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EMQ 1a

  • 1. A. MRI
  • B. Serum CA 125
  • C. Discharge
  • D. Annual Ultrasound
  • E. Serum alfa fetoprotein  , beta hcg and LDH
  • F. Refer to Oncologist

A 42 years old, pre menopausal lady comes to the clinic with complaint of vague abdominal pain for 4 weeks. Ultrasound shows a simple cyst 6 cm in right ovary.

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2. Q1 DKA in Pregnancy

What are the requirements for diagnosing DKP ?

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3. Q5 VTE-Acute management

 

A 32 years old lady who had recurrent DVT , and delivered by caesarean section yesterday , is on Unfractionated Heparin.

What is the DURATION  for which should platelet count  should be monitored in patients on UFH(unfractionated Heparin) ?

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4. Q3

According to RCOG, in case of major PPH, what is the criteria for initiating transfusion of red blood cells?

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5. 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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Q7 PPH

6. What is the appropriate first line Surgical Intervention in Atonic Postpartum Haemorrhage ( PPH) , if pharmacologic therapy fails to control the haemorrhage? 

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7. Q6 Red Cell antibodies in Pregnancy- How frequently should Anti D titres be measured in an alloimmunized woman ?

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8. Q4 VTE-Acute Management

A woman who developed DVT in pregnancy, and is on therapeutic dose of LMWH,  is planned for elective caesarean section. When should she stop her Low Molecular Weight Heparin?

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9. Q6 VBAC

 

Of the following, which is the single best predictor of successful VBAC?

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10. Q2  OASIS

 

A primipara, who just delivered by forceps is found to have a perineal tear. On examination, almost the entire external anal sphincter ( EAS) is torn.  What is the degree of the perineal tear ?

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