Obstetric Complications MCQs

Obstetrics & Gynaecology · 6 free questions with answers & explanations.

1. A 26-year-old primigravida at 34 weeks gestation presents with sudden-onset, painless, bright red vaginal bleeding of moderate quantity. There is no uterine tenderness on examination. Her blood pressure is 110/70 mmHg. Fetal heart rate is 152 bpm. The MOST likely diagnosis is:
2. A 29-year-old G3P2 woman at 32 weeks gestation presents with headache, blurred vision, and upper abdominal pain. Her blood pressure is 168/110 mmHg on two readings 6 hours apart. Urinalysis shows 3+ proteinuria. Platelet count is 85,000/µL, AST is 210 U/L, and she reports right upper quadrant pain. The diagnosis and MOST important next step are:
3. A 31-year-old woman, G2P1, at 28 weeks gestation is involved in a road traffic accident. On examination, uterine tenderness and rigidity are present. Ultrasound shows a retroplacental clot. Fetal heart rate tracing shows late decelerations. Coagulation profile reveals prolonged PT/aPTT and fibrinogen of 120 mg/dL. The MOST likely complication accounting for the coagulation findings is:
4. A 22-year-old primigravida with a dichorionic-diamniotic twin pregnancy at 26 weeks gestation presents with sudden onset dyspnoea and hypotension. Her oxygen saturation falls to 84%. She had no prodromal symptoms. Electrocardiogram shows an S1Q3T3 pattern. The MOST likely diagnosis is:
5. A 35-year-old G4P3 woman delivers vaginally at term. The placenta is delivered 30 minutes later and appears complete. She is then found to have soaked 4 pads in 30 minutes. Uterine massage reveals a soft, boggy uterus. Her blood pressure is 90/60 mmHg. The MOST likely cause and the FIRST-LINE drug treatment are:
6. A 27-year-old primigravida is diagnosed with ectopic pregnancy at 6 weeks gestation. Her serum hCG is 1,800 IU/L, she is haemodynamically stable, and transvaginal ultrasound shows a 2.5 cm adnexal mass with no fetal cardiac activity and no free fluid in the pouch of Douglas. The MOST appropriate management is: