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1. Q13 OASIS

You are repairing a fourth degree perineal tear using polyglactin. Which suture technique will you use to repair the anal mucosa ?

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2. Q 4 OASIS

True or False?

With the help of Predictive Factors, most cases of Obstetric Anal Sphincter Injury can be Predicted Accurately

 

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3. 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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4. 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?

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5. Q8 VTE-Acute Management

 

A 38 years old lady presents to the emergency with palpitations and tachycardia . She is suspected to have Pulmonary Embolism. On examination, there is swelling of the left calf muscle and a DVT is suspected. Which investigation should be done first in this patient ?

 

 

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6. 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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Q7 PPH

7. 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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EMQ 1a

  • 8. 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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9. Q3 Placenta Praevia

A woman presents at 18 weeks pregnancy for ultrasound scan.  On ultrasound, the placenta appears to be low lying. A transvaginal ultrasound confirms that the lower edge of the placenta is 3 cm from internal os. What is the diagnosis?

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10. Q19 OASIS

Post op care of OASIS- Which laxative are preferred after repair of obstetric anal sphincter injury?

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