1. For the following scenario select the most likely diagnosis from the list:

A 30-year-old woman attends the antenatal clinic for review at 28 weeks gestation. She shows the results of a glucose tolerance test perfomed two weeks ago: fasting level 3.6 mmol/l (64.8 mg/dl), 1 hour 8.7 (158) and 2 hours 7.5 (136). A urinary test for glucose shows positive results.

 
 
 
 
 
 
 
 
 
 

2. For the following scenario select the most likely diagnosis from the list:

A 38-year-old woman, para 2, presents complaining of heavy menstrual periods over the last 6 months. On gynaecological examination, the uterus is bulky, while a transvaginal ultrasound scan shows enlarged uterus with heterogeneous texture and normal ovaries. There is nothing important in her past medical history. Her hormonal profile on cycle day 3 shows serum FSH 6.5 IU/L, LH 5.6 IU/L, estradiol 50 pg/ml and prolactin 23 ng/ml.

 
 
 
 
 
 
 
 
 
 
 

3. For the following scenario select the most likely diagnosis from the list:

A 32-year-old woman, para 3, attends the gynaecological outpatient clinic complaining of heavy menstrual periods over the last 8 months. Her past medical history is unremarkable. Gynaecological examination shows enlarged uterus. She has the following hormonal profile on cycle day 3: serum FSH 7.3 IU/L, LH 6.0 IU/L, estradiol 48 pg/ml and prolactin 19 ng/ml.

 
 
 
 
 
 
 
 
 
 
 

4. For the following scenario select the most appropriate management from the list:

A 32-year-old nulliparous pregnant woman at 34 weeks is in labour and the cervix is fully dilated. The head is at station +2, direct occipito-anterior (DOA) position and CTG is non reassuring.

 
 
 
 
 
 
 
 
 
 

5. For the following scenario select the most appropriate treatment from the list:

A 64-year-old woman had been treated for a FIGO stage Ia endometrioid endometrial cancer with total hysterectomy and bilateral salpingo-oophrectomy. Two years later she presents with vaginal bleeding. Clinical examination with biopsy reveals the presence of a localized recurrence on the vaginal vault.

 
 
 
 
 
 
 
 
 
 

6. A 50-year-old woman with a BMI of 22 kg/m 2 complains of severe hot flushes and sleep disturbance. On enquiry, she reports that she is currently suffering from heavy irregular periods and some discomfort during sexual intercourse. She is otherwise health and is on no medications.

Which one of the following treatment options would be the most appropriate for this woman?

 
 
 
 
 

7. For the following scenario select the most appropriate treatment from the list:

A 52-year-old woman is diagnosed with a grade 2 endometrial cancer that appears to invade into the cervical stroma with no other signs of distant disease. She is keen to avoid radiotherapy.

 
 
 
 
 
 
 
 
 
 

8. Regarding cesarean section :

 
 
 
 
 

9. For the following scenario select the most likely diagnosis from the list:

A 28-year-old pregnant woman attends the antenatal clinic at the 24th week for review. Her blood glucose level at 120 minutes during oral glucose tolerance test with 75 g is 8.8 mmol/l (158.4 mg/dl). Her past medical history is unremarkable

 
 
 
 
 
 
 
 
 
 

10. Regarding amniotic fluid embolism:

 
 
 
 
 

Question 1 of 10