Obstetrics and Gynaecology

60 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…

Clinical rotations · middle twist

A 31-year-old woman developed a proximal deep vein thrombosis at 32 weeks gestation and has received therapeutic low-molecular-weight heparin since diagnosis. S…

Clinical rotations · common

A 29-year-old woman at 28 weeks gestation presents with sudden pleuritic chest pain and breathlessness. Her pulse is 108/min, oxygen saturation is 97% on room a…

Clinical rotations · middle twist

A 25-year-old woman had a levonorgestrel-releasing intrauterine device inserted six months ago. She now has a missed period, lower abdominal pain worse on the r…

Clinical rotations · common

A 39-year-old woman wants reliable contraception and has heavy, painful periods. She is taking rifampicin for tuberculosis and has no uterine abnormality on exa…

Clinical rotations · middle twist

A 47-year-old woman has developed bleeding between otherwise irregular periods over the past four months. She has a body mass index of 36 kg/m² and polycystic o…

Clinical rotations · middle twist

A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…

Clinical rotations · common

A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not…

Clinical rotations · common

A 31-year-old woman at 9 weeks of pregnancy presents with vaginal bleeding and cramping after passing several clots. Her pulse is 88 beats/minute, blood pressur…

Clinical rotations · middle twist

A 34-year-old woman is reviewed after treatment with single-dose intramuscular methotrexate for a confirmed, unruptured tubal ectopic pregnancy. She remains wel…

Clinical rotations · middle twist

A 24-year-old woman at 10 weeks of pregnancy has vomited repeatedly for three weeks and has lost 7 kg. She is alert, with a pulse of 104 beats/minute and blood…

Clinical rotations · common

A 27-year-old woman with a desired pregnancy presents at 8 weeks with mild vaginal bleeding but no pain. Transvaginal ultrasonography shows an intrauterine gest…

Clinical rotations · middle twist

A 29-year-old woman has 6 weeks of amenorrhoea and two days of increasing right iliac fossa pain. Transvaginal ultrasonography shows a 30-mm right tubal gestati…

Clinical rotations · middle twist

A 32-year-old woman presents at 7 weeks of pregnancy with left lower abdominal pain and light vaginal bleeding. The pregnancy followed in-vitro fertilisation, a…

Clinical rotations · common

Nine days after a vaginal birth, a woman presents with recurrent bleeding, a temperature of 38.3°C and lower abdominal pain. The uterus is tender and larger tha…

Clinical rotations · middle twist

Immediately after delivery, a woman becomes pale and hypotensive and reports severe pelvic pain. A smooth, dark-red mass is visible at the introitus; the placen…

Clinical rotations · middle twist

Thirty-five minutes after a vaginal birth, the placenta has not separated and the woman has lost 900 mL of blood. The uterus is firm, the placenta is palpable a…

Clinical rotations · common

A 29-year-old woman has a 1.4 L haemorrhage after an uncomplicated vaginal birth. The placenta is complete and there is no vaginal or cervical tear. Despite ute…

Clinical rotations · middle twist

A 32-year-old woman at 10 weeks’ gestation presents with four days of almost no sleep, excessive spending and increasingly intrusive plans to start several busi…

Clinical rotations · middle twist

A 27-year-old woman attends for a travel health consultation. She has never had cervical screening despite two invitation letters from the National Cancer Scree…

Clinical rotations · middle twist