8

Question 1

define group III ovulation disorders

Answer 1

ovarian failure

Question 2

mennorhagia management

Answer 2

COC
IUD - mirena
tranexamic acid
POP
mefenamic acid

Question 3

define heavy menstruation

Answer 3

> 80ml/ cycle

Question 4

factors influencing management of placental abruption

Answer 4

• gestation
• age
• amount of bleeding
• general condition of mother

Question 5

describe penile papules aka cornal papillae

Answer 5

skin coloured small dome-shaped papules located on glans penis, commonly arranged circumferentially in one/ several rows

Question 6

requirements for abortion

Answer 6

• 2 doctors

- <24 weeks

Question 7

describe vasectomy

Answer 7

vas deferens divided and end cauterised

Question 8

define lactogenesis 3

Answer 8

maintenance of milk production

Question 9

methods for induction of labour

Answer 9

• vaginal prostaglandin pessaries
• cook balloon
• amniotomy

Question 10

describe placental abruption

Answer 10

haemorrhage resulting from premature separation of placenta before birth of baby

Question 11

potential side effects COC

Answer 11

• breast tenderness
• heavier periods
• mood change
• weight gain
• nausea
• headache
• irregular bleeding
• DVT/ PE
• MI/ stroke

Question 12

when is labour not advised

Answer 12

• obstruction to birth canal
• malpresentations
• medical conditions
• specific previous labour complications

Question 13

presentation endometriosis

Answer 13

• very painful periods
• menorrhagia
• pain during and after sex
• lower back pain
• painful bowel movements/ urination
• abnormal bleeding
• diarrhoea
• N+V
• bloating

Question 14

where can turtles breath from

Answer 14

mouth and bum

Question 15

presentation of lactating adenoma

Answer 15

• enlarging masses during lactation or pregnancy

- prominent secretory changes

Question 16

cause of normal menstruation

Answer 16

lining sheds when there isn’t a fertilised egg to maintain corpus luteum which produces progesterone

Question 17

surgical treatment of menorrhagia

Answer 17

• endometrial ablation

- hysterectomy

Question 18

iatrogenic causes of heavy menstrual bleeding

Answer 18

• anticoagulants
• herbal supplements e.g. soya
• IUD

Question 19

risks associated with PCOS

Answer 19

• decreased bone density
• infertility
• diabetes
• cardio disease
• endometrial hyperplasia

Question 20

management puerperal/ postpartum psychosis

Answer 20

admittance to psychiatric hospital, preferably one with mother baby unit

Question 21

urinary incontinence investigations

Answer 21

pelvic exam
bladder scan
urinary diary
urinalysis
urodynamics (only if surgical management is contemplated)

Question 22

describe duct ectasia

Answer 22

clogged and inflamed milk ducts