OBS

Question 1

asymptomatic bacteruria management

Answer 1

amoxicillin 250mg TDS for 3 days

Question 2

reflux medical management

Answer 2

gaviscon, h2 recptor

Question 3

triad of hyperemesis gravidum

Answer 3

> 5% wt loss, dehydration, electrolyte disturbance

Question 4

investigations for hyperemesis gravidum

Answer 4

U&Es, LFTs, MSU, USS

Question 5

management of hyperemesis

Answer 5

ABCDE
NaCl + K+
antiemetic - cyclizine
thiamine
consdier VTE prophylaxis
correct electrolyte imbalance

Question 6

investigations in IUGR

Answer 6

USS
doppler
CTG
maybe manio for foetal karyotype or infection

Question 7

when to scan if SGA risk factor

Answer 7

serial growth scans and doppler from 26-28 weeks

Question 8

MCMA division day

Answer 8

9-13

Question 9

MCDA division day

Answer 9

4-8

Question 10

DCDA division day

Question 11

what week should uterus become palpable

Answer 11

12 weeks

Question 12

when to have dating scan

Answer 12

8-14 weeks

Question 13

what does the lambda sign suggest

Answer 13

DC twins

Question 14

twin to twin transfusion syndrome what happens to each twin

Answer 14

donor twin: anaemia, IUGR, oligohydraminos,

recipient twin: volume overload, polycythema, cardiac failure, polyhydraminos

Question 15

what is quintero staging

Answer 15

TTTS

Question 16

management of TTTS

Answer 16

laser ablation of placental anatstomoses <26 weeks
indomethicin to reduce urine output
selective foetal reduction

Question 17

when to deliver twins

Answer 17

MC - 36-38w

DC - 37-38w

Question 18

When to give aspirin 75mg from 12w

Answer 18

if one of:

• HTN in prev preg
• CKD
• Autoimmune
• DM
• chronic HTN
• thrombophilia

if >1 one:

• multiple pregnancy
• > 40yrs
• BMI >35 at booking
• preg interval >10yrs
• nulliparuty
• FHx

Question 19

management of mild preeclampsia

Answer 19

admit
BP 4x/day
bloods 2x/week

Question 20

management of mod or severe pre-eclampsia

Answer 20

admit
PO labetalol
BP 4x/day
bloods 3x/week

Question 21

blodds for pre-eclampsia

Answer 21

U%Es, LFTs (transaminases and bilirubin) FBC

Question 22

what is the tenessee classification diagmostic criteria for hellp

Answer 22

LDH >600 + haemolysis
AST >70
platelets<100

Question 23

what platelet levels do you need for a section or vaginal birth

Answer 23

> 80 for section

>50 for vaginal birth

Question 24

when to deliveryb dm baby

Answer 24

37-39w

Question 25

GDM risk factors

Answer 25

BMI >30
previous baby >4.5
previous GDM
fhx of DM 
ethnic origin

Question 26

when to do gtt

Answer 26

24-28 weeks

Question 27

when to diagnose gdm

Answer 27

fasting glucose >5.6

gtt >7.8

Question 28

foetal monitoruing in gdm

Answer 28

every 4 w from 28-36 w uss