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1) A 22 yr old woman who has had 2 terminations of pregnancy, reports that she is pregnant again. She has noted a small amount of watery brown discharge and is tender in right iliac fossa. What is the single most likely diagnosis?

One answer only.

   Appendicitis

   Bacterial vaginosis

   Crohn’s disease

   Ectopic pregnancy

   Endometriosis

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2) The time span over which a percentage of women with untreated CIN will develop cancer. Choose the single most likely time or time-interval.

One answer only.

   3-6 months

   12 months

   24-36 months

   3-10 yrs

   30 years

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3) The age at which the peak incidence of cervical carcinoma develops. Choose the single most likely time or time-interval.

One answer only.

   30 years

   45 years

   50 years

   55 years

   65 years

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4) The interval for cervical smears to be taken in a woman treated I yr previously for CIN 2. Choose the single most likely time or time-interval.

One answer only.

   3-6 months

   12 months

   24-36 months

   3-10 yrs

   30 years

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5) The age at which screening stops for women with a normal smear history. Choose the single most likely time or time-interval.

One answer only.

   30 years

   45 years

   50 years

   55 years

   65 years

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6) The timescale within which the 50% of the patients with recurrent disease will present, following treatment for stage IB cervical cancer. Choose the single most likely time or time-interval.

One answer only.

   12 months

   24-36 months

   3-10 yrs

   30 years

   45 years

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7) A 24 yr old gravida 4, para 3, presents with a painless unprovoked vaginal bleed of approximately 50 ml at 32 weeks gestation. She is generally well, but worried. What is the single most appropriate next investigation?

One answer only.

   Ultrasound localization of placenta

   Hemoglobin estimation

   Kleihauser test

   Pulse oximetry

   Rhesus status

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8) A 25 yr old nultipara presents at 26 weeks gestation with slight postcoital bleeding. What is the single most appropriate next investigation?

One answer only.

   Kleihauser test

   Pulse oximetry

   Rhesus status

   Speculum examination

   Urinanalysis

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9) Following recurrent antepartum hemorrhage, investigation shows the fe-tus to be small for dates at 32 weeks. Conservative management is pre-ferred. A 19-week fetal anomaly ultrasound scan confirmed normal pla-cental localization. What is the single most appropriate next investigation?

One answer only.

   Ultrasound localization of placenta

   Hemoglobin estimation

   Kleihauser test

   Pulse oximetry

   Rhesus status

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10) A woman, whose previous pregnancy was complicated by iso-immunization, has vaginal spotting at 36 weeks in an otherwise normal pregnancy. What is the single most appropriate next investigation?

One answer only.

   Cardiotocography

   Maternal ECG

   Ultrasound localization of placenta

   Hemoglobin estimation

   Kleihauser test