Mount Kenya University · Department of Obstetrics and Gynaecology
Paper details
- Unit: Junior Clerkship in Reproductive Health 1 (Obstetrics I)
- Sitting: End-of-trimester CAT, Trimester 1 (September to December), 2021 cohort. The scan has no printed date, but the case in Question 2 gives an LMP of 5 April 2021.
- Time allowed: 1 hour. Six short-answer and case questions.
- Answers: written by OmpathStudy for revision. They are not the official MKU marking scheme.
- Topics tested: ruptured ectopic pregnancy, antenatal care and EDD, incomplete abortion, maternal and newborn health pillars, physiology of pregnancy, maternal health definitions.
Question 1. Patient W, 23, severe lower abdominal pain and vaginal bleeding for a day, 3 weeks late, very pale with abdominal distension, rebound tenderness and guarding
(a) Most likely diagnosis (1 mark)
(b) Investigations to confirm (3 marks)
(c) Five risk factors (5 marks)
(d) Management (4 marks)
Question 2. Patient W, para 2+0 gravida 3, LMP 5 April 2021, comes for antenatal care
(a) Due date (1 mark)
(b) Importance of antenatal care (4 marks)
(c) Components of antenatal care (4 marks)
Question 3. Patient X, amenorrhoea 7 weeks, lower abdominal pain, profuse vaginal bleeding, pallor, no abdominal mass, suprapubic tenderness, open cervix
(a) Most likely diagnosis (1 mark)
(b) Five possible causes (5 marks)
(c) Principles of management (6 marks)
Question 4. Pillars of maternal and newborn health in Kenya (6 marks)
Question 5. Physiological changes in pregnancy
(a) Genitourinary (3 marks)
(b) Haematological (3 marks)