Medical termination of pregnancy
Obstetrics & Gynaecology · Topic 20
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 20 · combined PDF page 435
Practice questions
- Which pharmacological action best describes mifepristone in medical termination of pregnancy?
- In the sequential regimen described in the reviewed literature, when is the prostaglandin analogue administered relative to mifepristone?
- What pharmacological effect of mifepristone helps explain its use before a prostaglandin analogue?
- Which statement best reflects the development of medical termination using mifepristone?
- A study defines success after medical termination of pregnancy as complete evacuation of the products of conception from the uterus. Which core outcome does this most directly represent?
- After a medical termination regimen, ultrasound and clinical assessment confirm an ongoing pregnancy. How is this outcome classified in the reviewed core outcome framework?
- A patient has no ongoing pregnancy after medical termination but has an incomplete abortion for which further treatment is recommended. Which core outcome category best applies?
- A patient requests a surgical procedure after medical termination despite no objective finding of ongoing pregnancy or incomplete abortion requiring intervention. Which outcome should be recorded separately in the core framework?
- A paper reports a first-trimester medical abortion efficacy of 95–98%. Which interpretation is most consistent with the supplied review?
- A systematic review compared first-trimester medical termination by trained non-doctor providers with provision by doctors. What was the best-supported conclusion?
- In the systematic review comparing trained non-doctor providers with doctors for first-trimester medical termination, how did women's reported satisfaction compare?
- A service uses evidence of similar outcomes with trained non-doctor providers in first-trimester medical termination to justify the same approach for all second-trimester services. What is the main limitation in this reasoning?
- In studies of medical abortion before 8 completed weeks, which approach was reported to reduce pain and subsequent analgesia use?
- Which statement best summarizes evidence on prophylactic analgesia in the reviewed studies of medical abortion before 8 completed weeks?
- In a second-trimester study comparing fentanyl patient-controlled analgesia at 50 micrograms with lower-dose fentanyl or morphine patient-controlled analgesia, what outcome favored the 50-microgram fentanyl group?
- For patients beyond 15 weeks in the reviewed second-trimester studies, which intervention was associated with less opioid analgesia use than acetaminophen plus codeine?
- What did the systematic review conclude about metoclopramide or paracervical block as pain-control adjuncts in second-trimester medical termination?
- A clinician is considering letrozole pretreatment before misoprostol for medical termination. Which conclusion best reflects the systematic review of randomized trials?
- For terminations up to 9 weeks, what did the letrozole systematic review conclude about time to abortion?
- How did medication side effects compare between letrozole-plus-misoprostol and placebo-plus-misoprostol groups in the reviewed trials?
- Why did the systematic review of letrozole pretreatment not pool its trial results in a meta-analysis?
- Which statement best describes legal grounds for MTP internationally, as summarized in the supplied review?
- Which combination contains only examples of legal grounds for MTP discussed in the supplied global review?
- Which statement about India's MTP law is supported by the supplied 2023 review?
- A patient requests MTP for psychosocial reasons and has a psychiatric disorder. Which approach is most consistent with the supplied review?
- Why does the supplied review identify a need for timely care when assessing MTP requests for psychosocial reasons?
- A clinician is comparing reported medical abortion success rates from studies that use different definitions of success. What is the main methodological concern?
- Which set most accurately represents the core outcome categories proposed for first-trimester medical termination?
- A study finds that letrozole pretreatment reduced the need for dilation and curettage in one trial but not another. Which interpretation is most appropriate?
- A provider cites evidence that trained non-doctor providers can deliver first-trimester medical termination with comparable effectiveness and acceptability. Which qualification should accompany this claim?
- Which statement best integrates the supplied evidence on pain during medical termination?