21

Question 1

define vulvovaginitis

Answer 1

persistant vulval irritation or vaginal discharge

Question 2

management POP

Answer 2

pelvic floor exercises
physio
pessaries
surgery

Question 3

presentation sickle cell disease

Answer 3

• sick
• pain
• cold
• dehydration
• infections
• fatigue

Question 4

treatment of syphilis lasting <2years

Answer 4

• penicillin injection into bum
  or
  10-14 day course of doxycycline if penicillin contraindicated

Question 5

management of molar pregnancy

Answer 5

BhCG raised -> cured by methotrexate

Question 6

physiological management third stage of labour

Answer 6

• no drugs
• no cord clamping until pulsation has stopped
• delivery of placenta by maternal effort

Question 7

what type of drug is transexamic acid

Answer 7

anti-fibrinolytic

Question 8

define group 1 ovulation disorders

Answer 8

hypothalamic-pituitary failure

Question 9

describe level III endopelvic support

Answer 9

urogenital diaphragm

perineal body

Question 10

management of endometrial cancer with high risk histology

Answer 10

total abdo hysterectomy

chemotherapy

Question 11

pre-eclampsia biochemical abnormalities

Answer 11

• raised liver enzymes
• raised urea, creatinine and urate
• bilirubin if HELLP present

Question 12

management of chlamydia

Answer 12

7 days doxycycline

1 day azithromycin

Question 13

prevention and treatment of reduced bone mass density associated with menopause

Answer 13

• weight bearing exercise
• HRT
• adequate vit D and calcium
• bisphosphonates
• denosumab
• teriparatide

Question 14

risk factors for ovarian cancer

Answer 14

• smoking
• obesity
• FH
• 50s/60s
• HNPCC
• Lynch type II
• BRAC 1+2

Question 15

polyhydramnios

Answer 15

excess amount of fluid in amniotic sac

Question 16

describe female sterilisation

Answer 16

filshie clips on Fallopian tubes

Question 17

medical management of stress urinary incontinence

Answer 17

duloxetine

Question 18

under what conditions is breast feeding contraceptive

Answer 18

• <6months
• feeding every 4 hours
• amenorrhoeic

Question 19

consequences cryptorchidism

Answer 19

• infertility
• risk of malignant change
• testicular torsion

Question 20

risk factors for having small baby

Answer 20

• under nourished mother
• FH
• multiple pregnancy
• age
• ethnicity
• smoking
• substance misuse
• maternal disease

Question 21

define grade I placenta praevia

Answer 21

placenta encroaching on lower segment but not internal cervix

Question 22

a group of bunnies is called a fluffle

Answer 22

okay this might be my favourite so far