9

Question 1

azoospermia investigations

Answer 1

• history
• exam
• FSH
• LH
• testosterone
• karyotype
• cystic fibrosis screen

Question 2

define andropause

Answer 2

testosterone falls by 1% a year >30

Question 3

describe stage 3 ovarian cancer

Answer 3

one/both ovaries with peritoneal implants outside pelvis or + nodes

Question 4

describe monozygotic twins

Answer 4

from 1 cleaved fertilised ova

Question 5

we finish exams on 20th of March. what international day is this?

Answer 5

snowman burning day

Question 6

describe post-natal depression

Answer 6

• continues from baby blues/ starts later
• classical depressive symptoms
• affects functioning, bonding and often requires treatment

Question 7

presentation of postpartum/ puerperal psychosis

Answer 7

• hallucinations
• delusions
• manic mood
• low mood
• loss of inhibitions
• suspicious/ fearful
• restless
• very confused

Question 8

describe twin-twin transfusion

Answer 8

one foetus donates blood to the other due to vascular anastomosis

Question 9

most effective emergency contraception option

Answer 9

copper IUD. <120hours

Question 10

preterm labour predisposing factors

Answer 10

• multiple preganancy
• previous preterm labour
• pre-eclampsia
• polyhydramnios
• APH
• infection
• premature rupture of membranes
• idiopathic

Question 11

define normal volume menstruation

Answer 11

5-80ml/ cycle

Question 12

benefits of colostrum

Answer 12

• protective factors
• concentrated nutrition
• strong anti-inflammatory factors
• stimulates gut growth
• small volumes
• laxative effects

Question 13

management chlamydia

Answer 13

• 1 dose dozycycline

- 1 day azithromycin

Question 14

what can be used to assess risk for neural tube defects

Answer 14

alpha feto protein

> 2 abnormal

Question 15

clinical criteria for diagnosing pre-eclampsia

Answer 15

high blood pressure + >3 of:

• proteinuria
• reduced urine output
• clonus/ brisk reflexes
• papillodema
• epigastric tenderness
• convulsions

Question 16

define suboptimal progression in labour

Answer 16

<0.5cm/ hour primigravid women

<1cm/hour parous women

Question 17

haematological abnormalities that would be seen in pre-eclampsia

Answer 17

• low platelets
• low haemoglobin
• signs of haemolysis

Question 18

management of labour

Answer 18

• breathing
• massage
• paracetamol
• dihydrocodeine
• birthing pool
• entonox
• opioids
• epidural

Question 19

risk factors for ectopic pregnancy

Answer 19

• assisted conception
• pelvic inflammatory disease
• previous ectopic
• previous surgery
• IUD

Question 20

how many contractions should be aimed for in 10 minutes

Answer 20

4/5

Question 21

define grade IV placenta praevia

Answer 21

central placenta praevia

Question 22

gonorrhoea investigations

Answer 22

• urine test
• low/ high vaginal swab
• anal swab