MRCOG Part 1 – Microbiology

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Question 1 of 69

1. Question

You are reviewing a recent cervical smear test result which shows the presence of Actinomyces-like organisms.On reviewing the woman’s medical records, you note that she had a copper intra-uterine contraceptive device (Cu-IUD) inserted six months ago. What is the most appropriate management?

Assess the patient for signs of pelvic infection
Correct Incorrect Correct answer

Commence high dose penicillin
Correct Incorrect Correct answer

Perform a repeat cervical smear
Correct Incorrect Correct answer

Remove the Cu-IUD
Correct Incorrect Correct answer

Remove the Cu-IUD and commence high dose penicillin
Correct Incorrect Correct answer

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Question 2 of 69

2. Question

A 20 year old woman attends Gynaecology clinic with symptoms of profuse vaginal discharge which she describes as offensive. A high vaginal swab is taken and sent for analysis. Which of the following meets the diagnostic criteria for diagnosis of bacterial vaginosis?

Clue cells on microscopy of wet mount
Correct Incorrect Correct answer

Lactobacillus morphotypes predominate
Correct Incorrect Correct answer

Mixed flora with some Lactobacilli present, but Gardnerella or Mobiluncus morphotypes also present
Correct Incorrect Correct answer

Predominantly Gardnerella and/or Mobiluncus morphotypes with few Lactobacilli
Correct Incorrect Correct answer

Pseudohyphae and spores with few Lactobacilli
Correct Incorrect Correct answer

Correct

Incorrect

Question 3 of 69

3. Question

A 25 year old woman presents to her local sexual health clinic with a generalised maculopapular rash, lymphadenopathy and condylomata lata and is found to be positive for Treponema Pallidum. What is the diagnosis?

Acquired late syphilis
Correct Incorrect Correct answer

Congenital late syphilis
Correct Incorrect Correct answer

Latent syphilis
Correct Incorrect Correct answer

Primary syphilis
Correct Incorrect Correct answer

Secondary syphilis
Correct Incorrect Correct answer

Correct

Incorrect

Question 4 of 69

4. Question

An 18 year old woman presents to her local sexual health clinic with symptoms of abnormal vaginal discharge and dysuria.She reports that her partner has had symptoms of urethral discharge and dysuria as well. On examination, there is endocervical mucopurulent discharge. What is the most likely causative organism?

Candida albicans
Correct Incorrect Correct answer

Chlamydia trachomatis
Correct Incorrect Correct answer

Gardnerella vaginalis
Correct Incorrect Correct answer

Neisseria gonorrhoea
Correct Incorrect Correct answer

Trichomonas vaginalis
Correct Incorrect Correct answer

Correct

Incorrect

Question 5 of 69

5. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of profuse vaginal discharge which she describes as offensive. On examination, there is profuse malodorous grey vaginal discharge but the cervix appears normal. What is the most likely causative organism?

Candida albicans
Correct Incorrect Correct answer

Chlamydia trachomatis
Correct Incorrect Correct answer

Gardnerella vaginalis
Correct Incorrect Correct answer

Neisseria gonorrhoea
Correct Incorrect Correct answer

Trichomonas vaginalis
Correct Incorrect Correct answer

Correct

Incorrect

Question 6 of 69

6. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of profuse vaginal discharge which she describes as offensive. On examination, there is profuse frothy yellow offensive vaginal discharge and there is a strawberry cervix appearance with small punctate haemorrhages with ulceration. What is the most likely causative organism?

Candida albicans
Correct Incorrect Correct answer

Chlamydia trachomatis
Correct Incorrect Correct answer

Gardnerella vaginalis
Correct Incorrect Correct answer

Neisseria gonorrhoea
Correct Incorrect Correct answer

Trichomonas vaginalis
Correct Incorrect Correct answer

Correct

Incorrect

Question 7 of 69

7. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of painful vulval rash, dysuria, myalgia and fever. She denies any previous similar symptoms or episodes. On examination, there are vulval blisters and ulcers with tender inguinal lymphadenitis bilaterally. What is the most likely causative organism?

Herpes simplex virus 1
Correct Incorrect Correct answer

Herpes simplex virus 2
Correct Incorrect Correct answer

Human papillomavirus Type 11
Correct Incorrect Correct answer

Human papillomavirus Type 16
Correct Incorrect Correct answer

Molluscum contagiosum virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 8 of 69

8. Question

A 35 year old presents to her local sexual health clinic with symptoms of vulval itching and vulval skin changes.Biopsy confirms a diagnosis of low grade vulval intraepithelial neoplasia. What is the most likely causative organism?

Herpes simplex virus 1
Correct Incorrect Correct answer

Herpes simplex virus 2
Correct Incorrect Correct answer

Human papillomavirus Type 11
Correct Incorrect Correct answer

Human papillomavirus Type 16
Correct Incorrect Correct answer

Molluscum contagiosum virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 9 of 69

9. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of vulval warts.On examination, these appear to have the characteristic appearance of condylomata acuminata. What is the most likely causative organism?

Herpes simplex virus 1
Correct Incorrect Correct answer

Herpes simplex virus 2
Correct Incorrect Correct answer

Human papillomavirus Type 11
Correct Incorrect Correct answer

Human papillomavirus Type 16
Correct Incorrect Correct answer

Molluscum contagiosum virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 10 of 69

10. Question

An 18 year old woman presents to her local sexual health clinic with symptoms of post-coital bleeding, vaginal discharge and pelvic pain with dyspareunia.On examination, the cervix appears friable with mucopurulent discharge and bleeds on contact which is also painful. She is allergic to penicillin and on testing in clinic, has an unexpectedly positive pregnancy test. What is the most appropriate treatment?

Intramuscular ceftriaxone 1g single dose
Correct Incorrect Correct answer

Oral doxycycline 100mg BD for 7 days
Correct Incorrect Correct answer

Oral erythromycin 500mg BD for 7 days
Correct Incorrect Correct answer

Oral fluconazole 150mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 11 of 69

11. Question

An 18 year old woman presents to her local sexual health clinic with symptoms of abnormal vaginal discharge and dysuria.She reports that her partner has had symptoms of urethral discharge and dysuria as well. On examination, there is endocervical mucopurulent discharge and intracellular Gram-negative diplococci are seen on microscopy from a vaginal swab. What is the most appropriate treatment?

Intramuscular ceftriaxone 1g single dose
Correct Incorrect Correct answer

Oral doxycycline 100mg BD for 7 days
Correct Incorrect Correct answer

Oral erythromycin 500mg BD for 7 days
Correct Incorrect Correct answer

Oral fluconazole 150mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 12 of 69

12. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of profuse vaginal discharge which she describes as offensive. On examination, there is profuse malodorous grey vaginal discharge but the cervix appears normal. What is the most appropriate treatment?

Intramuscular ceftriaxone 1g single dose
Correct Incorrect Correct answer

Oral doxycycline 100mg BD for 7 days
Correct Incorrect Correct answer

Oral erythromycin 500mg BD for 7 days
Correct Incorrect Correct answer

Oral fluconazole 150mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 13 of 69

13. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of profuse vaginal discharge which she describes as offensive. On examination, there is profuse frothy yellow offensive vaginal discharge and there is a strawberry cervix appearance with small punctate haemorrhages with ulceration. What is the most appropriate treatment?

Intramuscular ceftriaxone 1g single dose
Correct Incorrect Correct answer

Oral doxycycline 100mg BD for 7 days
Correct Incorrect Correct answer

Oral erythromycin 500mg BD for 7 days
Correct Incorrect Correct answer

Oral fluconazole 150mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 14 of 69

14. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of profuse vaginal discharge which she describes as offensive. On examination, there is profuse malodorous grey vaginal discharge but the cervix appears normal. What is the most appropriate treatment?

Intramuscular ceftriaxone 1g single dose
Correct Incorrect Correct answer

Oral doxycycline 100mg BD for 7 days
Correct Incorrect Correct answer

Oral erythromycin 500mg BD for 7 days
Correct Incorrect Correct answer

Oral fluconazole 150mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 15 of 69

15. Question

A 20 year old woman presents to her local sexual health clinic with symptoms of painful vulval rash, dysuria, myalgia and fever.She denies any previous similar symptoms or episodes. On examination, there are vulval blisters and ulcers with tender inguinal lymphadenitis bilaterally. What is the most appropriate treatment?

Oral aciclovir 400 mg three times daily for 5 days
Correct Incorrect Correct answer

Oral ciprofloxacin 500mg single dose
Correct Incorrect Correct answer

Oral metronidazole 400mg BD for 7 days
Correct Incorrect Correct answer

Oral ofloxacin 200mg BD for 7 days
Correct Incorrect Correct answer

Oral valaciclovir 250 mg twice daily for 10 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 16 of 69

16. Question

What proportion of women infected with Chlamydia Trachomatis at the time of delivery will develop a puerperal infection?

5%
Correct Incorrect Correct answer

10%
Correct Incorrect Correct answer

20%
Correct Incorrect Correct answer

30%
Correct Incorrect Correct answer

50%
Correct Incorrect Correct answer

Correct

Incorrect

Question 17 of 69

17. Question

What percentage of neonates are at risk of developing Ophthalmia Neonatorum when born vaginally to mothers with current Chlamydia trachomatis infection?

Up to 5%
Correct Incorrect Correct answer

Up to 15%
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Up to 5%
Correct Incorrect Correct answer

Up to 50%
Correct Incorrect Correct answer

Up to 75%
Correct Incorrect Correct answer

Correct

Incorrect

Question 18 of 69

18. Question

A 35 year woman books for routine antenatal care at 8 weeks gestation. She describes herself as ‘prone to infections’ and wants to know what screening for infections is available in pregnancy. Which of the following is routinely screened for in pregnancy?

Asymptomatic bacteriuria
Correct Incorrect Correct answer

Bacterial vaginosis
Correct Incorrect Correct answer

Chlamydia trachomatis
Correct Incorrect Correct answer

Cytomegalovirus
Correct Incorrect Correct answer

Group B streptococcus
Correct Incorrect Correct answer

Correct

Incorrect

Question 19 of 69

19. Question

A 25 year old woman books for antenatal care at 8 weeks gestation.She has a history of intravenous drug use in the past and is worried as she has never been screened for blood-borne viruses. Which of the following is not routinely screened for in pregnancy?

Hepatitis B
Correct Incorrect Correct answer

Hepatitis C
Correct Incorrect Correct answer

HIV
Correct Incorrect Correct answer

Rubella
Correct Incorrect Correct answer

Syphilis
Correct Incorrect Correct answer

Correct

Incorrect

Question 20 of 69

20. Question

A 28 year old woman presents at 12 weeks gestation because she is concerned that she has read on the internet that pregnant women may become infected with toxoplamosis and she has recently had contact with a relative’s cat.Which of the following statements regarding toxoplasmosis in pregnancy is incorrect?

Pregnant women should be advised to take primary prevention measures including cooking raw meat thoroughly, avoiding cat faeces and wearing gloves when gardening
Correct Incorrect Correct answer

Routine antenatal screening for toxoplasmosis should be offered
Correct Incorrect Correct answer

Symptoms of toxoplasmosis may include fever and lymphadenopathy
Correct Incorrect Correct answer

Toxoplasmosis may be asymptomatic in pregnant women
Correct Incorrect Correct answer

Toxoplasmosis is associated with first trimester miscarriage and congenital fetal abnormalities
Correct Incorrect Correct answer

Correct

Incorrect

Question 21 of 69

21. Question

A 28 year old woman attends at 26 weeks gestation in her second pregnancy with a two day history of feeling generally unwell with a sore throat and abdominal pain. Her child has also recently been unwell. On examination, she has a widespread maculopapular rash. Her observations are: pulse 130bpm, blood pressure 85/55, temperature 38C, respiratory rate 28, oxygen saturations 94% on RA. What is the most likely causative organism?

Clostridium perfringens
Correct Incorrect Correct answer

Escherichia Coli
Correct Incorrect Correct answer

Group A Streptococcus
Correct Incorrect Correct answer

Group B Streptococcus
Correct Incorrect Correct answer

Pseudomonas
Correct Incorrect Correct answer

Correct

Incorrect

Question 22 of 69

22. Question

A 28 year old woman is referred to hospital urgently by her GP at 26 weeks gestation in her second pregnancy with suspected bacterial sepsis.Blood cultures are taken and she is treated with broad spectrum antibiotics. She is subsequently diagnosed with invasive Group A streptococcal infection. Which of the following statements is incorrect regarding Group A streptococcal infection?

Close household contacts of women with group A streptococcal infection should be warned to seek medical attention should symptoms develop
Correct Incorrect Correct answer

Healthcare workers who have been exposed to respiratory secretions of women with group A streptococcal infection do not require antibiotic prophylaxis.
Correct Incorrect Correct answer

Invasive group A streptococcal infections are notifiable
Correct Incorrect Correct answer

When a mother has been found to have invasive group A streptococcal infection in the peripartum period, the neonatologist should be informed and prophylactic antibiotics administered to the baby.
Correct Incorrect Correct answer

Women diagnosed with group A Streptococcus sepsis should be isolated in a single room with en suite facilities to minimise the risk of spread to other women
Correct Incorrect Correct answer

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Question 23 of 69

23. Question

Which of the following is not vertically transmitted from mother to baby during pregnancy and childbirth?

Hepatitis A
Correct Incorrect Correct answer

Hepatitis B
Correct Incorrect Correct answer

Hepatitis C
Correct Incorrect Correct answer

HIV
Correct Incorrect Correct answer

Syphilis
Correct Incorrect Correct answer

Correct

Incorrect

Question 24 of 69

24. Question

Which of the following bacteria does not produce exotoxins?

Clostridium botulinum
Correct Incorrect Correct answer

Clostridium tetani
Correct Incorrect Correct answer

Corynebacterium diphtheriae
Correct Incorrect Correct answer

Salmonella typhi
Correct Incorrect Correct answer

Staphylococcus aureus
Correct Incorrect Correct answer

Correct

Incorrect

Question 25 of 69

25. Question

Which of the following bacteria produces an exotoxin that is a superantigen?

Clostridium botulinum
Correct Incorrect Correct answer

Clostridium tetani
Correct Incorrect Correct answer

Corynebacterium diphtheriae
Correct Incorrect Correct answer

Salmonella typhi
Correct Incorrect Correct answer

Staphylococcus aureus
Correct Incorrect Correct answer

Correct

Incorrect

Question 26 of 69

26. Question

Which of the following bacteria is not an encapsulated bacteria?

Haemophilus influenzae
Correct Incorrect Correct answer

Neisseria meningitidis
Correct Incorrect Correct answer

Proteus mirabilis
Correct Incorrect Correct answer

Pseudomonas aeruginosa
Correct Incorrect Correct answer

Streptococcus pneumoniae
Correct Incorrect Correct answer

Correct

Incorrect

Question 27 of 69

27. Question

Which of the following organisms are particularly high risk of causing sepsis in patients who have had a previous splenectomy?

Escherichia coli
Correct Incorrect Correct answer

Haemophilus influenzae
Correct Incorrect Correct answer

Legionella pneumophila
Correct Incorrect Correct answer

Neisseria gonorrhoeae
Correct Incorrect Correct answer

Proteus mirabilis
Correct Incorrect Correct answer

Correct

Incorrect

Question 28 of 69

28. Question

Which of the following bacteria is a Gram positive organism?

Chlamydia trachomatis
Correct Incorrect Correct answer

Escherichia coli
Correct Incorrect Correct answer

Klebsiella pneumoniae
Correct Incorrect Correct answer

Mycobacerium tuberculosis
Correct Incorrect Correct answer

Staphylococcus aureus
Correct Incorrect Correct answer

Correct

Incorrect

Question 29 of 69

29. Question

Which of the following bacteria is a Gram negative organism?

Chlamydia trachomatis
Correct Incorrect Correct answer

Klebsiella pneumoniae
Correct Incorrect Correct answer

Mycobacerium tuberculosis
Correct Incorrect Correct answer

Staphylococcus aureus
Correct Incorrect Correct answer

Streptococcus pneumoniae
Correct Incorrect Correct answer

Correct

Incorrect

Question 30 of 69

30. Question

Which of the following is a coccus bacteria?

Haemophilus influenzae
Correct Incorrect Correct answer

Klebsiella pneumoniae
Correct Incorrect Correct answer

Moraxella catarrhalis
Correct Incorrect Correct answer

Treponema pallidum
Correct Incorrect Correct answer

Vibrio cholerae
Correct Incorrect Correct answer

Correct

Incorrect

Question 31 of 69

31. Question

Which of the following is a bacillus bacteria?

Haemophilus influenzae
Correct Incorrect Correct answer

Neisseria gonorrhoeae
Correct Incorrect Correct answer

Moraxella catarrhalis
Correct Incorrect Correct answer

Treponema pallidum
Correct Incorrect Correct answer

Vibrio cholerae
Correct Incorrect Correct answer

Correct

Incorrect

Question 32 of 69

32. Question

Which of the following is a spirochaete bacteria?

Borrelia burgdorferi
Correct Incorrect Correct answer

Haemophilus influenzae
Correct Incorrect Correct answer

Neisseria gonorrhoeae
Correct Incorrect Correct answer

Moraxella catarrhalis
Correct Incorrect Correct answer

Vibrio cholerae
Correct Incorrect Correct answer

Correct

Incorrect

Question 33 of 69

33. Question

Which of the following is a characteristic feature of a eukaryotic cell?

Circular DNA
Correct Incorrect Correct answer

Lack of membrane-bound organelles
Correct Incorrect Correct answer

Presence of a cell wall
Correct Incorrect Correct answer

Presence of a nucleus
Correct Incorrect Correct answer

Small ribosomal subunits
Correct Incorrect Correct answer

Correct

Incorrect

Question 34 of 69

34. Question

What is the incubation period of rubella?

5–7 days
Correct Incorrect Correct answer

10–14 days
Correct Incorrect Correct answer

13–20 days
Correct Incorrect Correct answer

14–21 days
Correct Incorrect Correct answer

14–28 days
Correct Incorrect Correct answer

Correct

Incorrect

Question 35 of 69

35. Question

What is the risk of congenital rubella syndrome with confirmed rubella infection at 9 weeks gestation?

1%
Correct Incorrect Correct answer

10%
Correct Incorrect Correct answer

20%
Correct Incorrect Correct answer

50%
Correct Incorrect Correct answer

90%
Correct Incorrect Correct answer

Correct

Incorrect

Question 36 of 69

36. Question

When is the infectious period of Varicella Zoster virus infection?

From 24 hours prior to development of rash until the rash resolves completely
Correct Incorrect Correct answer

From 24 hours prior to development of rash until the vesicles crust over
Correct Incorrect Correct answer

From 48 hours prior to development of rash until the vesicles crust over
Correct Incorrect Correct answer

From 48 hours prior to development of rash until the rash resolves completely
Correct Incorrect Correct answer

From development of rash until the vesicles crust over
Correct Incorrect Correct answer

Correct

Incorrect

Question 37 of 69

37. Question

What type of virus is rubella?

Double stranded DNA virus
Correct Incorrect Correct answer

Double stranded RNA virus
Correct Incorrect Correct answer

Single stranded DNA virus
Correct Incorrect Correct answer

Single stranded RNA virus
Correct Incorrect Correct answer

Single stranded RNA virus with DNA intermediate in life-cycle
Correct Incorrect Correct answer

Correct

Incorrect

Question 38 of 69

38. Question

What type of virus is Varicella Zoster?

Double stranded DNA virus
Correct Incorrect Correct answer

Double stranded RNA virus
Correct Incorrect Correct answer

Single stranded DNA virus
Correct Incorrect Correct answer

Single stranded RNA virus
Correct Incorrect Correct answer

Single stranded RNA virus with DNA intermediate in life-cycle
Correct Incorrect Correct answer

Correct

Incorrect

Question 39 of 69

39. Question

What type of virus is cytomegalovirus?

Double stranded DNA virus
Correct Incorrect Correct answer

Double stranded RNA virus
Correct Incorrect Correct answer

Single stranded DNA virus
Correct Incorrect Correct answer

Single stranded RNA virus
Correct Incorrect Correct answer

Single stranded RNA virus with DNA intermediate in life-cycle
Correct Incorrect Correct answer

Correct

Incorrect

Question 40 of 69

40. Question

What type of virus is parvovirus?

Double stranded DNA virus
Correct Incorrect Correct answer

Double stranded RNA virus
Correct Incorrect Correct answer

Single stranded DNA virus
Correct Incorrect Correct answer

Single stranded RNA virus
Correct Incorrect Correct answer

Single stranded RNA virus with DNA intermediate in life-cycle
Correct Incorrect Correct answer

Correct

Incorrect

Question 41 of 69

41. Question

Which of the following viruses is most strongly associated with cervical cancer?

HPV type 6
Correct Incorrect Correct answer

HPV type 11
Correct Incorrect Correct answer

HPV type 16
Correct Incorrect Correct answer

HPV type 31
Correct Incorrect Correct answer

HPV type 45
Correct Incorrect Correct answer

Correct

Incorrect

Question 42 of 69

42. Question

Which virus is associated with the formation of Negri bodies?

Adenovirus
Correct Incorrect Correct answer

Cytomegalovirus
Correct Incorrect Correct answer

Measles
Correct Incorrect Correct answer

Rabies
Correct Incorrect Correct answer

Varicella Zoster virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 43 of 69

43. Question

Which virus is associated with the formation of Cowdry Type A inclusion bodies?

Adenovirus
Correct Incorrect Correct answer

Cytomegalovirus
Correct Incorrect Correct answer

Measles
Correct Incorrect Correct answer

Rabies
Correct Incorrect Correct answer

Varicella Zoster virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 44 of 69

44. Question

Which virus is associated with the formation of Cowdry Type B inclusion bodies?

Adenovirus
Correct Incorrect Correct answer

Cytomegalovirus
Correct Incorrect Correct answer

Measles
Correct Incorrect Correct answer

Rabies
Correct Incorrect Correct answer

Varicella Zoster virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 45 of 69

45. Question

Which virus is associated with the formation of Warthin-Finkeldey cells?

Adenovirus
Correct Incorrect Correct answer

Cytomegalovirus
Correct Incorrect Correct answer

Measles
Correct Incorrect Correct answer

Rabies
Correct Incorrect Correct answer

Varicella Zoster virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 46 of 69

46. Question

Which of the following is not associated with congenital cytomegalovirus infection?

Fetal anaemia
Correct Incorrect Correct answer

Intra-uterine fetal growth restriction
Correct Incorrect Correct answer

Hearing loss
Correct Incorrect Correct answer

Hepatosplenomegaly
Correct Incorrect Correct answer

Microcephaly
Correct Incorrect Correct answer

Correct

Incorrect

Question 47 of 69

47. Question

What is the transmission rate of primary herpes simplex virus 2 (HSV2) if acquired in the third trimester?

1%
Correct Incorrect Correct answer

5%
Correct Incorrect Correct answer

10%
Correct Incorrect Correct answer

20%
Correct Incorrect Correct answer

40%
Correct Incorrect Correct answer

Correct

Incorrect

Question 48 of 69

48. Question

A 28 year old primiparous woman is confirmed to have parvovirus B19 infection at 20 weeks gestation.What is the optimum surveillance method on ultrasound to screen for fetal anaemia?

Middle cerebral artery Doppler peak systolic velocity (PSV)
Correct Incorrect Correct answer

Middle cerebral artery Doppler pressure index (PI)
Correct Incorrect Correct answer

Middle cerebral artery Doppler resistance index (PI)
Correct Incorrect Correct answer

Umbilical artery Doppler pressure index (PI)
Correct Incorrect Correct answer

Umbilical artery Doppler resistance index (PI)
Correct Incorrect Correct answer

Correct

Incorrect

Question 49 of 69

49. Question

A woman books for antenatal care at 32 weeks having moved to the UK from Brazil and is referred for an ultrasound scan which shows severe microcephaly with a head circumference below the 1^st Earlier in the pregnancy she describes having had a mild flu-like illness with headache, conjunctivitis and joint pain. What is the most likely causative organism?

Cytomegalovirus
Correct Incorrect Correct answer

Rubella
Correct Incorrect Correct answer

Toxoplasma gondii
Correct Incorrect Correct answer

Varicella Zoster virus
Correct Incorrect Correct answer

Zika virus
Correct Incorrect Correct answer

Correct

Incorrect

Question 50 of 69

50. Question

A 30 year old woman presents at 28 weeks gestation in her first pregnancy having recently returned from a trip to visit family in Nigeria where she did not take malaria prophylaxis. She reports episodes of high fever associated with rigors, arthralgia and dark coloured urine. What is the most appropriate test to confirm the diagnosis?

Full blood count
Correct Incorrect Correct answer

Blood cultures
Correct Incorrect Correct answer

Malaria rapid diagnostic test
Correct Incorrect Correct answer

Malaria RT-PCR
Correct Incorrect Correct answer

Thick and thin blood film
Correct Incorrect Correct answer

Correct

Incorrect

Question 51 of 69

51. Question

A 30 year old woman presents at 28 weeks gestation in her first pregnancy having recently returned from a trip to visit family in Nigeria where she did not take malaria prophylaxis. She reports episodes of high fever associated with rigors, arthralgia and dark coloured urine. Thick and thin blood films confirm the presence of malaria parasitaemia. What is the most likely causative organism?

Plasmodium falciparum
Correct Incorrect Correct answer

Plasmodium knowlesi
Correct Incorrect Correct answer

Plasmodium malariae
Correct Incorrect Correct answer

Plasmodium ovale
Correct Incorrect Correct answer

Plasmodium vivax
Correct Incorrect Correct answer

Correct

Incorrect

Question 52 of 69

52. Question

A 30 year old woman presents at 28 weeks gestation in her first pregnancy having recently returned from a trip to visit family in Nigeria where she did not take malaria prophylaxis. She reports episodes of high fever associated with rigors, arthralgia and dark coloured urine. Thick and thin blood films confirm the presence of malaria parasitaemia and Plasmodium falciparum malaria rapid diagnostic test is positive.She is found to be hypoglycaemic, jaundiced and severely anaemic and appears confused and disorientated. What is the most appropriate treatment?

IV artesunate
Correct Incorrect Correct answer

IV quinine
Correct Incorrect Correct answer

Oral artesunate
Correct Incorrect Correct answer

Oral chloroquine
Correct Incorrect Correct answer

Oral quinine and oral clindamycin
Correct Incorrect Correct answer

Correct

Incorrect

Question 53 of 69

53. Question

What is the most frequent cause of severe early onset infection in newborn infants?

Escherichia coli
Correct Incorrect Correct answer

Haemophilus influenzae
Correct Incorrect Correct answer

Listeria monocytogenes
Correct Incorrect Correct answer

Staphylococcus epidermidis
Correct Incorrect Correct answer

Streptococcus agalactiae
Correct Incorrect Correct answer

Correct

Incorrect

Question 54 of 69

54. Question

What percentage of pregnant women are carriers of Group B streptococcus?

5%
Correct Incorrect Correct answer

15%
Correct Incorrect Correct answer

30%
Correct Incorrect Correct answer

50%
Correct Incorrect Correct answer

75%
Correct Incorrect Correct answer

Correct

Incorrect

Question 55 of 69

55. Question

A 30 year old woman attends antenatal clinic at 36 weeks gestation in her first pregnancy requesting screening for Group B streptococcus (GBS).Which of these statements about GBS screening is incorrect?

Between 17% and 25% of women who have a positive swab at 35–37 weeks of gestation will be GBS negative at delivery
Correct Incorrect Correct answer

Between 17% and 25% of women who are GBS negative at 35–37 weeks of gestation will be GBS positive at delivery
Correct Incorrect Correct answer

Many women carry the bacteria and, in the majority of cases, their babies are born safely and without developing an infection.
Correct Incorrect Correct answer

Screening women late in pregnancy cannot accurately predict which babies will develop GBS infection.
Correct Incorrect Correct answer

Universal bacteriological screening for GBS is not recommended
Correct Incorrect Correct answer

Correct

Incorrect

Question 56 of 69

56. Question

Which of the following scenarios is not associated with an increased risk of early onset GBS disease?

Para 0 – confirmed PPROM at 36 weeks gestation
Correct Incorrect Correct answer

Para 0 – IOL for prolonged rupture of membranes at 41 weeks gestation
Correct Incorrect Correct answer

Para 1 – incidental GBS detected on high vaginal swab performed for vaginal discharge at 36 weeks gestation
Correct Incorrect Correct answer

Para 1 – previous GBS bacteriuria in previous pregnancy, negative GBS swab at 36 weeks gestation
Correct Incorrect Correct answer

Para 1 – previous baby affected by GBS infection, negative GBS swab at 36 weeks gestation
Correct Incorrect Correct answer

Correct

Incorrect

Question 57 of 69

57. Question

A 30 year old woman attends antenatal clinic at 32 weeks gestation in her second pregnancy which is a dichorionic twin pregnancy.Her first pregnancy was a singleton pregnancy where she was induced for postdates at 41 weeks and received intrapartum antibiotic prophylaxis due to a history of GBS bacteriuria. What is the likelihood of maternal GBS carriage in this current pregnancy?

30%
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40%
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50%
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60%
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70%
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Question 58 of 69

58. Question

A pregnant woman presents with a history of contact with a person diagnosed with tuberculosis. Which test is recommended to screen for latent tuberculosis infection in pregnancy?

Acid-fast bacilli (AFB) smear
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Chest X-ray
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Interferon-gamma release assay (IGRA)
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Mantoux tuberculin skin test
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Sputum culture
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Question 59 of 69

59. Question

A pregnant woman presents with a history of contact with a person diagnosed with tuberculosis and has a positive IGRA. What is the most appropriate next investigation to obtain rapid confirmation of current tuberculosis infection?

Acid-fast bacilli (AFB) smear
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Chest X-ray
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Interferon-gamma release assay (IGRA)
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Mantoux tuberculin skin test
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Sputum culture
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Question 60 of 69

60. Question

A pregnant woman is known to have chronic HBV with a low viral load and positive hepatitis B surface antigen (HbsAg) only. What is the recommended intervention to prevent vertical transmission to the newborn?

Hepatitis B vaccine
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Hepatitis B immunoglobulin (HBIG)
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Hepatitis B vaccine and Hepatitis B immunoglobulin (HBIG)
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Lamivudine
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Ribavirin
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Question 61 of 69

61. Question

A pregnant woman is found to be positive for hepatitis B surface antigen (HBsAg) and hepatitis B envelope antigen (HbeAg). What is the recommended intervention to prevent vertical transmission to the newborn?

Hepatitis B vaccine
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Hepatitis B immunoglobulin (HBIG)
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Hepatitis B vaccine and Hepatitis B immunoglobulin (HBIG)
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Lamivudine
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Ribavirin
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Incorrect

Question 62 of 69

62. Question

Which of the following serology results is suggestive of acute hepatitis B infection?

Answer Option HBsAg HBeAg Anti-HBc Anti HBs IgM anti-HBc

A Positive Positive Positive Positive Negative

B Positive Negative Positive Negative Negative

C Negative Negative Positive Positive Negative

D Negative Negative Negative Positive Negative

E Negative Negative Negative Negative Negative

A
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B
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C
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D
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E
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Correct

Incorrect

Question 63 of 69

63. Question

Which of the following serology results is suggestive of chronic hepatitis B infection?

Answer Option HBsAg HBeAg Anti-HBc Anti HBs IgM anti-HBc

A Positive Positive Positive Positive Negative

B Positive Negative Positive Negative Negative

C Negative Negative Positive Positive Negative

D Negative Negative Negative Positive Negative

E Negative Negative Negative Negative Negative

A
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B
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C
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D
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E
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Correct

Incorrect

Question 64 of 69

64. Question

Which of the following serology results is suggestive of resolved hepatitis B infection?

Answer Option HBsAg HBeAg Anti-HBc Anti HBs IgM anti-HBc

A Positive Positive Positive Positive Negative

B Positive Negative Positive Negative Negative

C Negative Negative Positive Positive Negative

D Negative Negative Negative Positive Negative

E Negative Negative Negative Negative Negative

A
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B
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C
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D
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E
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Correct

Incorrect

Question 65 of 69

65. Question

Which of the following serology results is suggestive of successful Hepatitis B vaccination?

Answer Option HBsAg HBeAg Anti-HBc Anti HBs IgM anti-HBc

A Positive Positive Positive Positive Negative

B Positive Negative Positive Negative Negative

C Negative Negative Positive Positive Negative

D Negative Negative Negative Positive Negative

E Negative Negative Negative Negative Negative

A
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B
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C
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D
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E
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Correct

Incorrect

Question 66 of 69

66. Question

Which bacterial pathogen is associated with the development of postpartum mastitis in breastfeeding women?

Escherichia coli
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Neisseria gonorrhoeae
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Staphylococcus aureus
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Staphylococcus epidermidis
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Streptococcus agalactiae
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Question 67 of 69

67. Question

Which organism is associated with the development of toxic shock syndrome (TSS) in postpartum women?

Escherichia coli
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Neisseria gonorrhoeae
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Staphylococcus aureus
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Staphylococcus epidermidis
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Streptococcus agalactiae
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Incorrect

Question 68 of 69

68. Question

Which of the following scenarios is an indication for Caesarean birth to reduce vertical transmission?

Concurrent maternal HIV and hepatitis B infection
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Concurrent maternal HIV and hepatitis C infection
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Maternal HIV infection
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Maternal hepatitis B infection
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Maternal hepatitis C infection
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Question 69 of 69

69. Question

Which of the following reduces the risk of endometritis after Caesarean section?

Alcohol-based chlorhexidine skin preparation
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Alcohol-based chlorhexidine vaginal preparation
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Alcohol-based chlorhexidine vaginal preparation if ruptured membranes
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Aqueous iodine skin preparation
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Aqueous iodine vaginal preparation if ruptured membranes
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Incorrect

Answer Option	HBsAg	HBeAg	Anti-HBc	Anti HBs	IgM anti-HBc
A	Positive	Positive	Positive	Positive	Negative
B	Positive	Negative	Positive	Negative	Negative
C	Negative	Negative	Positive	Positive	Negative
D	Negative	Negative	Negative	Positive	Negative
E	Negative	Negative	Negative	Negative	Negative