SMLE Obstetrics and Gynaecology

Question 1

A 30-year-old primigravida at 34 weeks gestation presents with severe headache, visual disturbances, and blood pressure of 170/110 mmHg. Urinalysis shows 3+ proteinuria. What is the diagnosis?

Accepted Answer

Pre-eclampsia with severe features

Answer

Gestational hypertension

Answer

Chronic hypertension

Answer

Eclampsia

Question 2

A woman in active labour has a cervical dilation of 4 cm that remains unchanged after 4 hours despite adequate contractions. What is this called?

Accepted Answer

Active phase arrest

Answer

Prolonged latent phase

Answer

Second stage arrest

Answer

Precipitous labour

Question 3

A 25-year-old woman presents with secondary amenorrhoea, galactorrhoea, and a positive pregnancy test is negative. Prolactin level is markedly elevated. What is the most likely cause?

Accepted Answer

Prolactinoma

Answer

Hypothyroidism

Answer

Polycystic ovary syndrome

Answer

Sheehan syndrome

Question 4

What is the drug of choice for prevention and treatment of eclamptic seizures?

Accepted Answer

Magnesium sulphate

Answer

Diazepam

Answer

Phenytoin

Answer

Labetalol

Question 5

A 28-year-old woman with a previous caesarean section presents in labour with sudden severe abdominal pain, loss of fetal station, and vaginal bleeding. CTG shows fetal bradycardia. What is the most likely diagnosis?

Accepted Answer

Uterine rupture

Answer

Placenta praevia

Answer

Placental abruption

Answer

Cord prolapse

Question 6

A Rh-negative mother delivers a Rh-positive baby. When should anti-D immunoglobulin be administered?

Accepted Answer

Within 72 hours of delivery

Answer

Within 7 days of delivery

Answer

Only during the next pregnancy

Answer

Only if Kleihauer test is positive