1. Q7 OASIS

Best place of repair of third and fourth degree perineal tears

EMQ 1 d

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

A 57 years old lady comes to the gynecology clinic with complaint of sensation of abdominal bloating. Her ultrasound shows left adnexal mass, about 5 cm in size, with septae and mild ascites.

EMQ 1a

• 3. 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.

4. Q5 Analgesia

What is the chance of getting post dural puncture headache if accidental puncture of the dura occurs with an epidural needle?

5. Q6 PPH

According t the RCOG guideline, what is the recommended dose of intravenous oxytocin ( in IU )  to reduce the blood loss during Ceasarean Section? Write your answer as a number.

Q7 PPH

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

7. Q15 OASIS

Which suture is preferred to repair Anal mucosa

8. Q 16 OASIS

Which suture material should be used to repair the Internal anal sphincter and external anal sphincter? There may be more than one correct answers-

9. Q7 VTE Prevention

LMWH ( Low Molecular Weight Heparin) should be avoided for how long after spinal anesthesia?

10. Q3 Analgesia

What is the currrent consensus regarding the safety of Paracetamol use in pregnancy?