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Question 1

what is the management of teh foetus born to a hep b positive mum

Answer 1

hep b ig g and hep b immunisation before 24 hrs of life

Question 2

from which week the maternal corticosteroids are not given?

Answer 2

from 34th week onward
If there is risk of preterm birth and the woman is between 24 weeks and 34 weeks of gestation, antenatal corticosteroids should be offered to aid foetal lung maturation.

Question 3

what is a complication of polyhydramnious

Answer 3

cord prolapse

Question 4

when and what tests are done once a woman is diagnosed with severe pre eclampsia?

Answer 4

u &e, transaminase, FBC and bilirubin three times a week to check for HELLP syndrome

Question 5

in a woman in intractable vomiting in the first trimester what is an additional medication that should be given

Answer 5

thiamine supplement IM for teh wernickes encephalopathy

Question 6

which hormone is liked to reflux esophagitis during pregnancy

Answer 6

progesterone

Question 7

what is the first line tocolytic agent?

Answer 7

nifedipine

Question 8

if woman has not dilated more than 2 cm in 4 hrs what the first line of augmentation in multiparous and nulliparous

Answer 8

multiparous- amniotomy and reassess in 2 hrs and in nulliparous can use oxytocin plus amniotomy

Question 9

what is the effect on child if a mother suffers from cmv infection during pregnancy

Answer 9

hearing loss, visual impairement and learning dificulty

Question 10

which type of twin pregnancy carries the high risk of complication?

Answer 10

monoamniotic monochorionic twins they share the same amniotic sac and placenta so there is a risk of cord entanglement and twin to twin transfusion.

Question 11

what are the absolute contraindications of ECV?

Answer 11

antepartum haemorrhage in the last 7 days, placenta previa

Question 12

what are the indication of category 1 c-section

Answer 12

scalpt ph of less than 7.2 and cord prolapse… any situation where there is foetal compromise.

Question 13

what is the management of the hyopthyroidism during pregnancy

Answer 13

you increase the dose by 25mcg and reassess after 4 weeks

Question 14

what are the componenets that are assess to calculate the bishop score- effasement, station, hard or soft(consistency), opening(ilation), and position

Answer 14

less than 3 then cannot labour….also add a +1 point for previous pregnancy and substract 1 for post date delivery

Question 15

what is the medical management of the medical termination of the pregnancy?

Answer 15

200 mg oral mifepristol followed by 800 mcg (or 600mcg miso sublingually) of vaginal misoprostol 36-48 hrs later…and then 400mcg of misprostol every 3 hrs until the products of conception are out

Question 16

what is the a complication of cvs

Answer 16

limb anormality and misscarriage….also its only available between 11-13 weeks

Question 17

what s the risk factor for polyhydramnios

Answer 17

oesophageal atresia, dm,Excess production can be due to increased foetal urination:

Maternal diabetes mellitus

Foetal renal disorders

Foetal anaemia

Twin-to-twin transfusion syndrome

Insufficient removal can be due to reduced foetal swallowing:

Oesophageal or duodenal atresia

Diaphragmatic hernia

Anencephaly

Chromosomal disorders

Question 18

what does tutle neck sign imply

Answer 18

that there is shoulder distocia.Macrosomia refers to a birthweight of greater than 4kg. This is a recognised risk factor for shoulder dystocia and is commonly a result of uncontrolled maternal gestational diabetes.

Question 19

what is the complication of twin to twin transfusion

Answer 19

oth donor and receipient twin are at risk of hydrops andheart failure. the donor is at risk of high out heart failure secondary to anaemia and recepient is at the risk of fluid overload…..however the donor is more likely to survive thant he receipient.

Question 20

what is the management of iron defeiency anaemia in post partum woman?

Answer 20

try oral iron tablets and review in 2weeks .

Question 21

is lithium safe in pregnancy ?

Answer 21

no ther is a risk of ebstein anamoly so NICE recommends to switch to an antipsychotic

Question 22

what is the management of hyperemesis gravidarum in a patient who is unable to take oral intake?

Answer 22

prochlorperazine IM 12mg….first line is cyclizine or promethazine

Question 23

during giving the spinal anaestheisia consent counselling what is important tos hare witht he patient?

Answer 23

that the affects wear off at 2 hrs so if there is a complication might require to give another one. the spinal anaesthesia is given in the subarachnoid space.

Question 24

what is the management of symptomatic major placenta previa

Answer 24

admit the patient in the hospital from 34 th weeks to closely monitor

Question 25

A foetus is born with chorioretinitis, hearing impairment and hydrocephalus. She is also suffering from frequent seizures. what is the most likely infection mum suffered from

Answer 25

toxoplasma gondi.Congenital syphilis commonly presents with keratitis, malformed teeth and sensorineural deafness.

Question 26

which condition is associated with congenital hydrocephalous

Answer 26

materanl rubella …it causes the acqueductal stenosis

Question 27

what is the success rate of ecv?

Answer 27

50%