O&G

Question 1

STI with gram -ve diplococcus
Treatment?

Answer 1

Gonorrhoea!
Ceftriaxone IM (Hollie)

Question 2

Thin frothy yellow/green vaginal discharge
‘Strawberry cervix’
Dx ?
Tx ?

Answer 2

Trichomonas vaginalis
Metronidazole

Question 3

Pregnancy scans - when and what for? (X2)

Answer 3

11-14 weeks - dating
18 weeks - anomaly scan

Question 4

Test to detect neural tube defects if USS unable?

Answer 4

Amniocentesis for amniotic fluid a-protein (1% risk of foetus loss)

Question 5

What tests are done for Down’s syndrome screening in pregnancy?

Answer 5

Combined test (11-13 weeks)
-nuchal translucency
-free B-hcg
-pregnancy associated plasma protein

Question 6

If risk of baby with Down’s syndrome is >1:200, women is offered what:
If <13 weeks gestation?
>15 weeks gestation

Answer 6

<13 = chorionic villus sampling
>15 = amniocentesis

Question 7

What is released in the
-anterior pituitary
-posterior pituitary?

Answer 7

-anterior -LH, FSH, GH, TSH, ACTH, prolactin (sexy stuff at the front!)

-posterior: oxytocin & ADH

Question 8

Medication that can be started for hot flushes in menopause (other than HRT?)

Answer 8

SSRIs

Question 9

Tender breast lump that varies in size with menstrual cycle - Dx?

Answer 9

Breast CYST

Question 10

Pregnancy test becomes positive when?

Answer 10

9 days post conception