17

Question 1

presentation of HPV infection

Answer 1

asymptomatic

Question 2

describe active second stage of labour

Answer 2

• start to see vertex of head
• women has an intense urge to push
• woman is encouraged to start pushing

Question 3

impact of not breast feeding on baby

Answer 3

• reduced exposure to microorganisms
• don’t get mothers immunoglobulins
• gastroenteritis
• allergies
• obesity
• both diabetes
• SIDS
• Necrotising enterocolitis

Question 4

describe stage 1 ovarian cancer

Answer 4

1 ovary
limited
capsule intact

Question 5

describe level 2 endopelvic support

Answer 5

paravagina to argus tendineus fascia

pubocervical/ rectovaginal fascia

Question 6

emergency management MCADD

Answer 6

• glucose polymer

- IV dextrose

Question 7

management phenylketonuria

Answer 7

early treatment with strictly controlled diet
<21 days after birth
prevents disability

Question 8

complications of tertiary syphilis

Answer 8

• stroke
• meningitis
• heart problems
• vision problems
• dementia problems

Question 9

main treatment for endometrial cancer

Answer 9

hysterectomy with peritoneal washing

Question 10

explain APGAR score

Answer 10

a - appearance
p - pulse
g - grimace
a - activity
r - respiration

Question 11

management passive second stage of labour

Answer 11

fully dilated but they have no urge to push

keep women upright

Question 12

endometrial cancer investigations

Answer 12

• pelvic and speculum examination
• histology
• hysteroscopy
• transvaginal USS

Question 13

how does combined hormonal contraception work

Answer 13

so much negative feedback ovaries break

Question 14

medical management of post partum haemorrhage

Answer 14

• oxytocin
• ergometrine
• carbaprost
• transexamic acid
• balloon tamponade
• pressure

Question 15

gonorrhoea management

Answer 15

ceftriaxone injection

doxycycline

Question 16

treatment of syphilis lasting <2years

Answer 16

penicillin injeciton @ buttocks

OR

10-14 day course of doxycycline if penicillin contraindicated

Question 17

VTE/ PE investigations in pregnant/ post partum women

Answer 17

ECG
blood gases
leg dopplers
CXR

Question 18

define 1st degree vaginal tear

Answer 18

vaginal mucosa

Question 19

erythrasma

Answer 19

superficial skin infection causing brown scaly skin patches

Question 20

causes/ risk factors for POP

Answer 20

• increased parity
• increased age
• obesity
• vaginal birth
• previous pelvic surgery
• constipation
• occupation involving heavy lifting
• long distance running

Question 21

presentation placental abruption

Answer 21

• vaginal bleeding
• pelvic pain
• increased uterine activity

Question 22

A single strand of spaghetti is technically called a ‘spaghetto’

Answer 22

who would have thunk it