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1) A 31 yr old woman is anxious about slight per vaginal bleeding. She is 22 weeks pregnant and had similar complaints 2 years ago when she was on the pill. What is the single most appropriate next investigation?

One answer only.

Cord blood flow studies (Doppler)

Central venous pressure

Cardiotocography

Maternal ECG

Ultrasound localization of placenta

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2) A 20 yr old married woman presents to A&E with acute onset of lower abdominal pain. Her last menstrual period was 6 weeks earlier. She has pain radiating to the left shoulder. What is the single most likely diagnosis?

One answer only.

Ectopic pregnancy

Mesenteric thrombosis

Perforated peptic ulcer

Renal colic

Salpingitis

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3) A 15 yr old girl presents with a 24 hr history of central abdominal pain, followed by the right iliac fossa pain, worse on coughing. She has fever and rebound in the right iliac fossa. What is the single most appropriate next investigation?

One answer only.

Acute appendicitis

Biliary colic

Acute Cholecystitis

Ectopic pregnancy

Mesenteric thrombosis

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4) A 30 yr old woman has severe colic and upper abdominal pain radiating to the right scapula and is vomiting. What is the single most likely diagnosis?

One answer only.

Biliary colic

Acute Cholecystitis

Ectopic pregnancy

Mesenteric thrombosis

Perforated peptic ulcer

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5) A 12 yr old girl has central abdominal pain and is vomiting. On examination her abdomen is found to be distended with no rebound and a tender lump in the right groin. What is the single most likely diagnosis?

One answer only.

Spontaneous abortion

Strangulated hernia

Torsion ovarian cyst

Ulcerative colitis

Urinary tract infection

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6) A 31 yr old woman has severe colic & upper abdominal pain. She is febrile &. vomiting. Hematological investigations show a moderate leukocytosis. What is the single most likely diagnosis?

One answer only.

Acute gastroenteritis

Acute pancreatitis

Acute appendicitis

Biliary colic

Acute Cholecystitis

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7) A 31 yr old woman presents with acute severe abdominal pain. Her blood pressure is 100/60 and no abdominal signs are found. Hemoglobin level is 17g/dl and the plasma amylase is only mildly raised. What is the single most likely diagnosis?

One answer only.

Mesenteric thrombosis

Perforated peptic ulcer

Renal colic

Salpingitis

Spontaneous abortion