O and G 2016 paper

Question 1

What is the name of the HPV vaccine? What does it protect against?

Answer 1

Gardisil

Mainly HPV hr strains - 16 and 18
Also HPV 6 and 11 (warts)

Question 2

NSAIDs cause what in pregnancy

Answer 2

Oligohydramnios
Premature closing of PDA
Maternal gastric mucosal ulceration
Reduced renal perfusion

Question 3

Management of first episode UTI

Answer 3

Nitrofurantoin 100mg BD for 7 days

Or PO Amox 500mg TDS for 7 days
or PO Cefalexin 500mg BD for 7 days

Question 4

When can nitrofurantoin not be given and why?

Answer 4

Do not give nitrofurantoin at term because of neonatal haemolysis

Question 5

When can you give trimethoprim?

Answer 5

After 12 weeks

Question 6

Teratogencitiy of trimethoprim?

Answer 6

Folate antagonist

Question 7

What else do you need to consider?

Answer 7

Thromboprophylaxis
Repeat MSU for MC and S after treatment to ensure clearance of infection

Question 8

Mx of acute pyelonephritis in pregnancy

Answer 8

PO cefalexin
IV cefuroxime

Question 9

Key side effect of nexplanon

Answer 9

Implantable contraceptive - irregular bleeding

Question 9

Key side effect of nexplanon

Answer 9

Implantable contraceptive - irregular bleeding

Question 10

Advantages of implantable progestogen contraceptive

Answer 10

Immediate restoration of periods afterwards
Good if COCP CI
Reduces the risk of endometrial cancer

Question 11

When is the implantable contraceptive CI / efficacy reduced?

Answer 11

CI in liver/breast cancer
Reduced efficacy with carbemazapine and other enzyme inducing drugs