gynae last

Question 1

2 things that are increased in downs

Answer 1

beta bcg and nuchal translucence

Question 2

discussion about whooping cough vaccine

Answer 2

28 weeks

Question 3

how does anti D work

Answer 3

removes the rhesus positive blood cells of the mother before antibodies are formed

Question 4

monochorionic means

Answer 4

same placenta

Question 5

chorionicty is determined by

Answer 5

US

Question 6

what twins at are higher risk

Answer 6

monochorionic- due to risk of twin to twin sydnrome

Question 7

monochorionic has what sign

Answer 7

T

Question 8

mx of twin to twin transfusion syndrome

Answer 8

before 26 weeks- fetoscopic laser ablation
after 26 - amnioreduction/septostomy

Question 9

twin deliveries

Answer 9

dicohorionic - 37-38
monochorionic - 36

Question 10

triplets need to have

Answer 10

c section

Question 11

bottom emerges frist in what

Answer 11

frank

Question 12

term preg is considered between

Answer 12

37-42

Question 13

prolonged pregnacny offered induction of labour at

Answer 13

41-42

Question 14

what artery decreases its resistance in fetal hypoxia

Answer 14

middle cerebral so will show an increase in peak systolic volume in fetuses with anaemia
- umbillical artery increases its resistance

Question 15

leading direct cause of maternal mortality

Answer 15

VTE

Question 16

leading cause of death in women in first year post birth

Answer 16

suicide

Question 17

still birth if after how many weeks

Answer 17

28

Question 18

neonatal mortailty refers to death of baby within

Answer 18

first 28 days of life

Question 19

difference between pregnancy induced hypertension and gestational hypertension

Answer 19

pregnancy induced - if below 20 weeks and gestational hypertension is after 20 weeks

Question 20

steriod given for surfactant if gestation is below what and has pre eclampsia

Answer 20

34

Question 21

avoid pregnancy if hba1c is above

Answer 21

86

Question 22

gestational diabetes values

Answer 22

Fasting >=5.1 mmol/l
2 hour >=8.5 mmol/l

Question 23

drug that can especially casue pre term pre labour rupture of membranes

Answer 23

cocaine

Question 24

In premature pre rupture of membranes what can be seen

Answer 24

pooling of blood in posterior vaginal fornix

Question 25

common first chocie antibiotic for chioramnionitis

Answer 25

erythromycin

Question 26

what antibiotic should be avoided as it causes necrotising enterocolitis

Answer 26

co -amoxiclav

Question 27

first line tocolytic

Answer 27

nifedipien

Question 28

if antibodys are high suggesting fetal anemia in rhesus isoimmunisation what is done

Answer 28

middle cerebral artery peak velocity pressure

Question 29

late sign of fetal anaemia

Answer 29

hydrops fetalis

Question 30

in placental abruption, clinical shock that is out of proportion to the amount of visible blood could be

Answer 30

concealed placetnal abruption

Question 31

what uterus can be seen in placental abruption

Answer 31

Couvelaire - appears blue - as blood appears between muscle fibres and the uterus doesnt contract well increasing the risk of PPH

Question 32

CTG shows zigzag pattern

Answer 32

placental abruption

Question 33

what is this? artifical rupture of membranes followed by dark bleeding, fetal bradycardia and death

Answer 33

vasa praevia

Question 34

rf for vasa praevia

Answer 34

bilobed placenta or succenturiate lobes

Question 35

constant abdo pain

Answer 35

uterine rupture

Question 36

majority of women with CMV present as though got

Answer 36

glandualr fever

Question 37

with parovirus infection in pregn we are worried about

Answer 37

hydrops fetalis

Question 38

what si the rash like in parovirus

Answer 38

lacy rash

Question 39

what does parovirsu rash spare

Answer 39

feets and palms

Question 40

rubella associated with

Answer 40

polyarthritis and a facial vesicular rash

Question 41

symptoms of rubella in newborn

Answer 41

sensorineual hearing loss, patent ductus arteriosus and glucaoma or cataracts

Question 42

preg woman hs swollen leg and back pain

Answer 42

iliac vein thrombosis - consider MRI venography

Question 43

when start giving LWMH for VTE in peg

Answer 43

as soon as clinical suspcion as should not be witheld until diangosisi

Question 44

when do you give unfractionated heparin in preg

Answer 44

acute massive PE - collapsed shocked woman- due to its rapid onset of action

Question 45

midface hypoplasia and shortened limbs can be due to what drug

Answer 45

warfarin

Question 46

can you give heparin or warfarin breastfeeding

Answer 46

yes

Question 47

asymmetrical intra uterine growth restricton due to defects i

Answer 47

placenta - pre eclampsia, malnutriition and chronic hypoxia