19

Question 1

define endometrial polyps

Answer 1

overgrowths of endometrial lining

Question 2

describe type 2 endometrial cancer

Answer 2

• uterine serous and clear cell carcinoma
• high grade
• aggressive
• older women

Question 3

define uterovaginal prolapse

Answer 3

prolapse of uterus, Cervix and upper vagina

Question 4

define 3rd degree vaginal tear

Answer 4

through to external anal sphincter

Question 5

presentation fibroadenomas

Answer 5

well circumscribed, freely mobile, non-painful masses

Question 6

maternal complications of eclampsia

Answer 6

• stroke
• cerebral haemorrhage
• renal failure
• HELLP
• vision problems
• seizures
• pulmonary oedema
• cardiac failure

Question 7

when can ulipristal pill be used as emergency contraception

Answer 7

<120 hours

Question 8

describe monochorionic/ mono amniotic twins

Answer 8

cleavage of ova >8 days

shared chorium and amniotic sac

Question 9

explain APGAR score

Answer 9

appearance
pulse
grimace
activity
respiration

Question 10

management of diabetes during pregnancy

Answer 10

• may need to switch from metformin to insulin
• provide glucagon and warn of dangers of hypoglycaemia
• watch for ketonuria
• repeat retinal assessment
• elective caesarean
• maintain blood sugar levels in labour with insulin-dextrose infusion
• early feeding of baby to prevent neonatal hypoglycaemia

Question 11

bladder storage nerve supply and innervation type

Answer 11

T10-12

sympathetic

Question 12

azoospermia management

Answer 12

• surgical sperm retrival
• micro-epididymal sperm aspiration
• testicular sperm extraction

Question 13

presentation of over twisted umbilical cord

Answer 13

decreased movements of baby

Question 14

define stage 4 ovarian cancer

Answer 14

distant mets

Question 15

consequences of twin-twin transfusion on donor

Answer 15

• intrauterine growth restriction

- oligohydramnios

Question 16

varicocele management

Answer 16

should not be offered surgery -> no pregnancy improvement rates

Question 17

affect of foetal alcohol syndrome

Answer 17

• small head
• poor growth
• cerebral palsy
• learning difficulties
• autism
• ADHD

Question 18

describe molar pregnancy

Answer 18

non-viable fertilised egg implants in uterus, and when it fails to come to term grows into a mass resembling grapes

Question 19

what does HELLP

Answer 19

Hemolysis
Elevated Liver enzymes
Low Platelets

Question 20

define infertility

Answer 20

inability to conceive after 1 year of regular sex without contraception

Question 21

Sea otters hold hands while they sleep

Answer 21

I mean we’ve all heard it before but its still super cute

Question 22

describe antepartum haemorrhage

Answer 22

haemorrhage from genital tract >24th week pregnancy before delivery