4

Question 1

first form of milk produced by mammary glands immediately following delivery of newborn

Answer 1

colostum

Question 2

describe missed miscarriage (early fetal demise)

Answer 2

• no symptoms/ dark blood
• gestational sac seen on screen
• no clear fetus

Question 3

what is required for confirmed diagnosis PCOS

Answer 3

2/3 of:

• USS showing cysts
• biochemical hyperandrogenism
• clinical hyperandrogenism

Question 4

presentation Tay-Sachs

Answer 4

• baby usually develops normally for 6 months
• progressive neurological degeneration
• usually fatal 3-5 years

Question 5

presentation threatened miscarriage

Answer 5

• vaginal bleeding +/- pain
• viable pregnancy
• closed cervix

Question 6

what is the worlds roundest country?

Answer 6

Sierra Leone

Question 7

management latent first stage of labour

Answer 7

• try to get them to stay at home
• maintains oxytocin
• uncomfortable contractions

Question 8

when is home abortion still an option

Answer 8

<10 weeks

healthy

Question 9

when is shoulder dystocia more likely to occur

Answer 9

• previous SD
• big babies
• > 30 BMI
• induced labour
• long labour
• assisted vaginal birth

Question 10

what score is used to clinically assess a cervix

Answer 10

Bishops score

Question 11

define endometriosis

Answer 11

endometrial tissue present outside of lining of uterus

Question 12

impact of breast feeding on mothers

Answer 12

• improved relationship
• reduced risk of breast and ovarian cancer
• reduced risk of hip fractures and heart disease

Question 13

why do insulin requirements increase during pregnancy

Answer 13

human placental lactogen
progesterone
human chorionic gonadotrophin 
cortisol
all have anti-insulin actions

Question 14

management of penile pearly papules and coronal papillae

Answer 14

they are harmless/ normal so don’t touch

Question 15

describe ecchymosis

Answer 15

discolouration of skin resulting from bleeding underneath, typically caused by bruising

Question 16

presentation pre-eclampsia

Answer 16

• headache
• blurred vision
• epigastric pain
• pain below ribs
• vomitting
• sudden swelling of hands/ face/ legs

Question 17

define group II ovulation disorders

Answer 17

hypothalamic-pituitary ovarian dysfunction

Question 18

surgical management ectopic pregnancy

Answer 18

• salpingectomy

- salpingotomy

Question 19

presentation acute chorioamnionitis

Answer 19

• fever

- raised neutrophils in blood

Question 20

define cystocele

Answer 20

prolapse of upper anterior vaginal wall involving bladder

Question 21

clinical signs PCOS

Answer 21

• increased testosterone
• increased prolactin
• raised luteinising hormone
• decreased sHBG (sex hormone binding globulin)

Question 22

define premature menopause

Answer 22

<40years/old