A. Platelet count < 75 × 10^9/l B. Platelet count < 50 × 10^9/l C. Acute haemorrhagic stroke in previous 4 weeks D. Acute ischaemic stroke in previous 4 weeks E. Severe Renal disease F. […]

Today’s Quiz

For how long after spinal anesthesia LMWH ( Low Molecular Weight Heparin) should be avoided ? ( Provided, of course ,  that there is no ongoing bleeding)  A. 4 hours B. 6 hours C. 8 hours D. 12 hours

Today’s Quiz 23/12/2021

For women who are on lifelong oral anticoagulation, when should LMWH be converted back to warfarin in the postpartum period ? ( Provided, of course , that there is no ongoing risk of haemorrhage) A. 72 hours postpartumB. 5-7 days postpartumC. 10 days postpartumD. 6 […]

VTE Guideline – Most important tables

Two important charts from the RCOG Guideline 37 a.

Today’s Quiz 22/12/2021

True/False ? Aspirin is an effective thromboprophylaxis in pregnancy

Today’s Quiz 21/12/2021

Q3 VTE Prevention A pregnant woman is on long term oral anticoagulation due to previous history of pulmonary embolism. She reports to the maternity triage in early labor. She plans to get epidural analgesia. What is the recommended thromboprophylaxis in peripartum period for women with […]

Today’s Quiz 20/12/2021

A woman with history of deep vein thrombosis is on prophylactic dose of  Low molecular weight heparin( LMWH) . At 38 week’s gestation, she is planned for elective Lower Segment Cesarean section under Spinal Anesthesia. The LSCS is scheduled for 7 AM tomorrow morning. When […]

Today’s Quiz 19/12/2021

A 30 years old primigravida reports to the Booking Clinic. She had Deep vein thrombosis 2 years ago, and received anticoagulation for 6 months afterwards. She has no other medical conditions. There is no history of any major surgery. Her BMI is 24. Will she need thromboprophylaxis […]

Next Week’s Topic – VTE Prevention

Next Week’s Quiz Questions will on Reducing the Risk ofVenous Thromboembolism during Pregnancy and the Puerperium- Green Top Guideline 37a Here is the Download Link – https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-37a.pdf

Today’s Quiz 18/12/2021

What should be the source of Fibrinogen replacement during ongoing PPH( Postpartum Haemorrhage) ?A. Fresh frozen plasmaB. Fresh whole bloodC. CryoprecipitateD. Fibrinogen Concentrate

Today’s Quiz 17/12/2021

What is the appropriate first line Surgical Intervention in Atonic Postpartum Haemorrhage ( PPH) , if pharmacologic therapy fails to control the haemorrhage? A. B Lynch SutureB. Stepwise devascularizationC. Intrauterine balloon tamponadeD. Uterine artery embolization

Today’s Quiz 16/12/2021

The RCOG guideline recommends the use of intravenous oxytocin to reduce the risk of PPH at the time of Caesarean Section. In women at increased risk of PPH, what else should be used to reduce the risk of bleeding?A. Intramuscular ErgometrineB. Intramuscular OxytocinC. Intramuscular CarbetocinD. […]

Today’s Quiz 15/12/2021

In ongoing major PPH, what is the minimum level above which Fibrinogen concentration should be maintained?A. 1 gram/LB. 2 gram/LC. 3 gram/LD. 4 gram/L

Today’s Quiz 14/12/2021

According to RCOG, in case of major PPH, what is the criteria for initiating transfusion of red blood cells?A. Ongoing bleeding and Hemoglobin of 7 gram/dLB. Any Hemoglobin of 8 gram/dL or lessC. Transfusion of red blood cells should not be initiated until blood loss […]

Today’s Quiz 13/12/2021

What is the recommendation for fluid therapy ( Crystalloid and colloid) in management of major PPH?

A. Up to 2 liter isotonic crystalloid and Up to 1.5 liter colloid until blood arrives.

B.Up to 2 liter isotonic crystalloid and Up to 2 liter colloid until blood arrives.

C. Up to 1 liter fast isotonic crystalloid and Up to 1 liter colloid until blood arrives.

D. Up to 1 liter isotonic crystalloid and Up to 500mL colloid.

Today’s Quiz- 12/12/2021

Treatment of antenatal anemia may reduce the morbidity associated with PPH. What is the normal UK Range for Haemoglobin in pregnancy  ? A. 11 g/ 100 ml at first contact and 10.5 g/100 ml at 28 weeks.B. 12 g/ 100 ml at first contact and […]

Next Week’s Topic – PPH

Next Week’s Quiz Questions will be on Postpartum Haemorrhage. Here is the link to the RCOG guideline – https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg52/

Intrapartum Care in VBAC

Intrapartum care in VBAC-

Today’s Quiz 11/12/2021

A 28 years old Gravida 2 para 1, at 35 weeks gestation is thinking of VBAC. You ask her the reason of her last Ceasarean Section. Which of the following indications for previous caesarean section is associated with the highest chance of successful VBAC ?A. […]

Today’s Quiz 10/12/2021

Of the following, which is the single best predictor of successful VBAC?A. Preterm laborB. Previous caesarean for fetal distressC. Previous VBACD. Previous vaginal delivery

Today’s Quiz 9/12/2021

What is the rate of instrumental delivery in VBAC?A. 10%B. 20%C. 30%D. 40%

Today’s Quiz 8/12/2021

What is the rate of anal sphincter injury in women undergoing VBAC?A. 1%B. 5%10%

Today’s Quiz 7/12/2021

About what percent of women scheduled for ERCS( Elective Repeat Caesarean Section)  go into labour before 39+0 weeks?A. 1%B. 5%C. 10%D. 20%

Today’s Quiz 6/12/2021

Risk of uterine rupture in VBAC with  previous 1 LSCSA. 1 in 100B. 1 in 200C. 1 in 300D. 1 in 400

Today’s Quiz 5/12/2021

Which of the following would be absolute contraindications for offering Vaginal birth after a previous 1 caesarean section( Check all that apply)

A. Previous Classical Caesarean Section

B. Previous Uterine Rupture

C. Previous 1 Lower Segment Caesarean Section with no history of any vaginal delivery

D. Previous 2 Lower Segment Caesarean Sections

Next Week’s Topic- VBAC

Hi. Next week’s quiz questions will be from the RCOG guideline- Birth after Previous Caesarean Birth (Green-top Guideline No. 45).

Today’s Quiz 4/12/2021

Which spinal nerve segments lead to perc

A. T12 to L1

B. T10 to L 1

C. S 2, 3 ,4

D. T12 to S2

Today’s Quiz 3/12/2021

According to the Cochrane database, of the following pain relief options in labor, which have been found to be effective  ?

A. Trancutaneous electrical nerve stimulation
B. Combined spinal + epidural analgesia
C. Acupuncture/Acupressure
D. Continuous one to one support
E. Epidural analgesia

Today’s Quiz 2/12/2021

When water immersion is used for pain relief in labor, what is the maximum temperature at which the water should be maintained?

Today’s Quiz 1/12/2021

When epidural analgesia is given for intrapartum analgesia, what are the observations/ precautions to be taken? ( Select all that apply)
A. Continuous electronic fetal monitoring after epidural analgesia

B. Continuous electronic fetal monitoring for 30 minutes during establishment or after boluses of 10 ml or more

C. Check blood pressure every 5 minutes for 15 minutes during establishment or after further boluses

D. Give loading dose of fluid before establishing epidural analgesia

Today’s Quiz 30/11/2021

A 38 years old chronic smoker lady is in labor. Which of the following modes of analgesia would not be preferred for the patient? A. Epidural analgesia B. Combined Spinal + Epidural analgesia C. Remifentanyl Patient controlled analgesia D. Nitrous Oxide

Today’s Quiz 29/11/2021

Which of the following is a prodrug? A. MorphineB. CodeineC. Di hydro codeine

Today’s Quiz 28/11/2021

The FDA recommend avoiding the use of NSAIDs after how many weeks of gestation?
A. 12
B. 18
C. 30
D. 34

Next Week’s Topic

Next Week’s Quiz Questions will be on ‘Antenatal and Postnatal Analgesia’ Link to the Scientific Impact Paper No 59 from RCOG- https://www.rcog.org.uk/en/guidelines-research-services/guidelines/sip59/ There is a TOG article also on the subject- Alleemudder DI, Kuponiyi Y, Kuponiyi C, McGlennan A, Fountain S, Kasivisvanathan R. Analgesia for […]

Today’s Quiz 27/11/2021

A woman who is on Tamoxifen for the last 4.5 years is planning to conceive. How long should she wait after tamoxifen to try to conceive?

A. Can conceive immediately

B. 2-3 months

C. 6 months

D. 2 years

Today’s Quiz 26/11/21

Of the following, which is the recommended method of contraception in women with Breast Cancer?A.Progesterone only Pills/ ImplantB. Combined hormonal ContraceptionC. Copper IUCDD. LNG IUD

Today’s Quiz 24/11/2021

Of the following chemotherapeutic agents the ones which can be used during pregnancy are- Taxanes Anthracyclines Tamoxifen Trastuzumab Hematopoetic growth factor ( G-CSF)

Today’s Quiz 23/11/2021

What is the recommendation regarding ‘Systemic Chemotherapy ‘ in breast cancer?

Today’s Quiz 22/11/2021

How should women presenting with a breast lump during pregnancy be managed?

A. Referral to Breast Specialist

B. Ultrasound Breast

C. Fine Needle aspiration Cytology

D. Mammography should be done for initial evaluation o

Today’s Quiz 21/11/2021

Next Week’s Topic -Breast Cancer in Pregnancy

Next Week’s Quiz Questions will be from the Green top Guideline ‘Pregnancy and Breast Cancer’. For the link to the guideline – Click Here

Today’s Quiz 20/11/2021

Today’s Quiz 19/11/2021

Instrumental delivery associated with highest risk for obstetric anal sphincter injury A. Forceps delivery without episiotomy B. Forceps delivery with episiotomy C. Ventouse delivery without episiotomy D. Ventouse delivery with episiotomy

Today’s Quiz

Which suture is recommended for repair of anorectal mucosa in a fourth degree perineal tear?

Next Week’s Topic- OASIS

Hi . Next week’s quiz questions will be from the RCOG Guideline Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29). The link to the guideline is given –

Today’s Quiz

According to the RCOG, at what amount of PPH and ongoing haemorrhage should a  Consultant Obstetrician attend a case of PPH? Any PPH Any ongoing PPH 1000 mL or more Any ongoing PPH 1500 mL or more Any ongoing PPH 2000 mL or more

Today’s Quiz

Which interventions have been shown to reduce the risk of PPH ( Check all that apply) A. Uterine massageB. Prophylactic uterotonicsC. For women delivering by caesarean section, oxytocin 5 iu by slow intravenous injection.D. For women delivering by caesarean section, oxytocin 10 iu by slow […]

Today’s Quiz 10/11/2021

What is the definition of Prolonged Third Stage of Labor ? 1.Duration more than 60 minutes 2. Duration more than 30 minutes 3. Duration more than 30 minutes if active management is being done 4. Duration more than 60 minutes if physiological management is being […]

Today’s Quiz 9/11/2021

Which Pharmacological agent is recommended by NICE in Active Management of Third Stage of Labor ? A. Oxytocin 10 IU intramuscular B. Oxytocin 5 IU Intravenous C. Ergometrine 0.5 mg intramuscular D. Syntometrine ( Oxytocin+ Ergometrine)

Today’s Quiz 08/11/2021

Check all that apply to physiological Management of Third Stage of labor- A. . It is associated with nausea and vomiting in about 50 in 1,000 women B. It is associated with an approximate risk of 29 in 1,000 of a haemorrhage of more than […]

Today’s Quiz 5/11/2021

How frequently should Anti D titres be measured in an alloimmunized woman ? A. Every 4 weeks till 28 weeks, then every week till 36 weeks B. Every 4 weeks till 28 weeks, then every 2 weeks till delivery C. Every 4 weeks till 32 […]

Today’s Quiz

Red Cell Antibodies in Pregnancy

Red Cell Antibodies in Pregnancy

Today’s Quiz 2/11/2021

A pregnant lady at 10 weeks pregnancy is found to have Anti D Red cell antibodies. She has separated from her partner and his blood group cannot be found out. What other test can be offered earliest to her to check if the fetus is […]

Today’s Quiz 1/11/2021

Loading…

Select the Antibodies that are associated with the highest risk of significant fetal anemia( Check all that apply)

Anti c Anti C Anti d Anti D Anti e Anti E Anti k Anti K

Today’s Quiz

What is the recommended frequency of testing for Blood Group and Red Cell antibodies(Type and Screen) in Pregnancy ? A. Booking visit or first encounter in pregnancy B. Booking, 20 weeks, 32 weeks C. Booking and 28 weeks D. Booking and 32 weeks

Next Week’s Topic 31/10/2021

Next week’s Quiz Questions will be on – The Management of Women with RedCell Antibodies during Pregnancy Link to the Relevant RCOG Guideline- https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg65/

Today’s Quiz

You are performing an abdominal myomectomy for a para 3 for fibroid uterus. After opening the abdomen, you find that there is a tubal ectopic pregnancy . The staff nurse tells you that the patient’s urine pregnancy test is positive and by mistake, this fact […]

Unexpected Pregnancy During Hysterectomy- Today’s Quiz

An abdominal hysterectomy is being performed for a 39 years old para 3 for stage II a cervical cancer . After opening the abdomen, you find that the uterus seems to be enlarged than expected. The staff nurse tells you that the patient’s urine pregnancy […]

Today’s Quiz 28/10/2021

What is the risk of Bladder and /or ureter injury in Vaginal Hysterectomy for Prolapse

Today’s Quiz 27/10/2021

A patient with transverse lie at 38 weeks pregnancy is seen in the clinic. She does not speak English. Her relative comes to help in translation and informs you that the patient does not agree for Caesarean section. Which of the following is true( In […]

Today’s Quiz 26/11/2021

What is the risk of Retained placental or fetal tissue in surgical Management of Miscarriage ?

Today’s Quiz 25/10/2021

What is a ‘Valid’ Consent ?

Today’s Quiz 24/10/2021

What is the risk of Bladder and /or ureter injury in Abdominal Hysterectomy

Next Week’s Topic

Next week’s Quiz Questions will be on ‘Consent ‘ Links to the relevant resources- Obtaining Valid Consent( RCOG Clinical Governance Advice No 6) RCOG Procedure Specific Consent Advice

Today’s Quiz 23/10/2021

In what percentage of stillbirth is a cause not found even after all usual investigations? 10% 25% 50% 75%

Today’s Quiz 22/10/2021

What is the sensitivity of Ultrasound in Detecting Placental Abruption?A. 15 %B. 25%C. 50%D. More than 75%

How Frequently Should Observations be made in First and Second Stage of Labor ?

Frequency of Observations During Labor- excerpts from the NICE Guidance

Today’s Quiz 21/10/2021

Lactation Suppression after Stillbirth- Drug of Choice –

Today’s Quiz 20/10/2021

Intrauterine fetal demise in a woman with Group B Streptococcus Colonisation.
Is Antibiotic prophylaxis required ?

Next Week’s Topic – IUFD

Next week’s Quiz Questions will be based on ‘Late Intrauterine Fetal Death and Stillbirth’. Here is the link to the RCOG Guideline – https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_55.pdf

Today’s Quiz 16/10/2021

After how many days of Emergency Contraception can Hormonal Contraception be started?

How to Read a Forest Plot

Link to a post on ‘How to Read a Forest Plot’

Third Stage of Labor- What does NICE recommend?

Third Stage of Labor- What does NICE recommend?
According to NICE guidelines – ‘Advise the woman to have active management of the third stage, because it is associated with a lower risk of a postpartum haemorrhage and/or blood transfusion.’

Features of CTG

Reassuring Non Reassuring Abnormal BASELINE ( bpm) 110 TO 160 100 to 109161 to 180 Less than 100More than 180 VARIABILITY ( bpm) 5 to 25 Less than 5 for 30 to 50 minOR More than 25 for 15 to 25 minutes – Less than […]

Next week’s Topic- Emergency Contraception

Next week’s Topic

Today’s Quiz

Anti D in Molar Pregnancy- What’s the recommendation?

Today’s Quiz 08/10/2021

Conception after a previous molar pregnancy- What is the recommendation?

Recommendations from NICE Antenatal Care Guideline 2021

Update- NICE recommendations for Ultrasound in Pregnancy

Today’s Quiz

Today’s Quiz

Next Week’s Topic- Gestational Trophoblastic Neoplasia

Next week’s quiz questions will be based on Gestational Trophoblastic Neoplasia. Link to the relevant Guideline- Click Here

Valid Consent

Excerpts from the RCOG Clinical Governance Advice No 6

Male Infertility

Evaluation of Male Infertility

The New NICE Guidance on antenatal Care

Excerpts from the new NICE Guidance on antenatal care.