Today’s Quiz 9/1/2022

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Question Bank

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1. Q7 Breast Cancer in Pregnancy

What is the recommendation regarding Breast reconstruction after Mastectomy for Breast cancer done during Pregnancy?

A. Recommended at the same time as surgery

B. Better to be delayed till after delivery

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2. From what stage in pregnancy can testing for cell free Fetal DNA be done to check for Fetal RHD status?

A. 10 weeks

B. 20 weeks

C. 16 weeks

D. 12 weeks

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3. Q5 PPH

The RCOG guideline recommends the use of intravenous oxytocin to reduce the risk of PPH at the time of Caesarean Section. In women at increased risk of PPH, what else should be used to reduce the risk of bleeding?

A. Intramuscular Ergometrine

B. Intravenous Tranexamic acid

C. Intramuscular Oxytocin

D. Intramuscular Carbetocin

E. Intramuscular Syntometrine

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4. Q6 PPH

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

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

A. Every 4 weeks till 32 weeks, then every week till 36 weeks

B. Every 4 weeks till 28 weeks, then every week till 36 weeks

C. Weekly till 28 weeks, then at delivery

D. Every 4 weeks till 28 weeks, then every 2 weeks till delivery

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6. Q2 Third Stage of Labor- Check all that apply to physiological Management of Third Stage of labor-

A. Approximate risk of 100 in 1,000 of a blood transfusion

B. Approximate risk of 29 in 1,000 of a haemorrhage of more than 1 litre

C. Does not have any risk of nausea and vomiting because no drugs are being used.

D. Approximate risk of 13 in 1,000 of a haemorrhage of more than 1 litre

E. Nausea and vomiting in about 50 in 1,000 women

F. Approximate risk of 40 in 1,000 of a blood transfusion

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7. Q5 Third Stage of Labor -

What is the definition of Minor PPH

A. Blood loss more than 750 mL

B. Blood loss more than 500mL upto 1000 Ml

C. Blood loss less than 500 mL

D. Blood loss more than 1000 mL upto 2000 mL

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8. Q1 Fertility Problems

What does NICE recommend about 'counseling' for couples with fertility problems?

A. Counseling should be done by the specialist doctor who is treating/investigating the patient for infertility

B. Counseling should be offered only to couples whose treatment is unsuccessful

C. Counseling should be offered to people with fertility problems

D. Counseling is useful only before and during treatment.

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9. 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?

A. Not protective

B. Protective

C. Role not clear

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EMQ 1 C

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

A 32 years old premenopausal lady presents to the clinic with an ultrasound report showing a clear ovarian cyst on right side, about 5 cm in size.

A. F

B. A

C. B

D. E

E. C

F. D

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