These are real published questions used in MedQgulf practice sessions. Sign up for the full bank to access every obstetrics & gynaecology mcqs.
Sample 1·Obstetrics & Gynaecology
A 28-week pregnant woman has BP 160/110 with proteinuria +++ and headache. Which antihypertensive is FIRST line?
- AACE inhibitor
- ✓Labetalol
- CAtenolol
- DLosartan
Explanation
Severe pre-eclampsia: labetalol IV is first-line; ACE-I/ARBs are contraindicated in pregnancy.
Sample 2·Obstetrics & Gynaecology
A rhesus-negative woman at 28 weeks with no sensitising events. Best intervention?
- ANo action needed
- ✓Prophylactic anti-D immunoglobulin
- CKleihauer test only
- DAmniocentesis
Explanation
Routine antenatal anti-D at 28 weeks prevents Rh isoimmunisation.
Sample 3·Obstetrics & Gynaecology
A 28-year-old at 8 weeks has vaginal bleeding and severe left iliac fossa pain. Serum β-hCG 3500, no intrauterine gestation on TVS. Diagnosis?
- AThreatened miscarriage
- ✓Ectopic pregnancy
- CMolar pregnancy
- DCorpus luteum cyst
Explanation
β-hCG >1500 with empty uterus on TVS is highly suggestive of ectopic pregnancy.
Sample 4·Obstetrics & Gynaecology
A 26-week gestation woman presents in preterm labour. Best intervention to reduce neonatal morbidity?
- AIV magnesium sulfate
- ✓Antenatal corticosteroids
- CTocolysis with nifedipine
- DIV antibiotics
Explanation
Antenatal corticosteroids (betamethasone) 24–34 weeks reduce RDS, IVH and neonatal mortality.
Sample 5·Obstetrics & Gynaecology
A woman in active labour has a prolonged deceleration to 60 bpm for 4 minutes on CTG. Best immediate step?
- AAwait spontaneous recovery
- ✓Left lateral position, O2, IV fluids, stop oxytocin
- CCategory 1 caesarean immediately
- DApply ventouse
Explanation
Intrauterine resuscitation: reposition, O2, fluids, stop oxytocin; if fails, expedite delivery.