MCCQE1 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Fitz-Hugh-Curtis syndrome - CORRECT ANSWER - Perihepatic infection which results
in liver capsule (aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea &
chlamydia
Rocephin - CORRECT ANSWER - Ceftriaxone 125mg
Koilocytosis - CORRECT ANSWER - Nuclear enlargement with atypical peri nuclear
halo
Cefixime - CORRECT ANSWER - Fixime 400mg
Fixime 400mg - CORRECT ANSWER - Cefixime
U wave represents - CORRECT ANSWER - repolarization of the purkinje fibers. Seen in
1) Hypokalaemia. 2) Hypercalcaemia. 3) Thyrotoxicosis. 4) Digitalis use. 5) anti arrhythmics.
Absolute Contradictions to HRT - CORRECT ANSWER - A - acute liver disease. B -
Bleeding, undiagnosed. C - Cancer of breast or uterus. D - DVT or PE
procidentia - CORRECT ANSWER - Complete protrusion of uterus through vagina
Krukenberg tumor - CORRECT ANSWER - Metastatic tumor (usually GIT or breast) to
ovaries. "Signet-ring" cells.
CIN - CORRECT ANSWER - cervical intraepithelial neoplasia
,CIN I - CORRECT ANSWER - low grade squamous intra-epithelial lesion (LSIL)
LSIL - CORRECT ANSWER - Low grade squamous intra-epithelial lesion (CIN I =
Cervical intraepithelial neoplasia)
HSIL - CORRECT ANSWER - high-grade squamous intraepithelial lesion (CIN II OR III
= Cervical intraepithelial neoplasia)
ascus - CORRECT ANSWER - atypical squamous cells of undetermined significance
AGUS - CORRECT ANSWER - Atypical Glandular Cells of Undetermined Significance
CIS - CORRECT ANSWER - carcinoma in situ
LEEP - CORRECT ANSWER - loop electrosurgical excision procedure
Which cervical lesions can you repeat PAP in 6 months? - CORRECT ANSWER -
ASCUS or CIN I (LSIL) . Rest require colposcopy
Shagreen patches - CORRECT ANSWER - Dark leathery (orange-peel) patches on lower
back. Found in tuberous sclerosis. A genetic neuroproliferative disorder.
acrochordons - CORRECT ANSWER - "skin tags"; overgrowths of normal skin that form
a stalk and are polyp-like
Stein-Leventhal syndrome - CORRECT ANSWER - PCOS
Crede's manouver - CORRECT ANSWER - Fundal pressure to assist with delivery
,Johnson's manouver - CORRECT ANSWER - Post partum prolapsed uterus. Fist on
fundus, pushing up through vagina. Hold fist in place until uterine contraction is felt.
O'Sullivan's technique - CORRECT ANSWER - Postpartum uterine prolapse. Warm saline
is poured into the vagina to create increased hydrostatic pressure to force the uterus back into the
pelvic area.
Chandelier sign - CORRECT ANSWER - Positive Cervical excitatory tenderness (CET)
(I.e. PID)
Tocolysis - CORRECT ANSWER - Anti-uterine contraction. (Greek toko = childbirth and
lysis - loosening)
Chadwick's sign - CORRECT ANSWER - Bluish purple discoloration of the cervix,
vagina, and labia during pregnancy as a result of increased vascular congestion. (6 weeks)
Hegar's sign - CORRECT ANSWER - softening of the lower uterine segment or isthmus
(6-8 weeks)
Goodell's sign - CORRECT ANSWER - softening of the cervix and the vagina caused by
increased vascular congestion (4-6 weeks)
Kleihauer-Betke Test - CORRECT ANSWER - Quantifies fetal cells in maternal
circulation so appropriate dose of Rhogam can be given in Rh negative mothers
Placenta accreta - CORRECT ANSWER - Placenta invades At myometrium
Placenta Increta - CORRECT ANSWER - Placenta invades Into myometrium
Placenta Percreta - CORRECT ANSWER - Placenta invades Passing through myometrium
, Dystocia - CORRECT ANSWER - Abnormal progression of labour
Cleidotomy - CORRECT ANSWER - Deliberate fracture of clavicle (to aid in shoulder
dystocia delivery)
Zavanelli maneuver - CORRECT ANSWER - Replacement of fetus into uterine cavity
followed by Caesarian section
Brant maneuver - CORRECT ANSWER - Firm traction on umbilical cord with opposite
hand applying Supra public pressure to prevent uterine prolapse.
Lochia - CORRECT ANSWER - Normal post partum vaginal discharge (rubric -> serous -
> alba. Foul odor = infection)
Keinbock's Disease - CORRECT ANSWER - Avascular necrosis of the lunate carpal bone
Mobius Syndrome - CORRECT ANSWER - Congenital paralysis of face (Stone face) +/-
limb defects due to intrauterine Misoprostol exposure (possibly BZD too)
Indications for caesarean - CORRECT ANSWER - CAMPO PVP CAMP (CaCx/Active
HSV/Maternal comps eg eclampsia or AFLP/Previous uterine Surgery/Obstruction//Placenta
Previa/ Veno Previa/ Placenta Abruptio/ Congenital abn's/Abnormal heart rate
<110or>160/Malpresentation/Prolapsed cord
Maternal mortalities in Pregnancy - CORRECT ANSWER - BEACHES
(Bleeding/emboli-thrombotic/amniotic embolism/Cardiac/HELLP/Ectopic
Pregnancy/Sepsis/Stroke
Pre-eclampsia/eclampsia adverse signs - CORRECT ANSWER - DROPCHILD = D -
DBP>100{>110}. R - Renal comp (urine<500). O - Oligohydramnios. P - Proreinuria {3-5g}. C
Questions and CORRECT Answers
Fitz-Hugh-Curtis syndrome - CORRECT ANSWER - Perihepatic infection which results
in liver capsule (aka Glisson's capsule) inflammation from pelvic infections such as gonorrhea &
chlamydia
Rocephin - CORRECT ANSWER - Ceftriaxone 125mg
Koilocytosis - CORRECT ANSWER - Nuclear enlargement with atypical peri nuclear
halo
Cefixime - CORRECT ANSWER - Fixime 400mg
Fixime 400mg - CORRECT ANSWER - Cefixime
U wave represents - CORRECT ANSWER - repolarization of the purkinje fibers. Seen in
1) Hypokalaemia. 2) Hypercalcaemia. 3) Thyrotoxicosis. 4) Digitalis use. 5) anti arrhythmics.
Absolute Contradictions to HRT - CORRECT ANSWER - A - acute liver disease. B -
Bleeding, undiagnosed. C - Cancer of breast or uterus. D - DVT or PE
procidentia - CORRECT ANSWER - Complete protrusion of uterus through vagina
Krukenberg tumor - CORRECT ANSWER - Metastatic tumor (usually GIT or breast) to
ovaries. "Signet-ring" cells.
CIN - CORRECT ANSWER - cervical intraepithelial neoplasia
,CIN I - CORRECT ANSWER - low grade squamous intra-epithelial lesion (LSIL)
LSIL - CORRECT ANSWER - Low grade squamous intra-epithelial lesion (CIN I =
Cervical intraepithelial neoplasia)
HSIL - CORRECT ANSWER - high-grade squamous intraepithelial lesion (CIN II OR III
= Cervical intraepithelial neoplasia)
ascus - CORRECT ANSWER - atypical squamous cells of undetermined significance
AGUS - CORRECT ANSWER - Atypical Glandular Cells of Undetermined Significance
CIS - CORRECT ANSWER - carcinoma in situ
LEEP - CORRECT ANSWER - loop electrosurgical excision procedure
Which cervical lesions can you repeat PAP in 6 months? - CORRECT ANSWER -
ASCUS or CIN I (LSIL) . Rest require colposcopy
Shagreen patches - CORRECT ANSWER - Dark leathery (orange-peel) patches on lower
back. Found in tuberous sclerosis. A genetic neuroproliferative disorder.
acrochordons - CORRECT ANSWER - "skin tags"; overgrowths of normal skin that form
a stalk and are polyp-like
Stein-Leventhal syndrome - CORRECT ANSWER - PCOS
Crede's manouver - CORRECT ANSWER - Fundal pressure to assist with delivery
,Johnson's manouver - CORRECT ANSWER - Post partum prolapsed uterus. Fist on
fundus, pushing up through vagina. Hold fist in place until uterine contraction is felt.
O'Sullivan's technique - CORRECT ANSWER - Postpartum uterine prolapse. Warm saline
is poured into the vagina to create increased hydrostatic pressure to force the uterus back into the
pelvic area.
Chandelier sign - CORRECT ANSWER - Positive Cervical excitatory tenderness (CET)
(I.e. PID)
Tocolysis - CORRECT ANSWER - Anti-uterine contraction. (Greek toko = childbirth and
lysis - loosening)
Chadwick's sign - CORRECT ANSWER - Bluish purple discoloration of the cervix,
vagina, and labia during pregnancy as a result of increased vascular congestion. (6 weeks)
Hegar's sign - CORRECT ANSWER - softening of the lower uterine segment or isthmus
(6-8 weeks)
Goodell's sign - CORRECT ANSWER - softening of the cervix and the vagina caused by
increased vascular congestion (4-6 weeks)
Kleihauer-Betke Test - CORRECT ANSWER - Quantifies fetal cells in maternal
circulation so appropriate dose of Rhogam can be given in Rh negative mothers
Placenta accreta - CORRECT ANSWER - Placenta invades At myometrium
Placenta Increta - CORRECT ANSWER - Placenta invades Into myometrium
Placenta Percreta - CORRECT ANSWER - Placenta invades Passing through myometrium
, Dystocia - CORRECT ANSWER - Abnormal progression of labour
Cleidotomy - CORRECT ANSWER - Deliberate fracture of clavicle (to aid in shoulder
dystocia delivery)
Zavanelli maneuver - CORRECT ANSWER - Replacement of fetus into uterine cavity
followed by Caesarian section
Brant maneuver - CORRECT ANSWER - Firm traction on umbilical cord with opposite
hand applying Supra public pressure to prevent uterine prolapse.
Lochia - CORRECT ANSWER - Normal post partum vaginal discharge (rubric -> serous -
> alba. Foul odor = infection)
Keinbock's Disease - CORRECT ANSWER - Avascular necrosis of the lunate carpal bone
Mobius Syndrome - CORRECT ANSWER - Congenital paralysis of face (Stone face) +/-
limb defects due to intrauterine Misoprostol exposure (possibly BZD too)
Indications for caesarean - CORRECT ANSWER - CAMPO PVP CAMP (CaCx/Active
HSV/Maternal comps eg eclampsia or AFLP/Previous uterine Surgery/Obstruction//Placenta
Previa/ Veno Previa/ Placenta Abruptio/ Congenital abn's/Abnormal heart rate
<110or>160/Malpresentation/Prolapsed cord
Maternal mortalities in Pregnancy - CORRECT ANSWER - BEACHES
(Bleeding/emboli-thrombotic/amniotic embolism/Cardiac/HELLP/Ectopic
Pregnancy/Sepsis/Stroke
Pre-eclampsia/eclampsia adverse signs - CORRECT ANSWER - DROPCHILD = D -
DBP>100{>110}. R - Renal comp (urine<500). O - Oligohydramnios. P - Proreinuria {3-5g}. C
