Professional Documents
Culture Documents
Multiple-choice questions:
Paper 1
1
Natural menopause:
a may occur under the age of 30
b is associated with an increase in HDL
cholesterol c accelerates bone loss
d causes an increase in the karyopyknotic index
(KPI) e occurs at an average age of 54 in the UK.
Sterilisation:
a in men has a failure rate of about 1 in
300 cases
b prevents pregnancy in a similar order
of
magnitude
to
the
Mirena
levonorgestrel intrauterine system
c when it fails can be associated with an
ectopic pregnancy d in women
decreases menstrual loss
e in women can be successfully reversed if
clips were used for the original
operation in >80% of cases.
Monozygotic twins:
a are less common
than dizygotic twins b
are commonly familial
c may be reliably distinguished from dizygotic
twins by the naked-eye examination of the
fetal membranes and placentae
Spina bifida:
a is associated with raised maternal serum
-fetoprotein (AFP) levels
b can be diagnosed by ultrasound
scan during the third trimester
In human genetics:
a an XO genotype is associated with male somatotype
b the total number of chromosomes in both males and
females is 48
c chromatin-positive cells (Barr body present) are
characteristic of normal women
d first-trimester chorionic villus sampling is associated with
a fetal loss of 1%
e the Y chromosome determines the development of the ovary.
10
11
12
13
14
15
Regarding miscarriage.
a If recurrent, it can be associated with
parental chromosomal translocation.
b If recurrent, it can be associated with
sickle cell trait.
c The clinical diagnosis of incomplete
miscarriage is assisted by digital
examination of the cervical canal.
d Cervical incompetence causes
recurrent
first-trimester
miscarriage.
16
17
Termination of pregnancy:
a is illegal after 20 weeks gestation
b after 16 weeks is most safely achieved by hysterotomy c
requires the signature of two gynaecologists
In ectopic pregnancy:
a the gestation sac is within the fallopian tube
b the diagnosis can be excluded by ultrasound
c -HCG levels are usually detectable in a concentrated
urinary sample
d there may be a coexistent intrauterine pregnancy
e the patient may present with brown vaginal discharge.
19
Hypertension in pregnancy:
a is of little significance unless accompanied by proteinuria b
causes fetal growth restriction in more than half of affected
women
c is associated with an increased incidence of bleeding
from placental praevia
d should be assessed by admission to hospital
e is a contraindication to the use of
intramuscular Syntometrine.
20
In pre-eclampsia:
a the perinatal mortality is raised
b epigastric pain may indicate
impending eclampsia c there are
lowered serum urate levels
d there may be no fetus
e the liquor volume may be diminished.
21
22
23
the cycle.
24
Dysmenorrhoea:
a can be successfully treated with
non-steroidal anti-inflammatory
drugs
b can be caused by anovulation
c
d
e
25
26
27
28
Induction of labour:
a can be achieved by amniotomy
b is easiest when the cervix is in a posterior position
c could be achieved by an ergometrine infusion
d is indicated with an uncomplicated dichorionic twin
pregnancy of greater than 36 weeks gestation
e can be achieved by prostaglandin infusion.
29
30
F
c
2 a T Abnormalities
3 a T Sperm
b
c
4 a T It
5 a T Multiple
6 a T Spontaneous
10
7 a T Open
8 a T Presence
b
c
F
e
11
9 a F An
b
c
10
d
e
11 a T The
b
c
12
12 a T This
b
c
d
13 a T The
b
c
d
e
F
F
F
14 a F The
b
c
T
e
15 a T Chromosomal
13
16 a F The
F
c
17 a F Termination
pregnancy.
18 a F The
14
19 a F Although
d
e
20 a T Perinatal
F
d
e
15
22 a T A variety
poor
placental
perfusion
resulting in fetal growth
retardation.
23 a T The
16
d
e
24 a T Non-steroidal
b
c
d
e
25 a T Taking
b
c
d
26 a F Expulsion
17
T Removal of an intrauterine
contraceptive device in early
pregnancy is warranted despite the
risk of miscarriage, as the miscarriage
risk is even greater if the device is left
in situ.
T Past history of ectopic
pregnancy is a relative
contraindication.
F An intrauterine contraceptive device
increases the risk of miscarriage, not
fetal abnormality.
27 a T Epidurals
d
e
28 a T Amniotomy,
29 a F The
18
c
d
30 a T An
b
c
19