Rafi Reproductive- Questions & Answers
An 8 year old girl is brought to the GP by her father with a low grade temperature, difficulty
passing urine and lower abdominal pain. This is the 3rd time in 6 weeks that she has attended the
GP with urinary symptoms but the first time she has been brought in by her father. He reveals
that all of this started since she returned from a long holiday in Somalia with her mother and aunt
over the summer holiday. He has also noticed a behavioural change and she has become very
withdrawn.
What should you suspect has happened?
She likely has a retained foreign body
Female genital mutilation
She has been sexually abused
She has malaria
She has started menstruating" Correct Ans-female genital mutilation
"
,A couple come to see you in the fertility clinic. They have been trying to conceive for the last 18
months without success. She is 26 years old, works as a physical trainer and amateur marathon
runner. She has a BMI of 16. She has been amenorrhoeic for the last 18 months. He is 28, fit and
well and has a normal semen analysis.
Initial blood tests are done which show her oestrogen level is low along with low FSH and low
LH levels. Other blood tests are normal.
What is the most appropriate treatment of their fertility problems?
Ovulation induction with clomiphene
IVF
Egg donation
Reduce exercise and encourage weight gain to a healthy BMI
Ovulation induction with GnRH analogues" Correct Ans-reduce exercise and ecourage
wieght gain to a healthy BMI
"
Which of the following concerning epidural anaesthesia are false?
,Can be topped up to provide surgical anaesthesia
Can cause hypotension
Usually provides very effective labour analgesia
It is most commonly done at the T12/L1 level
Aims to access the subarachnoid space
The drugs can cause respiratory depression in the neonate
Involves leaving an epidural catheter in situ to allow administration of medication" Correct
Ans-"it is most commonly done at T12/L1
aims to access the subarachnoid space
the drugs canc ause respiratory depression in the neonate"
"
Miss AP is an 18 year old poorly controlled type 1 diabetic. She has been admitted 3 times in the
last year with DKA and her last HbA1C was 90mmol/ml. She now attends the early pregnancy
unit with an unplanned pregnancy at 6 weeks pregnant. Her BP is 170/110, she has 4+
proteinuria and 4+ glycosuria. She is generally oedematous. Which of the following are true:
She is at very high risk of further DKA in pregnancy
, Her baby is at risk of congenital abnormalities
She should be started on immediate metformin
She has pre-eclampsia
She should have been advised to avoid pregnancy until her diabetes is better controlled
She should stop her insulin due to the risk of hypoglcaemia unawareness in pregnancy.
She is at very high risk of miscarriage and stillbirth" Correct Ans-"she is at a very high risk of
further DKA in pregnancy
her baby is at risk of congenital abnormalities
she should have been advised to avoid pregnancy until her diabetes is better controlled
she is at a very high risk of miscarriage and stillbirth
**pre-eclampsia diagnosed at 20 weeks"
A 35-year-old woman presents to her GP complaining of a lump in the upper outer quadrant of
her right breast. She comments the lump becomes particularly tender before the start of her
menstrual cycle. What is the most likely diagnosis?
An 8 year old girl is brought to the GP by her father with a low grade temperature, difficulty
passing urine and lower abdominal pain. This is the 3rd time in 6 weeks that she has attended the
GP with urinary symptoms but the first time she has been brought in by her father. He reveals
that all of this started since she returned from a long holiday in Somalia with her mother and aunt
over the summer holiday. He has also noticed a behavioural change and she has become very
withdrawn.
What should you suspect has happened?
She likely has a retained foreign body
Female genital mutilation
She has been sexually abused
She has malaria
She has started menstruating" Correct Ans-female genital mutilation
"
,A couple come to see you in the fertility clinic. They have been trying to conceive for the last 18
months without success. She is 26 years old, works as a physical trainer and amateur marathon
runner. She has a BMI of 16. She has been amenorrhoeic for the last 18 months. He is 28, fit and
well and has a normal semen analysis.
Initial blood tests are done which show her oestrogen level is low along with low FSH and low
LH levels. Other blood tests are normal.
What is the most appropriate treatment of their fertility problems?
Ovulation induction with clomiphene
IVF
Egg donation
Reduce exercise and encourage weight gain to a healthy BMI
Ovulation induction with GnRH analogues" Correct Ans-reduce exercise and ecourage
wieght gain to a healthy BMI
"
Which of the following concerning epidural anaesthesia are false?
,Can be topped up to provide surgical anaesthesia
Can cause hypotension
Usually provides very effective labour analgesia
It is most commonly done at the T12/L1 level
Aims to access the subarachnoid space
The drugs can cause respiratory depression in the neonate
Involves leaving an epidural catheter in situ to allow administration of medication" Correct
Ans-"it is most commonly done at T12/L1
aims to access the subarachnoid space
the drugs canc ause respiratory depression in the neonate"
"
Miss AP is an 18 year old poorly controlled type 1 diabetic. She has been admitted 3 times in the
last year with DKA and her last HbA1C was 90mmol/ml. She now attends the early pregnancy
unit with an unplanned pregnancy at 6 weeks pregnant. Her BP is 170/110, she has 4+
proteinuria and 4+ glycosuria. She is generally oedematous. Which of the following are true:
She is at very high risk of further DKA in pregnancy
, Her baby is at risk of congenital abnormalities
She should be started on immediate metformin
She has pre-eclampsia
She should have been advised to avoid pregnancy until her diabetes is better controlled
She should stop her insulin due to the risk of hypoglcaemia unawareness in pregnancy.
She is at very high risk of miscarriage and stillbirth" Correct Ans-"she is at a very high risk of
further DKA in pregnancy
her baby is at risk of congenital abnormalities
she should have been advised to avoid pregnancy until her diabetes is better controlled
she is at a very high risk of miscarriage and stillbirth
**pre-eclampsia diagnosed at 20 weeks"
A 35-year-old woman presents to her GP complaining of a lump in the upper outer quadrant of
her right breast. She comments the lump becomes particularly tender before the start of her
menstrual cycle. What is the most likely diagnosis?
