History and examination obs and gyne

Question 1

what must you never forget in a gyne history (4)

Answer 1

LMP
Cycle
Contraception/sexually active
Last smear

Question 2

What specific conditions are you looking for (4)

Answer 2

Menorrhagia

Prolapse

Pelvic pain

Early pregnancy bleeding

Question 3

What do you do in a gyne examination (5)

Answer 3

Intimate examination

General

Abdominal

PV

Speculum – Cuscos/Sims

Question 4

What are you looking for on examination of the uterus? (5)

Answer 4

Position of uterus
Size of uterus
Mobility of uterus
Adnexal masses
Tenderness/cervical excitation

Question 5

What 2 speculum may you use for vaginal examination?

Answer 5

Cusco speculum

Sim speculum

Question 6

what to cover in an obstetric history?

Answer 6

Parity
para1+0 para2+1 para0+3

• FH, SH

Question 7

Past obstetric history (6)

Answer 7

All previous pregnancies and outcomes
Date
Type of delivery
LB/SB
Weight and sex of baby
Any problems encountered during pregnancy/delivery/postnatally

Question 8

Obstetric examination includes? (4)

Answer 8

General examination including BP

Abdominal examination

FH

Urine

Question 9

How do you measure fundal height? (4)

Answer 9

Mother semi recumbent with empty bladder
- Palpate fundus with 2 hands
- Secure tape measurement down
at top of fundus
- Measure to top of symphsis pubis
- Measure along longitudinal axis
of measurement

Question 10

fetus postion longitudinal means?

Answer 10

head down feet up

- cephalic

Question 11

fetus postion transverse means?

Answer 11

lying flat

Question 12

fetus position oblique means?

Answer 12

diagnonal but head is down

Question 13

breech fetus position is?

Answer 13

feet first- head up

Question 14

back up fetal position is?

Answer 14

feet down lying sideways

Question 15

Fifths palpable - what does 2/5 of the head being palpable abdominaly mean?

Answer 15

then the widest part has descended into the pelvis and the head is “engaged”

Question 16

pregnant abdomen ?

- what is the fundal height?

Answer 16

X which is/is not in keeping with gestation

Question 17

what are the ways to describe a fetal lie - what is the presentation?

Answer 17

longitudinal/oblique/transverse

The presentation is cephalic/breech (if transverse lie – back up/down)

Question 18

SRM stands for?

Answer 18

spontaneous rupture of membranes

Question 19

PROM stands for?

Answer 19

prelabour rupture of membranes

Question 20

PPROM stands for?

Answer 20

preterm prelabour rupture of membranes

Question 21

CS and VBAC stand for?

Answer 21

• caesarean section

- vaginal delivery after caesarean

Question 22

SVD stands for?

Answer 22

spontaneous vaginal delivery

Question 23

VE stands for?

Answer 23

vaginal examination

Question 24

PET stands for?

Answer 24

preeclampsia

Question 25

Mec stands for?

Answer 25

meconium

Question 26

OA/OP/OT stands for?

Answer 26

occipito anterior/posterior/transverse