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{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Clozapine would not be prescribed for nausea and vomiting, and does not commonly cause visual hallucinations", "id": "34227", "label": "c", "name": "Clozapine 12.5mg...
MarksheetMark
173,458,655
false
28
null
6,494,967
null
false
[]
null
6,854
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Ibuprofen does not commonly cause thrombocytopenia", "id": "34219", "label": "e", "name": "Ibuprofen 400mg PO PRN", "picture": null, "votes": 314 }, ...
MarksheetMark
173,458,656
false
29
null
6,494,967
null
false
[]
null
6,880
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Intravenous magnesium is commonly given for severe acute exacerbations of asthma and levels may be monitored during treatment. However it is not being used here", "id": "34349",...
MarksheetMark
173,458,657
false
30
null
6,494,967
null
false
[]
null
6,881
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "This is not necessary prior to administering gentamicin", "id": "34354", "label": "e", "name": "Visual fields assessment", "picture": null, "votes": 48 ...
MarksheetMark
173,458,658
false
31
null
6,494,967
null
false
[]
null
6,874
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Digoxin levels should be taken no earlier than 6 hours after a dose as this may lead to inaccurate dose adjustments being made from a falsely elevated level", "id": "34316", ...
MarksheetMark
173,458,659
false
32
null
6,494,967
null
false
[]
null
6,876
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Amiodarone is a potassium channel blocker and as such imbalances in potassium should be corrected prior to starting this drug, rather than sodium", "id": "34328", "label":...
MarksheetMark
173,458,660
false
33
null
6,494,967
null
false
[]
null
6,875
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Dyspepsia is not a known adverse effect associated with warfarin", "id": "34321", "label": "b", "name": "Patient reports new dyspepsia", "picture": null, ...
MarksheetMark
173,458,701
false
1
null
6,494,970
null
false
[]
null
9,993
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst PCOS is associated with impaired glucose tolerance and type 2 diabetes, a fasting serum blood glucose would not aid in diagnosing PCOS.", "id": "49785", "label": "d...
MarksheetMark
173,458,702
false
2
null
6,494,970
null
false
[]
null
9,994
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Pelvic muscle retraining is a first-line management strategy for uncomplicated stress urinary incontinence. Whilst this woman has an element of stress incontinence (urine leakage on c...
MarksheetMark
173,458,703
false
3
null
6,494,970
null
false
[]
null
9,995
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "This woman has features of lichen sclerosus, an inflammatory skin condition that often affects the vulva. It appears as hypopigmentation of the vulval and perianal skin, characteristic...
MarksheetMark
173,458,704
false
4
null
6,494,970
null
false
[]
null
9,997
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "This woman has polycystic ovary syndrome (PCOS). PCOS can be diagnosed using the Rotterdam criteria, where two of the following three are present:\n \n\n - Oligo- or amenorrhoea\n - Cl...
MarksheetMark
173,458,705
false
5
null
6,494,970
null
false
[]
null
9,998
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "BMI should be recorded and documented prior to initiating combined hormonal contraception in all women, even those who do not appear overweight. Women with a BMI ≥35 kg/m<sup>2</sup> g...
MarksheetMark
173,458,706
false
6
null
6,494,970
null
false
[]
null
10,000
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "The progestogen-only subdermal implant contains etonogestrel, which, although is less androgenic than levonorgestrel, can also have the side effect of causing or worsening acne. In ad...
MarksheetMark
173,458,707
false
7
null
6,494,970
null
false
[]
null
10,001
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "Gestational (or pregnancy-induced) hypertension is defined by two blood pressure readings of ≥140/90 mmHg on two occasions (at least 4 hours apart) after 20 weeks gestation in a previo...
MarksheetMark
173,458,708
false
8
null
6,494,970
null
false
[]
null
10,002
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst chlamydia trachomatis is the most common sexually transmitted infection; it typically does not present with a vulval itch. In most women, chlamydia infection is asymptomatic; h...
MarksheetMark
173,458,709
false
9
null
6,494,970
null
false
[]
null
10,003
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Mifepristone is an antiprogestogenic steroid used in medical termination of pregnancy. Whilst this woman wishes to proceed with termination of pregnancy, the location of the pregnancy...
MarksheetMark
173,458,710
false
10
null
6,494,970
null
false
[]
null
10,004
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "This woman has an obvious abnormality. Although this is likely to be fibroids, intrauterine contraception should only be used in women with fibroids after seeking specialist advice. S...
MarksheetMark
173,458,711
false
11
null
6,494,970
null
false
[]
null
10,006
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Women should stop taking combined hormonal contraception over the age of 50.", "id": "49851", "label": "e", "name": "She can continue to take it indefinitely", ...
MarksheetMark
173,458,712
false
12
null
6,494,970
null
false
[]
null
10,007
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "In active management, the placenta is delivered by controlled cord traction.", "id": "49854", "label": "c", "name": "Allowing the placenta to deliver via uterine con...
MarksheetMark
173,458,713
false
13
null
6,494,970
null
false
[]
null
10,008
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "HELLP (Haemolysis, Elevated Liver enzymes and Low Platelets) syndrome is a severe life-threatening condition in pregnancy. This patient has evidence of haemolysis (low haemoglobin, ele...
MarksheetMark
173,458,714
false
14
null
6,494,970
null
false
[]
null
10,009
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Sequential therapy is suitable for women with a uterus. These women require endometrial protection in the form of a progestogen (either oral or via a Mirena coil). This woman does not...
MarksheetMark
173,458,715
false
15
null
6,494,970
null
false
[]
null
10,010
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Intrapartum antibiotics would be indicated if this person's urine had grown a group B streptococcus.", "id": "49869", "label": "c", "name": "Advise intrapartum antib...
MarksheetMark
173,458,716
false
16
null
6,494,970
null
false
[]
null
10,011
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "The subdermal implant appears to have been in situ for less than three years, therefore does not require replacement unless requested by the patient. Whilst irregular bleeding can occ...
MarksheetMark
173,458,717
false
17
null
6,494,970
null
false
[]
null
10,012
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst an abdominal or transvaginal ultrasound scan is likely to form part of the investigation of this woman, it is usually requested following urgent gynaecology referral.", "...
MarksheetMark
173,458,718
false
18
null
6,494,970
null
false
[]
null
10,013
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst chromosomal abnormalities are a common cause of spontaneous miscarriage, this mother has other features that point toward an infective cause.", "id": "49886", "labe...
MarksheetMark
173,458,719
false
19
null
6,494,970
null
false
[]
null
10,014
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Sulfasalazine is unlikely to be contributing to her vaginal bleeding and should not be suddenly stopped in a patient with inflammatory arthritis.", "id": "49891", "label":...
MarksheetMark
173,458,720
false
20
null
6,494,970
null
false
[]
null
10,015
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "An artificial rupture of membranes (ARM) can only be performed where the cervix is favourable, the foetus is well engaged, and there is space to access the cervical os.", "id": ...
MarksheetMark
173,458,721
false
21
null
6,494,970
null
false
[]
null
10,016
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Implantation bleeding occurs in the two weeks following conception, as the embryo implants into the endometrium. This woman is approximately 11 weeks gestation, which is after any imp...
MarksheetMark
173,458,722
false
22
null
6,494,970
null
false
[]
null
10,017
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "Polymorphic eruption of pregnancy is also known as PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy). This usually starts on the abdomen, spares the umbilicus, and may sprea...
MarksheetMark
173,458,723
false
23
null
6,494,970
null
false
[]
null
10,018
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Oestradiol is not tested for as part of combined screening.", "id": "49911", "label": "e", "name": "Oestradiol", "picture": null, "votes": 25 }, ...
MarksheetMark
173,458,724
false
24
null
6,494,970
null
false
[]
null
10,019
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Imperforate hymen would not affect the development of secondary sexual characteristics and usually manifests with cyclical pain.", "id": "49914", "label": "c", "name...
MarksheetMark
173,458,725
false
25
null
6,494,970
null
false
[]
null
10,020
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Gram-negative rods", "id": "49921", "label": "e", "name": "Gram-positive cocci on a vaginal specimen may indicate bacterial vaginosis.", "picture": null, ...
MarksheetMark
173,458,726
false
26
null
6,494,970
null
false
[]
null
10,021
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst ovarian torsion is a sensible differential, a ruptured ovarian cyst is more common. Combined with the fact she is mid-cycle and that the pain seems to have alleviated slightly,...
MarksheetMark
173,458,727
false
27
null
6,494,970
null
false
[]
null
10,022
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "Previous history of uterine rupture is a contraindication to vaginal birth after caesarean section. Other contraindications include a classical (vertical) caesarean section scar, and a...
MarksheetMark
173,458,728
false
28
null
6,494,970
null
false
[]
null
10,023
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst a urinary pregnancy test may form part of this woman's investigations, she does not disclose any unprotected intercourse. Pregnancy is not a likely cause of a 6-month history o...
MarksheetMark
173,458,729
false
29
null
6,494,970
null
false
[]
null
10,024
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Signet ring cells seen within the ovary are most commonly metastasis from gastrointestinal cancer.", "id": "49938", "label": "b", "name": "Endometrial cancer", ...
MarksheetMark
173,458,730
false
30
null
6,494,970
null
false
[]
null
10,025
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": true, "explanation": "Women with stress urinary incontinence should be referred for a trial of at least three months of supervised pelvic floor muscle training (PFMT).", "id": "49942", "label": ...
MarksheetMark
173,458,731
false
31
null
6,494,970
null
false
[]
null
10,026
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Foetal MRI is indicated in very specific cases where ultrasound findings are equivocal e.g. spina bifida, suspicious masses. In this case the ultrasound findings are common to congeni...
MarksheetMark
173,458,732
false
32
null
6,494,970
null
false
[]
null
10,027
{ "__typename": "QuestionSBA", "choices": [ { "__typename": "QuestionChoice", "answer": false, "explanation": "Whilst uterine rupture is a cause of foetal distress, this usually presents with sudden onset and continuous abdominal pain. There is often a history of previous caesarean section.", ...
MarksheetMark