O&G VIVA - GYNE

Question 1

Question 11 - Puerperal Fever

1. RF of infection during birth
2. Immediate management
3. WHY USE CLEXANE??

(Only go over differentials + Structure and Q above).

Answer 1

• Group B strep, Antibiotics given or not, sources of infection - IV line, catheter
• Resus if shocked, ring ICU (may require inotropes)

Question 2

Question 12
1. Management

(Dont go over again - just structure)

Answer 2

REMEMBER TO ASK ABOUT SOCIAL IMPAIRMENT

Question 3

*if time go over again
Question 13 -Fertility

• QUESTIONS for Jenny
• management

Answer 3

BOTH BMI!!!

Jenny -(2x Ps 2x Fs) Fertility awareness, fertility, periods, PCOS
History systematically

Luke - Fertility in past, libido

Question 4

Question 14 - Vaginal Discharge

• History
• Exam

Advice for fungal infection

Answer 4

History - Prev episodes + tx
Allergies
Systems - urinary, gyne

Exam

• Start of at inspection and work way through
• -> vulval/vaginal erythema
• -> discharge
• -> foreign body
• ->Cervix, swabs
• -> Bimanual - tenderness PID

Fungal - avoid soap, cotton underwear, probiotics

Question 5

RE-GO OVER
Question 15 - Miscarriage

Answer 5

Remember
History
-First - check if shocked or not
-good understanding of LMP!!!

PERITONISM
VE - cervical motion tenderness, uterine size, adnexal tenderness, mass

Inv

Question 6

Question 16
-just go over definition

(dont go over again)

Answer 6

dfgfd

Question 7

********************************
Go over again 
Question 17 - Endometrial cancer
-History 
-investigations/management

Answer 7

GO OF HISTORY AGAIN !! learn well!

Question 8

***(go over again if time)
Question 18 - Urinary incontinence
-go over history, exam, management again

Answer 8

dfg

Question 9

Question 19 - Contraception
-rote learn again

Answer 9

dfg

Question 10

Question 20 - Ovarian cancer
-go over again
-RISK FACTORS FOR OVARIAN CANCER!!

Answer 10

fdg

Question 11

Question 21 - Cervical Screening
ROTE LEARN

Answer 11

dfg

Question 12

Question 1 - good, no more to do

Answer 12

dfg

Question 13

-dont need to go over again

Question 3 - DONT FORGET URINALYSIS?preeclampsia as cause

Answer 13

fdgfd

Question 14

Multiple pregnancy RFs

Answer 14

Maternal

• HTN, preeclampsia
• DM
• increased physiological demands and symptoms
• anaemia
• ante-postpartum haemorrhage

FEtal

• growth restirction
• twin-twin transfusion
• preterm delivery
• abnormal presentation
• compllicated deliveyr

Question 15

Risk factors of Diabetes in pregnancy

Answer 15

MATERNAL - HTN, GD, C-seciton

fetal - congenital, SGA, stillbirth, LGA, shoulder dystocia, childhood obesity