20

Question 1

management twin-twin transfusion

Answer 1

• amnioreduction of recipient
• intrauterine blood transfusion of donor
• selective foetal reduciton
• fetoscopic laser ablation of placental anastomosis

Question 2

medical management ectopic pregnancy

Answer 2

methotrexate

Question 3

management of bacterial vaginosis

Answer 3

metronidazole (oral/ vaginal)
or
clindamycin (vaginal)

Question 4

pre-eclampsia blood investigations

Answer 4

• FBC
• U+Es (urea, creatinine, urate)
• LFTs
• coagulation tests

Question 5

define acute chorioamionitis

Answer 5

neutrophils present in membranes, cord and fatal plate of placenta

Question 6

management of diabetes pre-conception

Answer 6

• aim for HbA1C of <48
• better glycemic control (4-7)
• dietary advice
• retinal and renal assessment

Question 7

describe how conjoined twins occur

Answer 7

cleavage after >day 12

Question 8

define fibroadenoma

Answer 8

proliferation of epithelial and stromal elements

Question 9

management of infertility

Answer 9

• weight loss/ gain
• clomifene
• gonadotrophin
• IVF

Question 10

management of labial adhesion

Answer 10

• oestrogen therapy

- surgical seperation

Question 11

management of microcalcifciations on mammography

Answer 11

most are harmless, nothing

Question 12

define very preterm

Answer 12

28-32 weeks

Question 13

management of vulvovaginal candiosis

Answer 13

clotrimazole PV once

clotrimazole cream if vulvitis

Question 14

non-contraceptive benefits of COC

Answer 14

• regulate/ reduce bleeding
• helps acne/ hirsutism
• regular cycles
• reduction in functional ovarian cysts
  50% cancer reduction
• reduced risk of RA, osteoporosis

Question 15

complications of placental abruption

Answer 15

• foetal death
• maternal shock
• collapse
• PPH

Question 16

management vulval papillomotosis

Answer 16

entirely benign, leave alone

Question 17

what percentage of downs syndrome babies does first trimester CUBS test detect

Answer 17

85%

Question 18

how is cystic fibrosis diagnosed

Answer 18

• immunoreactive trypsin
• sweat test
• genotyping

Question 19

presentation ovarian cancer

Answer 19

vague

• indigestion/ early satiety/ poor appetite
• altered bowel habit
• bloating/ distension
• pelvic mass
• pressure symptoms e.g. increased urinary frequency

Question 20

MCADD preventative treatment

Answer 20

avoid fasting

monitor frequency of meals

Question 21

PET prophylaxis in subsequent pregnancy

Answer 21

low dose aspirin from 12 weeks onwards

Question 22

A baby puffin is called a “puffling.”

Answer 22

cayooooooooooooot