O&G pastest

Question 1

Beta-HCG levels remain high after removal of hydatidiform mole. What could be going on? (2)

Answer 1

Choriocarcinoma

Invasive mole

Question 2

When embryologically is the formation of the spinal cord and brain complete?

Answer 2

12 weeks

may stop folic acid at 12 weeks gestation

Question 3

Define uterine hyperstimulation (2)

Answer 3

More than 6 contractions in 10 minutes OR

Less than 60 seconds between contractions

Question 4

What passes through Alcock’s canal? (3)

Answer 4

Internal pudendal arteries
Internal pudendal veins
Pudendal nerve

Question 5

Oesophageal atresia causes what gestational abnormality?

Answer 5

Polyhydramnios (baby can’t swallow amniotic fluid)

Question 6

What is meant by oligohydramnios?

Answer 6

Too little amniotic fluid

polyhydramnios is too much of it

Question 7

Positive dark field examination is almost certainly?

Answer 7

Treponema Pallidum

Question 8

What is Mittelschmerz?

Answer 8

One sided lower abdo pain assoc. with ovulation

Question 9

Name for one sided lower abdo pain assoc. with ovulation?

Answer 9

Mittelschmerz

Question 10

Antibiotic if pregnancy and pen-allergic?

Answer 10

Erythromicin

Question 11

Chocolate cyst also known as?

Answer 11

Endometrioma

Question 12

Chocolate cyst associated with what condition?

Answer 12

Endometriosis (it is an endometrioma)

Question 13

How long to wait after delivering baby to induce delivery of placenta?

Answer 13

1 hour (timer starts when baby born)

Question 14

To where does ovarian cancer metastasise?

Answer 14

Para-aortic nodes

Question 15

To where does cervical cancer metastasise first?

Answer 15

Pelvic lymph nodes (via iliac arteries)

Question 16

Thin, greyish, watery, fishy vaginal discharge. Likely diagnosis?

Answer 16

BV

Question 17

Treat BV?

Answer 17

Metronidazole

Question 18

What type of parasite causes Trichomoniasis?

Answer 18

Protozoa (trichomonas vaginalis)

Question 19

Frothy/ Yellow-Green/ Sticky/ Cheesy discharge PV, with itch and dysuria. Likely diagnosis?

Answer 19

Trichomoniasis

Question 20

Painkilling drugs to avoid if breastfeeding?

Answer 20

Aspirin (Reye’s Disease)

Codeine (massive dose to baby)

Question 21

What disease can be caused by mum taking Aspirin when breatfeeding?

Answer 21

Reye’s Disease

Question 22

Which intracellular organelle is affected in Reye’s Disease?

Answer 22

Mitochondria

brain & liver damage