TOG SBA LEARNING/RCOG E-
LEARNING/OVERFLOW TEXTBOOK
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Pre op fasting plan TLH - ANS No food 6 hours, clear fluids up to 2 hours before
Acute pancreatitis 1st line imaging - ANS USS
Pancreatitis nutrition advise - ANS Oral diet and fluids
IVF after uterine transplant - ANS Wait 12 months
Zinc deficiency - ANS 8% pregnant women worldwide
Taking zinc replacement reduces risk of preterm delivery
Chemotherapy that's most gonadotoxic - ANS Alkylating agents ie carboplatin,
cyclophosphamide
Most successful fertility sparing treatment ahead of XRT - ANS oocyte vitrification
Most prevalent HDFN-causing alloantibody - ANS Anti-E
@2026/2027 ALLRIGHTS RESERVED.
,Anti-Kell antibodies ie anti-K - ANS Next step in management = paternal RBC antigen status at
12/40
CffDNA at 20/40 (other antibodies are detectable from 16/40), tests for fetal antigens
Cause severe anaemia regardless of titres.
Chest drain in pregnancy - ANS 3rd intercostal space (2 higher than usual)
Addisons in labour, meds management - ANS Day 1= 200mg/day hydrocortisone in divided
doses (ie 50mg 6hrly IV)
Withhold fludrocortisone
Day 2 half hydro
Day 3 half hydro again
Day 4 hydrocortisone 30mg PO daily, restart fludro.
EF to diagnose peripartum cardiomyopathy - ANS <45%
Pancreatitis in pregnancy - ANS Gallstones 65%
Amylase, ABG, FBC, UE, LFT, LDH, CRP, glucose, bone profile
Imaging = USS look for GS. Consider CT after 5 days if concern about complications (5-10% risk
necrosis)
Lipid testing if no gallstones seen,
PTB 30%
Fetal +maternal mortality in severe acute = 3.6%
Severe chicken pox in pregnancy - ANS IV aciclovir
Non immune to chicken pox, had VZIG >3 weeks ago, repeat exposure - ANS Treat
immediately with VZIG
@2026/2027 ALLRIGHTS RESERVED.
, vicarious learning - ANS Vicarious adult learning is where an individual learns from the
experiences of others (story telling) and is especially valuable when the teller relates mistakes
from which they themselves have learnt, thus enabling the learner to avoid making the same
mistake
Criterion-referenced standard setting - ANS the pass mark is based on predefined reference
points or criteria. Eg need 15/25 to pass.
Its opposite is norm-referenced standard setting, where assessors set a pass mark based on the
performance of learners who have taken the same assessment previously.
Transformative learning - ANS That is there is a moment when the trainee has 'seen the light'
and understood the length, breadth and depth of the concepts behind the subjects and has, in
some way, been transformed into a different adult learner. It is a rare but powerful learning
experience.
Validity - ANS Validity has many facets: face validity, construct validity, content validity,
predictive validity etc. Validity is, more or less, defined by the syllabus or curriculum, current
standards of practice e.g. GMC standards and various relevant guidelines and the level or grade
of training or learning e.g. ST5 for the RCOG Part 2 membership examination.
Vessel that can become thromboses in pregnancy causing localised abdo pain - ANS Ovarian
Occasionally may need to be ligated in cases of acute pelvic or obstetric haemorrhage. -
ANS Anterior division of internal iliac
Initial suturing during a surgical repair of a right mediolateral episiotomy will prevent
postpartum haemorrhage - ANS Vaginal artery
Most common cause secondary infertility - ANS Tubal blockage
Acute abdominal pain and cough - ANS Suspect lower lobe pneumonia - do CXR
@2026/2027 ALLRIGHTS RESERVED.
LEARNING/OVERFLOW TEXTBOOK
EXAM QUESTIONS AND ANSWERS 2026
VERIFIED.
Pre op fasting plan TLH - ANS No food 6 hours, clear fluids up to 2 hours before
Acute pancreatitis 1st line imaging - ANS USS
Pancreatitis nutrition advise - ANS Oral diet and fluids
IVF after uterine transplant - ANS Wait 12 months
Zinc deficiency - ANS 8% pregnant women worldwide
Taking zinc replacement reduces risk of preterm delivery
Chemotherapy that's most gonadotoxic - ANS Alkylating agents ie carboplatin,
cyclophosphamide
Most successful fertility sparing treatment ahead of XRT - ANS oocyte vitrification
Most prevalent HDFN-causing alloantibody - ANS Anti-E
@2026/2027 ALLRIGHTS RESERVED.
,Anti-Kell antibodies ie anti-K - ANS Next step in management = paternal RBC antigen status at
12/40
CffDNA at 20/40 (other antibodies are detectable from 16/40), tests for fetal antigens
Cause severe anaemia regardless of titres.
Chest drain in pregnancy - ANS 3rd intercostal space (2 higher than usual)
Addisons in labour, meds management - ANS Day 1= 200mg/day hydrocortisone in divided
doses (ie 50mg 6hrly IV)
Withhold fludrocortisone
Day 2 half hydro
Day 3 half hydro again
Day 4 hydrocortisone 30mg PO daily, restart fludro.
EF to diagnose peripartum cardiomyopathy - ANS <45%
Pancreatitis in pregnancy - ANS Gallstones 65%
Amylase, ABG, FBC, UE, LFT, LDH, CRP, glucose, bone profile
Imaging = USS look for GS. Consider CT after 5 days if concern about complications (5-10% risk
necrosis)
Lipid testing if no gallstones seen,
PTB 30%
Fetal +maternal mortality in severe acute = 3.6%
Severe chicken pox in pregnancy - ANS IV aciclovir
Non immune to chicken pox, had VZIG >3 weeks ago, repeat exposure - ANS Treat
immediately with VZIG
@2026/2027 ALLRIGHTS RESERVED.
, vicarious learning - ANS Vicarious adult learning is where an individual learns from the
experiences of others (story telling) and is especially valuable when the teller relates mistakes
from which they themselves have learnt, thus enabling the learner to avoid making the same
mistake
Criterion-referenced standard setting - ANS the pass mark is based on predefined reference
points or criteria. Eg need 15/25 to pass.
Its opposite is norm-referenced standard setting, where assessors set a pass mark based on the
performance of learners who have taken the same assessment previously.
Transformative learning - ANS That is there is a moment when the trainee has 'seen the light'
and understood the length, breadth and depth of the concepts behind the subjects and has, in
some way, been transformed into a different adult learner. It is a rare but powerful learning
experience.
Validity - ANS Validity has many facets: face validity, construct validity, content validity,
predictive validity etc. Validity is, more or less, defined by the syllabus or curriculum, current
standards of practice e.g. GMC standards and various relevant guidelines and the level or grade
of training or learning e.g. ST5 for the RCOG Part 2 membership examination.
Vessel that can become thromboses in pregnancy causing localised abdo pain - ANS Ovarian
Occasionally may need to be ligated in cases of acute pelvic or obstetric haemorrhage. -
ANS Anterior division of internal iliac
Initial suturing during a surgical repair of a right mediolateral episiotomy will prevent
postpartum haemorrhage - ANS Vaginal artery
Most common cause secondary infertility - ANS Tubal blockage
Acute abdominal pain and cough - ANS Suspect lower lobe pneumonia - do CXR
@2026/2027 ALLRIGHTS RESERVED.
