O&G

Question 1

Blood-stained watery discharge from nipples with no malignancy risk = ?

Answer 1

Intraductal papilloma

Question 2

1st line treatment for…

1. Stress Incontinence
2. Urge Incontinence

Answer 2

1. Pelvic floor training / exercises

2. Bladder retraining

Question 3

Where in the fallopian tube does fertilization most often occur?

Answer 3

AMPULLA of fallopian tube

Question 4

Gestational Diabetes Mellitus (GDM)

1. Fasting plasma venous glucose of greater than?
2. 2-hour plasma venous glucose of greater than?

Answer 4

1. > or equal to 5.1

2. > or equal to 8.5

Question 5

Strawberry cervix / punctate haemorrhages

Answer 5

Trichomonas Vaginalis

Foul smelling green discharge often present. Treat with Metronidazole

Question 6

Carbimazole or Carbamazepine is contraindicated whilst breast-feeding?

Answer 6

Carbimazole

You’d be an azole (asshole) to take carbimazole whilst brestfeeding

Question 7

Definitive Down’s diagnostic test between 11 - 14 weeks (not Harmony)

Answer 7

Chorionic villus sampling (CVS)

Note: Rhesus D-ve women must be given Anti D

Question 8

Definitive Down’s diagnostic test from 15 weeks

Answer 8

Amniocentesis

Note: Rhesus D-ve women must be given Anti D

Question 9

Combined test

1. When is it offered?
2. What does it consist of?
3. What does it test for?

Answer 9

1. Available from 11 - 14 weeks
2. Ultrasound: nuchal translucency.
   Bloods: PAPP-A + B-hCG
3. Tests for Downs, Edwards and Pataus

Question 10

Serum triple test

1. When is it offered?
2. What does it consist of?
3. What does it test for?

Answer 10

1. Available from 14 - 20 weeks
2. Bloods - AFP, B-hCG + oestriol
3. Downs + spina bifida
   (high B-hCG + low oestriol / AFP = Downs risk)

Question 11

Quadruple test

1. When is it offered?
2. What does it consist of?
3. What does it test for?

Answer 11

1. Available from 15-22 weeks
2. Triple test (AFP, hCG, oestriol) + Inhibin A
3. Chromosomal abnormalities + spina bifida

Question 12

A surge in which hormone stimulates ovulation?

Answer 12

Luteinizing hormone (LH)

Peaks 18 hours prior to ovulation

Question 13

Pelvic pain in late third trimester. Pain is worse when walking and can radiate to the perineum or upper thighs

Answer 13

Symphysis pubis dysfunction

Question 14

Antibiotic if used in pregnancy is associated with necrotizing colitis

Answer 14

Co-amoxiclav (augmentin)

Question 15

Serum test of which hormone will aid a clinical diagnosis of menopause?

Answer 15

FSH

(low)

Question 16

When is Anti-D offered during preganancy and to which women?

Answer 16

Rhesus -ve women AFTER 12 weeks

500iu at 28 and 34 weeks

(Also given whenever there may have been maternal/fetal blood mixing, i.e. trauma, amniocentesis etc)

Question 17

Antibiotic used as prophylaxis when PROM occurs

Answer 17

Erythromycin

Question 18

Which measurement is the most reliable indicator of gestational age before
14 weeks?

Answer 18

Crown-Rump length

Question 19

Which measurement is the most reliable indicator of gestational age after
14 weeks?

Answer 19

Biparietal diameter (fetus becomes flexed at this point so crown-rump is no longer accurate)

Question 20

Treatment of magnesium sulphate overdose

Answer 20

IV Calcium gluconate

Question 21

Which hormone promotes proliferation of glandular and stromal elements
of the endometrium?

Answer 21

Oestradiol

Question 22

Vaginal discharge - flagellated protozoan

Answer 22

Trichomonas vaginalis

Treat with metronidazole

Question 23

How to treat pre-eclampsia in a woman with asthma (i.e. labetalol contraindication)

Answer 23

Nifedipine

Question 24

Gold standard test for tubal patency (in a woman being investigated for infertility)

Answer 24

Laparoscopy and dye

Question 25

What type of twins develop Twin-to-twin transfusion syndrome?

Answer 25

Monozygotic monochorionic diamniotic Occurs in up to 35% of monochorionic pregnancies 15% perinatal mortality

Question 26

Most common cause of PPH

Answer 26

Atonic uterus Management includes - Bladder emptying, uterine massage followed medically by Bolus of IV ergometrine + oxytocin infusion

Question 27

When is a B-lynch brace suture used?

Answer 27

Surgical management of atonic uterus following PPH

Question 28

How long should folic acid be taken for post conception?

Answer 28

12 weeks

Question 29

When is the ultrasound anomaly scan carried out?

Answer 29

20 weeks

Question 30

How many weeks is ECV offered at?

Answer 30

36 for primeps | 36 for multips

Question 31

At what Hb level should iron supplementation be offered

Answer 31

11g/dl

Question 32

Term for the beginning of breast development

Answer 32

Thelarche

Question 33

Most common congenital cause of amenorrhea

Answer 33

Turner's syndrome

Question 34

What defines the growth of pubic hair?

Answer 34

Adrenarche

Question 35

Given to reduce the size of fibroids before myomectomy

Answer 35

GnRH agonists

Question 36

Precocious puberty is treated medically with...

Answer 36

GnRH agonists

Question 37

Quantitive definition of menorrhagia

Answer 37

Blood loss exceeding 80mL

Question 38

Where squamous epithelium has formed by metaplasia over endocervical cells

Answer 38

Nabothian follicles

Question 39

Rokitansky protuberance

Answer 39

Ovarian teratoma / dermoid cyst