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Question 1

define secondary post partum haemorrhage

Answer 1

loss of >500ml 24hours-6weeks post partum

Question 2

what does burrito mean in Spanish?

Answer 2

little donkey

Question 3

management PCOS

Answer 3

• weight loss
• exerise
• COC
• spironolactone
• progestogens
• metformin
• mirena coil
• fertility help when trying to have children

Question 4

urinary symptoms pelvic organ prolapse

Answer 4

• incontinence
• increased frequency/ urgency
• weak/ prolonged stream
• hesitancy
• incomplete emptying
• manual reduction of prolapse to start or complete voiding

Question 5

describe level 1 endopelvic support

Answer 5

• utero-sacral ligaments

- cardinal ligaments

Question 6

heavy menstrual bleeding investigations

Answer 6

• period diary
• pelvic examination
• thyroid function
• pelvic USS
• clotting profile
• laparoscopy
• hysteroscopy

Question 7

describe intrauterine contraception ‘the coil’

Answer 7

• lasts 5-10 years
• little user input after fitting
• neither women or partner should be aware after fitting
• check threads after every period
• not suitable if untreated pelvic infection present

Question 8

3 categories of labour problem

Answer 8

• powers
• passenger
• passage

Question 9

what is meant by malposition in labour

Answer 9

foetal head in incorrect position causing relative CPD

Question 10

management of HPV infection which is currently causing no problem

Answer 10

watch and wait

typically cleared by body in 2 years

Question 11

describe symphysiofundal height

Answer 11

symphysis pubis to top of fundus of uterus

Question 12

indications for suspecting a multiple pregnancy

Answer 12

• large uterine size for date
• multiple heart rates detected
• multiple fetal parts detected
• elevated HCG and maternal serum alpha-feta protein for gestational age

Question 13

define grade II placenta praevia

Answer 13

placenta reaches internal OS

Question 14

gonorrhoea presentation women

Answer 14

• unusual vaginal discharge (thin/ watery/ green/ yellow)
• dysuria
• pain/ tenderness lower abdominal
• unusual bleeding

Question 15

pubic lice presentation

Answer 15

itching especially @ night
inflammation and irrigation
black dots/ blood spots on skin caused by bites
black powder in underwear

Question 16

define pre-eclampsia

Answer 16

1. new hypertension >20 weeks
   + significant proteinuria
2. mild HT 2x, >4 hours apart
3. moderate->severe HT + proteinuria

Question 17

maternal observations to be carried out during labour

Answer 17

• abdo palpation
• vag examination
• monitoring of liquor
• auscultation foetal heart
• palpation of uterine contractions
• external signs

Question 18

vasa praevia

Answer 18

condition where fetal blood vessels cross @ cervix

carries risk of rupture

Question 19

define rectocele

Answer 19

prolapse of lower posterior wall of vagina involving rectum bulging forwards into vagina

Question 20

amniotomy

Answer 20

artificial rupture of fetal membranes usually using a sharp device

Question 21

risk factors for overactive bladder syndrome

Answer 21

advanced age
diabetes
UTI
smoking

Question 22

define female pelvic organ prolapse

Answer 22

descent of pelvic organs towards or through vagina