CMSA FCOG(SA) Part II Practice Questions - Fellowship of the College of Obstetricians and Gynaecologists of South Africa Part II Exam - CMSA FCOG(SA) Part II Practice Questions - Fellowship of the College of Obstetricians and Gynaecologists of South Africa Part II Exam

Question 1

A 32-year-old G2P1 at 34 weeks gestation presents to the labor ward with a blood pressure of 165/110 mmHg, 3+ proteinuria, and severe frontal headache. According to South African ESMOE and National Department of Health guidelines, what is the initial loading dose of Magnesium Sulfate for eclampsia prophylaxis?

4 g IV slowly over 10-15 minutes plus 10 g IM (5 g in each buttock) 6 g IV bolus over 5 minutes followed by 2 g/hour IV infusion 2 g IV bolus over 20 minutes followed by 5 g IM in one buttock 10 g IV bolus over 30 minutes with no maintenance dose

Correct Answer:

4 g IV slowly over 10-15 minutes plus 10 g IM (5 g in each buttock)

Question 2

A 28-year-old primigravida at 38 weeks gestation develops severe postpartum hemorrhage following a precipitate vaginal delivery. After administration of Oxytocin 10 IU IM and Ergometrine 0.5 mg IM, her blood pressure is 150/100 mmHg and uterine atony persists. Which uterotonic agent is contraindicated in this patient?

Misoprostol 800 mcg sublingually or rectally Ergometrine 0.5 mg IV repeated Oxytocin 20 IU in 1000 mL Ringers Lactate IV infusion Carboprost (15-methyl PGF2a) 250 mcg IM

Correct Answer:

Ergometrine 0.5 mg IV repeated

Question 3

A 34-year-old G3P2 at 32 weeks gestation undergoes umbilical artery Doppler ultrasonography for suspected fetal growth restriction (FGR). The Doppler spectrum demonstrates absent end-diastolic flow (AEDF). What is the appropriate immediate clinical management?

Immediate emergency caesarean delivery within 1 hour Administer antenatal corticosteroids, initiate intensive fetal surveillance (ductus venosus Doppler, biophysical profile), and plan delivery at 34 weeks or earlier if deteriorated Discharge home with weekly umbilical artery Doppler monitoring Initiate maternal hyperoxygenation and re-evaluate Doppler in 4 weeks

Correct Answer:

Administer antenatal corticosteroids, initiate intensive fetal surveillance (ductus venosus Doppler, biophysical profile), and plan delivery at 34 weeks or earlier if deteriorated

Question 4

A 26-year-old primigravida at 30 weeks gestation presents with painful vaginal bleeding, uterine hypertonus, and fetal bradycardia of 90 bpm. Her blood pressure is 150/95 mmHg. Bedside ultrasound shows a retroplacental hematoma. What is the most common maternal underlying risk factor for this condition?

Gestational diabetes mellitus Hypothyroidism Hypertensive disorders of pregnancy Intrahepatic cholestasis of pregnancy

Correct Answer:

Hypertensive disorders of pregnancy

Question 5

A 30-year-old G2P1 at 28 weeks twin gestation is diagnosed with Monochorionic Diamniotic (MCDA) twins. Ultrasound reveals Twin A with polyhydramnios (deepest vertical pocket DVP 11 cm) and a distended bladder, while Twin B has oligohydramnios (DVP 1.5 cm) and an non-visualized bladder. According to Quintero criteria, what stage of Twin-to-Twin Transfusion Syndrome (TTTS) is present?

Stage I Stage II Stage III Stage IV

Correct Answer:

Stage I

Question 1

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Prepare with the CMSA FCOG(SA) Part II Practice Questions - Fellowship of the College of Obstetricians and Gynaecologists of South Africa Part II Exam practice quiz. This question bank includes 100 questions covering year-old, woman, presents, weeks, and gestation. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMSA FCOG(SA) Part II Practice Questions - Fellowship of the College of Obstetricians and Gynaecologists of South Africa Part II Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, woman, presents, weeks, and gestation. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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CMSA FCOG(SA) Part II Practice Questions - Fellowship of the College of Obstetricians and Gynaecologists of South Africa Part II Exam

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