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OBG FMGE Case Based Questions

Joshna 53-year-old woman complains of vaginal dryness, hot flashes, and night sweats for the past 6 months. Her last menstrual period was more than a year ago. She currently takes an ACE inhibitor as part of her management for her blood pressure. What is the SINGLE most appropriate management for her symptoms?

Raloxifene

Hormone replacement therapy

Progesterone only pill

Topical oestrogen

Correct! Wrong!

Kurishma 35-year-old woman had a spontaneous vaginal delivery 10 days ago. She delivered a healthy baby girl and is currently breastfeeding. There were no complications throughout labor and the midwife has documented that the placenta appears complete. She now presents with irregular dark red vaginal bleeding over the past 2 days. Her blood pressure is 130/75 mmHg, pulse rate is 85 beats/minute and respiratory rate is 18 breaths/minute. She has a temperature of 37.4 C. What is the SINGLE next most appropriate action?

Crossmatch 2 units of packed red cells

Cervical smear

Pelvic ultrasound

High vaginal swab

Correct! Wrong!

Kalpana 32 year old woman complains of waking in the middle of the night to rush to the toilet. Most of the time, she does not make it to the toilet in time and she wets herself. What is the SINGLE most likely diagnosis?

Stress incontinence

Urge incontinence

Mixed incontinence

Overflow incontinence

Correct! Wrong!

Lavanya a 16 year old clinically obese girl has not started her menstrual periods yet. She has severe acne and facial hair growth. Among her investigations, a high level of insulin was found. What is the SINGLE most likely diagnosis?

Cushing’s syndrome

Graves’ disease

Acquired hypothyroidism

Polycystic ovary syndrome

Correct! Wrong!

Kumari 23 year old woman who has been using an intrauterine system (Mirena coil) for one year now complains of lower abdominal pain and menstrual irregularities. She has no significant past medical history. Which is the SINGLE most likely cause of her symptoms

Pelvic inflammatory disease (PID)

Endometriosis

Adenomyosis

Fibroids

Correct! Wrong!

Mahathi 32 year old woman attends clinic asking for a reversible form of contraception. Her obstetric history is significant for a previous caesarean section one year ago. She is known to have menorrhagia and dysmenorrhoea. What is the SINGLE most appropriate contraceptive for her?

Combined oral contraceptive pills

Progestogen-only pill

Levonorgestrel intra-uterine system

Copper intrauterine contraceptive device

Correct! Wrong!

Mrs.XYZ 29 year old lady presents with lower abdominal pain and increased vaginal discharge. A pregnancy test was performed and it was negative. She has a temperature of 38.5 C and also complains of deep dyspareunia. She has a pulse rate of 90 beats/minute. What is the SINGLE most appropriate antibiotic regimen?

Doxycycline and Metronidazole

Ceftriaxone and Metronidazole

Ceftriaxone and Metronidazole and Doxycycline

Penicillin and Methotrexate

Correct! Wrong!

Begym 28 year old woman who is 33 weeks gestation attends the antenatal clinic. Her full blood count was taken when she was 28 weeks as part of an antenatal screen for anaemia. The results show: Haemoglobin 9.6 g/dL Mean cell volume 75 fL She is asymptomatic. What is the SINGLE most appropriate management?

Folate supplement

Iron supplements

Blood transfusion

No treatment required

Correct! Wrong!

Manishan 23 year old woman has a 5 month history of vaginal discharge, intermenstrual bleeding and post coital bleeding. She is sexually active and does not use any form of contraception. What is the SINGLE most appropriate investigation?

High vaginal swab

Endocervical swab

Cervical cytology

Pregnancy test

Correct! Wrong!

Aarthi 23 year old woman has pre-eclampsia and was delivered by C-section. She is now complaining of right upper quadrant pain. What is the SINGLE most appropriate immediate investigation?

Coagulation profile

Liver function test

Liver ultrasound

Magnetic Resonance Cholangiopancreatography

Correct! Wrong!

OBG FMGE Case Based Questions

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OBG FMGE Case Based Questions

OBG FMGE Case Based Questions

Kalpana 32 year old woman complains of waking in the middle of the night to rush to the toilet. Most of the time, she does not make it to the toilet in time and she wets herself. What is the SINGLE most likely diagnosis?

Lavanya a 16 year old clinically obese girl has not started her menstrual periods yet. She has severe acne and facial hair growth. Among her investigations, a high level of insulin was found. What is the SINGLE most likely diagnosis?

Kumari 23 year old woman who has been using an intrauterine system (Mirena coil) for one year now complains of lower abdominal pain and menstrual irregularities. She has no significant past medical history. Which is the SINGLE most likely cause of her symptoms

Mahathi 32 year old woman attends clinic asking for a reversible form of contraception. Her obstetric history is significant for a previous caesarean section one year ago. She is known to have menorrhagia and dysmenorrhoea. What is the SINGLE most appropriate contraceptive for her?

Manishan 23 year old woman has a 5 month history of vaginal discharge, intermenstrual bleeding and post coital bleeding. She is sexually active and does not use any form of contraception. What is the SINGLE most appropriate investigation?

Aarthi 23 year old woman has pre-eclampsia and was delivered by C-section. She is now complaining of right upper quadrant pain. What is the SINGLE most appropriate immediate investigation?

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OBG FMGE Case Based Questions

OBG FMGE Case Based Questions

Kalpana 32 year old woman complains of waking in the middle of the night to rush to the toilet. Most of the time, she does not make it to the toilet in time and she wets herself. What is the SINGLE most likely diagnosis?

Lavanya a 16 year old clinically obese girl has not started her menstrual periods yet. She has severe acne and facial hair growth. Among her investigations, a high level of insulin was found. What is the SINGLE most likely diagnosis?

Kumari 23 year old woman who has been using an intrauterine system (Mirena coil) for one year now complains of lower abdominal pain and menstrual irregularities. She has no significant past medical history. Which is the SINGLE most likely cause of her symptoms

Mahathi 32 year old woman attends clinic asking for a reversible form of contraception. Her obstetric history is significant for a previous caesarean section one year ago. She is known to have menorrhagia and dysmenorrhoea. What is the SINGLE most appropriate contraceptive for her?

Manishan 23 year old woman has a 5 month history of vaginal discharge, intermenstrual bleeding and post coital bleeding. She is sexually active and does not use any form of contraception. What is the SINGLE most appropriate investigation?

Aarthi 23 year old woman has pre-eclampsia and was delivered by C-section. She is now complaining of right upper quadrant pain. What is the SINGLE most appropriate immediate investigation?

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