RCPSC Obstetrics and Gynecology Practice Questions - Royal College Certification Examination in Obstetrics and Gynecology Exam - RCPSC Obstetrics and Gynecology Practice Questions - Royal College Certification Examination in Obstetrics and Gynecology Exam

Question 1

A 28-year-old G1P0 at 39 weeks gestation presents in active labor. Fetal heart rate monitoring is Category I. According to SOGC guidelines, what is the recommended frequency for intermittent auscultation during the active phase of the first stage of labor?

Every 15 to 30 minutes, immediately following a contraction, for at least 60 seconds Every 5 to 15 minutes, during a contraction, for at least 30 seconds Every 30 to 60 minutes, between contractions, for at least 15 seconds Every 10 to 20 minutes, immediately following a contraction, for at least 30 seconds

Correct Answer:

Every 15 to 30 minutes, immediately following a contraction, for at least 60 seconds

Question 2

A 32-year-old G2P1 at 38 weeks gestation has continuous electronic fetal monitoring (EFM) in labor. The tracing shows a baseline of 145 bpm, moderate variability, and late decelerations associated with more than 50% of uterine contractions. What is the most appropriate initial management step?

Perform intrauterine resuscitation, including lateral positioning, IV fluid bolus, and discontinuation of oxytocin Perform emergency cesarean delivery immediately Perform fetal scalp blood sampling for pH Apply internal fetal scalp electrode

Correct Answer:

Perform intrauterine resuscitation, including lateral positioning, IV fluid bolus, and discontinuation of oxytocin

Question 3

A 24-year-old nulliparous patient in active labor has been dilated at 6 cm for the last 4 hours despite ruptured membranes and adequate uterine contractions (confirmed by intrauterine pressure catheter showing 250 Montevideo units). What is the diagnosis?

Active phase arrest Active phase protraction Latent phase prolongation Normal labor progression

Correct Answer:

Active phase arrest

Question 4

A 29-year-old G1P0 at 37 weeks gestation is diagnosed with gestational hypertension. Her blood pressures are consistently 145/95 mmHg, and she has no proteinuria or severe features. What is the most appropriate management plan?

Initiate induction of labor Admit for bed rest and initiate oral labetalol Schedule elective cesarean delivery at 39 weeks Continue outpatient expectant management with delivery at 40 weeks

Correct Answer:

Initiate induction of labor

Question 5

Which of the following clinical findings meets the SOGC criteria for preeclampsia with severe features (severe preeclampsia)?

New-onset headache refractory to acetaminophen or visual disturbances Proteinuria of 3 g in a 24-hour urine collection Systolic blood pressure of 150 mmHg on two occasions 4 hours apart Fetal growth restriction at the 9th percentile

Correct Answer:

New-onset headache refractory to acetaminophen or visual disturbances

Exam overview

About this Exam

Prepare with the RCPSC Obstetrics and Gynecology Practice Questions - Royal College Certification Examination in Obstetrics and Gynecology Exam practice quiz. This question bank includes 100 questions covering patient, year-old, weeks, gestation, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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RCPSC Obstetrics and Gynecology Practice Questions - Royal College Certification Examination in Obstetrics and Gynecology Exam

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

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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RCPSC Obstetrics and Gynecology Practice Questions - Royal College Certification Examination in Obstetrics and Gynecology Exam

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