OBG

Question 1

Raloxifene action on breast, bone and endometrium

Answer 1

Antagonistic, bone - agonist

Question 2

What is indicated in inflammatory breast cancer

Answer 2

Mammography, core needle biopsy

Question 3

MCC of unilateral bloody nipple discharge

Answer 3

Benign intraductal papilloma

Question 4

Post partum- wants conception for 2 years. Best choice

Answer 4

Injectable, can cause weight gain, decreased bone density

Question 5

Post partum psychosis- intention to kill child. NBS?

Answer 5

Involuntarily hospitalise and give anti psychotics

Question 6

RF for endometritis and Rx

Answer 6

C section, clinda +genta

Question 7

RF for chorioamnionitis, Rx

Answer 7

PROM, Ampicillin +genta. IV oxytocin to deliver baby soon

Question 8

Female 10 yr Hx of lymphedema from axillary LN dissection has weight loss, purple necrotic ulcerating mass on left arm

Answer 8

Lymphagiosarcoma

Question 9

Collagen type defect in type 2 osteogenesis imperfecta

Answer 9

Type 1

Question 10

AFP in NTD, prenatal screening

Answer 10

Increased. 2 nd trimester screening 15-20 weeks

Question 11

Quad screening in trisomy 18

Answer 11

AFP, HCG, Estriol low, inhibin normal

Question 12

Quad screening in trisomy 21

Answer 12

AFP, estriol low,
hcg, inhibin high

Question 13

NBS if abnormal quad results

Answer 13

Do cell free foetal DNA, USG

Question 14

Turtle sign seen in. Major RF

Answer 14

Shoulder dystocia. Macrosomia, maternal obesity

Question 15

Mx of shoulder dystocia

Answer 15

BECALM. Breathe, elevate legs McRoberts, call for help, apply suprapubic pressure, enlarge vaginal opening, Maneuvers

Question 16

Mx opioid dependent prego

Answer 16

Methadone or buprenorphine

Question 17

Complications of neisseria and chlamydia

Answer 17

PPROM, conjunctivitis

Question 18

Screening for high risk pre eclampsia

Answer 18

24 hour urine protein

Question 19

When is vasa previa diagnosed in USG

Answer 19

18-20 weeks