Early Pregnancy

Question 1

Fetal heart rate

Answer 1

110-160

Question 2

Margin of error in CRL measurements

Answer 2

8%/5 days

Question 3

Chadwick’s sign

Answer 3

Congestion of pelvic vasculature leading to bluish discoloration of vagina/cervix

Question 4

Hegar’s sign

Answer 4

Widening and softening of body of uterus

Question 5

Leucorrhoea

Answer 5

Increase in vaginal discharge

Question 6

When can CRL be used

Answer 6

6-13 weeks gestation

Question 7

What shares an alpha subunit with hcg

Answer 7

Lh, fsh, thyrotropin

Question 8

Naegele’s rule?

Answer 8

EDD = LMP +7 days - 3 months + 1 year

Question 9

When is a pregnant uterus palpable

Answer 9

8 weeks

Question 10

When is a pregnant uterus in the abdomen

Answer 10

12 weeks

Question 11

Uterine height at 20 weeks gestation

Answer 11

Umbilicus

Question 12

What antibiotic for syphilis in pregnancy?

Answer 12

Penicillin as it crosses to the fetus.

Question 13

GC in pregnancy complications

Answer 13

Preterm labour, preterm premature rupture of membranes, intrapartum and post partum infection, occular injury of fetus

Question 14

When to do CS in HiV

Answer 14

High viral load

Question 15

Normal pregnancy weight gain

Answer 15

11.5 - 16kh

Question 16

Why avoid hot tubs in trim 1

Answer 16

Association between maternal heat exposure and neural tube defects

Question 17

Name the 5 live vaccines

Answer 17

Measles mumps polio rubella varicella

Question 18

Most common ectopic USS finding

Answer 18

Complex/inhomogeneous mass adnexal mass (50-60%)

Question 19

hCG level to see abdominal ectopic pregnancy

Answer 19

> 6000

Question 20

What rh-ve ectopic patients need anti-D

Answer 20

All surgical
Only medical/expectant with severe pain

Question 21

Repeat ectopic risk

Answer 21

7&10%

Question 22

Most common trisomy causing miscarriage

Answer 22

Trisomy 16

Question 23

Medical risk factors for miscarriage

Answer 23

Poorly controlled DM
Hyperthyroidism
Hyper prolactin

Question 24

Length of time to get anti D after sensitising event?

Answer 24

72 hours

Question 25

Minimum dose anti D when pregnancy between 12-20 weeks?

Answer 25

250 units

Question 26

Minimum dose anti D after 20 weeks

Answer 26

500 units+ test for FMH

Question 27

Anti D prophylaxis in antenatal care

Answer 27

Either 1500IU at 28 weeks, or 500IU at 28 + 34 weeks