1. Q2 VBAC

Risk of uterine rupture in VBAC with previous 1 LSCS

2. Q 5 OASIS

A primigravida requests that an episiotomy be given at the time of her delivery to prevent injury to the anal area.

What is the role of episiotomy in protection from Third and Fourth Degree perineal tears?

3. q18 What is the recommended technique for a Full thickness External Anal Sphincter tear ?

4. Q5 VTE Prevention

Aspirin is an effective thromboprophylaxis in pregnancy

EMQ 1 d

• 5. 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.

6. Q5 Analgesia

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

7. Q6 VTE-Acute Management-

A 32 years old lady who had recurrent DVT , and delivered by caesarean section is on Unfractionated Heparin.How frequently should platelet count be monitored in patients on UFH(unfractionated Heparin) ?

8. Q3 Breast Cancer in Pregnancy

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

Check ALL the initial steps of management-

9. Q14 OASIS

What is the preferred method to repair Internal Anal Sphincter ? ( There may be more than one correct answers)

10. Q2 VTE Prevention

A woman with past 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 should be her last dose of LMWH?