Clinical Medicine Comprehensive Examination –
2026 Practice Questions
1
Q
22.2 A woman experiences a postpartum haemorrhage associated with uterine atony
that is unresponsive to oxytocin and ergometrine. The recommended intramuscular
dose of carboprost (15-methyl prostaglandin F2 alpha) to be administered is
a) 250mcg IM once
b) 250mcg IM q15mins, up to 2mg
c) 500mcg IM
d) 250mcg IV
e) 500mcg IV
A
b) 250mcg IM q15mins, up to 2mg
Carpoprost 250mcg IM
Repeat every 15-90min as required
Carboprost IM 250mg q15min up to 2mg
1) Oxytocin 5 unit bolus (AUS guideline, internationally 1 unit elective, 3 unit emergent
CS) then 5-10units/hr (elective-emergent), or carbetocin 100mg over 30 sec
2) Ergometrine 250mcmg IM q5min up to 1mg
, 2) Misoprostal 500mcg PR q15min up to 1mg
2) Carboprost 250mcg q15min up to 1mg
PPH pharm and 5 T’s
QLD maternity guidelines
2
Q
22.2 A 25-year-old male has continued postoperative bleeding after an extraction of an
impacted third molar tooth under a general anaesthetic. The patient mentions that his
father bruises quite easily. His coagulation screen reveals: (provided). The most likely
diagnosis is
(APTT raised, PT normal?)
a. Factor V leiden
b. haemophilia A
C. Von willebrand’s disease
D. Haemophilia B
A
b. von willebrand’s disease
autosomal dominant inheritance
may have normal or prolonged APTT, PT is normal
*Haem A: X-linked recessive disorder; would expect prolonged aPTT, and normal PT
*Haem B: X-linked recessive disorder; would expect normal aPTT and normal PT
REPEAT
vWD can have prolonged APTT or normal APTT. Haemophilias are X-linked
,
, 3
Q
22.2 The nerve labelled by the arrow marked H in the diagram is the
1. Ulnar Nerve
2. Axillary Nerve
3. Median Nerve
4. Medial Cutaneous nerve of the forearm
5. Long Thoracic Nerve
6. Dorsal Scapular Nerve
7. Radial Nerve
8. Suprascapular nerve
9. Musculocutaneous Nerve
2026 Practice Questions
1
Q
22.2 A woman experiences a postpartum haemorrhage associated with uterine atony
that is unresponsive to oxytocin and ergometrine. The recommended intramuscular
dose of carboprost (15-methyl prostaglandin F2 alpha) to be administered is
a) 250mcg IM once
b) 250mcg IM q15mins, up to 2mg
c) 500mcg IM
d) 250mcg IV
e) 500mcg IV
A
b) 250mcg IM q15mins, up to 2mg
Carpoprost 250mcg IM
Repeat every 15-90min as required
Carboprost IM 250mg q15min up to 2mg
1) Oxytocin 5 unit bolus (AUS guideline, internationally 1 unit elective, 3 unit emergent
CS) then 5-10units/hr (elective-emergent), or carbetocin 100mg over 30 sec
2) Ergometrine 250mcmg IM q5min up to 1mg
, 2) Misoprostal 500mcg PR q15min up to 1mg
2) Carboprost 250mcg q15min up to 1mg
PPH pharm and 5 T’s
QLD maternity guidelines
2
Q
22.2 A 25-year-old male has continued postoperative bleeding after an extraction of an
impacted third molar tooth under a general anaesthetic. The patient mentions that his
father bruises quite easily. His coagulation screen reveals: (provided). The most likely
diagnosis is
(APTT raised, PT normal?)
a. Factor V leiden
b. haemophilia A
C. Von willebrand’s disease
D. Haemophilia B
A
b. von willebrand’s disease
autosomal dominant inheritance
may have normal or prolonged APTT, PT is normal
*Haem A: X-linked recessive disorder; would expect prolonged aPTT, and normal PT
*Haem B: X-linked recessive disorder; would expect normal aPTT and normal PT
REPEAT
vWD can have prolonged APTT or normal APTT. Haemophilias are X-linked
,
, 3
Q
22.2 The nerve labelled by the arrow marked H in the diagram is the
1. Ulnar Nerve
2. Axillary Nerve
3. Median Nerve
4. Medial Cutaneous nerve of the forearm
5. Long Thoracic Nerve
6. Dorsal Scapular Nerve
7. Radial Nerve
8. Suprascapular nerve
9. Musculocutaneous Nerve
