Question:Vesicovaginalfistulaisassociatedwith

Ischaemicdamagetothebladderduringhysterectomy
True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:False

Cervicalcarcinoma
True
Irradiationinjury
True
Diverticulitisofthecolon
True

Explanation
Question:Vesicovaginalfistulaisassociatedwith
Carcinomaofthebladder
True

Noanswer

Correctanswer:True

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:True

False

Chronicvaginalcandidiasis
True

False

Prolongedobstructedlabour
True
Vaginalhysterectomy
True

Explanation
Question:Postoperativepyrexia
Occurringondays02ismostlikelyduetosepsis
True

False

Noanswer

Correctanswer:False

Occurringondays02maybeduetoatelectasis
True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:True

Isasignofvenousthromboembolism
True

False

Occurringduringbloodtransfusion?transfusionshouldalwaysbediscontinued
True

False

Noanswer

Correctanswer:False

Explanation
Question:Antibioticprophylaxisinabdominalsurgery
Ismosteffectiveifadministeredwithinthe2hourspriortoabdominalincision
True

False

Noanswer

Correctanswer:True

Reducetheriskofpostoperativefebrilemorbidity
True

False

Noanswer

Correctanswer:True

Significantlyreducesthelengthofinpatientadmission
True

False

Noanswer

Correctanswer:False

Rectalmetronidazoleislesseffectivebutcheaperthanintravenousmetronidazole
True

False

Noanswer

Correctanswer:False

Explanation
Question:Woundinfectionfollowingcaesareansection
Ismorecommonafteremergencycomparedtoelectiveoperations
True

False

Noanswer

Correctanswer:True

Occurslesscommonlyinwomenwithintactmembranescomparedtothosewithrupturedmembranes
True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:False

Occursinabout1%ofpatients
True

False

Antibioticprophylaxisshouldbegivenbeforethebabyisdelivered
True

False

Noanswer

Correctanswer:False

Explanation
Question:Thefollowingareindicationsforclassicalcaesareansection
Postmortemoperation
True

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:True

False

Previousclassicaloperation
True
Transverselie
True

Caesareanhysterectomyforcervicalcancer

True

False

Noanswer

Correctanswer:True

Explanation
Question:Thefollowingarerecognisedcausesforadelayinrecoveryofconsciousnessaftergeneral
anaesthesia
Fatembolism
True

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:False

False

Acuteintermittentporphyria
True
Phaeochromocytoma
True
Residualcurarisation
True

Explanation
Question:Wounddehiscence
Isreducedwithmassclosureofamidlineincision
True

False

Noanswer

Correctanswer:True

Isincreasedwithearlypostoperativemobilisation
True

False

Noanswer

Correctanswer:False

Usuallyoccursbetween510daysaftersurgery
True

False

Noanswer

Correctanswer:True

Completewounddehiscenceshouldbemanagedconservativelywithhealingbysecondaryintention
True

False

Noanswer

Correctanswer:False

Explanation
Question:Closureoftheperitoneumduringcaesareansectionisassociatedwith
Shorterhospitalstay
True

False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:True

Increasedrequirementforanalgesia
True

False

Increasedfebrilemorbidity

True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:True

Delayedresolutionofpostoperativeileus
True

False

Explanation
Question:Duringtherepairofperinealtraumafollowingvaginaldelivery
Theuseofvicrylordexonisassociatedwithmoreperinealpaincomparedtocatgut
True

False

Noanswer

Correctanswer:False

Theuseofvicrylordexonisassociatedwithlesswounddehiscencecomparedtocatgut
True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:True

Catgutisabsorbedmorerapidlythanvicryl
True

False

Subcuticularsutureforskinclosureisassociatedwithgreatershorttermpaincomparedtointerruptedsuture
True

False

Noanswer

Correctanswer:False

Explanation
Question:Intheabsenceofcontraindicationsthefollowinggroupsofwomenshouldrecieveheparin
thromboprophylaxisfollowingcaesareansection
Allwomenafteremergencycaesareansection
True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:True

WomenwithapreviousDVT
True

False

Womenwithantiphospholipidantibodysyndrome
True

False

Noanswer

Correctanswer:True

Awomanwith90kgbookingweight,preeclampsiaandanemergencycaesareansectioninlabour
True

False

Noanswer

Correctanswer:True

Explanation
Question:Theureter
Liesinferiortotheuterineartery
True

False

Liessuperiortothecardinalligament

Noanswer

Correctanswer:True

True

False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:False

Lies5cmlateraltotheangleofthevagina
True

False

Canbeprotectedbycarefullyreflectingthebladderduringhysterectomy
True

False

Noanswer

Correctanswer:True

Explanation
Question:Acuteappendicitiscomplicatingpregnancy
Islesscommonthaninnonpregnantwomen
True

False

Noanswer

Correctanswer:True

Shouldbeoperateduponusingalowparamedianincision
True

False

Noanswer

Correctanswer:False

Ifthefetusismature,shouldbetreatedbyappendicectomyandcaesareansection
True

False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:True

Noanswer

Correctanswer:True

Mimicsconcealedabruption
True

False

Explanation
Question:Athirddegreetear
Ismorecommonwithamidlineepisiotomy
True

False

Shouldberepairedundergeneralanaesthesia
True

False

Noanswer

Correctanswer:False

Shouldhavetheanalsphincterrepairedbeforethevaginalskin
True

False

Noanswer

Correctanswer:True

Theanalsphinctershouldberepairedusingvicrylrapide
True

False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:False

Explanation
Question:Internaliliacarteryligation
Causesnecrosisofpelvictissue
True

False

Arrestsbloodflowinasevereduterineartery
True

False

Noanswer

Correctanswer:False

Maybeusedinthemanagementofpostpartumhaemorrhage
True

False

Noanswer

Correctanswer:True

Isperformedjustbelowtheoriginoftheovarianartery
True

False

Noanswer

Correctanswer:False

Explanation
Question:Avesicovaginalfistula
Shouldbeleftfortendaysbeforerepair
True

False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:True

Isassociatedwithpyelonephritis
True

False

Isassociatedwithamenorrhoea
True

False

Isassociatedwithlowerlimbweakness,footdropandlimbcontractures
True

False

Noanswer

Correctanswer:True

Explanation
Question:Withrespecttothemanagementofabdominalpain
Urgentsurgicalinterventionisindicatedinapatientwhopresentswithanappendicularmass
True

False

Noanswer

Correctanswer:True

Anormalwhitecellcountdoesnotexcludethediagnosisofappendicitis
True

False

Noanswer

Correctanswer:True

Laparotomyandsurgicalexcisionisappropriatetreatmentina25yearoldwomanwhoisfoundtohavesevere
endometriosisatlaparoscopy
True

False

Noanswer

Correctanswer:False

Transcervicalresectionisappropriatetreatmentina25yearoldwomanwithsevereabdominalpainand
severeendometriosisatlaparoscopy
True

False

Noanswer

Correctanswer:False

Explanation
Question:A30yearoldwomanpresentswithabdominalpainat24weeksgestation

Quiescentulcerativecolitisislikelytorelapseduringpregnancy
True

False

Noanswer

Correctanswer:False

Anultrasoundscancanexcludeplacentalabruption
True

False

Noanswer

Correctanswer:False

Ifappendicitisissuspected,laparoscopyisindicated
True

False

Noanswer

Correctanswer:False

Acutesalpingitisisalikelycauseofpainlocalisedtotherightiliacfossa
True

False

Noanswer

Correctanswer:False

Explanation
Question:A30yearoldwomanisadmittedat30weeksgestationwithsevereconstantabdominal
pain.ShelookspalewithBP110/70,P100/min.Fetalheartbeatisabsent.Hb11g/dl,plateletcount
25,000/ml.
Epiduralanaesthesiaiscontraindicated
True

False

Noanswer

Correctanswer:True

Themostlikelydiagnosisisdisseminatedsepsis
True

False

Noanswer

Correctanswer:False

Noanswer

Correctanswer:True

DepletionofFactorVIIIislikely
True

False

Fibrindegradationproductlevelsarelikelytobelow
True

False

Noanswer

Correctanswer:False

Explanation
Question:A30yearoldwomanisadmittedat30weeksgestationwithsevereconstantabdominal
pain.ShelookspalewithBP110/70,P100/min.Fetalheartbeatisabsent.Hb11g/dl,plateletcount
25,000/ml.
BloodtransfusionisunlikelytobenecessaryasherHbconcentrationisnormal
True

False

Noanswer

Correctanswer:False

Centralvenouspressuremonitoringisindicated
True

False

Noanswer

Correctanswer:True

Thereisanincreasedriskofpostpartumhaemorrhage
True

False

Noanswer

Correctanswer:True

Thromboprophylaxiswithhepariniscontraindicatedpostpartum
True

False

Noanswer

Correctanswer:False

Explanation
Question:Withrespecttotheuseofbloodandbloodproductsinobstetrics
OnlyCMVnegativebloodshouldbeusedfortransfusionduringpregnancy
True

False

Noanswer

Correctanswer:False

Inwomenwhodeclinetransfusionofdonatedblood,24unitsoftheirownbloodshouldbestoredduringthe
antenatalperiod
True

False

Noanswer

Correctanswer:False

Thepresenceofatypicalredcellantibodiescandelaycrossmatchingofblood
True

False

Noanswer

Correctanswer:True

Inawomanwithmajorplacentapreviawhoismanagedasaninpatient,anewgroup&savesampleshould
besentevery7days
True

False

Noanswer

Correctanswer:True

Explanation
Question:Withrespecttotheuseofbloodandbloodproductsinobstetrics
Allwomenshouldhavebloodgroupandantibodyscreendoneatbookingand28weeks
True

False

Noanswer

Correctanswer:True

Agroupandsavesampleisnotnecessaryifplatelettransfusionisrequired
True

False

Noanswer

Correctanswer:False

Agroupandsavesampleisnotnecessaryiffreshfrozenplasmaisrequired
True

False

Noanswer

Correctanswer:False

Lowriskhealthywomenshouldhavebloodgroupandsavedbeforeelectivecaesareansection
True

False

Noanswer

Correctanswer:False

Explanation
Question:Withrespecttotheuseofbloodandbloodproductsinobstetrics
Ifawomanhasnotreceivedabloodtransfusion,agroupandsavesampletaken2weeksearliercanbeused
tocrossmatchblood
True

False

Noanswer

Correctanswer:False

Kellnegativebloodshouldbeusedfortransfusion
True

False

Noanswer

BloodusedfortransfusionintheUKisvirallyinactivated

Correctanswer:True

True

False

Noanswer

Correctanswer:False

InalowriskhealthywomanwithantiKellantibodies,bloodshouldbecrossmatchedpriortoelective
caesareansection
True

False

Noanswer

Correctanswer:True

Explanation
Question:Inthemanagementofseverepostpartumhaemorrhageinawomanwithnoatypical
antibodies
Groupspecificcompatiblebloodcanbeavailableinthebloodbankwithin10minutesofrequest
True

False

Noanswer

Correctanswer:True

4unitsoffreshfrozenplasmashouldbeadministeredforevery6unitsofredcellstransfused
True

False

Noanswer

Correctanswer:True

Oncefreshfrozenplasmaisordered,ittakesapproximately30minutestothawandbereadyforuse
True

False

Noanswer

Correctanswer:True

AntiDimmunoglobulinisnotneededifaRhesusnegativewomanisgivenRhesuspositivefreshfrozen
plasma
True

False

Noanswer

Correctanswer:True

Explanation
Question:Inthemanagementofseverepostpartumhaemorrhageinawomanwithnoatypical
antibodies
Freshfrozenplasmashouldbeofthesamebloodgroupasthepatient
True

False

Noanswer

Correctanswer:True

Cryoprecipitateshouldbeofthesamebloodgroupasthepatient
True

False

Noanswer

Correctanswer:True

Plateletsshouldnotbetransfuseduntiltheplateletcountfallsbelow30x109/L
True

False

Noanswer

Correctanswer:False

Plateletsfortransfusionshouldbegroupcompatible
True

False

Noanswer

Correctanswer:True

Explanation
Question:Inthemanagementofseverepostpartumhaemorrhageinawomanwithnoatypical
antibodies
ARhesusnegativewomancansafelybegivenplateletsfromaRhesuspositivedonor

True

False

Noanswer

Correctanswer:False

ARhesuspositivewomancansafelybegivenplateletsfromaRhesusnegativewoman
True

False

Noanswer

Correctanswer:True

IfRhesuspositiveplateletsaregiventoaRhesusnegativewoman,antiDimmunoglobulinisrequired
True

False

Noanswer

Correctanswer:True

RecombinantfactorVIIamaybeusedtopreventpostpartumhaemorrhage
True

False

Noanswer

Correctanswer:False

Explanation
Question:Withrespecttotheuseofintraoperativecellsalvageinobstetrics
Useofaleucodepletionfilterisnotrecommended
True

False

Noanswer

Correctanswer:False

IfsalvagedbloodistransfusedtoaRhesusnegativewoman,aKleihauertestisrecommended1hourafter
transfusion
True

False

Noanswer

Correctanswer:True

Salvagedbloodcanbestoredandused24hlaterifthewomanisfoundtobeanaemic
True

False

Noanswer

Correctanswer:False

Maternalsensitisationtoredcellantigensisapotentialcomplication
True

False

Noanswer

Correctanswer:True

Explanation
Question:Withrespecttotheuseofintraoperativecellsalvageinobstetrics
Itisnotnecessarytoobtainconsentasthewomansownbloodisused
True

False

Noanswer

Correctanswer:False

Thetechniqueshouldnotbeusedinwomenwhorefusetransfusionofdonatedblood
True

False

Noanswer

Correctanswer:False

Thesalvagedbloodthatistransfusedtothewomancontainsfetalredbloodcells
True

False

Noanswer

Correctanswer:True

Salvagedbloodshouldnotbetransfusedatthesametimeasdonatedblood
True

False

Noanswer

Correctanswer:False

Explanation
Question:Thefollowingarerecognisedacutecomplicationsofbloodtransfusion

Lunginjury
True

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:True

Viralinfection
True

Graftversushostdisease
True
Fluidoverload
True

Explanation
Question:Thefollowingarerecognisedcomplicationsofmassivebloodtransfusion
Hypercalcaemia
True

False

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:True

False

Noanswer

Correctanswer:False

False

Noanswer

Correctanswer:True

Metabolicalkalosis
True

Disseminatedintravascularcoagulation
True
Hypothermia
True