ANEMIA IN PREGNANCY : MCQS AND IMPORTANT MCQS By DR MARIA RAFI

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  1.  A 30-year-old pregnant female is undergoing routine blood tests . Pregnancy is associated with an increase in which of the following? A) Mean Cell Hemoglobin Concentration (MCHC) B) Serum ferritin concentration C) Hematocrit D) Total Iron Binding Capacity (TIBC) ✅ Answer: D) Total Iron Binding Capacity (TIBC) Explanation: Pregnancy leads to increased TIBC due to higher transferrin synthesis to compensate for increased iron demand. Serum ferritin and iron decrease due to increased iron utilization. Hematocrit reduces due to physiological hemodilution , not an actual decrease in RBC mass. DR MARIA RAFI ;923324747587 2.  A 28-year-old female, para 2+0 , presents with Hb 7 g/dL . What is the next best investigation? A) Hb electrophoresis   B) Total iron-binding capacity (TIBC) C) MCV and peripheral smear ✅ D) Serum iron Answer: A) Hb electrophoresis Explanation: The first step is to check MCV (Mean Corpuscular Volume) to classify anemia...
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Surrogacy; MOCK EXAM KEY FOR FCPS ; MCPS ; MS;IMM

 ALL DATA ADDED IN IT IS FROM MOCK EXAM KEY

MOCK EXAM 2024 

You shall be assessed in the following domains: 

Applied clinical knowledge 

Patients safety 

Counselling skills

SCENARIO: A 28yrs old UK model who is also a beauty contest winner is married and wishes to plan her family. She is not ready to lose her perfectly toned body figure due to the effects of pregnancy. The couple has planned for surrogacy. They are referred to the qualified counsellor at fertility specialist centre. The surrogate mother chosen by the altruistic organization is also present. They want to be informed about the details of surrogacy protocols.You need to explain the following aspects to your clients. You shall be asked questions by the examiner.

  1. What is difference bw Host and straight surrogacy ?

  2. What is Legal parenthood in surrogacy ?

  3. What is included in Surrogacy Agreement and Birth Plan document ?

  4. Which infectious diseases are screened in the gamete providers?

  5. Who would take the decision for termination of pregnancy in case fetal abnormalities are identified?

  6. What is Post natal care and follow up plan at the time of discharge for surrogate, IPs and the child ?

  7. What would you offer the clients at the end of the counselling session?


1.What is difference bw Host and straight surrogacy?

Key: Host surrogacy (gestational or partial surrogacy) is when the surrogate does not provide her own egg to achieve the pregnancy. Embryo is created in vitro and transferred into uterus of surrogate using gametes of at least one IP (intended parent).

Straight surrogacy (genetic, full or traditional) is when surrogate provides her own eggs to achieve the pregnancy. One of the IP provides sperms through either self or artificial insemination.

2.Who is Legal parenthood in surrogacy?

Key: The surrogate is the legal mother of the child from birth till legal parenthood is transferred to IPs through a parental order made by a family court from 6 weeks until 6 months after birth.


3.What is included in Surrogacy Agreement and Birth Plan document?

Key: A surrogate agreement is a document drawn upon by surrogate and IPs prior to conception that sets out how the parties intend to conceive and manage pregnancy and birth and care for the child postpartum. The guidance in this document is made available to the staff. Health care providers would share information with both surrogate and IPs. Mental capacity of the surrogate needs to be assessed so that she is able to give consent and make decisions about her care.

Surrogacy birth plan is prepared as a part of surrogacy agreement. This includes preferred method of delivery, who will be present at birth, who will hold the baby after birth, infant feeding choice and who will make decisions about the child’s welfare. Surrogacy birth plan template can be accessed through altruistic organizations. A copy of this plan is filed in the hospital records and brought in the notice of the Head of obstetric unit/midwifery unit.


 4.Which infectious diseases are screened in the gamete providers?

Key: Gamete providers shall be screened for HIV, hepatitis, cystic fibrosis, blood karyotyping and other transmissible infections.

5. Who would take the decision for termination of pregnancy in case fetal abnormalities are identified?

Key: Surrogate makes the final decision about termination of pregnancy. The IPs may be included in this counselling and decision-making if the surrogate gives consent.


6.What is Post natal care and follow up plan at the time of discharge for surrogate, IPs and the child?

Key: Post natal: Often the surrogate shall consider her role to be finished after the birth and wish to be discharged independently. The child shall be fully cared for by the IPs from birth, so parenting support and advice would be provided to them until they are discharged with the child. The surrogate and the IPs are accommodated separately from each other and from other mothers to maintain privacy. All provisions of the surrogacy agreement should be carried out. The surrogate would provide a written consent for the child to be discharged with the IPs and independently of her. The surrogate has the overall responsibility of the child until the parental order has been issued by the court. But she can consent to involve the IPs in decision-making for a sick child.

At Discharge: The surrogate shall be provided with all the information related to her aftercare and follow-up appointments. They may be at risk of postnatal depression from 1-2 months following the birth. The IPs and the child’s discharge shall be communicated to the community midwife, GP, and local hospital. IPs shall also be monitored for postnatal depression.

7.What would you offer the clients at the end of the counselling session?

Key: Information leaflets, checklist for surrogacy documentation, checklist of the information included in the surrogacy birth plan, websites related to surrogacy and social groups, contact details of the surrogacy coordinator at a licensed centre.

Source (Care in surrogacy: guidance for the care of surrogates and intended parents in surrogacy births in England and Wales – update 23 July 2021)


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ANEMIA IN PREGNANCY : MCQS AND IMPORTANT MCQS By DR MARIA RAFI

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  1.  A 30-year-old pregnant female is undergoing routine blood tests . Pregnancy is associated with an increase in which of the following? A) Mean Cell Hemoglobin Concentration (MCHC) B) Serum ferritin concentration C) Hematocrit D) Total Iron Binding Capacity (TIBC) ✅ Answer: D) Total Iron Binding Capacity (TIBC) Explanation: Pregnancy leads to increased TIBC due to higher transferrin synthesis to compensate for increased iron demand. Serum ferritin and iron decrease due to increased iron utilization. Hematocrit reduces due to physiological hemodilution , not an actual decrease in RBC mass. DR MARIA RAFI ;923324747587 2.  A 28-year-old female, para 2+0 , presents with Hb 7 g/dL . What is the next best investigation? A) Hb electrophoresis   B) Total iron-binding capacity (TIBC) C) MCV and peripheral smear ✅ D) Serum iron Answer: A) Hb electrophoresis Explanation: The first step is to check MCV (Mean Corpuscular Volume) to classify anemia...
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