PAST YEAR QUESTIONS & ANSWERS

Note from Webmaster: Use the back button of the browser to return to this page. The answers provided to the questions listed below are by no means absolute in terms of both factual accuracy or consistency. They are merely suggested answers offered in the hope of providing a structural framework from which students are able to derive a better idea on how to approach these questions. Please use them at your own discretion.

2003 (Main):

1.    (a)    A 38-year-old nulliparous woman is now 10 weeks' pregnant after a successful IVF treatment with a singleton pregnancy. She is very worried about foetal / chromosomal abnormalities. Describe how you would manage this patient.

        (b)    She decided on an amniocentesis and the result    revealed a karyotyping of Trisomy-21. She is now 19 weeks' pregnant. Describe your management.

2.    The patient is a 34-year-old Gravida 5 Para 4. She has been followed up in the antenatal clinic since the first trimester. She is now 32 weeks and the baby is in a breech presentation. Discuss the management of this patient - from now until delivery.

3.    Write short notes on THREE of the following conditions:

(a)    Antepartum haemorrhage.

(b)    Hypertension in pregnancy.

(c)    Management of a woman with hyperemesis gravidarum at 8 weeks' amenorrhoea.

(d)    Induction of labor.

4.    A 38-year-old woman is married to her 39-year-old husband for the last 8 years and not been able to conceive in spite of not using any form of contraception. Discuss the management of this couple with primary subfertility.

5.    A 30-year-old single woman, planning to get married the following month, attended a gynaecological clinic for routine Pap smear. On examination, she was found to have a 10-cm left ovarian cyst. Discuss the management of this woman who is asymptomatic.

6.    Write short notes on THREE of the following:

(a)    Tubal ectopic pregnancy.

(b)    Cervical intra-epithelial neoplasia (CIN).

(c)    Problems associated with intra-uterine contraceptive device.

(d)    Management of recurrent vaginal discharge.

2002 (Main):

1.    A 37-year-old Chinese female, G2P1, presents with a uterus smaller than dates at 32 weeks' amenorrhoea. Discuss how you would investigate and manage this case.

2.    Madam Wong, a G3P2, has just had a normal delivery half an hour ago. Her placenta is still not delivered yet. Discuss the management including possible complications and their treatment.

3.    Write short notes on three of the following:

a)    External cephalic version (ECV).

b)    Use of the obstetric vacuum cup for delivery.

c)    Amniocentesis.

d)    Puerperal pyrexia.

4.    A nulliparous 15-year-old single girl presents to you in the clinic at 8 weeks' amenorrhoea, requesting for pregnancy termination. Discuss the management of this patient.

5.    A 58-year-old Malay teacher, with three children, complains of a protruding mass at her introitus associated with bleeding per vaginum of one week duration. Discuss your differential diagnosis and management of this patient.

6.    Write short notes on three of the following:

a)    Intra-uterine contraceptive device (IUCD).

b)    Hormone replacement therapy (HRT).

c)    Urinary incontinence.

d)    Colposcopy. 

2001 (Main):

1.    A 32-year-old Malay primiparous had a Neville-Barnes forceps delivery for prolonged second stage. One hour later, she was found to be cold and hypotensive, with profuse vaginal bleeding. Discuss how you would manage this patient.

2.    A 40-year-old Chinese para 2 presents at 32 weeks in the Antenatal Clinic with severe headache and a BP reading of 200 / 120 mmHg. Discuss how you would manage this patient.

3.    Write short notes on three of the following:

a)    Amniotic fluid embolism.

b)    Vacuum-assisted delivery.

c)    Fetal-fetal transfusion in identical twins.

d)    Placenta accreta.

4.    A 20-year-old Indian presents with primary amenorrhoea with normal secondary sexual characteristics. Discuss how you will manage this patient.

5.    A 32-year-old Chinese presents with foul-smelling vaginal discharge and severe lower abdominal pain. Discuss how you would manage this patient.

6.    Write short notes on three of the following:

a)    abnormal Pap smear.

b)    in-vitro fertilization.

c)    atypical cystic hyperplasia of the endometrium.

d)    post-coital contraception. 

Copyright © Joseph Ong 2002