O&G

Question 1

date of booking scan

Answer 1

8 - 12 weeks (ideally < 10 weeks)

Question 2

Early scan to confirm dates, exclude multiple pregnancy

Answer 2

10 - 13+6 weeks

Question 3

Down’s syndrome screening including nuchal scan

Answer 3

11 - 13+6 weeks

Question 4

Anomaly scan

Answer 4

18 - 20+6 weeks

Question 5

when is external cephalic version offered?

Answer 5

36 weeks

Question 6

date for second screen for anaemia and atypical red cell alloantibodies

Answer 6

28 weeks

Question 7

first degree perineal tear

Answer 7

superficial damage with no muscle involvement
do not require any repair

Question 8

second degree perineal tear

Answer 8

injury to the perineal muscle, but not involving the anal sphincter
require suturing on the ward by a suitably experienced midwife or clinician

Question 9

third degree perineal tear

Answer 9

injury to perineum involving the anal sphincter complex (external anal sphincter, EAS and internal anal sphincter, IAS)
require repair in theatre by a suitably trained clinician

Question 10

fourth degree perineal tear

Answer 10

injury to perineum involving the anal sphincter complex (EAS and IAS) and rectal mucosa
require repair in theatre by a suitably trained clinician

Question 11

medical treatments for post partum haemorrhage

Answer 11

• IV oxytocin: slow IV injection followed by an IV infusion
• ergometrine slow IV or IM (unless there is a history of hypertension)
• carboprost IM (unless there is a history of asthma)
• misoprostol sublingual

Question 12

first line surgical treatment for PPH

Answer 12

intrauterine balloon tamponade