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Challenge 1

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1. Q11 GBS
How are swabs for GBS screening collected ? ( There may be more than one correct answere)

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2. Q13 Breast Cancer

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?

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3. Q7 VBAC  - 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?

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4. Q1 GBS
According to the RCOG ALL pregnant women in third trimester should be screened for Group B Streptococcus colonization.

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5. Q4 VBAC

What is the rate of anal sphincter injury in women undergoing VBAC?

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6. Q8 VBAC

What are the precautions/ steps to be taken during the labor of a woman with previous 1 LSCS? ( Select all that apply)

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7. Q6 Third Stage of Labor -Which interventions have been shown to reduce the risk of PPH ( Check all that apply)

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8. Q6 Placenta Praevia

A patient with placenta accreta was delivered by Elective Lower Segment Caesarean Section, and the placenta was left 'in-situ' . In such a case, Methotrexate adjuvant therapy should be used for expectant management.

 

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9. Q8 GBS
A primigravida at 35 weeks gestation was tested for Group B streptococcus carriage- The vaginal and rectal swab tested positive for GBS. What should be done

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10. Q6 Anti D

An Rh negative , 26 years old MAN with a platelet count of 15,000/?L (Normal 150,000 to 450,000 /?L) was given a platelet transfusions- six adult doses of D positive platelets over 4 weeks. What will be the recommendation regarding administration of Inj Anti D?

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11. Q9 GBS
A primigravida at 29 weeks gestation gave a urine sample for culture. She is asymptomatic. The result came back as Group B streptococcus 10^3 colony forming units /mL. What should be done?

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12. Q5 Breast cancer in pregnancy

What is the recommendation regarding use of blue dye for sentinel node sampling in breast cancer in pregnancy?

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13. Q12 Breast Cancer in Pregnancy

A woman who underwent lumpectomy for breast cancer during pregnancy has just delivered. She wants to know how long she should wait for her next pregnancy. What is the recommended time interval between treatment of breast cancer and future conception?

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14. Q4 GBS
A woman at 35 weeks gestation presents with labor like pains. On examination- the presentation is cephalic ; cervix is 6 cm dilated, fully effaced, membranes are intact. She does not have GBS screening result. You call the hospital laboratory and you find that the result of Group B streptococcus screening will be available after 2 days, but a PCR test result can be released after 3 hours. What should be done to prevent GBS infection of the neonate? ( Refer to RCOG Guidelines)

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15. Q15 GBS

A Woman who had GBS Bacteriuria in this pregnancy is in labor at 38 weeks. She says she once had an allergic reaction to penicillin. What should be done?

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