24

Question 1

presentation vulvovaginitis

Answer 1

itching, redness, soreness

yellow-green offensive discharge

Question 2

management chronic hypertension during pregnancy

Answer 2

monitor fetal growth
low Na diet
aim <100/150
labetolol
nifedipine
methyldopa

Question 3

presentation of Pagets disease of the nipple on mammogram

Answer 3

large pale staining cells within epidermis of nipple

Question 4

presentation ovarian cancer

Answer 4

vague

• indigestion
• early satiety
• change in bowel habits
• symptoms of increased pressure
• bloating
• pelvic mass

Question 5

gonorrhoea management

Answer 5

• ceftriaxone injection

- doxycycline

Question 6

antenatal infections screened for

Answer 6

• HIV
• Hep B
• rubella
• syphilis
• MSSU

Question 7

describe vulval papillomatosis

Answer 7

small shiny skin coloured papules growing on vulva. occur in a line on both sides

Question 8

define mildly pre-term

Answer 8

32-36 weeks

Question 9

define varicocele

Answer 9

dilation of pampiform plexus of spermatic veins in the scrotum

Question 10

obstructive causes of azoospermia

Answer 10

• CF
• infection
• trauma
• prior surgery

Question 11

management of overactive bladder syndrome

Answer 11

• anti-muscarinincs
• TCAs
• neuromodulation
• botox

Question 12

presentation uterine fibroids

Answer 12

• asymptomatic
• HMB
• pelvic pain
• urinary symptoms
• pressure symptoms
• backache
• infertility
• miscarriage

Question 13

define 2nd degree vaginal tear

Answer 13

perineal muscles

Question 14

definition group III ovulation disorders

Answer 14

ovarian failure

Question 15

prevention of POP

Answer 15

pelvic floor exercises
avoid constipation
effective management chronic chest pathology
smaller family size

Question 16

emergency management MCADD

Answer 16

• glucose polymer

- IV dextrose

Question 17

treatment of seizures/ impending seizures in pre-eclampsia

Answer 17

• magnesium sulphate bolus + IV infusion
• blood pressure control
• avoid fluid overload

Question 18

clinical signs PCOS

Answer 18

increased testosterone, LH and prolactin

decrease sex hormone binding globulin

Question 19

risk factors gestational diabetes

Answer 19

• overweight
• multiple babies
• big baby
• FH diabetes
• polyhydramnios

Question 20

examples of neonatal morbidity resulting from prematurity

Answer 20

• resp distress syndrome
• intraventricular haemorrhage
• cerebral palsy
• nutrition
• temp control
• jaundice
• infections

Question 21

medical management of ectopic pregnancy

Answer 21

methotrexate

Question 22

There is no angry way to say the word “bubbles.”

Answer 22

I reckon I could give it a shot…