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1. q5 Urinary Incontinence

A 55 years old lady presents to the clinic with complaints of leakage of urine on coughing and straining, confirmed by a bladder diary. A urine dipstick is normal. On examination, there is grade 3 cystocele. She has been doing pelvic floor exercises. She is not relieved of her symptoms and is now requesting surgery.  What other investigation is recommended before surgery in this patient?

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2. Q1 PPH

Treatment of antenatal anemia may reduce the morbidity associated with PPH.

What is the normal UK Range for Haemoglobin in pregnancy  ?

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3. Q3 VTE Prevention

How is the dose of LMWH calculated for any patient?

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4. A previously healthy 18-year-old primigravida presents at 36 weeks feeling unwell and tired. Her brother died unexpectedly aged 19 years. Her CXR showed an enlarged heart. While being admitted she developed increasing shortness of breath and died despite intensive resuscitation.

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5. 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 at risk of HDFN (Hemolytic disease of fetus and newborn)?

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EMQ A2

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

A 32 years old pre-menopausal lady comes to the clinic with complaint of vague abdominal aches. Transvaginal ultrasound shows a complex left adnexal mass , about 7 cm in diameter.

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7. Q1 DKA in Pregnancy

What are the requirements for diagnosing DKP ?

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8. Q1 VTE Acute Management

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 -

 

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9. Q7

EMQ 1. Urinary incontinence-

A. Desmopressin
B. Anticholinergics
C. Duloxetine
D. Sling surgery
E. Botulinum injection
F. Transcutaneous sacral nerve stimulation

A 38 years old lady is not getting relieved of overactive bladder symptoms,  even after Lifestyle change and bladder training.

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10. Q5 VBAC

What is the rate of instrumental delivery in VBAC?

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