I.

20 random questions for Best of 5 Test

Options for Questions 1-4

A Previously vaccinated B Previous infection with immunity

C Chronic carrier D Acute infection
E Susceptible

Explanation

Five pregnant women (A, B, C, D, E) have been screened for

Question hepatitis B during pregnancy. The results are shown in the table
1 (click icon to view). The hepatitis B status of patient B is B

Five pregnant women (A, B, C, D, E) have been screened for

Question
hepatitis B during pregnancy. The results are shown in the table
2
(click icon to view). The hepatitis B status of patient C is A
Five pregnant women (A, B, C, D, E) have been screened for
Question
hepatitis B during pregnancy. The results are shown in the table
3
(click icon to view). The hepatitis B status of patient D isD
Five pregnant women (A, B, C, D, E) have been screened for
Question
hepatitis B during pregnancy. The results are shown in the table
4
(click icon to view). The hepatitis B status of patient E isC

Options for Questions 5-5

The hepatitis B e antigen is not

The hepatitis B surface antigen is not
A B detectable until jaundice has
detectable until jaundice has developed
developed
Antibodies to the hepatitis B surface Detection of IgG to the hepatitis B
C antigen are detectable 1-2 weeks D surface antigen 3 years later indicates
before the onset of jaundice that the woman is a chronic carrier
Detection of hepatitis B surface
E antigen 12 months later indicates that
the woman is a chronic carrier

Explanation

Question
A 33 year old woman has been infected with hepatitis B
5
Options for Questions 6-6

A RNA virus B Spread by feco-oral route

Associated with hepatocellular
C D Associated with chronic liver disease
carcinoma
E No treatment is currently available

Explanation

Question
Which statement regarding the hepatitis C virus is not true?
6

Options for Questions 7-7

A Is a DNA virus B Is spread by the feco-oral route

Is not associated with chronic liver Has an incubation period of 10-21
C D
disease days
Can be transmitted from mother to
E
fetus

Explanation

Question
The hepatitis D virus
7

Options for Questions 8-9

A Hepatitis B B Herpes simplex

C Varicella zoster D Human papilloma virus
E Parvovirus B 19

Explanation

Question
Terratogenic virus C
8
Question
Virus typically associated with fetal hydrops E
9

Options for Questions 10-10

A Clinical history and examination B Viral culture

 C PCR D Serology
E Electron microscopy

Explanation

Question A 21 year old woman is thought to have primary genital herpes at 6

10 weeks gestation. The diagnosis should be confirmed using

Options for Questions 11-11

Infection in pregnancy causes

A Is a DNA virus B
congenital anomalies
Recurrent infection does not cause
C D Is a sexually transmitted infection
congenital anomalies
Virus is excreted in urine of infected
E
neonates

Explanation

Question
Which statement regarding cytomegalovirus is not true?
11

Options for Questions 12-12

A Is a DNA virus B Is terratogenic

Infection in pregnancy is treated with Primary infection at term is an
C D
ganciclovir indication for caesarean section
Infection always results in a chronic
E
carrier state

Explanation

Question
Human papilloma virus
12

Options for Questions 13-13

A < 1% B 2-5%
C 5-10% D 10-15%
E 15-20%
Explanation

A doctor has suffered a needle-stick injury during caesarean section

Question
and the patient is known to be HIV positive. The risk of the doctor
13
becoming infected is

Options for Questions 14-14

A 1-2% B 5-10%
C 15-20% D 20-25%
E 30-35%

Explanation

Question The risk of vertical transmission of HIV in untreated non-

14 breastfeeding women in Europe is

Options for Questions 15-15

Infection does not stimulate antibody

A B The viral envelope contains RNA
production
The viral envelope does not contain The virus only replicates in mature red
C D
haemagglutinin blood cells
The viral envelope contains
E
neuraminidase

Explanation

Question
With respect to the influenza virus
15

Options for Questions 16-16

A Is an influenza B virus B Is transmitted from pigs to humans

C Undergoes antigenic shift D Does not undergo antigenic drift
Infection does not result in antibody
E
production

Explanation

Question
The H1N1 virus
16
Options for Questions 17-17

A Acyclovir B Oseltamivir
C Zanamivir D Amantadine
E Rimantadine

Explanation

Question Which drug should be used to treat pregnant women infected wth
17 H1N1 influenza?

Options for Questions 18-18

A First trimester B Second trimester

C Third trimester D 24-48h post-partum
E 4-6 weeks post-partum

Explanation

Question At which stage of pregnancy are women at greatest risk of severe

18 disease following H1N1 influenza infection?

Options for Questions 19-19

She has a cough and widespread

A She has headache and diarrhoea B
muscle aches
C She has diarrhoea and vomiting D She has loin pain and vomiting
E She has a sore throat and diarrhoea

Explanation

A 32 year old woman is admitted to hospital at 35 weeks gestation

Question during an H1N1 influenza pandemic. She has a temperature of 39C.
19 Which one is not consistent with a clinical diagnosis of H1N1
influenza?

Options for Questions 20-20

Vaccinated women cannot get Vaccination provides life-long

A B
influenza during pregnancy immunity
 Seasonal flu vaccine should be During a pandemic, vaccination should
C D
administered to all pregnant women not occur during pregnancy
Flu-like symptoms are a recognised
E
side-effect of vaccination

Explanation

Question
With respect to the influenza vaccine
20