Mock Test-1 (SBA -EMQ)(Module -part-2)

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A40-year-oldwomanisreferredtogynaecologyclinicwithlargefbroids.Tree
aresubserosal(5×6cm,6×5,8×4cm)andtwoareintramural(10×12cm).
Whichoneofthefollowingwouldbeacontraindicationforuterineartery
embolisation(UAE)inhercase?

A) .Adenomyosis

B) .Menorrhagia

C) .Asymptomaticfbroids

D) .Presenceofintrauterinecopperdevice(IUCD)

E) WomanwhoisaJehovah’sWitness

A60-year-oldpara4onacontinuouscombinedHRTregimen
presentswitha2-weekhistoryofirregularvaginalbleeding.
What is the most appropriatenextstepinhermanagement?

A) .Dilatationandcurettage.

B) .Norethisterone5mgtid.

C) .Pipelleendometrialbiopsy.

D) .SequentialcombinedHRT.

E) .Transvaginalultrasound

A 65-year-old woman is prescribed mirabegron (Betmiga, Astellas Pharma) for detrusor
overactivity.
What type of drug is mirabegron?

A) Anti-muscarinic.

B) . B1-adrenoceptor agonist.

C) B2-adrenoceptor agonist.

D) . B3-adrenoceptor agonist.

E) . Serotonin–norepinephrine reuptake inhibitor.

A woman attends the labour ward by ambulance after experiencing a cord prolapse when
her membranes ruptured at home at 36 weeks of gestation. There are no signs of labour

A) .Perform an instrumental delivery

B) . Administer subcutaneous terbutaline

C) . Cat 1 ceserean section

D) . Fill urinary bladder

E) Confirm presence of fetal heart with ultrasound

F) Manual replacement of cord

G) . Expectant management

H) . Adopt knee to chest position

10)

.Myomectomy for large uterine broids can be associated with massive
blood loss, blood transfusion and conversion from myomectomy to
hysterectomy.
Which of the following is not a recognized intervention to reduce blood
loss at the time of open myomectomy?

A) . Preoperative GnRH analogues.

B) . Uterine artery tourniquet.

C) Intramyometrial vasopressin

D) . ranexamic acid.

E) Oxytocin.

12) .To undertake laparoscopic entry using the Hasson technique, you will require

A) )One pair of Littlewood forceps and one artery forceps

B) Two pairs of Littlewood forceps and two artery forceps

C) Two pairs of Littlewood forceps, two artery forceps and a Langenbeck retractor

D) Two pairs of Littlewood forceps, two artery forceps and two Langenbeck retractors

E) Two pairs of Littlewood forceps. Two artery forceps, two Langenbeck retractors and a Veress needle

13)

You see a woman in the gynaecology outpatient clinic. She has symptoms of frequency and
urgency of micturition. You asked her to keep a bladder diary.
Over what length of time should a bladder diary be undertaken?

A) Two days.

B) . Three days.

C) Four days.

D) Seven days.

E) 10 days.

17) A 27-year-old multiparous woman had spontaneous rupture of membranes at

37 weeks of gestation. She is a carrier of group B Streptococcus (GBS) as detected

on a vaginal swab in the second trimester.

What is the most appropriate management?

A) Await spontaneous labour and use intrapartum antibiotic prophylaxis (IAP)

B) Offer one dose of prophylactic antibiotic before elective caesarean delivery

C) Offer induction of labour after 24 hours and IAP

D) Offer induction of labour at 41 weeks and IAP

E) . Offer induction of labour immediately and IAP

18)

A woman known to have an unstable lie calls the labour ward describing leaking fluid and a
cord dangling between her legs. Your colleague arranges ambulance transfer for the woman

A) .Perform an instrumental delivery

B) . Administer subcutaneous terbutaline

C) . Cat 1 ceserean section

D) . Fill urinary bladder

E) Confirm presence of fetal heart with ultrasound

F) Manual replacement of cord

G) . Expectant management

H) . Adopt knee to chest position

19)

Which derangement of acid–base balance is associated with augmentation cystoplasty for the
treatment of an overactive bladder?

A) Metabolic acidosis

B) . Metabolic alkalosis

C) . No derangement

D) Respiratory acidosis

E) . Respiratory alkalosis

21) Definative treatement for anaphylaxsis

A) 1).5ml of 1:1000 iv

B) 2) .5ml of 1:10000 im

C) .5ml of 1:1000 im

D) 4) 5ml of 1:1000 im

22) Which AED concentration is affected by COCs

A) Carbamazepin

B) Phenytoin

C) Lamotrigen

D) Phenobarbitone

E) Phenytoin

24)

.A45-year-oldwomanisreferredtogynaecologyclinicwithhistoryof
menorrhagia,dysmenorrhoeaandpasthistoryofpremenstrualsyndrome.Her
haemoglobinis11gm%andpelvicultrasoundscanisnormal.Alltheoptions
ofmanagementarediscussedwithherintheclinicbyspecialistregistrar.She
wishestohaveendometrialablationfortreatment.
Allthestatementsregardinghercounsellingthiswomanaretrueexcept

A) .Subsequentpregnancyshouldbeavoided.

B) .Furthercontraceptionwillbenecessary

C) .Dysmenorrhoeawillberelieved.

D) .Premenstrualsyndromewillnotberelieved.

E) .Approximately20%willhavenobeneftwithendometrialablatio

25)

A 30-year-old woman has symptoms of recurrent abdominal pain, which improve with a bowel
movement. She has also noticed increased bowel movements and a feeling of bloating. These symptoms
have occurred over the past 6 months and are worse when eating certain foods.

A) .adenomyosis

B) Adhesions

C) .Endometriosis

D) .Bladder pain syndrome

E) Chronic PID

F) .Endometriosis

G) .Irritable bowel syndrome

H) .Neuromuscular pain

I) .UTI

26) A missed DSG pill (all brands) is one that is:

A) 4 hours late

B) More than 12 hours late

C) Taken 24 hours after the last pill was taken

D) Taken 48 hours after the last pill was take

32) The commonest pathogen causing ascending genital tract infection following deliv-

ery of any type (miscarriage/abortion, termination, caesarean section, vaginal deliv-

ery) is:

A) Anaerobic bacteria

B) Amoeba

C) Chlamydia

D) Group A streptococcus

E) Group B streptococcus

33) Rate of uterine perforation in IUC insertion is

A) 1 in 1000

B) 2 in 1000

C) 3 in 1000

D) 4 in 1000

E) 5 in 1000

34)

A 24-year-old woman in her second pregnancy presents at 12 weeks’ gestation with
confirmed venous thromboembolism (VTE). How would you advise her with regard to her
treatment?

A) Commence warfarin for the initial three weeks then convert to low-molecular weight heparin (LMWH) until delivery.

B) . Commence therapeutic LMWH for six weeks.

C) . Commence therapeutic LMWH for one month in total then convert to a prophylactic dose.

D) Commence therapeutic LMWH for three to six months and then convert to a prophylactic dose.

E) . Commence therapeutic LMWH for the entire pregnancy.

37) Rate of infraumbilical adhesions after midline laparotomy

A) 10%

B) 25%

C) 55%

D) 75 %

E) 5%

38)

.According to NICE , to reduced the surgical site infection ;the use of antiseptic
preparation should be

A) 1 minute before skin incision

B) 2 minutes before skin incision

C) 3 minutes before skin incision

D) 5 minutes before skin incision

E) immediately before skin incision

41)

A 34-year-old woman has noticed intermittent abdominal pain since a horse riding accident 2 years
previously. The pain is worse on movement and she is able to point to an area of focal tenderness.

A) .adenomyosis

B) Adhesions

C) .Endometriosis

D) .Bladder pain syndrome

E) Chronic PID

F) .Endometriosis

G) .Irritable bowel syndrome

H) .Neuromuscular pain

I) .UTI

42)

A community midwife attending a planned home birth experiences a cord prolapse at 4 cm
dilatation. She has called an ambulance.

A) .Perform an instrumental delivery

B) . Administer subcutaneous terbutaline

C) . Cat 1 ceserean section

D) . Fill urinary bladder

E) Confirm presence of fetal heart with ultrasound

F) Manual replacement of cord

G) . Expectant management

H) . Adopt knee to chest position

45)

A37-year-oldwoman,para1isreferredtogynaecologyclinicasa2weeks’
waitinviewofabdominalswellingandpelvicpressure.Anultrasoundscan
attachedwithGPreferralshowsalargeuterus(uterinesizeof20×10cm)
withmultiplefbroids.Shewishestohaveuterinearteryembolisation.
Whichofthefollowingisnotanabsolutecontraindicationforuterine
arteryembolisation

A) Asymptomaticfbroidsinwomen<40yearsofage

B) .Infectionofthegenitaltract3weeksago

C) .Pedunculatedfbroid

D) .Sixteenweeks’pregnancy

E) .Whereapatientwouldrefuseahysterectomyunderanycircumstancesdue tosocialorculturalreasonsevenaferappropriatecounsellin

46)

A 65-year-old diabetic patient with a BMI of 35 kg/m2
had a
AH+BSO for complex endometrial hyperplasia with atypia.
What is the best pharmacologic thromboprophylaxis regimen for this
patient?

A) LMWH for 7 days.

B) LMWH for 28 days.

C) LMWH while an inpatient.

D) UFH while an inpatient.

E) . Pharmacologic thromboprophylaxis only if additional risk for V E

47) Which type of ureteric injury is most commonly reported at laparoscopy?

A) Laceration

B) Transection

C) Crush

D) Ligation

E) Thermal

48)

A 19-year-old man had consensual vaginal intercourse with a 16-year-old girl. He believed she
was 18 as they met at the student union bar

A) . Assault by penetration

B) . Sexual activity with a child

C) . Sexual assault

D) Rape of a child

E) None of the above

49)

A 35-year-old woman with subfertility is undergoing abdominal myomectomy. What are
the chances of her achieving a spontaneous pregnancy assuming that there are no
associated factors that may affect her fertility?

A) 25% (one-quarter)

B) 33% (one-third)

C) 67% (two-thirds)

D) 75% (three-quarters)

E) 50% (one-half)

51) Suprapubic pressure

A) . Facilitates access

B) Reduces the bisacromial diameter of the fetus

C) Reduces anteropost diameter of pelvis

D) . Moves shoulders to larger diameter of the pelvis

E) Increases the anteroposterior diameter of the pelvis

F) Increases transverse diameter of pelvis

52)

Ms. XY is 55 years old. She suffers from symptoms of an overactive bladder. Bladder retraining
has not helped her. Her recent urine analysis is negative for infection.
What is next step in her management?

A) . Botulinum A toxin

B) . Mirabegron

C) Darifenacin once daily

D) . Transcutaneous posterior tibial nerve stimulation

E) . Urodynamic studies

54)

A para 0+5 (5 miscarriages), IVF pregnancy, gestation of 23+0, is confirmed to have
premature rupture of membranes and a cord prolapse

A) .Perform an instrumental delivery

B) . Administer subcutaneous terbutaline

C) . Cat 1 ceserean section

D) . Fill urinary bladder

E) Confirm presence of fetal heart with ultrasound

F) Manual replacement of cord

G) . Expectant management

H) . Adopt knee to chest position

55) A38-year-oldwomanisreferredtogynaecologyclinicbyGP.Shegiveshistory

ofamenorrhoeaforthepast6months.Shehastwochildrendeliveredby
caesareansectionandregularperiodspriortothis.Herurinepregnancytestis
negative.Hermotherhadprematuremenopauseattheageof30.
Tediagnosisinhercaseisbasedon

A) Singleelevatedfollicle-stimulatinghormone(FSH)levelsonbloodtest

B) .Elevatedanti-müllerianhormonelevelsandinhibinAlevelsonbloodtest

C) .ElevatedinhibinAlevelsonbloodtest

D) .ElevatedFSHlevelsontwobloodsamplestaken4–6weeksapart

E) SingleelevatedFSHlevelsandanti-müllerianhormonelevelsonbloodtest

56)

A30-year-oldwomanpresentstoGPwithseverecyclicalmastalgia.GP
prescribesherDanazol200mgoncedailyfor3monthsandarrangesa
follow-upafer3 months.
Whencounsellingthiswomanoneshouldexplainthefollowingexceptthatit

A) Cancauseosteoporosiswithlong-termuse

B) .Cancauseirreversiblechangesinvoice

C) .Cancausevirilisationofthefemalefetusifshegetspregnant

D) .Cancauseoilyskinandacn

E) .Shouldbeavoidedduringpregnancy

57) Which is not an example of a formative assessment:

A) Case based discussion

B) Mini-Cex

C) MRCOG OSCE

D) OSATS

E) TO1

58)

A44-year-oldwomanisreferredtoamenopausalclinicwithseverevasomotor
symptomsandlowmood.Shehasahistoryofoestrogen-receptor-positiveand
progesterone-receptor-negativebreastcancerwhichwastreatedwithwide
localexcisionandradiotherapy.Sheiscurrentlyontamoxifen.
Whatwouldyouprescribetotreathermenopausalsymptoms?

A) .Selectiveserotoninreuptakeinhibitors(SSRIs)

B) .Conjugatedequineoestrogens

C) .OestrogenandPG

D) Topicalvaginaloestrogen

E) .Clonidine

59)

During a woman’s fertile period, the pregnancy risk following a single episode of unprotected
sexual intercourse (UPSI) has been estimated to be up to:

A) 10%

B) . 20%

C) . 30%

D) 40%

60)

A30-year-oldwomanpresentstoGPwithincreaseingrowthofhaironthe
chin,chestandbackwhichshenoticedforthelast3months.Shealsogives
historyofdeepeningofvoiceandfrontalhairloss.Vulvalexaminationreveals
clitoromegaly.
Which one of the followingtestsdiferentiatesandrogen-producingadrenal
tumourfromovariantumour?

A) .Increasedfreeserumtestosteronelevels CompiledbydrPreetiPoghe

B) .Increasedserumdehydroepiandrosterone(DHEA)levels

C) .Increasedserumdehydroepiandrosteronesulphate(DHEAS)levels

D) Decreasedserumsexhormonebindingglobulin(SHBG)levels

E) Increasedserum17-hydroxyprogesteronelevels

61) . McRoberts

A) . Facilitates access

B) Reduces the bisacromial diameter of the fetus

C) Reduces anteropost diameter of pelvis

D) . Moves shoulders to larger diameter of the pelvis

E) Increases the anteroposterior diameter of the pelvis

F) Increases transverse diameter of pelvis

63)

You are assisting your consultant in a Burch colposuspension
procedure for urodynamic stress incontinence a er an unsuccessful V
procedure.
Which of the following transverse skin incisions allows the easiest access
to the space of Retzius?

A) Pfannenstiel incision.

B) Kustner incision.

C) Cherney incision.

D) . Maylard incision.

E) . Joel–Cohen incision

64)

A healthy 35-year-old woman attends the antenatal clinic at 37 weeks gestation in her third
pregnancy. She has had two previous caesarean sections for breech presentation, but the
current preg- nancy has a cephalic presentation and she would like to have a vaginal birth after
caesarean (VBAC).
What would be the risk of uterine rupture if she labours with such a history?

A) 0.4–0.5%

B) 0.7–0.9%

C) 0.9–1.8%

D) 2.5–3.1%

E) . 4.8–6.7%

66)

A 26-year-old woman presents to the gynaecology clinic with a 2-year history of cyclical pelvic pain,
deep dyspareunia and dysmenorrhoea

A) .adenomyosis

B) Adhesions

C) .Endometriosis

D) .Bladder pain syndrome

E) Chronic PID

F) .Endometriosis

G) .Irritable bowel syndrome

H) .Neuromuscular pain

I) .UTI

67)

19 year old lady who had stillbirth at 38 weeks has come to see you 2 weeks after delivery. She
has agreed to have postmortem.
What percentage of still births have congenital anomalies.

A) 15%

B) . 6%

C) 2.%

D) 10%

E) 20%

68)

A grandmultiparous woman in precipitant labour is found to have a cord prolapse. She is fully
dilated on vaginal examination. CTG shows a prolonged deceleration

A) .Perform an instrumental delivery

B) . Administer subcutaneous terbutaline

C) . Cat 1 ceserean section

D) . Fill urinary bladder

E) Confirm presence of fetal heart with ultrasound

F) Manual replacement of cord

G) . Expectant management

H) . Adopt knee to chest position

69)

The Cu-IUD is the most effective method of EC. A 2012 systemic review reported an overall
pregnancy rate of:

A) <0.01%

B) <0.1%

C) c <1%

D) <10%

71)

A41-year-oldwomanpresentswithurinaryfrequencyandpelvicpressure.An
ultrasoundscanrevealsalarge20 cmintramuralfbroidandfourothersmall
intramuralfbroids.Urinedipsticktestresultwasnormal.She was reviewedin
the gynaecologyclinicandwasoferedmyomectomyinviewofhersymptoms.
TewomandeclinessurgerybutiswillingtohaveUAE.
Whichstatementisfalseregardingcounsellingofthispatient?

A) .1%–2%willhaveearlyovarianfailure

B) .Mayneedfurthertreatmentintheformofhysterectomyin2.9%ofwomen

C) .40%–70%reductioninthefbroidvolume

D) .Riskofpost-embolisationsyndrome

E) .98%ofthepatientswillbesymptomfreefollowingUAE

74) .What is the most common site for uterine perforation during evacuation

A) Anterior Wall

B) Posterior wall

C) Cervical canal

D) Funds

E) lateral wall

76)

A 51-year-old woman with two previous vaginal deliveries is seen in the gynaecology outpatient
clinic complaining of leaking urine on coughing and sneezing for the past three months. She has no
other urinary symptoms and is not on any medications. Abdominal and pelvic examination is normal.
What would you tell her regarding the number of pelvic floor contractions to perform and the
frequency of the exercise programme per day?

A) . Pelvic floor muscle training programme: at least four contractions, three times per day.

B) . Pelvic floor muscle training programme: at least six contractions, three times per day.

C) Pelvic floor muscle training programme: at least eight contractions, three times per day.

D) Pelvic floor muscle training programme: at least 10 contractions, three times per day.

E) . Pelvic floor muscle training programme: at least 12 contractions, three times per day

77) Which patient is said to be anemic postpartum?

A) .Hb 10.5

B) .Hb 11.5

C) .Hb 11

D) .Hb 10

E) Hb 9

79) Rubin II

A) . Facilitates access

B) Reduces the bisacromial diameter of the fetus

C) Reduces anteropost diameter of pelvis

D) . Moves shoulders to larger diameter of the pelvis

E) Increases the anteroposterior diameter of the pelvis

F) Increases transverse diameter of pelvis

80)

A fit, 39-year-old, 18-week pregnant woman presented with non-specific abdominal pain,
left-sided leg pain and oedema to the emergency department following a recent safari holiday in
Africa. Doppler ultrasound scan of the leg is normal.
What is the most likely diagnosis?

A) . Acute arterial embolus

B) Deep vein thrombosis.

C) . Musculoskeletal injury.

D) . Ovarian mass.

E) . Symphysio pelvic dysfunction.

81)

You are called urgently to see a collapsed woman in room 4 on the labour ward. She has
just had a prolonged labour and instrumental delivery. The midwife says the woman complained
of slight headache, became short of breath and then said she had chest pain before she
collapsed.
Which of these symptoms is not suggestive of a pulmonary embolism?

A) Chest pain.

B) . Dizziness.

C) . Headache.

D) . Sudden onset breathlessness

E) . Tachycardia.

84)

Contraindications to the insertion of a Cu-IUD for EC are the same as those for routine IUD
insertion. Which of the following is a relative contraindication?

A) Between 48 hours and 28 days after childbirth

B) . Risk of sexually transmitted infection

C) Previous ectopic pregnancy

D) Young age and nulliparity

87)

A45-year-oldpatientpresentstotheA&Edepartment2daysaer
UAEfora20-weeks’sizebroiduterus.Shehasdiuseabdominalpain,

generalizedmalaise,anorexia,nausea,vomiting,low-gradefeverand
leucocytosis.
Whatisthemostlikelydiagnosis?

A) .Arterialdissection.

B) .Bowelperforation.

C) .Endometritis.

D) .Myomaexpulsion.

E) .Postembolizationsyndrome

89) A 33-year-old woman has just had her second normal vaginal delivery. She is

a known group B Streptococcus (GBS) carrier, and received the loading dose

of benzylpenicillin 30 minutes prior to delivery. She is otherwise low risk

obstetrically and the baby was born in good condition.

What initial management of the neonate would be recommended?

A) . 48-Hour admission

B) . Increased observations for 12 hours

C) Take bloods and treat if C-reactive protein (CRP) raised or cultures positive

D) . Treat as normal

E) Treat with prophylactic antibiotics

92)

A 34-year-old woman has noticed intermittent abdominal pain since a horse riding accident 2 years
previously. The pain is worse on movement and she is able to point to an area of focal tenderness.

A) .adenomyosis

B) Adhesions

C) .Endometriosis

D) .Bladder pain syndrome

E) Chronic PID

F) .Endometriosis

G) .Irritable bowel syndrome

H) .Neuromuscular pain

I) .UTI

95) For which of the following conditions would you consider a hospital setting for the insertion of an intrauterine device?

A) Fontan’s circulation

B) Un complicated PDA

C) Repaired VSD

D) Uncomplicated Pulmonary stenosis

E) ASD

96) . Reverse wood screw

A) . Facilitates access

B) Reduces the bisacromial diameter of the fetus

C) Reduces anteropost diameter of pelvis

D) . Moves shoulders to larger diameter of the pelvis

E) Increases the anteroposterior diameter of the pelvis

F) Increases transverse diameter of pelvis

97) Episiotomy

A) . Facilitates access

B) Reduces the bisacromial diameter of the fetus

C) Reduces anteropost diameter of pelvis

D) . Moves shoulders to larger diameter of the pelvis

E) Increases the anteroposterior diameter of the pelvis

F) Increases transverse diameter of pelvis

99)

A 48-year-old woman vaginally and anally penetrated a 32-year-old woman with her fingers
and an object without the consent of the 32-year-old woman

A) Assault by penetration

B) . Not chargeable by the Sexual Offences Act 2003

C) Rape

D) Sexual assault

E) None of the above

Your score is