EBCOG Part 1 Free Library High Yield Questions Day 2

1. You are asked to see a pregnant woman who has been referred for a chest X-ray for suspected pneumonia at 24 weeks gestation. She is worried about the impact of exposure of ionizing radiation on her pregnancy. What is the accepted cumulative dose of ionizing radiation in pregnancy?

A. 50 mGy
B. 100 mGy
C. 150 mGy
D. 250 mGy
E. 500 mGy

2. You review a patient who is going to start brachytherapy for cervical cancer. She is worried about the impact of radiotherapy on her vagina. What is the reported rate of dyspareunia after radiotherapy for cervical carcinoma?

A. 10%
B. 20%
C. 35%
D. 50%
E. 65%

3.You are asked to see a 36-year-old multiparous woman who is keen to proceed with a uterine artery embolization for fibroids. However, she is unsure of the impact of UAE on future pregnancies. Which of the following is true in relation to pregnancies following uterine artery embolization?

A. There is a lower risk of miscarriage when compared to pregnancy after myomectomy
B. There is an increased risk of fetal growth restriction
C. There is an increased risk of post-partum haemorrhage
D. There is an increased risk of preterm delivery
E. There is no increase in the rate of caesarean section

4. A 34-year-old woman is consented for a surgical evacuation of the uterus for early pregnancy loss. Which of the following is a serious risk?

A. Localized pelvic infection
B. Repeat surgical evacuation, up to five in 100 women
C. Significant trauma to the cervix
D. Uterine perforation, up to 10 in 1000 women
E. Vaginal bleeding lasting up to two weeks after the procedure

5. A 42-year-old woman has lost two litres of blood at emergency caesarean section for fetal distress (DCDA twins). When considering the administration of blood and blood products, which of the following is correct?

A. Fresh frozen plasma (FFP) contains more fibrinogen than cryoprecipitate
B. FFP is derived from whole blood and does not contain clotting factors
C. FFP is stored at -30ºC and needs to be defrosted thoroughly prior to administration
D. A prothrombin time of activated partial thromboplastin time ratio below 1.5 is associated with an increased risk of a clinical coagulopathy
E. A unit of concentrated red cells increases the haematocrit by 8%

6. You review a 26-year-old epileptic woman on the postnatal ward following a ventouse delivery and second-degree tear. She is taking lamotrigine and is keen to breastfeed. Her last fit was two months prior to pregnancy. What advice would you give her?

A. Administer 1 mg intravenous vitamin K to the neonate
B. Avoid breastfeeding if possible
C. Consider breastfeeding prior to taking lamotrigine
D. Stop anti-epileptic medication
E. Stop lamotrigine and commence carbamazepine

7. A 23-year-old primiparous woman has been diagnosed with pulmonary tuberculosis at 33 weeks gestation. What is the impact on the pregnancy?

A. Increased risk of congenital anomaly
B. Increased risk of placental abruption
C. Increased risk of pneumonia
D. Increased risk of pre-eclampsia
E. Increased risk of preterm rupture of membranes

8. A 34-year-old woman attends your clinic for long-term contraception. She is not keen on hormonal therapy, but is interested in the intrauterine copper device (IUCD). Which of the following is a risk associated with the IUCD?

A. The IUCD cannot be used in women with HIV
B. The IUCD is associated with heavier menstrual bleeding and intermenstrual spotting
C. The IUCD should be removed in women with Actinomyces-like organisms
D. There is a higher risk of ectopic pregnancy
E. There is a higher risk of infertility

9. You prescribe cyproterone acetate to a 28-year-old woman presenting with simple hirsutism. What type of medication is cyproterone acetate?

A. Aldosterone antagonist
B. Anti-oestrogen
C. Diuretic
D. Oestrogen receptor agonist
E. Progestogen

10. A 25-year-old primigravid woman presents in her first trimester. You note from her blood results that she is hyperthyroid. Which of the following is correct regarding her medication?

A. Carbimazole is preferred to prophylthiouracil
B. Fetal thyroxine levels may be affected
C. The risk of agranulocytosis is lower with carbimazole than prophylthiouracil
D. Treatment doses will need to be increased later in pregnancy
E. When hyperthyroidism is seen with hyperemesis gravidarum, antithyroid drugs should be given

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