1

MRCOG part 2 March 2017 Recalls

INCIDENCES/FIGUERS:

1.Patient with endometrial hyperplasia without atypia risk of progression to endometrial

cancer:

A.<1%

B.2%

C.4%

D.10%

2. Risk of placenta previa after 3 CS:

A.3%

B.10%

C.30%

D.50%

E.60%

3. Para 1 CS due to labour dystocia want to know her chance to have successful VBAC:

A.30%

B.40

C.60%

D.70%

E.80%

4. Patient for elective CS at 38wks need to know how much steroid will reduce respiratory
morbidity at this GA:

A.4-6%

B.40%

C.50%
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D.60%

E.70%

5.Patient with previous abruption need to know recurrence in current pregnancy:

A.3%

B.4-6%

C.10%

D.19%

E.25%

6.Previous shoulder dystocia want to know recurrence compared to general population:

A. 2fold

B.3fold

C.4fold

D.5fold

E.10fold

7.female and partner retained from trip from somewhere suspected zika virus infection when
to check for zika virus infection or seroconversion:

A.2wks

B.4wks

C.8wks

D.12wks

E.16wks

8. The most common time for presentation of post partum psychosis:

A. 1-3 days

B.1-3wks

C.4wks

D.6wks

E.8wks
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9. Haemophilia male female stutus not mentioned pregnant by baby boy want to know risk to
baby:

A.zero

B.1in2

C.1in4

D.1in8

E.1in 16

10. Precious puberty the cut off time:

A.7yrs

B.8yrs

C.9yrs

D.10yrs

E.12yrs

11.Hospital want to benchmark still birth rate which is consistent with UK stillbirth rate:

A.1in 200

B.0.5/1000

C.5/10000

D.5/100000

.E

12. Unrecognised ureteric injury during laproscopy:

A.10%

B.15%

C.30%

D.40%

E.50%

13. During laproscopy for severe endometriosis ureteric injury is:

A.1in 5

B.1in10
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C.1in 20

D.1in 25

E.1in 30

14.After ventose delivery ask about the accepted preductal oxygen in 2min:

A. 60 - 65

B. 65- 70

C. 70 - 90

D.80 - 95

E. 90- 95

15. When prescribed complication in OB&GYN as very rare means:

A.1in 1000

B.1in 1500

C.1in10000-1/100000

D.<1/100000

16.40 years lady first trimester pregnancy ask about her risk to have miscarriage :

A. 12%

B.20%

C.30%

D.40%

E.50%

17.Patient need to have forceps delivery in second stage ask about risk of 3/4 perineal tear
with forceps:

A.5%

B.10%

C.15%

D.20%

E.25%
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18. Patient present in labour nulliparous was low risk following with consultant serial scan
baby in 70th centile how to follow her in labour:

A.intial cefm for 30 minutes then intermittent auscultation

B. intermittent A using hand held Doppler

C. intermittent auscul using ctg machine

D.CEFM

E. US to see fetal heart

19. Patient delivered baby at the acid base PH7.1 HCO -11 at zero APGAR 3 then 5 and 9 he and
his mother did fine for how long do you keep the ctg paper:

A.5yrs

B. 10yrs

C.20yrs

D.25yrs

E.indefinitely

20.Main cause of litigation due to ctg is:

A. failure to act

B.failure to recognise an abnormal one

C.failure to monitor

D.failure to refer

D.inappropriate oxytocin use

*Choose the most appropriate action

A.CS

B.oxytocin

C.ARM

D.CEFM

E.exam in 2hrs

F.forceps D
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21.multiparous poor uterine contraction 2/10 admitted cx os 4cm check in 4hrs 8cm MI

22.nulliparous contraction3/10 admitted cx 4cm checked in 4hrs was cx 5cm

23.Unstable neonate post ventouse delivery low APGAR found to have scalp swelling with ill
defined edges whats your diagnosis:

A. cephalohaematoma

B.subglialial H

C.capaut

D.ICH

E.chingon

* Choose appropriate mangment

A.cat1cs

B.cat2 cs

C.cat3 cs

D.cat4 cs

E.ECV

F.ARM

G.instrumental delivery

H.exam in 2hr

I.exam in4hrs

24. 3rd pregnancy 38wks now breech present with reduced fetal movement twice normal US
AF breech extended and normal ctg opted for VD

25. parous term low risk pregnancy present in labour at 4cm intact membranes cord felt
pulsating through the membrane on pelvic exam

26. Patient low risk pregnancy at 39wks present in labour Cx 6cm fully effaced MI at ischial
spine :

A. intermittent auscultation

B. CEFM

C.exam in 2hrs

D.exam in 4hrs
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E.ARM

27. Patient in second stage of labour you want to infiltrate the perineum with lignocaine
without vasopressor how much you give

A. 1mg/kg

B.2mg/kg

C.3mg/kg

D.5mg/kg

E.7mg/kg

28.SLE lady pregnant worried about fetal risk what test should be done:

A. APS antibodies

B.lupus anticoagulant

C. Anti Ro &La antibodies

D.dstranded DNA

E.antinuclear abs

29.38 wks patient with primery herps plus HIV what measures you do to prevent vertical transmission:

A. IOL

B. acyclovir

C. ELCS at 39wks

D.vaginal delivery

E.?

* most appropriate mangment

A.admit to control glucose

B.IOL 37 -40wks

C. increase pre lunch insulin

D.US for umbilical artery Doppler

E.CS at 38 wks

F. reassurance and to be seen in 2wks

G.many others options

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30. known type 1 daibeties at 36wks GA controlled in insulin HBA1C 6.5% came after lunch to diabetic
.joint clinic urine++ glucose US baby ok in 40th centile otherwise patient stablE

31. known diabetic at 33wks variable control HBA1C 7.4% urine++ glucose US baby in 10th centile
otherwise ok.

33. type 2 diabeties para 2 with 1 previous CS HBA1C 7.4% US baby in 70th centile keen for vaginal
delivery

*Causative agent

A. zika virus

B.Epstien bar virus

C.p.falcipram

D.measels virus

E.varicella virus

F.others 2

34 . Patient pregnanat came from Zambia found to have parasitaemia >2%

35. pregnant present with flu like symptom tell to come back if she devolped any presented 2days
latter with itchy red spot behind ears and scalp then the forehead

35. pregnant at 38 wks admitted with pnaemonia her GP give history of generlised skin rash and
conjunctivitis and otitis media 3days ago

36. what is commonest cause for malaria in UK

A. p.malarae

B.p.ovale

C.p.falcipram

D.p.vivax

E.p.?

*suitable prophylaxis

A.aneinatal LMWH and 6wks post natal

B. highdose antenatal LMWH and 6wks postnatal

C.theraputic LMWH and 6wks postnatal

D.antenatal antiembolism stoking and 10 days postnatalLMWH

E.LMWH 10days post natal

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F. thromboprophylaxis from 28wks

G. no need for thromboprophylaxis

h.many others options

37. smocker with HTN BMI 32 admitted to control her BP

onther pregnant with antithrombin deficiency and prvious history of VTE .38

31yrs lady undergone CS BMI 30 blood loss 1100 ml .39

patient with growth varicose vein and instrumental delivery.40

Patient delivered vaginaly and devolped PPH whats the level of HB to define postnatal anaemia .41

A. 120g

B.110

C.115

D.100

E. 105

Breast cancer suspected in pregnant lady referred to breast specialist 1st line investigation:.42

A.mamogram

B.US

C.CT

D. MRI

E.CXR

Patient pregnant with breast cancer need chemotherapy needed .43

A. cyclophpshamide

B.anthracycline

C.steroid

D.etoposide

E.??

*coming step in MX

A.oxytocin

B.Bakri balloon
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C. 3doses of carbpoprost

D.hystrectomy

E.uterine artery ligation

F.interventional radiology

G.B.lynch

44. patient with previous scar in her 2nd CS placenta found to involve the uterovesical space
deliverd and trying to control bleeding uterotonic and B lynch but still there is bleeding from
one corner at vesicoureteric junction.. anesthetist concerned but said patient stable

45.patient previous 3 scar have atony respond at start to oxytocin,ergometrine and 2doses of
carboprost intramyometrial but again start to bleed anesthetist concerned and mention
patient unstable

46. Patient pregnant came from vacation to some African area screening for syphilis was
positive need confirmation which test:

A. VDRL

B.tropenema agglutination particles

C. tropenema fluorescent test

D. lesion smear

E.RPR

46. patient with MCDA when to start US

A. 12wks

B. 16

C. 20

D.24

E.28

47.MCDA with co twin death next step

A. IOL

B. CS

C. MRI brain for other twin

D.? E.? forget

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48.Ptient with HIV on HAART present at 35wks with PPROM VL <50 next step

A. CS now

B.CS at term

C.IOL now

D. wait for VD

E.?

49.Screening for GDM in current pregnancy for patient with previous GDM should be done
when

A.at booking if negative repeat at 24-28wks

B. at 18wks and if negative repeat 24-28wks

C. at 24-28wks

D.at 28wks

E.at16 -24wks

50.Postpartum patient with preeclampsia devolped dyspnia ,tachycardia,basal creptation and

O2 saturation 91 and low urine out put diagnosis :

A.pul embolism

B.pul.edema

51. pregnant lady with high BP C/O of headache for many days present collapse GCS3 BP
200/120 your diagnosis

A. SAH

B.CVT

52. Patient have massive PPH finding platelets 80 APTT 1.3 fibrinogen 1.2 what blood
component pt need

A. FFP

B.cryopreciptate

C. platelets

D. factor VIII

E.packed RBCs
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53.Patient postoperative 18 hrs on PCA collapsed with pinpoint pupil RR12 normal O2
saturation wt medication

A. adrenaline

B. naloxone

C.others

54.During second stage CS which measure has evidence in reduction of neonatal trauma:

A. delivery by breech

B. forceps for disimpaction

C. pressure from below by other

D.Pull method

* what action you do

A. deliver by CS

B. IOL

C.report to occupational health tomorrow

D. Reassure and check for seroconversion

E. start cART

F.many other options

55. patient asylum seeker refused HIV testing during CS on Friday evening your assistant ST2
have needle stick injury

56. Patient pregnant HIV negative at booking discovered her hasband HIV positive 6month ago
she is worried about risk to baby

57. Perimortem cs time

A.3mins

B.4mins

C.6mins

D.10mins

* select the suitable Mx

A.steroid
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B.plan delivery

C. uterine artery Doppler

D. umbilical artery Doppler

E.US for EFW

G.many others options

Midwife referred patient at 28wks with SFH less than 10th centile.58

Patient serial scan indicate static growth.59

Patient high BMI and first pregnancy smoke on occasion her sister has still birth because of .60
SGA want to know at 18wks GA

* Primigravida come to booking at 11 to 12 wks

A.CVS

B.amniocentesis

C.haemoglubinopathy for the hasband

D. use of nuccal translucency

E.non invasive maternal test

F. many other options

61.Patient known thalsaemia carrier hasband status unknown and cant test him he is in prison

62. Midwife did the family questionare patient and hasband born in UK ,hasband parent born
in Turkey

63. Midwife did family questionare patient and hasband born in UK hasband was adoption
know nothing about his mother

64. Pregnant lady combined test show risk for Down 1/12 patient declined invasive perinatal
test.. second TM scan showed cystic hygroma and short femur whats your diagnosis

A.Down syn

B.Edward synd

C. Patau

D.Turner

65.Patient with protracted vomiting at 11 wks pregnancy first line antiemetic

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A. cyclizine im iv oral

B.meteclopromide

C.ondansteron

D.corticosteroid

66.Couple with 1st and 2nd trimester miscarriage came for counseling what can be the most
likely cause of miscarriage:

A.women age <20 yrs

B. man age>40 yrs

C.working with vedio monitor

67. Common finding in ECG of patient with MI

A. depressed st in lead avl

B.elevation of t wave in V2 V3 V6

68. patient blood group negative received FFP group positive what you give

A.anti D 250

B.anti D 500

C. plasmaphresis

D. no need for antiD

69.Pregnant lady known haemophillia her baby status not known. plan of delivery will be and
when to check factor VIII

A. CS check factor VIII now

B. induction of labour

C.allow VD and avoid FBS and instrumental delivery check factor VIII in 3 rd tm

70. Patient known Von W disease bleed during labour wt medication

A. fVII

B.fVIII

C.platelet

D. desmopressin

E.cryopreciptate
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71.Asthmatic pregnant lady received short acting beta blocker and 800 steroid but her asthma
not controlled next step:

A. steroid

B. LABA

C.theophillin

D.leukotriene

72.Pregnant lady with renal transplant stable came for prepregnancy counseling which drug to
stop

A.ciclosporin

B.predinsolone

C.calcium

D. Ramipril

73. Which condition put pregnant lady in high risk of MI

A.hypothyoidism

B.migraine

C.celiac disease

D.marfan

74. which condition without other risk factor let you consider thromboprophylaxis during
pregnancy

A.diabeties

B.sickle cell anaemia

C. IUGR

D.??

*AntiD

A.offer antiD 250

B.anti D 500

C. no anti D needed

D. paternal genotype
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E.CFFDNA

F.measure maternal antibodies

G.CVS

h.amniocentesis

75. early pregnancy confirmed IUP 2wks ago at 8 wks presented with vaginal bleeding US done
empty uterus.

76. pregnant lady has previous hydropic baby father is DD RH negative

77. pregnant at 12 wks had vaginal bleeding and evacuation of ROPC after 4 days discovered
RH D negative

*antibiotics

A. gentamycin plus clindamycin

B. benzyl penicillin 3g then 1.5g 4hrly

C. benzyl penicillin 2.4 stat

D. cefodar different concenteration oral

E.augmentin

F. all PID regimen

78. Sudanese asylum seeker screening venereal disease confirmed by TPHA and also HIV
positive has mitronidazole allergy cause her vomiting and rash.

79. 3days postpartum referred by her midwife due to excessive lochia and clots abd pain and
.mild pyrexiA

80.Pregnant lady with headache no neurological deficit O/E what investigation

A.CT with contrast

B.MRI without contrast

C.MRV

D.2 others not remember

* maternal mortality

A.direct

B.indirect

C.coincidental
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D.accidental

E.late

F.not maternal death

81. Lady with pre eclampsia developed ICH take 5wks in ICU and died

82. Lady is collapsed 48 hrs post delivery postmortem was Esimenger synd

83. Lady murded by her hasband

* early pregnancy

A. scan in 7 to 10 days

B.HCG in 48 hrs

C.surgicalmx

D.expectant mx

E. evacuation RPOC

F.others options

84. Pregnant lady US CRL 8mm no cardiac activity

85. Pregnant US show MGD 24mm

86.there is 3rd scenario

* Diagnosis

A. ectopic

B.appendicitis

C. OHSS

D.hetertopic

E. tortion

F.miscarriage

87. Surrogate for her sister retained 2 babies at 6wks confirmed single IUP present with
sudden onset of lower abd pain and tenderness

88.Lady after egg collection of 20 folliclle present with abd pain and sense of fullness in the
lower tight clothes at width (not exactly but near)

89. Young lady present with sudden onset of LT iliac fossa pain nausea and vomitinG..
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90.Patient with RH D negative kell negative devolped PPH need blood

A.O negative

B. cross match blood

C.others

91. Indication for IAP for patient had GBS in previous pregnancy and had healthy baby :

A. previous colonization

B. GBS bacturia in current

C.PPROM

D.PROM

92.Which analgesic should be avoided during sepsis:

A. morphine

B.NSAID

C. cocodamol

D.paracetamol

93.Booking US CRL 90 BPD 12 AC ? what to use to date her pregnancy

A.BPD

B.AC

C.CRL

D.HC

E.FL

* TOP next step

A. reassure and prescribe analgesic

B.surgical evacuation

C. US

D. do pregnancy test 1wk later

E.others
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94. early pregnancy loss follow medical TOP call gyn C/O of cramps and some bleeding
otherwise ok.

95. 14 days post medical TOP call the midwife that her PT is positive

96.Pregnant with IUFD at 26 wks wt the best regimen to induce labour :

A. mife 200mg miso 100 mg 6hrly max 4doses

B.mife 200mcg miso 100mcg 6hrly 4doses

C. mife 200mg miso 100mg 6hrly 5doses

D.mife 200 mg miso200mcg 6hrly 5doses

97.Pregnant lady with rash involve the abd striae what is good prognostic finding for baby

A. involve face

B. periumlical spare

C.presence of C3

98.Cystic fibrosis both parent carrier under gone IVF 12 embryo how many will be affected

A. 2

B.3

C.4

D.6

99.Evidence based step to avoid perineal trauma during vaginal delivery

A. perineal massage

B. hand on technique

C.warm compresses

100. CEMAC report 2006-2008 common cause of death in preeclampsia is:

A. eclampsia

B.ICH

C.P.edema

* Demonstrated pictures for many instrument

101. instrument used to dissect the ureter in abd hysterectomy

Lahey
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102.Instrument used to held skin edges together for staples to be in situ

Allis

103.Hyperplasia description low gland to stroma ratio but cells show large nucleus

A. simple without atypia

B.simple with atypia

C.complex with atypia

D.complex without atypia

104 .Patient with HMB diagnosed as having endometrial hyperplasia without atypia whats the
risk of it to devolp cancer

A.<1%

B.3%

C.4%

D.8%

105.Couple with infertility of one yr women 25yrs man 40yrs whatis the most likely cause;

A.unexplained

B.male problem

C.tubal factor

D.uterine factor

E.ovulotory

* infertility

A.clomid 50mg od

B.clomid 100mg od

C.clomid 50mg +timed hcg

D.clomid 100mg +timed hcg

E. gnrh analo

F.ovarian drilling

G.IUI

h.IVF
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106. infertile couple man ok woman PCO with anovulation induced with clomid 50mg estrogen
level was high follicle 20mm but progestron on day 23 of 26 cycle showed un ovulation 3 ithink

107. infertility 2yrs all investigations normal except woman PCO with anovulation evident by
progestron level

108. Infertility 3 yrs all normal woman PCO received 6 cycle of clomifen citrate day 23 out of 26
cycle progestron range between 32 to 67

*Oligomenorrhea

A.ocp

B.progestron

C.repeat hormone premenstrual wk

D.repeat hormone day 1 to 5 of cycle

E. PT

F. cc

G.CT

h.MR

i.karyotyping

j.many other options

109 .Young referred from her gp with oligomenorrhea every 3 to 5month ithink her hormonal
profile FSH 28, LH 11 prolactin 500.

110.Young oligomenorrhea feel nausea ,fatigue,breast pain ,control her family by barrier
method ,,hormonal profile FSH 0.2 LH 1 prolactin 750.

111.19 yrs secondary amenorrhea hormonal profile FSH 88 LH high prolactin low

*oligomenorrhea

A. ocp

B.vaginal progesterone dialy

C.cyclical progesterone

D.merina

E.induction of ovulation

F.CC
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G.other options not remember

112.Young concerned about her period .irregular last was 9month ago.BP 150/104 not in
sexual relation ship

113. same scenario with high BP and adult polycystic kidney PCO and not in sexaual relation.

114. 28yrs in relationship not want pregnancy concerned about her irregular perioD..

* Ethics

A. non malficience

B.beneficience

C. veracy

D.paternalism

E. autonomy

F.justice

G.others

115. Patient Down syn with HMB affecting her quality of life accompanied by her mother who
agree to offer merina to her daughter ..You discuss the mother and patient about merina pros
and cons.

116.Patient with IUGR Ithink abnormal CTG need CS patient refused and said she rely on
nature and every thing will be ok.

117.Pregnant at 36wks ask for induction because her hasband will travel somewhere you
refuse to offer her induction

*study

A.cohort

B.case control

C.retrospective observational study

D.systematic review

E. metaanalysis

F.RCT

G.other option
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118. DR conducted study over 15 yrs to see effect of carbiplatin on 5yrs survival of patient with
cancer

119.DR looks in literature to see effect of merina in HMB

120. DR conduct study among drs to see effect of smoking and non smoking in lung cancer .

* Learning

A.brainstorming

B.ischema activation

C.ischema refinement

D.1step perception

E.snowballing

F.goldfishbowel

G.icebreaking

121. The facilitator let group of learners to study about physiology,pathology of subject(not
remember it)

122. scenario for 5 steps of 1minute perception

123. Group of student sit discuss how to solve problem of project

124. Senario about trainee score 3 in appraisal his consultant comment that they extend to him
due to poor performance and he sit many times for part one .what to do for him now:

A. extend again

B.specific attention and not to extend again

C. questionable information need confirmation

D.stop training

125. Mechanism of action of asprin:

A. increase thromboxane

B. irreversible inhibition of COX

C.platelet aggregation

126 .Active metabolite of androgen is:

A.testesterone
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B. DHEA

C.DHEAS

D.dihydrosterone

127. AED that reduced by COCs is

A. phenytoin

B.carbamazepine

C.lamotrigne

D. phenobarbitone

*Postmenopausal ovarian cyst

A.repeat US in 4 month

B.BSO

C. TAH+BSO

D. CA125

E. MRI

F.CT

G. expectant without follow up

h.unilateral SO

128.60 yrs present with mulocular ovarian cyst CA125 30

129. 50yrs present with simple ovarian cyst 4x4x4.5 and in her note there cyst 1 yr ago not
followed 4x4x4.5 and CA125 is 25 (repeated question inall recalls)

130. 40 yrs lady present with multilocular or solid component( not sure ) not simple cyst CA125
30.

131. 9years girl came with her parent to the ER with sudden onset of Lt iliac fossa pain with
nausea and vomiting ithink high TWBC

A. analgesia and observation

B. diagnose cyst accident give analgesia

C. diagnose appendicitis sen for surgery

D. diagnose tortion and prepair for labroscopy

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132. Patient with history of subfertility and PID present with Rt iliac fossa pain nausea and
vomiting TWBCS 19.000 CRP 20 US non compressible mass 5cm diameter 10mm what is the
diagnosis:

A. acute appendicitis

B. fallopian tube infection

C.pelvic abscess

* 5yrs survival

A. 40 -50

B.60-70

C.70-80

D.80-90

E. (not exact numbers)

133. Ovarian cancer in young did unilateral SO histopathology reviled tumor confined to ovary
intact capsule negative wash.

134. Cervical cancer undergone radical trachelectomy tumor completely excised found
parameterial invasion and no other abnormalities

135. Vulvar cancer histopathology come after surgery positive 1 LN with extracapsular
extension.

136. 80 yrs lady present with 1cm vulval mass near the clitoreal hood next step

A. excisional biopsy

B. keyes biopsy from margin

C. wide local excision

D. biopsy from centre( ithink)

137. Young lady in sexually active present with pain less fleshy lesion at vulva diagnosis:

A.hpv

B.syphlis

C.herps simplex

D.H.dec

138.Lady using IUD for yrs asymptomatic cervical screening revieled actinomycosis
 26
A.treat the condition

B.remove IUD

C. no intervention now

139. 50 yrs Cx screening mild dyskaryosis HPV negative next step:

A. colposcopy

B.RR in 3yrs

C.RR 5yrs

D. hystrctomy

140.50 yrs Cx screening high grade colposcopy unsatisfactory next step:

A.hysterectomy

B.multiple punch biopsies

C. HPV

d RR 5yrs

E.RR 3yrs

141. After how long risk of HRT for breast cancer revert like general population for lady taking
HRT for 5yrs after stop treatment:

A.1 yr

B.2ys

C.3yrs

D.4yrs

E.5yrs

*Vascular injury

A. Superior gluteal

B. inferior gluteal

C. ovarian

D. uterine

E.internal pudendal
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F. internal iliac

G.others

142. Patient undergone laproscopic salpingectomy for ectopic pregnancy surgon tell
intraoperative haemostesis secureD..in the recovery room patient devolped hypovolumic
shock retained for laprotomy .

143. Patient durig VD had 4th degree tear and massive bleeding

144.Patient bleed after sacrospinous fixation

* unexpected pathology

A. abundant and medical ttt

B.abundant and further assessment

C.laproscopic removal of the tube

D. remove x from y

E.remove x &y

F. laprscopic biopsy and abundant

G. go as planned

145. Patient consented for laproscopic hysterectomy with past history of dermoid cyst
removal. Intra op surgeon find dermoid cyst X 4cm adherent to the pelvic wall in the overy Y.

146. Opened for appendicitis laproscopically appendix found normal but there is torted
ischemic Rt fallopian tube with watery dischargE..

*Post hysterectomy complication

A. wound infection

B. chest infection

C. UTI

D.infected vault haematoma

E. vault haematoma

F. bowel injury

G. check fluid blance

h.active bleeding

I .others post op complication

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147. Patient smocker present 48 hrs post hysterectomy with fever temp 39 ,tachycardia and
tachypnia

148. 3days post op not recoverd well ask for analgesia with abd and back pain not febrile mild
tachycardia poor urine out put.

149. 12 hrs post surgery pulse 100 BP 90/45 poor urine out put but said in 3hrs its 80 ml O/E
tender abdomen..

150. The commonest site for uterine perforation during surgical evacuation

A.anterior wall

B.posterior

C. cervical

D.fundus

151. What you do to reduce risk of uterine perforation during evacuation

A. straiten the Cx caudally

B. done under US guidance

C. less Cx dilatation

152. Patient with breast cancer positive receptors on tamoxifen with severe PMS ttt

A. SSRI

B.OCP

C. E patch +merina

D. GNRH anal +tibilone

153. MRCOG 2+MRCOG3 is

A.summative summative

B.formmative formative

C. sum +form

D.form + sum

154. Multiple sclerosis patient with history of difficulty emptying bladder with high residual
volume:

A. indwelling catheter

B. CISC
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C.urodynamic

155. Commonest symptom of vault prolapsed:

A. vaginal bulge

B.SUI

C. constipation

D.voiding dysfunction

E.sexual symptom

156.Patient tried 3 antimuscurinic not tolerate them next step

A. mirabegron

B.trospium

C. deluxtine

157. SUI in 82 years old ttt

A. oxybutanin

B. merabegron

C.trospium

D.deluxtine

158. actually EMQ patient SLE on methotrexate and predinsolone devolped herps simplex with
pain and palbable bladder optins:

A.give acyclovir

B. refer to GUM

C.admit

159. EMQ patient C/O watery blood stained vaginal discharge and colicky pelvic pain wt
finding?

A. polyp protruding through Cx

*Vault prolapsed

A. PMFT

B. PMFT &bladder retraining

C.ASC
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D. SSF

E. pessay

F.pessary plus local estrogen

G.laproscopic SC

h. V.hystrectomy

160. 80yrs with vault prolapse and sopting normal vaginal exam patient had comorbidities

161.PHVP with short vagina

162. Patient with anterior vaginal wall prolapsed and uterine prolapse ask for definitive ttt

16 3. Patient athlet devolped SUI post VD O/E anterior prolapse grade 2 patient start PFMT not
improved next step

A. colposuspension

B. urodynamic

C. bladder retraining

164.Confirmation of post hystroscopic sterlisation:

A.it work immidiatly

B. X.ray with out time limit

C. HSG in 3month

165.The following enhanced recovery in gyn surgery

A. complex carbohydrate drink before major surgery

B.can drink up to 4 hrs to prevent dehydration

166. Risk of pelvic adhesion following midline episiotomy

A.10%

B.20%

C.40%

D.50%

167. Most common serious complication with abd hysterectomy

A. PE
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B.urinary tract injury

C.blood transfusion

D.bowel injury

E.ovarian failure

168. Subfertility couple normal male partner female mild endometeriosis when to offer IVF

A.6month

B.12month

C.18 month

D.24month

E.30month

169.Which of the following reduce post operative wound infection

A. sheaving use clipers

A. wash with antiseptic solution

C.bowel preparation

* Pelvic pain

A.uretheral prolapsed

B.abnormal Cx

C.fistula

D.vaginal septum

C.thikening of uterosacral ligment

E.tender bilateral adenxial mass

170. 17 yrs with history of dysuria recurrent UTI and dyspareunia

171. Patient age ? with dysmenorrhea and blood with defecation( or something like this)

172.37 yrs yrs with history of chronic pelvic pain

173. Patient with suspected deletion of chromosome 9 or 10 want to know investigation of

choice to confirm

A. microarray CGH
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B. PCR

C.FISH

174. 56yrs old thin vulval skin fused labia taken fluconazole orally and topically no relieve best
option:

A. biopsy

B.high potency steroid

C. emollient

Great thanks to all invovlved in sharing these recall from different group , may Allah give
succes to all

Difficult to count the names.

Apolgise for mistakes and some deficient scenarios

I tried to compile please any one remember question or to add any ,welcomE..
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