1. 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

 
 
 
 
 
 
 
 
 
 

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

A 26-year-old nulliparous pregnant woman at 38 weeks is in the second stage of labour. After 60 minutes, there is no evidence of fetal head descent with each contraction. Ventouse delivery attempted without success (cup detached 3 times). The CTG is reassuring.

 
 
 
 
 
 
 
 
 
 

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

A 28-year-old, para 2, woman with normal menstrual cycles attends the gynaecological outpatient clinic, because of vaginal bleeding 15 days after her last menstrual period. Her past medical history is unremarkable. Clinical examination shows no abnormality, although a transvaginal ultrasound scan shows a left-sided ovarian cyst of 7 cm in diameter with characteristics typical of a dermoid.

 
 
 
 
 
 
 
 
 
 

4. A 28-year-old primiparous woman whose previous pregnancy terminated with an emergency lower segment caesarean section (LSCS) for foetal distress is now 34 weeks pregnant and is keen to discuss the mode of delivery this time. Which of the following would be the most appropriate advice after one previous Caesarean?

 
 
 
 
 

5. 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.

 
 
 
 
 
 
 
 
 
 

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 likely diagnosis from the list:

A 50-year-old woman, para 3, presents with irregular vaginal bleeding over the last month following secondary amenorrhea of 6 months duration. She has a BMI of 34 kg/m2. She has been on antihypertensive treatment for a year and on Glucophage (metformin) for two years because of diabetes. Her hormonal profile shows serum FSH 56 IU/L, LH 35 IU/L, estradiol15 pg/ml and prolactin 20 ng/ml.

 
 
 
 
 
 
 
 
 
 
 

8. The following conditions are contraindications against the use of intrauterine contraceptive devices.

 
 
 
 
 

9. Regarding anatomy in the context of laparoscopy:

 
 
 
 
 

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

A 35-year-old pregnant woman attends the antenatal clinic for booking at 11 weeks gestation. Her past medical history is unremarkable. A random blood sample taken by her doctor 2 days ago shows glucose level of 11.2 mmol/l (201.6 mg/dl).

 
 
 
 
 
 
 
 
 
 

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