SMLE — Obstetrics MCQs
Practice 39 Obstetrics past-paper MCQs for SMLE, each with a detailed explanation and reference. Try free samples below, then start a full quiz.
Obstetrics is a core part of the SMLE syllabus. HighYield's Obstetrics question bank collects 39MCQs modelled on real past papers, so you practise the exact style and difficulty you'll face on exam day. Every question comes with a worked explanation and a subject reference, so you learn why an answer is right — not just which option to pick.
Work through Obstetrics in Tutor mode to learn as you go, or switch to Timed mode to simulate real exam pressure. Your accuracy is tracked per subject, so you always know whether Obstetrics is a strength to maintain or a weak area to drill.
Sample Obstetrics Questions
A 28-year-old G2P1 woman at 7 weeks gestation by LMP has 1 day of lower abdominal pain and mild spotting, with mild left adnexal tenderness and no cervical motion tenderness. Transvaginal ultrasound shows no intrauterine sac, a 2.5 cm left adnexal mass, and a small amount of free fluid in the cul-de-sac. Beta-hCG is 2800 mIU/mL, she is hemodynamically stable, has normal renal/liver function, desires future fertility, and is reliable for follow-up. What is the best next step in management?
- A.Methotrexate
- B.Left salpingostomy
- C.Immediate laparotomy with salpingectomy
- D.Bilateral salpingectomy
A 22-year-old G1P0 woman at approximately 6 weeks gestation by LMP has severe crampy lower abdominal pain without bleeding, a closed cervical os with mild cervical motion tenderness, and transvaginal ultrasound showing a 15 mm anechoic intrauterine fluid collection without a visible yolk sac or fetal pole, no adnexal mass, and no free fluid. Beta-hCG is 1600 mIU/mL (borderline for the discriminatory zone). What is the most likely diagnosis and next step?
- A.Pregnancy of unknown location; repeat quantitative beta-hCG and transvaginal ultrasound in 48 hours
- B.Normal early intrauterine pregnancy; routine prenatal follow-up without further testing
- C.Confirmed ectopic pregnancy; administer single-dose methotrexate now
- D.Inevitable abortion; perform urgent uterine evacuation
A 26-year-old G1P0 woman, 7 weeks by LMP, has 3 days of mild brownish vaginal discharge without abdominal pain, tissue passage, or significant bright-red bleeding. She feels generally well. Pelvic exam shows a closed cervical os with scant brown discharge and no uterine tenderness. What is the most likely diagnosis?
- A.Anembryonic pregnancy
- B.Missed abortion
- C.Threatened abortion
- D.Normal early intrauterine pregnancy
Sign in to see the correct answers and detailed explanations for every question.
Ready to master Obstetrics?
Start with 50 free questions — no card required.
Start free trial