more obst

Question 1

how is post-partum thyroiditis investigated?

Answer 1

clinical and TFTs

no need for TPO antibody testing

Question 2

what is placental insufficiency?

Answer 2

awaiting passmed

Question 3

what is a cause of macrocytic anaemia in pregnancy?

Answer 3

folate/B12 deficiency

especially in woman with coeliac as reduced absorption of folate

Question 4

where is most common site of ectopic?

Answer 4

ampulla of fallopian

Question 5

what terminology is used to describe the position of the head in relation to the ischial spine?

Answer 5

station
-2 = above ischial spine
+2 = below ischial spine

Question 6

woman with migraine can’t tolerate COCP, what do yo give?

Answer 6

progesterone only pill

oestrogen increases risk of stroke

Question 7

how is labour induced?

Answer 7

vaginal prostaglandin (PGE2)

Question 8

what is the action of PGE2 in induction of labour?

Answer 8

stimulates cervical ripening and labour induction

Question 9

what is the first line treatment of stage 2-4 ovarian cancer?

Answer 9

surgical (+ chemo)

Question 10

does cervical cone biopsy affect later pregnancies?1

Answer 10

inc risk of miscarriage, esp in second trimester

Question 11

can you breastfeed while on amiodarone?

Answer 11

no

Question 12

when should pregnant women with abnormal smears have a smear test?

Answer 12

reschedule for at least 12 weeks postpartum

Question 13

which type of ovarian tumour increases the risk of endometrial cancer?

Answer 13

granulosa cell tumours

Question 14

which contraceptive is associated with weight gain?

Answer 14

depo-provera (injectable contraceptive)

Question 15

what is fitz-hugh-curtis syndrome

Answer 15

pelvic inflammatory disease causes inflammation of liver and capsule - acute abdo pain

Question 16

how is pph treated?

Answer 16

pharmacological

if not work, intrauterine balloon tamponade

Question 17

is gliclazide contraindicated in pregnancy?

Answer 17

yes

Question 18

what is an amniotic fluid embolism?

Answer 18

fetal cells/amniotic fluid enters mother’s circulation and stimulates a reaction

Question 19

what are the signs of amniotic fluid embolism?

Answer 19

cyanosis
hypotension
bronchospasm
tachycardia
arrhythmia 
myocardial infarction