notes from quesmed

Question 1

contraindications to tocolysis

Answer 1

greater than 34 weeks gestation
Non-reassuring cardiotocograph, fatal foetal anomaly or intrauterine death
Intrauterine growth restriction or placental insufficiency
Cervical dilation greater than 4cm
Chorioamnionitis
Maternal factors such as pre-eclampsia, ante-partum haemorrhage, haemodynamic instability

Question 2

congenital adrenal hyperplasia

Answer 2

autosomal recessive disorder

deficiency of 21-hydroxylase enzyme causing reduced production of cortisol and aldosterone and an increased production of androgens

tall for age
primary amenorrhea
early puberty

Question 3

hypogonadotropic hypogonadism

Answer 3

cause of both primary and secondary amenorrhoea where there is a deficiency in both LH and FSH, which in turn leads to a deficiency of oestrogen

Question 4

hypergonatropic hypogonadism

Answer 4

ovaries do not respond to stimulation by LH and FSH
Due to the lack of negative feedback from the ovaries, the anterior pituitary gland continues to produce LH and FSH.