Chinmayee Ratha

Postpartum Issues: SBA Questions

You have just examined Mrs X in the postpartum clinic. She is complaining of breast pain and discomfort. You have established a diagnosis of postpartum mastitis.

Antenatal Care: SBA Questions

You are reviewing the notes of a 32-year-old woman in the antenatal clinic. She is 10 weeks pregnant based on her last period date and this is her third pregnancy. Her sons, aged 4 and 2 years, respectively, are fit and healthy. You are looking for risk factors to offer her screening for gestational diabetes. Which of the following conditions will you NOT offer her such screening:

Urogynaecology and Pelvic Floor: SBA Questions

Q1. The nerve that is susceptible to entrapment injuries during sacrospinous ligament fixation as it runs behind the lateral aspect of the sacrospinous ligament is the:

Surgical Procedures: SBA Questions

Q1. Safety measures to prevent laparoscopic electrosurgical complications include all of the following except:

Labour and Delivery: SBA Questions

Q1. Mrs X, primigravida at term is in second stage of labour. After delivery of the fatal head, shoulder dystocia was diagnosed and the McRoberts manoeuvre has nor effected the delivery of the shoulders, which is the next method to be used:

Fetal Medicine: SBA Questions

Approximately what percentage of pregnant women are offered a choice of invasive prenatal testing?

Clinical Governance: SBA Questions

A 32-year-old is in labour for the last 8 h. She had a previous uneventful vaginal birth at term. She has just broken her waters and there is meconium staining of the liquor amnii. The CTG shows late decelerations. Per vaginam examination shows that the cervix is 6 cm dilated with presenting part at −3 station. You suggest an emergency caesarean section in view of fetal distress, but she declines the same and wants to continue trying for a vaginal birth as she believes she will be fine as it is her second delivery. What should you do?

Answers to EMQs

1-C(CVS)—at 11 weeks gestation with a previous history of genetic syndrome, in this case beta-thalassemia, autosomal recessive with a 25 % chance of recurrence, a CVS would be ideal. CVS can be done at 11 weeks to obtain fetal DNA—allows for earlier diagnosis and, if results are unfavourable, gives the option of a first-trimester TOP.