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Year 5 - Obs and Gyne > EFA O and G quiz answers > Flashcards

EFA O and G quiz answers Flashcards

1
Q

Haemophilia - genetics?

A

X linked

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2
Q

Name some other x-linked diseases

A

redgreen colour blindness etc

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3
Q

Pudendal nerve block - what do you palpate?

A

Ilioinguinal nerve runs behind ischial spine, so palpate for ischial spine

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4
Q

Pudendal nerve supplies which three areas?

A

Clitorus
Perineum
Anus

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5
Q

Why do you give the pudendal nerve block?

A

Local anaesthetic for instrumental delivery

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6
Q
A
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7
Q

Ibuprofen in third trimester of pregnancy is contraindicated - why?

A

It can cause premature closure of ductus arteriosus

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8
Q

What is Reye’s syndrome?

A

Aspirin usage in children - brain defects, seizures

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9
Q

What is the one exception where you would give aspirin in children?

A

Kawasaki’s disease

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10
Q

Management of severe pre-eclampsia?

A

IV labetalol and IV magnesium sulphate

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11
Q

Most appropriate IMMEDIATE treatment for 160/110mg BP

A

Seizure prophylaxis - magnesium sulphate FIRST

then give the labetalol

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12
Q

How much do you dilate normally during labour?

A

Normally 0.5cm-1 per hour, therefore first labour should be around 8-10 hours

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13
Q

23yo, iranian pregnant women. Haemoglobin normal, MCV low, ferritin normal.

A

Beta thalassemia - microcytosis, common

(sickle cell would be picked up much earlier in life)

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14
Q

G6PD - genetics? Can it happen in females?

A

X-linked therefore unlikely in women

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15
Q

Sickle cell

A

Normocytic anaemia

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16
Q

Nuchal translucency fluid is what time of fluid?

A

Lymph fluid

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17
Q

When do we do the nuchal translucency scan?

A

10-14 weeks gestation

18
Q

18yo woman, irregular uterine contractions at 29weeks. Stopped smoking at 6 weeks. VE shows effaced, shortened cervix. What’s caused her preterm labour? What causes pre-term labour? Is it smoking:

A

High blood pressure
Diabetes
Smoking or drug use - CURRENT smoking
Underweight or overweight before pregnancy
Stressful life events
Idiopathic (for her)

19
Q

How does SFH correlate to gestational weeks? What is normal?

A

Gestational age in weeks +/- 3cm is normal

20
Q

How many pluses of protein

A
21
Q

Menstrual phase - day 1 to 4

A
22
Q

Proliferative phase

A

4-14

23
Q

Secretory phase

A

15-28???

24
Q

Irregular bleeding, contraception and when you wouldn’t give it.

A

COCP - don’t give in high BMI or if smoking

You wouldn’t give progest

If smoking over 15 a day and is 35 years old, you cannnnoooott give

25
Q

When is the risk of breast cancer with HRT seen? How would you tell a pt about this risk being minimal?

A

HRT use over 5 years

similar risk with alcohol or obesity

26
Q

How often should you check the mirena coil/ius?

A

Every time you menstruate

27
Q

Another name for mature cystic ovarian teratoma?

A

Ovarian dermoid cyst

28
Q

Blood in cyst

A

Endometrioma

29
Q

Capsule cysts

A

Benign cystadenoma

30
Q

Issues with compliance. 2 ToP after COCP. Bulky fibroids. Family planning clinic. Which contraception?

A

Not barrier method
Not prog only pill as have to take every day
Copper coil useless for fibroids, IUS better
IUS ok for smaller fibroids, but she has large fibroids
IUS would need outpatient gynae appt, but she’s DNA-ed a few times and we’re in a family planning clinic. What can we offer right now?

PROG IMPLANT best option

31
Q

Uterine prolapse - look up managements

A

Anterior repair

Sacrospinous fixation

Vaginal pessary (to keep bladder up and out of the way)

32
Q

Look up cervical shock

A
33
Q

Inevitable misscariage

A

Cervical os open, bleeding

34
Q

Incomplete miscarriage

A

fetal contents

35
Q

Threatened miscarriage

A

Some bleeidng but cervical OS closed

36
Q

amenorrhoea for 6 months, FSH 30 on two scans

A

Under 40
Two FSH levels above 30, taken 4-6 weeks apart

37
Q

37yo woman. 10 weeks. Excessive vomiting + increased fundal height. Temp 37.2, pulse 100bpm, BP 180/110mg.

A

MOLAR PREGNANCY

Hyperemesis gravidum doesn’t explain high blood pressure

We have to think about the

38
Q

Molar pregnancy

A

ovum’s DNA ejected, sperm DNA doubles

Snowstorm appearance

39
Q

Partial mole

A

2 sperms, 1 egg DNA

40
Q

What is cervical shock?

A

Miscarriage contents stuck in cervix - causes vasovagal response:
-increased HR
-low BP

Year 5 - Obs and Gyne (20 decks)

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