January

Question 1

What is the risk of haemorrhage requiring transfusion at benign abdominal hysterectomy?

Answer 1

2.3%

Question 2

In haemophilia carriers, at what factor level should pharmacological prophylaxis be avoided?

Answer 2

< 0.6 units/ml

Question 3

Babies born to women with epilepsy taking which drugs require vitamin K?

Answer 3

Enzyme inducers:
Phenytoin
Phenobarbital
Carbamazepine
Oxcarbazepine
Topiramate

Question 4

What are the risk levels with short cervical length?

Answer 4

< 25mm before 28/40: 25%
< 20mm before 32/40: 42%
< 20mm before 34/40: 62%

Question 5

What are the lifetime risks for hepatic adenoma?

Answer 5

27% haemorrhage
17% rupture & intraperitoneal bleed
5% malignant transformation

Question 6

What is the risk of fetal malformations with anti-TNF drugs?

Answer 6

Similar to general population
BUT recommend stopping as can cause fetal immunosuppression

Question 7

What birth plans should be made for SGA with umbilical artery AREDV?

Answer 7

CS at 32/40

Question 8

What PPH prophylaxis should be given for a vaginal birth?

Answer 8

Oxytocin 10 units IM

Question 9

What birth plans should be made for MCMA twins?

Answer 9

CS at 32-34/40

Question 10

How is lidocaine stored/given?

Answer 10

1% : 10mg/ml

Question 11

How should AKI be managed in PET?

Answer 11

Fluid restriction of 80ml/hr

Question 12

In women who develop chicken pox in the 4 weeks prior to delivery, what is the risk of varicella infection of the newborn?

Answer 12

50%

Question 13

In women who develop chicken pox in the last 4 weeks of pregnancy, what is the risk of neonatal infection?

Answer 13

50%

Question 14

What is the male to female ratio of Antiphospholipid syndrome?

Answer 14

1:3.5-5

Question 15

How much more common is coil perforation in breastfeeding women ?

Answer 15

6x

Question 16

Which structures are divided during a mediolateral episiotomy?

Answer 16

1. Vaginal epithelium
2. Transverse perineal muscle
3. Bulbocavernosus muscle
4. Perineal skin

Question 17

Which structure is divided during a midline episiotomy?

Answer 17

Central perineal tendon = perineal body

Question 18

How is delayed puberty in girls defined?

Answer 18

Absence of breast development beyond 13 years old

Question 19

What is the absolute risk reduction in RDS for steroids at 37-38+6?

Answer 19

3-7%

Question 20

What is the risk of placenta praevia following 1 previous praevia?

Answer 20

2.3%

Question 21

What is the most common major complication of gynae laparoscopic surgery?

Answer 21

Injury of urinary tract

Question 22

What are the proven significant risk factors for developing endometrial polyps?

Answer 22

1. Increasing age
2. HRT

Question 23

What is the lifetime risk of a woman needing surgery for an ovarian mass?

Answer 23

10%