1. 36 year old gravida 3, para 2, presents to antenatal clinic following her anomaly scan. Scan report shows large pleural effusion, skin edema greater than 5 mm, intra abdominal ascites and no obvious congenital anomalies. Her blood group is B positive and no antibodies were detected in previous pregnancies. Choose the answer: Select Answer Offer karyotyping Thyroid function test Trans vaginal scan Cystoscopy Urinanalysis with C & S Blood for C & S Ultrasound of the upper and lower urinary tract Repeat Blood group and rhesus for both parents IVU Serum B HCG assay

2. 36 year old referred to gynaecology clinic, presents with urinary frequency, urgency, hematuria and history of recurrent urinary infections. Choose the answer: Select Answer Offer karyotyping Thyroid function test Trans vaginal scan Cystoscopy Urinanalysis with C & S Blood for C & S Ultrasound of the upper and lower urinary tract Repeat Blood group and rhesus for both parents IVU Serum B HCG assay

3. 23 year old with 3 day history of right sided lower abdominal pain and a weakly positive urine pregnancy test, is referred by GP. She is using progestogen only pill for contraception and the periods are irregular and not heavy. Her last period was 10 days ago. On examination there is only right fornix tenderness. Choose the answer: Select Answer Offer karyotyping Thyroid function test Trans vaginal scan Cystoscopy Urinanalysis with C & S Blood for C & S Ultrasound of the upper and lower urinary tract Repeat Blood group and rhesus for both parents IVU Serum B HCG assay

4. 25 year old, primi admitted at 8 weeks of gestation with severe nausea and vomiting of 10 days duration. She is tachycardic, apyrexial with normal blood pressure and is mildly dehydrated. Choose the answer: Select Answer Offer karyotyping Thyroid function test Trans vaginal scan Cystoscopy Urinanalysis with C & S Blood for C & S Ultrasound of the upper and lower urinary tract Repeat Blood group and rhesus for both parents IVU Serum B HCG assay

5. 40 year old following an uncomplicated vaginal hysterectomy a week ago, C/O watery leak since removal of catheter. She also had right loin pain and backache on first operative day which has been better with regular analgesics. On examination there is tenderness in the right loin with watery leak from vagina. Choose the answer: Select Answer Offer karyotyping Thyroid function test Trans vaginal scan Cystoscopy Urinanalysis with C & S Blood for C & S Ultrasound of the upper and lower urinary tract Repeat Blood group and rhesus for both parents IVU Serum B HCG assay

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