25

Question 1

presentation endometrial cancer

Answer 1

• unusual vaginal bleeding

- post menopausal bleeding

Question 2

cause bacterial vaginosis

Answer 2

• vit D deficiency

- sexually possibly

Question 3

azoospermia

Answer 3

absence of motile (and hence viable) sperm in semen

Question 4

management overactive bladder syndrome

Answer 4

• anti-muscarinics
• TCAs
• neuromodulation
• botox

Question 5

clinical signs endometriosis

Answer 5

• infertility

- fatigue

Question 6

ideal anti-hypertensives for pregnancy

Answer 6

• labetolol
• nifedipine
• methyldopa

Question 7

placenta praevia management

Answer 7

• blood transfusion where indicated

- mother kept in hospital till baby developed enough for C section

Question 8

affect of cortisol on insulin

Answer 8

has anti-insulin properties

Question 9

what happens in cystic fibrosis

Answer 9

defect of cellular chloride transport

Question 10

causes of gynaecomastia

Answer 10

• liver cirrhosis
• hyperthyroidism
• chronic renal failure
• chronic pulmonary disease
• hypogonadism
• use of steroids

Question 11

urinary incontinence risk factors

Answer 11

• pregnancy (especially vaginal birth)
• age
• parity
• menopause
• diabetics
• diuretics
• pelvic floor trauma
• smoking
• obesity

Question 12

diabetic mother caries increased risk of what for baby

Answer 12

• polyhydramnios
• big baby
• hypo after birth
• cardiac abnormalities
• pre eclampsia
• impaired lung maturity

Question 13

pre-term labour predisposing factors

Answer 13

• pre-eclampsia
• multiple pregnancy
• polyhydramnios
• infection
• prelabour rupture of membranes

Question 14

pre-eclampsia haematological abnormalities

Answer 14

• low platelets
• low haemoglobin
• signs of haemolysis

Question 15

cause of menopause

Answer 15

oestradiol falls
FSH rises
oophorectomy/ chemo/ radio

Question 16

what can be used to assess risk for neural tube defects

Answer 16

alpha-feto-protein

>2 abnormal

Question 17

describe type 2 endometrial cancer

Answer 17

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

Question 18

presentation of Pagets disease of nipple on mammogram

Answer 18

large pale staining cells within epidermis of nipple

Question 19

define 2nd degree vaginal tear

Answer 19

through perineal muscles

Question 20

gonorrhoea management

Answer 20

ceftriaxone injection and doxycycline

Question 21

presentation uterine fibroids

Answer 21

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

Question 22

this time we’re going for motivation lads

Answer 22

everybody is a genius.
but if you judge a fish by its ability to climb a tree, it will live its whole life believing its stupid.
and if you judge Emma by her ability to pass exams, she will live her whole life believing she’s stupid… oh wait