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Question 1
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A 32 year old patient has a transvaginal ultrasound scan that shows a mass in the left ovary. It is anechoic, thin walled, is without internal structures and measures 36mm in diameter. What is the likely diagnosis?
Your Answer: Functional cyst
Explanation:The diagnosis of functional ovarian cyst is made when the cyst measures more than 3 cm and rarely grows more than 10 cm. It appears as a simple anechoic unilocular cyst on USS. It is usually asymptomatic. If it is symptomatic then laparoscopic cystectomy should be performed.
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This question is part of the following fields:
- Data Interpretation
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Question 2
Incorrect
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You are called to see a 24 year old patient who is currently in labour but is failing to progress. A fetal blood sample is sent for analysis. pH is 7.22. Which of the following is the appropriate course of action?
Your Answer: Repeat in 30 minutes if CTG remains abnormal
Correct Answer: Consider delivery
Explanation:A normal pH value is above 7.25. A pH below 7.20 is confirmation of fetal compromise. Values between 7.20 and 7.25 are ‘borderline’.
The base deficit can also be useful in interpretation of the fetal scalp pH. A base excess of more than -10 demonstrates a significant metabolic acidosis, with
increasing risk of fetal neurological injury beyond this level. Delivery should be considered. -
This question is part of the following fields:
- Data Interpretation
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Question 3
Correct
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A patient who is 12 weeks pregnant is being seen in the antenatal clinic. Urinalysis shows protein ++. A 24 hour urine collection is organised. Greater than what level would indicate significant proteinuria?
Your Answer: 300 mg over 24 hours
Explanation:pre-eclampsia is defined as hypertension of at least 140/90 mmHg recorded on at least two separate occasions and at least 4 hours apart and in the presence of at least 300 mg protein in a 24 hour collection of urine, arising de novo after the 20th week of pregnancy in a previously normotensive woman and resolving completely by the sixth postpartum week.
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This question is part of the following fields:
- Data Interpretation
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Question 4
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