8/2/2016

Part2MRCOG:ObstetricSBAs

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1.Home
2.Careers&training
3.MRCOGexams
4.Part2MRCOGexam
5.Part2MRCOG:format
6.Part2MRCOG:SBAs(singlebestanswerquestions)
7.Part2MRCOG:ObstetricSBAs
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Part2MRCOG:SBAs(singlebestanswerquestions)
Part2MRCOG:ObstetricSBAs
Part2MRCOG:GynaecologySBAs

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Part2MRCOG:ObstetricSBAs

Part2MRCOG:ObstetricSBAs
Thispageprovidesexamplesofobstetricsinglebestanswerquestions(SBAs)forthePart2MRCOGexam.Answers
andcommentsforeachquestioncanbefoundatthebottomofthepage.

PracticeSBAs
SomeexamplesoftheSBAformatarebelow.Rememberthatforeachquestion,youneedtoselectthesinglemost
appropriateanswerfromthe5optionslisted.

Question1
Awomanwhoisrhesusnegativeundergoesamniocentesisat16weeks.
WhatdoseofantiDimmunoglobulinshouldshereceiveimmediatelyaftertheprocedure?
A.250IU
B.500IU
C.1000IU
D.1500IU
E.2000IU

Question2
Youhavejustexamineda28yearoldprimigravidainspontaneouslabour.Examinationfindingsare0/5palpableper
abdomen,cervixis7cmdilated,cephalicpresentation,1station,anteriorfontanellepalpablewithorbitalridgesand
nasalbridgefeltanteriorly.
Whatisthepresentingdiameterofthefetus?
A.Mentovertical
B.Occipitofrontal
C.Submentobregmatic
D.Suboccipitobregmatic
E.Suboccipitofrontal

Question3
A21yearoldwoman,whoisknowntohavebetathalassemiamajor,attendstheclinicforpreconceptioncounselling.
Whatisthemostrelevantinitialprepregnancyinvestigationtopredictmaternalcomplicationsofpregnancy?
A.CardiacMRI
B.ChestXRay
C.ECG
D.Echocardiogram
E.Pulmonaryfunctiontests

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Question4
A34yearoldwomanattendsforherbookinginherthirdpregnancy.Shehadacaesareansectioninherfirstpregnancy
4yearsagoandhashadasuccessfulvaginalbirthaftercaesareansection(VBAC)2yearsago.ShehasaBMIOF26.
WhatisthebestpredictorforasuccessfulVBAC?
A.BMIoflessthan30
B.Lessthan35yearsold
C.Previousvaginalbirth
D.Shortinterpregnancyinterval
E.Spontaneousonsetoflabour

Question5
Youareaskedtoseea21yearoldwomanforpreconceptualcare.Shewasdiagnosedwithgeneralisedtonicclonic
epilepsyfouryearsago.Thisispoorlycontrolled.Sheiscurrentlyonsodiumvalproateandlevetiracetam.
Whatisthenextstepinhermanagement?
A.ArrangeMRI
B.ArrangeanEEG
C.Commenceaspirin75mg
D.Commencefolicacid5mg
E.Reviewmedication

Question6
A28yearoldwomanattendsthementalhealthantenatalclinicat12weeksforabookingassessment.Thisisherfirst
baby.
Whichconditiongivesherthehighestriskofpuerperalpsychosis?
A.Anorexianervosa
B.Bipolaraffectivedisorder
C.Moderatedepression
D.Obsessivecompulsivedisorder
E.Recurrentanxiety

Question7
Awomanhashadarecentuncomplicatedvaginaldeliverybuthasdevelopedasignificantpostpartumpyrexiaand
tachycardia.Sheisthoughttobeallergictopenicillin.Yoususpectpuerperalsepsisandarekeentocommencetreatment
priortotheinvestigationscomingback.
Whatistheantibioticregimeofchoice?
A.Cefuroxime
B.Clindamycin
C.Coamoxiclav
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D.Erythromycin
E.Metronidazole

Question8
Inordertohelpplanthecapacityrequiredforprovidingfuturematernityservicesyouareaskedtodesignastudyto
establishtheincidenceofvaginalbirthfollowingpreviouscaesareansection.Thestudywillrequireestablishingthemode
ofdeliveryinwomenwhohaveeitherhadonlyvaginaldeliveryorhavehadacaesareansectioninatleastoneprevious
pregnancy.Youreviewtheepidemiologicalstudymethodsthatmaybeappropriateforthistypeofstudy.
Whichtypeofresearchstudyshouldyouchoose?
A.Casecontrol
B.Cohort
C.Crosssectional
D.Ecological
E.Survey

Question9
Awomanhasaninstrumentaldeliveryofababyweighing3950ginherfirstpregnancy.AGrade3Ctearoftheanal
sphincterisidentified.Anappropriateoverlappingrepairusing3/0PDSisperformed.Priortodischarge,sheasksabout
thelongtermriskoffaecalorflatalincontinence.
Whatpercentageriskwouldyouadvise?
A.10%
B.20%
C.30%
D.40%
E.50%

Question10
Therespiratorysystemundergoesimmensechangesinpregnancyinordertocopewithdemandsofthedevelopingfetus
andlabour.
Whichofthefollowingparametersdoesnotchange?
A.ArterialpH
B.Functionalresidualcapacity
C.PaO2
D.Tidalvolume
E.Vitalcapacity

Answers
ToviewtheanswersandcommentsforeachofthesequestionsreadtheobstetricssampleSBAdocument.

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Elsewhereonthesite
SpecialtytraininginO&G
Overviewofthespecialtytrainingprogrammeinobstetricsandgynaecology,includinghowtheMRCOGexams
fitin
Curriculum
ThefullspecialtytrainingprogrammeinO&Gcoremodules,ultrasound,ATSMs,subspecialtyandacademic
RoyalCollegeofObstetriciansandGynaecologists
2016
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