MRCOG Part 2 – Antenatal Care EMQs

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following scenarios, select the most appropriate management option:

For each of the following scenarios, select the most appropriate management option:

For each of the following scenarios, select the most appropriate management option:

For each of the following scenarios, select the most appropriate management option:

For each of the following scenarios, select the most appropriate management option:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each of the following ultrasound features, select the most appropriate diagnosis:

For each scenario described below, choose the most appropriate management:

• A 31 year old woman attends her community midwife for booking in her first pregnancy.  She has previously had a road traffic accident with open femoral fracture whilst on holiday abroad and received a two unit blood transfusion.

For each scenario described below, choose the most appropriate management:

• A 35 year old woman attends her community midwife for a routine antenatal appointment at 16 weeks gestation.  At booking, she was found to have blood group A with RhD negative but with no red cell antibodies detected. Fetal genotyping confirms that her fetus is predicted to be RhD positive.

For each scenario described below, choose the most appropriate management:

• A 35 year old woman attends her community midwife for a routine antenatal appointment at 16 weeks gestation.  At booking, she was found to have blood group A with RhD negative but with no red cell antibodies detected. Fetal genotyping confirms that her fetus is predicted to be RhD negative.

For each scenario described below, choose the most appropriate management:

• A 35 year old woman attends her community midwife for a routine antenatal appointment at 30 weeks gestation.  At booking, she was found to have blood group A with RhD negative but with no red cell antibodies detected. Fetal genotyping confirmed that her fetus is predicted to be RhD positive. Routine antibody screening at 28 weeks showed no clinically significant red cell antibodies.

For each scenario described below, choose the most appropriate management:

• A 43 year old woman attends her community midwife for booking in her first pregnancy.  She conceived this pregnancy by IVF with her partner’s sperm and donor egg.  Her past medical history includes a history of blood transfusion during open myomectomy.  Her booking bloods show a blood group of O with RhD negative and she is found to have weakly positive anti-D antibodies.

For each scenario described below, choose the most appropriate management:

• A 31 year old woman attends her community midwife for booking in her first pregnancy.  She has previously had a road traffic accident with open femoral fracture whilst on holiday abroad and received a two unit blood transfusion. Her booking bloods show a blood group of O with RhD negative and she is found to have positive anti-K antibodies with titre of 1:2.

For each scenario described below, choose the most appropriate management:

• A 43 year old woman attends her community midwife for booking in her first pregnancy.  She conceived this pregnancy by IVF with her partner’s sperm and donor egg.  Her past medical history includes a history of blood transfusion during open myomectomy.  Her booking bloods show a blood group of O with RhD negative and she is found to have anti-D antibodies with concentration of 0.3IU/mL. Fetal genotyping confirms that her fetus is predicted to be RhD positive.

For each scenario described below, choose the most appropriate management:

• A 43 year old woman attends her community midwife for booking in her first pregnancy.  She conceived this pregnancy by IVF with her partner’s sperm and donor egg.  Her past medical history includes a history of blood transfusion during open myomectomy.  Her booking bloods show a blood group of O with RhD negative and she is found to have weakly positive anti-D antibodies. Fetal genotyping confirms that her fetus is predicted to be RhD positive. At 16 weeks, repeat antibody screening confirms positive anti-D antibodies with a concentration of 2IU/mL.

For each scenario described below, choose the most appropriate management:

• A 43 year old woman attends her community midwife for booking in her first pregnancy.  She conceived this pregnancy by IVF with her partner’s sperm and donor egg.  Her past medical history includes a history of blood transfusion during open myomectomy.  Her booking bloods show a blood group of O with RhD negative and she is found to have weakly positive anti-D antibodies. Fetal genotyping confirms that her fetus is predicted to be RhD positive. At 16 weeks, repeat antibody screening confirms positive anti-D antibodies with a concentration of 5 IU/mL.

For each scenario described below, choose the most appropriate management:

• A 38 year old woman is referred to fetal medicine in her second pregnancy  as she is known to have anti-D antibodies and her most recent titre at 24 weeks gestation was 12IU/mL, having previously been 2.8IU/mL.  On ultrasound assessment, the MCA PSV is consistently >1.5MoMs and the fetus is noted to have small bilateral pleural effusions.