RACP Divisional Written Exam · FRACP

Medical Obstetrics for the written exam

Everything Physify has for Medical Obstetrics: short lessons written to Australian guidance, exam-style questions with a worked explanation for each, and Bedside, our AI tutor, under every one. Try a question below, no sign-up.

courses: 8courses
lessons: 43lessons
exam-style questions: 209exam-style questions
figures in the lessons: 5figures in the lessons

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Medical Obstetrics

A 31 year old woman 13 weeks after delivery has postnatal depression and started sertraline 50 mg daily 6 weeks ago alongside cognitive behavioural therapy. She takes it every day without side effects, but her EPDS score has only fallen from 21 to 19, and she has no history of mania. She is exclusively breastfeeding a healthy term infant who is feeding and growing well. What is the most appropriate next step?

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What's covered

8 courses, each a set of lessons with a quiz after them. The bar shows how many questions each has. Open a course to see its lesson outline.

From the lessons

5 figures sit in the Medical Obstetrics lessons: ECGs, diagrams, films and clinical images, each with what to look for. Here are 4. Tap one to enlarge it.

Microscope field of pale ghost-like red cell outlines with a few scattered red cells stained dark pink. — Kleihauer-Betke test: acid elution strips adult haemoglobin, leaving maternal red cells as pale ghosts, while fetal red cells, whose haemoglobin F resists acid, stay darkly stained. The proportion of fetal cells estimates the volume of fetomaternal haemorrhage and so the extra anti-D needed. Image: Mikael Häggström, CC0, via Wikimedia Commons; resized. Original. Tap the image to zoom.

From the lesson “Alloimmunisation, Specific Disorders & Postpartum Haemorrhage” in Haematological Disorders in Pregnancy

Axial FLAIR MRI of the brain: patchy bright signal in the cortex and the white matter beneath it at the back of both hemispheres, with the rest of the brain normal. — Posterior reversible encephalopathy syndrome in pre-eclampsia: vasogenic oedema, bright on FLAIR, in the parieto-occipital cortex and subcortical white matter of both hemispheres; it reverses with blood pressure control, magnesium and delivery. Image: Trent, Parry, Yokley and Grathwohl, Cureus 2022 (figure 1), CC BY 3.0, via PubMed Central; unaltered. Original. Tap the image to zoom.

From the lesson “Timing of Delivery, HELLP and Eclampsia” in Hypertensive Disorders of Pregnancy

Frontal chest radiograph of a woman: the heart shadow is markedly enlarged and there are increased markings at both lung bases. — Peripartum cardiomyopathy: an enlarged heart with basal interstitial markings on the chest film; the diagnosis rests on an ejection fraction below 45 per cent on echocardiography with no other cause. Image: Ibebuogu, Thornton and Reed, Thrombosis Journal 2007 (figure 1), CC BY 2.0, via PubMed Central; unaltered. Original. Tap the image to zoom.

From the lesson “Heart Disease in Pregnancy: Risk, Valves and Cardiomyopathy” in Cardiac, Respiratory & Thromboembolic Disease in Pregnancy

The palms and the soles of an adult, with scattered round, dusky red to brown spots, some with fine scale. — Secondary syphilis: round red-brown macules on the palms and soles (here in a man); in pregnancy this is early syphilis, treated with a single intramuscular dose of benzathine penicillin 2.4 million units. Image: Takei, Suzuki, Otsuka and Watanabe, JMA Journal 2023 (figure 1), CC BY 4.0, via PubMed Central; cropped. Original. Tap the image to zoom.

From the lesson “Antenatal Screening, GBS, HIV and Syphilis” in Infections & Mental Health in Pregnancy

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Medical Obstetrics in the clinical exam

1 long case for the RACP Divisional Clinical Exam: you examine, present and are marked on the five RACP domains.

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