Miscalaneous

Question 1

What proportion of BRCA positive women, undergoing risk reduction Salpingectomy, are found to have positive peritoneal washings?

Answer 1

10%!

Question 2

What analgesia is standard of care after laparotomy (eg TAH but excluding LSCS)?

Answer 2

Morphine PCA
1mg bolus with 5 minute lock out

Question 3

What proportion of women with PCOS are thought to remain undiagnosed?

Answer 3

70%!!!

Question 4

By what % does TXA reduce menorrhagia?

Answer 4

40%

Question 5

By what % does mefamamic acid reduce menorrhagia?

Answer 5

20%

Question 6

By what % does TZA+mefamamic acid reduce menorrhagia?

Answer 6

60%

Question 7

Recurrent miscariage is assocaiated with what uterine abnormality?

Answer 7

Septate uterus.

Question 8

What type of uterine congenital abnormality must be treated surgically? Why?

Answer 8

Unicornuate uterus with rudimentary horn that is separate (not connected) because contains endometrium threfore is very painful and can lead to endometriosis.

Question 9

What is the difference between progesterone and progestogen?

Answer 9

?? Progesterone is bio-identical
??Progestergen is not bio-identical therefore more androgonising therefore can cause hirtuism.

Question 10

What are the two types of balloon tamponade? What is the difference between these?

Answer 10

Bakri’s balloon (has a tip at the top that allows blood to drain). This is more effective.

Rush doesn’t have a tip.

Question 11

What needle is used for a Bakri?

Answer 11

70mm round bodied needle with vicryl.

Question 12

Post natal, what size should the uterus be after the third stage

Answer 12

20 week size.

Back to a pelvic organ within 10 days.

Question 13

When should the cervical os close post natally?

Answer 13

Day 3.

Question 14

What should be asked at the 6 week check?

Answer 14

How are mum and baby?
BP and weight
FBC if symptoms
Smear up to date?
Contraception
GDM - glucose test.
Pelvic floor directed exercises.

Question 15

When does lactogenesis start?

Answer 15

24 weeks.

Question 16

What is the incidence of breast cancer in pregnancy?

Answer 16

1 : 3,000
(most common cancer diagnosed in pregnancy).

Question 17

What is the average delay in diagnosing breast cancer in pregnancy?

Answer 17

5-7 months.

Question 18

When can chemotherapy be given for breast cancer in pregnant women?

Answer 18

AFTER 1st trimester. But delivery should be >2 weeks after chemo to allow foetal bone marrow to recover.

(Radiotherapy after delivery)
(Tamoxifen and Trastuzumab CI in pregnancy).

Question 19

What proportion of women experience urinary incontinence immediately after delivery vs ongoing symptoms?

Answer 19

1:3?? 1:2?? women immediately after delivery.

10-20% ongoing.