O+G

Question 1

Cord prolapse which position

Answer 1

Knees and elbows

McRoberts is done during shoulder dystocia

Question 2

Gonorrhoea MX

Answer 2

IM Ceftriaxone

Chlamydia= doxycycline

Question 3

How to treat BV

Answer 3

Metronidazole

Even in pregnancy

Question 4

Which Abx in pregnancy for UTIS

Answer 4

Amox or cefalexin

Nitro defo avoid in late pregnancy

Trimethoprim defo avoid in 1st trimester

Question 5

ACEi in pregnancy?

Answer 5

No and also not in breastfeeding

(Definite no in 2nd and 3rd trimester)

Question 6

Syphilis treatment complication

Answer 6

Jarisch-Herxheimer reaction

Fever, nausea, tachycardia, headaches, flushing after first dose of benathine benzylpenecillin for syphillis

Don’t stop the Abx just give paracetamol (IV)

Question 7

How to differentiate between the causes of genital ulcers

Answer 7

Painless ulcer and painless lymphadenopathy= syphillis

Painless ulcer and painful lymphadenopathy= lymphogranuloma venereum

Painful ulcer and painful lymphadenopathy= chancroid/ HSV (chancroid has ragged edge, deep vs HSV is small with red edge)

Question 8

How does meig’s syndrome present

Answer 8

Benign ovarian tumour

Ascites

Pleural effusion

Treat with thoracentesis and paracentesis to drain off fluid and respect the fibroma to correct the UL cause