O&G

Question 1

Risk factors for lactational mastitis

Answer 1

Poor infant positioning
Milk stasis
Nipple damage

Question 2

2 non pharmacological treatments for lactational mastitis

Answer 2

Regular breast emptying
Routine hand washing
Referral to lactational consultant

Question 3

Treatment for lactational mastitis

Answer 3

Analgesia: Panadol 1 g qds, ibuprofen 400mg tds
ABX: penicillin allergic: clindamycin 450mg po tds

Endone 2.5-5mg 4 hourly

Question 4

Risk factors for PID

Answer 4

STI
Post procedure -D&C
Post Partum
Recent IUD insertion
During or post menses

Question 5

Indication for IP management of PID

Answer 5

Sepsis / shock
Pain out of control
Not tolerating oral
Failed conservative management
Pregnancy
Surgical complication
Sexual abuse

Question 6

Empirical abx for non severe PID a

Answer 6

Ceftriaoxne 500mg IM
Plus
Metronidazole 400mg po bd for 14 days
Plus either
Doxycycline 100mg po bd for 14 days
Or if pregnancy or breastfeeding
Azithromycin 1g po and repeat 1 week

Question 7

Severe PID abx treatment

Answer 7

Ceftriaxone 2 g iv po od

Azithromycin 500mg iv od

Metronidazole 500mg iv bd

Question 8

PID treatment allergy to pencillin

Answer 8

Gentamicin 5mg/ kg
Plus
Azithromycin 500mg iv od
And
Clindamcyin 600mg iv tds

Question 9

PID caused by m. Genitalium abx

Answer 9

Moxifloxacin abx 400mg po od for 14 days

Question 10

Leading death in pregnancy

Answer 10

Maternal trauma

Question 11

When give anti D

Answer 11

If mother is rh d negative and has sensitising event
Spontaneous, complete or incomplete miscarriage
Elective abortion
Trauma
Intrauterine death
Invasive intrauterine procedures
Delivery baby rh +ve
Ectopic pregnancy
>12 weeks gestational age

Prevent subsequent pregnancies - fetal death

Question 12

What is kleihauer test

Answer 12

Maternal fetal haemorrhage test
Requiring additional anti d
Current dose clears 15 mps

Question 13

How long monitored post trauma

Answer 13

4 hours CTG monitoring