11

Question 1

describe stage II ovarian cancer

Answer 1

one/ both ovaries with pelvic extension

Question 2

medical management urge incontinence

Answer 2

antimuscarinics

Question 3

menorrhagia

Answer 3

abnormal heavy bleeding in menstruation

Question 4

define mild chronic hypertension

Answer 4

90-99/140-149

Question 5

syphillis investigations

Answer 5

• bloods

- charcoal swab

Question 6

ideal baby positioning in labour

Answer 6

occipito anterior

Question 7

define frequent menstrual cycle

Answer 7

< 24 days

Question 8

what type of drug is tranexamic acid

Answer 8

antifibrinolytic

Question 9

describe duct ectasia

Answer 9

clogged and inflamed milk ducts

Question 10

urinary irritation symptoms

Answer 10

increased frequency
increased urgency 
nocturia 
dysuria
haematuria

Question 11

natural symptoms management of menopause

Answer 11

• lubrication during intercourse
• products naturally high in estrogen e.g. soya
• exercise

Question 12

Squirrels plant thousands of new trees each year simply by forgetting where they put their acorns.

Answer 12

dawww

Question 13

endometriosis investigations

Answer 13

• USS
• vaginal USS
• pelvic examination
• diagnostic laparoscopy

Question 14

management of multiple pregnancy

Answer 14

• adequate nutrition
• prevent anaemia
• more antenatal visits
• multifetal reduction?
• steroids for lung maturation

Question 15

complications of a multiple pregnancy

Answer 15

• increased morbidity and mortality
• pre-term labour
• N+V
• increased risk of post party haemorrhage
• increased risk pre-eclamptic toxaemia
• increased risk of polyhydramnios
• increased risk of congenital abnormalities
• increased risk of malpresentation
• increased risk of operative deliveries

Question 16

causes of secondary amenorrhoea

Answer 16

• PCOS
• early menopause
• reduced BMI
• increased stress
• pregnancy
• contraception
• raised prolactin
• androgen secreting tumour
• any significant illness

Question 17

criteria for heavy menstrual bleeding

Answer 17

• changing products every 1/2 hours
• impacting QOL
• > 80ml/7days
• clots >2.5cm
• bleeding through clothes

Question 18

herpes investigations

Answer 18

swab - only if they have sores

Question 19

methods for determining foetal well being in labour

Answer 19

• intermittent auscultation of foetal heart
• cardiotocography
• foetal blood sampling
• foetal ECG

Question 20

describe key physiological changes required for foetal expulsion

Answer 20

• cervix softens and opens
• myometrial tone changes to enable coordinated contractions
• progesterone decreases
• oxytocin + prostaglandin increase

Question 21

presentation of fat necrosis on mammography

Answer 21

histiocytes with foamy cytoplasm

lipid filled cysts

fibrosis, calcifications, eggshell

Question 22

urinary incontinence symptoms

Answer 22

• involuntary leakage of urine
• stress UI
• urgency UI
• coital UI