Incorrect Answers

Question 1

Which antibiotic should be avoided in chorioamnionitis?

Answer 1

Co-amoxiclav - associated with necrotising enterocolitis.

Question 2

At what point in the post-partum period has the uterus normally returned to its non-pregnant size?

Answer 2

4 weeks

Question 3

What is the most common type of fibroid?

Answer 3

Intramural

Question 4

What is the Chandelier sign?

Answer 4

Cervical motion tenderness / cervical excitation.

Question 5

Mefenamic vs tranexamic acid?

Answer 5

Mefenamic acid - anti-inflammatory, helps with period pain as well and menorrhagia.

Tranexamic acid - helps menorrhagia.

Question 6

Staging system used for endometrial cancer?

Answer 6

FIGO - also used for ovarian cancer.

Question 7

What is Fitz-Hugh-Curtis syndrome?

Answer 7

PID complication - liver capsule becomes inflamed, causing adhesions in the peritoneum.

Question 8

Management of small fibroids?
(< 3cm)

Answer 8

• Mirena coil
• NSAIDs
• TXA
• COCP

Question 9

First-line antibiotics for PID?

Answer 9

• IM ceftriaxone
• oral doxycycline
• oral metronidazole

Question 10

Most common subtype of ovarian cancer in younger women?

Answer 10

Germ cell tumour

Question 11

Cervical screening recommendation for HIV positive patients?

Answer 11

Annually

Question 12

What is Asherman’s syndrome?

Answer 12

Intrauterine adhesions, commonly as a result of previous uterine surgery. Can lead to obstruction of the menstrual outflow tract, presenting as secondary amenorrhoea.

Question 13

Levothyroxine dose in pregnancy?

Answer 13

Increase dose by 25 mcg as soon as pregnancy is confirmed, even if euthyroid.

Question 14

Initial management of early pre-term labour?

Answer 14

• corticosteroids
• tocolytics

Question 15

What is the Kleihauer test?

Answer 15

Used to quantity the dose of Rh-D antigen in maternal circulation - helps to guide the amount of anti-D required for a sensitising event.

Question 16

How does congenital CMV present?

Answer 16

• hearing loss
• visual impairment
• learning disability

Question 17

How does congenital varicella syndrome present?

Answer 17

• limb hypoplasia
• microcephaly
• skin scarring

Question 18

When can the COCP vs POP be used post-partum?

Answer 18

COCP - after 3 weeks if not breastfeeding, after 6 weeks if breastfeeding.
POP - any time post-partum.

Question 19

What are some absolute contraindications for ECV?

Answer 19

• C section already indicated
• antepartum haemorrhage within the last 7 days
• non-reassuring CTG
• major uterine abnormality
• placental abruption / placenta praevia
• ruptured membranes
• multiple pregnancy

Question 20

Time interval for copper IUD after UPSI?

Answer 20

120 hours

Question 21

Time interval for ullipristal acetate after UPSI?

Answer 21

120 hours

Question 22

Time interval for levonorgestrel after UPSI?

Answer 22

72 hours

Question 23

Side effects of copper IUD?

Answer 23

• cramping after insertion
• heavier periods
• more painful periods
• infection
• falling out

Question 24

Which antibiotics are used for confirmed PPROM?

Answer 24

Erythromycin or clarithromycin.

Question 25

When can expectant management be used for ectopic pregnancy?

Answer 25

• stable patient
• no heart beat
• bHCG < 1500
• minimal / low no symptoms

Question 26

When can medical management be used for ectopic pregnancy?

Answer 26

• bHCG > 5000
• pregnancy > 35 mm
• stable patient
• no heart beat

Question 27

Why are dextrose solutions avoided in hyperemesis gravidarum?

Answer 27

Risk of Wernicke’s encephalopathy.

Question 28

What is the acceptable SFH range after 24 weeks of pregnancy?

Answer 28

cm = no. of weeks (+/- 2cm)