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Question 1

____________________ should be sent in pregnant women treated for a UTI

Answer 1

A test of cure MSU

Question 2

The target for fasting blood glucose in gestational diabetes is_________. The target for blood glucose two hours after an oral glucose tolerance test is________.

what to do if targets aren’t met?

Answer 2

<5.3 mmol/L
<6.4 mmol/L

start insulin

Question 3

A 19-year-old woman presents with a two day history of central lower abdominal pain and one day history of vaginal bleeding. Her last period was 8 weeks ago. On examination her cervix is tender to touch. This hx points to?

Answer 3

ectopic pregnancy because of the cervical excitation

Question 4

If a pregnant woman reports reduced fetal movements then________________as a first step

Answer 4

handheld Doppler should be used to confirm fetal heartbeat

Question 5

pregnant women - advice re cervical smear?

Answer 5

NICE guidelines suggest that a woman who has been called for routine screening wait until 12 weeks post-partum for her cervical smear.

Question 6

Women who have been admitted with hyperemesis gravidarum are generally given which IV fluid?

Answer 6

IV normal saline with added potassium as hypokalaemia is common

Question 7

A pregnancy test should be performed at ________ following medical management of a miscarriage

Answer 7

3 weeks

Question 8

painless vaginal bleeding - what is it likely to be? What’s the Ix?

Answer 8

placenta praevia
Transvaginal ultrasound is used to investigate suspected placenta praevia

Question 9

Oligohydraminos can be a clue that infants have ________________

Answer 9

renal agenesis (Potter sequence)

Question 10

If fetal movements have not yet been felt by ________, referral should be made to a maternal fetal medicine unit

Answer 10

24 weeks

Question 11

hyperthyroidism in pregnancy
1st trimester:
after 12 weeks:

Answer 11

1st trimester: propylthiouracil
after 12 weeks: carbimazole

Question 12

After _____ weeks, same day delivery is an option.

Answer 12

34

Question 13

SSRI risks in pregnancy (1st and 3rd trimester)

Answer 13

Use during the first trimester gives a small increased risk of congenital heart defects
Use during the third trimester can result in persistent pulmonary hypertension of the newborn
Paroxetine has an increased risk of congenital malformations, particularly in the first trimester

Question 14

Bishop score (SCORE)

Answer 14

Station
Consistency
OS position
Roundness (dilatation)
Effacement

5= favourable for IoL

Question 15

Pre-eclampsia risk factors: ASPIRIN

Answer 15

Age (increasing age)
Sugar/HTN (existing DM/HTN)
Previous hx/family hx of pre-eclampsia
Increasing pregnancy (multiple pregnancy)
Renal disease/Rotund
Immune disease
Nulliparity

Question 16

fietus has’A subsequent ultrasound scan demonstrates polyhydramnios, ascites and fetal skin oedema.’ - Dx? What virus can cause it? Tx?

Answer 16

hydrops fetalis
Parovirus B19
treatment in-utero is foetal transfusion, whereby, red blood cells are injected into the fetus whilst in the womb

Question 17

is early stages of labour a C/I to external cephalic version?

Answer 17

no, You can attempt external cephalic version for a transverse lie if the amniotic sac has not ruptured

Question 18

Pregnant women who have a severe asthma attack

Answer 18

should be admitted to hospital, even if they initially improve with treatment

Question 19

ARound 50% of cord prolapse occurs after ______________

Answer 19

artificial rupture of membranes

Question 20

If a woman with known placenta praevia goes into labour

Answer 20

(with or without bleeding), an emergency caesarean section should be performed

Question 21

Maternal intravenous antibiotic prophylaxis should be offered to women who

Answer 21

have a previous baby with early- or late-onset GBS disease

The largest risk factor for a baby developing Group B streptococcus growth is the mother having a previous baby who has grown it

Question 22

A confirmed miscarriage can be diagnosed on ultrasound if

Answer 22

there is no cardiac activity and:
- The crown-rump length is greater than 7mm OR
- The gestational sack is greater than 25mm

Question 23

Emergency contraception (EC) is not required before_______

Answer 23

day 21 postpartum

Question 24

Mx of renal stones in pregnant women?

Answer 24

urteroscopy

Question 25

OA vs OP

Answer 25

’ the occiput can be palpated posteriorly (near the sacrum)’ –> OP

• OP cause neck extension (OA neck flexion)
• OP cause more morbidity
• OP cause longer labour
• OP cause earlier desire to push and backache
• delivery is possible but most of the the time required augmentation or C-sec
• Kielland forcep can be used

Question 26

The management of non-reassuring CTG findings, which are persistent in nature:

Answer 26

prepare for category 2 caesarean section

Question 27

Interpreting Bishop score:

Answer 27

<5 –> labour unlikely to start without induction

<8: no need to do anything

<6: vaginal prostaglandins/oral misoprostol

> 6 –> amniotomy + IV oxytocin