Category: Obstetrics & Gynaecology

FCEM2-1288

You review a 62-year-old woman who presents with vaginal discharge. She has been experiencing these symptoms for the past six weeks and describes the discharge as having a slight odor. The patient is not sexually active and has never had a similar discharge before. Additionally, she reports a single episode of visible blood in her urine one week ago but has not experienced any further episodes or discomfort while urinating.

What would be the MOST SUITABLE next course of action for managing this patient?

FCEM2-1289

A 32-year-old woman with a previous history of salpingitis presents with excessive vaginal bleeding. Her pregnancy test is positive, and a preliminary diagnosis of an ectopic pregnancy is made.

What is the most frequent anatomical site for an ectopic pregnancy to occur?

FCEM2-1290

A 30-year-old woman who is 10-weeks pregnant comes in with abdominal pain and vaginal bleeding. During the examination, her cervix is found to be open. A local early pregnancy assessment unit (EPAU) performs an ultrasound scan. The scan is unable to detect a fetal heartbeat but does show the presence of retained products of conception.

What is the SINGLE most probable diagnosis?

FCEM2-1291

You assess a patient who has experienced a minor antepartum bleeding. You have a conversation with the obstetric team about the necessity of rhesus-D prophylaxis.
Which ONE statement about anti-D is accurate?

FCEM2-1292

A 45-year-old woman that is 42-weeks pregnant becomes suddenly very breathless shortly after going into labor. An ambulance is called, and she is ‘blue lighted’ into the resus area of your Emergency Department. She appears cyanosed and states that her heart feels like it is ‘beating very quickly’. Shortly after arriving in the Emergency Department, she becomes unresponsive. You notice a change in rhythm to ventricular fibrillation on the cardiac monitor and are unable to detect a pulse or any signs of life. She receives three stacked shocks and is managed according to the ALS algorithm, but initial attempts at resuscitation are unsuccessful.
Which of the following management options is most likely to improve his likelihood of successful resuscitation?

FCEM2-1293

A 25-year-old woman comes in with a slight vaginal bleeding and lower abdominal discomfort. Her pregnancy test shows positive results. During the examination, she experiences tenderness in the right iliac fossa and right-sided adnexa. Additionally, she exhibits cervical motion tenderness.

What is the SINGLE most probable diagnosis?

FCEM2-1294

A 72-year-old woman comes in with a dark reddish-brown vaginal discharge that has been ongoing for a couple of weeks. She has been on hormone replacement therapy (HRT) for the past ten years but does not take any other regular medications and is currently in good health.
What is the MOST suitable initial investigation for this patient?

FCEM2-1295

A 32-year-old woman who is 38 weeks pregnant is brought to the Emergency Department after experiencing sudden difficulty breathing. Shortly after her arrival, she loses consciousness. The cardiac monitor displays ventricular fibrillation, confirming cardiac arrest.
Which of the following statements about cardiac arrest during pregnancy is correct?

FCEM2-1296

A 32-year-old woman who is 38 weeks pregnant is brought to the Emergency Department after experiencing sudden difficulty breathing. Shortly after her arrival, she loses consciousness. The cardiac monitor displays ventricular fibrillation, confirming cardiac arrest.
Which of the following statements about cardiac arrest during pregnancy is NOT true?

FCEM2-1297

A 25-year-old woman is brought in by ambulance following a car accident where she was a passenger in a car hit by a truck at high speed. She is 32 weeks pregnant. Her vital signs are as follows: heart rate 120, blood pressure 98/62, oxygen saturation 97% on high-flow oxygen, respiratory rate 24, temperature 36.8°C. Her cervical spine is immobilized. The airway is clear, and her chest examination is normal. She has experienced a small amount of vaginal bleeding and is experiencing abdominal pain and tenderness. Two large IV needles have been inserted in her arm, and a complete set of blood tests have been sent to the laboratory, including a request for a blood type and cross-match. She has also had a small amount of vaginal bleeding and is complaining of abdominal pain. It is noted from her initial blood tests that she is rhesus D negative.
Which of the following adjustments should be made during the initial assessment?