Buzzwords

Question 1

USS Snowstorm appearance, described as “frogspawn” when expelled?

Answer 1

Hydatidiform mole

Question 2

Antepartum haemorrhage in patient with Succenturate lobe or Velamentous Insertion?

Answer 2

Vasa Praevia

Question 3

Maternal blood + no fetal distress?

Answer 3

Placenta previa MUST EXCLUDE BEFORE VAGINAL EXAM in ante-partum haemorrhage

Question 4

Fetal blood + sudden fetal distress

Answer 4

vasa previa

Question 5

Placenta accreta “doughy abdomen”

Answer 5

Insertion into myometrium post endometrial ablation –> C-section +/- hysterectomy. Always give contraception

Question 6

Fetal distress and loss of engagement, previous C-section or surgery ->

Answer 6

Uterine rupture

Question 7

PPH followed by pituitary failure

Answer 7

Sheehans syndrome

Question 8

Strawberry cervix

Answer 8

Trichomonas vaginalis

Question 9

Clue cells, high vaginal pH > 4.5

Answer 9

Bacterial vaginosis

Question 10

Prolapse + back pain

Answer 10

Uterine prolapse

Question 11

Large tense uterus ‘woody abdomen’, bleeding and pain

Answer 11

Placental abruption

Question 12

Dysmenorrhoea
Menorrhagia
Enlarged, boddy uterus

Answer 12

Adenomyosis

Question 13

risk factors for the cancer include: obesity, nulliparity, early menarche, late menopause, unopposed oestrogen, DM, tamoxifen and PCOS?

Answer 13

Endometrial cancer - classic symptom is post-menopausal bleeding

Question 14

what is goldstandard investigation for endometriosis?

Answer 14

Laparoscopy

Question 15

bleeding in first or early second trimester
exaggerated symptoms of pregnancy e.g. hyperemesis
uterus large for dates
very high serum levels of human chorionic gonadotropin (hCG)
hypertension and hyperthyroidism* may be seen

Answer 15

complete mole - empty egg is fertilised by sperm that has duplicated DNA so 46

Question 16

fetal parts may be seen in this mole?

Answer 16

Partial

Question 17

ascites and pleural effusion, and fibroma

Answer 17

Meigs syndrome

Question 18

structures within broad ligament

Answer 18

Ovaries
Fallopian tubes
Round lifamenbt

Question 19

placenta accreta is attachment of placenta to myometrium, risk of post partum haemorrhage. What are risk factors?

Answer 19

Previous CS

Placenta praevia

Question 20

Placenta praevia is placenta lying in lower uterine segment

Answer 20

Shock
No pain
Uterus not tender
Small bleeds before large

Question 21

separate from the body of the testicle

found posterior to the testicle

Answer 21

epididymal cyst

Question 22

soft, non-tender swelling of the hemi-scrotum. Usually anterior to and below the testicle
the swelling is confined to the scrotum, you can get ‘above’ the mass on examination
transilluminates with a pen torch
the testis may be difficult to palpate if the hydrocele is large

Answer 22

hydrocele

Question 23

classically described as a ‘bag of worms’

subfertility

Answer 23

varicocele

Question 24

blue pill (viagra/sildenafil) causes blue discolouration of vision

Answer 24

phosphodiesterase type V inhibitor used for impotence

Question 25

Chest x-ray characteristically shows ‘ground-glass’ appearance with an indistinct heart border

Answer 25

surfactant deficient lung disease also known as respiratory distress syndrome