Clinical management & Data interpretation Flashcards
Test for ovarian reserve?
Anti-mullerian hormone
Metabolic abnormality seen in congenital hypertrophic pyloric stenosis is?
Hypochloremic hypokalemic metabolic alkalosis
What is the most common site for tubal ectopic gestaQon?
Ampulla
In which circumstance is rhesus immunisation NOT required in a rhesus negative mother?
Sweeping membranes
Amniotic fluid embolism characterized by acute onset of:
• Hypoxia and respiratory arrest
• Hypotension
• Fetal distress
• Convulsion
• Shock
• Altered mental status
• Cardiac arrest
What is the most common type of episiotomy performed in the United kingdom (UK)?
Mediolateral
Which screening test has high negative predictive value for detection of preterm pre-labour rupture of the membranes?
Fetal fibronectin test
Oxybutynin hydrochloride is a non-selective muscarinic receptor antagonist used to treat bladder overactivity. Which diseases are aggravated by use of oxybutynin?
Closed angel glaucoma
When should the prophylactic dose of low molecular weight heparin (LMWH) be stopped before regional analgesia?
12 h
Treatment dose to be stoped before 24 hours
IUD+ Pregnancy. What is the risk of Ectopic Pregnancy?
1/20
Seizures in pregnancy can be caused by hyperemesis gravidarum.What is the most likely pathophysiology?
Hyponatremia
Which type of female pelvis favours direct occipito-posterior position?
Anthropoid
Calculation of RMI
Ultrasound score × menopausal status × CA-125
What is the most frequent cause of pathological hyperprolactinaemia
drugs (antiepileptics and some dopamine antagonist)
Regarding PCOS (PolyCystic Ovary Syndrome) which is recognized as the current gold standard for diagnosis of PCOS
Rotterdam criteria
according to NICE guideline At what week in pregnancy is testing for gestational diabetes (GD) advised
24-28 weeks of pregnancy if past history of GD
According to the RCOG Green-top guideline published in 2013 at what stage of gestation should pregnant patients with PCOS be offered screening for gestational diabetes
24-28 Weeks
Which of the following is considered 1st line treatment for Menorrhagia according to NICE?
LNG-IUS
Assuming normal renal function, by how many days post-partum will the haemoglobin start to increase?
day 3
In ECG lead V1 and aVR represent which portion of hear
Right atrium and ventricle
HICH ECG LEADS REPRESENT THE INFERIOR MYOCARDIAL INFARCTION?
II, III, AVF
Which ECG leads for ANTERIOR SURFACE OF THE HEART
V1 to V4
Which ECG leads for lateral surface of the heart
Leads I, aVL, V5 and V6
A woman who had a total abdominal hysterectomy, according to recent protocols, urinary catheter should be removed for at least
24 hours
criteria for miscarriage
No fetal heart rate with:
(CRL >/= 7.0mm or Gestational sac >/= 25mm)
Indications for FBS
- Pathological CTG in labour (cervix dilated >3 cm)
- Suspected acidosis in labour (cervix dilated >3 cm)
Significant proteinuria is considered when:
Urinary protein:creatinine ratio is >30 mg/mmol OR
24‐hour urine collection >300 mg protein
What is the normal arterial pH range for the cord sample
7.26 ‐ 7.30
What is the maximum normal diameter of the yolk sac on transvaginal ultrasound?
6 mm
the most common cause of hypercalcaemia.
primary hyperparathyroidism
(associated with inc. phosphate)
What is the normal range for urea concentration in an adult?
2.5 ‐ 7.8 mmol/l
What is the normal rage for adjusted serum calcium?
2.20 to 2.60 mmol/l
Excessive IV saline may cause
hypernatremia
Brow presentation in labor what is the head amateur?
Mentovertical 13 cm
