GENERAL

Question 1

Which hormone can be used to to assess ovarian reserve prior to in vitro fertilisation treatment?

Answer 1

anti-mullerian hormone

Question 2

Contra-indication to HRT

Answer 2

Active or recent arterial thromboembolic disease (e.g. angina or MI) 
Current or past breast cancer
Any oestrogen-sensitive cancer
Undiagnosed vaginal bleeding
Untreated endometrial hyperplasia

Question 3

How long is the female urethra?

Answer 3

3-4 cm

Question 4

When does the bladder produce desire to void?

Answer 4

250ml

Question 5

What is polyuria?

Answer 5

when over 2.8l is produced in 24 hours

Question 6

What will reduce efficacy of COCP?

Answer 6

phenytoin

Question 7

Which drugs are contra-indicated in breast-feeding?

Answer 7

tetracyclines, ciprofloxacin, chloramphenicol, sulphonamides
pheobarbitone
amiodarone
cytotoxics eg methotrexate
lithium, benzodiazepines
bromocriptine
aspirin

Question 8

A 40 year old woman who smokes 20 cigarettes a day complains of a green nipple discharge and a non-tender lump below the nipple.

Answer 8

duct ectasia

Question 9

70 yr old woman presents with hot tender breast with cellulitis

Answer 9

inflammatory breast cancer

Question 10

What proportion of couples suffer from infertility?

Answer 10

1 in 6

Question 11

LH surge occurs at what duration prior to Ovulation ?

Answer 11

24- 36 hours

Question 12

Treat infertility due to PCOS

Answer 12

Clomifene citrate

Question 13

Where does spermatogenesis occur in a testicle ?

Answer 13

seminiferous tubules

Question 14

What does
a) oligoasthenospermia
b) teratoasthenospermia
mean?

Answer 14

a) low count and motility

b) abnormal form and low motility

Question 15

Where is testosterone secreted from in a male ?

Answer 15

leydig cell

Question 16

A woman presents with at 7 weeks gestation with heavy vaginal bleeding and abdominal pain. On examination, her cervix is slightly open with tissue visible. On ultrasound scan a fetal heart beat is seen in the uterine cavity

Answer 16

inevitable miscarriage as cervix open

Question 17

The rectouterine pouch (of Douglas) can be drained via a needle passed through….

Answer 17

the posterior fornix of the vagina

Question 18

most effective form of contraception?

Answer 18

implant

Question 19

the COCP is protective against which form of cancer?

Answer 19

ovarian

Question 20

form of miscarriage where sac is still there

Answer 20

missed miscarriage

Question 21

is mesonephric or pasamesonephric duct present in females?

Answer 21

paramesonephric

Question 22

What does the mesonephric duct form?

Answer 22

vas deferens

Question 23

fluid in the foetal lung is mostly made by

Answer 23

the foetal lung

Question 24

resuscitation of term infants should use what

Answer 24

air

Question 25

resuscitation of preterm infants should use what

Answer 25

low conc oxygen (20-30%)

Question 26

A previously well newborn term infant on the postnatal ward is noticed to be breathing quickly and feeding poorly. Which condition[s] might be considered in your differential diagnosis?

Answer 26

group B strep

Question 27

What drugs are contraindicated in pregnancy?

Answer 27

ACE inhibitors/ARB Renal hypoplasia Androgens Virilisation of female foetus Antiepileptics Cardiac, facial, limb, neural tube defects Cytotoxics Multiple defects, abortion Lithium Cardiovascular defects Methotrexate Skeletal defects Retinoids Ear, cardiovascular, skeletal defects Warfarin Limb and facial defects

Question 28

treat primary amenorrhoea caused by prolactinoma

Answer 28

dopamine agonist eg cabergoline

Question 29

Which contraception should be stopped at age 50?

Answer 29

COCP | injectable depo-provera

Question 30

Benign cancer that affects all germ cell layers in the ovaries

Answer 30

dermoid cyst

Question 31

abnormal endometrial thickness

Answer 31

pre-menopause: >16mm | post-menopause: >4mm

Question 32

follow-up management of ectopic pregnancy

Answer 32

if methotrexate do LFTs

Question 33

Which type of HRT is used in post-menopausal women who have had a hysterectomy?

Answer 33

oestrogen only

Question 34

Which type of cancer is increased by combined HRT?

Answer 34

breast

Question 35

Manage 1 missed pill in week 1

Answer 35

take extra pill

Question 36

Manage 2 missed pill in week 1

Answer 36

emergency contraception

Question 37

Manage 2 missed pill in week 2

Answer 37

use condoms for 7 days

Question 38

Manage 2 missed pill in week 3

Answer 38

ok, no break after pack

Question 39

Absolute CI to COCP

Answer 39

Hx of stroke or VTE migraines >35 and smoking >15 cigarettes

Question 40

When can POP be started after giving birth?

Answer 40

anytime

Question 41

When can depo be started after giving birth?

Answer 41

anytime unless breastfeeding

Question 42

How long should COCP be avoided after giving birth?

Answer 42

3wks | 6wks if additional VTE risk

Question 43

How long after UPSI should levonorogestrel be given?

Answer 43

upto 72hrs but efficacy dec with inc time

Question 44

How long after UPSI should ulipristal be given?

Answer 44

upto 120 hrs (5 days)

Question 45

In which form of emergency oral contraception is dose doubled if high bmi or enzyme inducing drugs?

Answer 45

levonorogestrel

Question 46

In which form of emergency oral contraception is only one dose allowed per cycle?

Answer 46

ulipristal