UKMLA Applied Knowledge Test (MSRA-style single best answer) · Child Health, Obstetrics and Gynaecology

Obstetrics

14 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 14 questions

  1. What is the definition of pre-eclampsia?
  2. Which drug is given to prevent and treat eclamptic seizures?
  3. A woman at 10 weeks has previous pre-eclampsia and chronic kidney disease. What preventive treatment does NICE advise?
  4. A pregnant woman with newly diagnosed gestational hypertension needs antihypertensive treatment. Which drug is usually first-line in NICE guidance?
  5. An oral glucose tolerance test at 26 weeks gives a fasting glucose of 5.2 mmol/L and a 2-hour glucose of 8.1 mmol/L. How does NICE interpret this?
  6. Which drug is the first-line uterotonic for the prevention and treatment of postpartum haemorrhage due to uterine atony?
  7. A rhesus-negative woman at 28 weeks suffers abdominal trauma. Which test should be done to guide the dose of anti-D immunoglobulin?
  8. A woman with left iliac fossa pain and light vaginal bleeding is haemodynamically stable. Ultrasound shows a 2 cm unruptured tubal ectopic pregnancy without cardiac activity, her hCG is low and she ca…
  9. A woman at 34 weeks has sudden painless bright red vaginal bleeding with a soft uterus. What should be avoided until placenta praevia is excluded?
  10. A woman at 36 weeks has intense itching of the palms and soles, without a rash. Which test result supports the diagnosis of obstetric cholestasis?
  11. Which of the four Ts is the most frequent cause of postpartum haemorrhage?
  12. During a vaginal delivery the fetal head delivers but then retracts against the perineum and the shoulders do not deliver with routine traction. What is the first manoeuvre?
  13. A woman with a positive group B streptococcal swab in the current pregnancy is in labour at term. What is recommended?
  14. A woman planning pregnancy is taking an antiepileptic drug. What dose of folic acid is recommended before conception and in the first trimester?

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