Obs

Question 1

What age can you see a gestation sac?

Answer 1

4 - 5 weeks

Question 2

Standard USS measurement in early pregnancy?

Answer 2

Crown rump length

Question 3

Standard USS measurement from 13 weeks on?

Answer 3

Biparietal diameter - foetal head

Question 4

What foetal anomalies are detected but USS?

Answer 4

Neural tube defects (spina bodies, anencephaly)
Cardiac
Urinary (renal agenesis)
Skeletal dysplasias
Anterior abdominal wall defects (diaphragmatic hernia)

Question 5

How is amniotic fluid made?

Answer 5

Mostly by feral urination

> > reduced urine output:

• GU abnormalities
• placental insufficiency

Question 6

What is cervical shock?

Answer 6

It’s a vasovagal response to cervical distension

|&raquo_space; in miscarriage it’s treated by removal of retained POC

Question 7

What is the medical management of miscarriage?

Answer 7

Misoprostol

- buccal or vaginal

Question 8

What does effacement of the cervix mean?

Answer 8

Cervix gets stretched and thinner

Question 9

Indications for IOL

Answer 9

1) Advanced maternal age
2) Pre-labour rupture of membranes
3) Gestational diabetes
4) Multiple pregnancies
5) HTN in pregnancy
6) IUGR

Question 10

Uses of misoprostol

Answer 10

1) Medical management of termination
2) Induction of labour
3) Post-partum haemorrhage

Question 11

Pre-eclampsia diagnosis

Answer 11

140/90

Performed twice, at least 4 hours apart

Question 12

Abnormal urine protein:creatinine

Answer 12

> 30

Question 13

PET treatment

Answer 13

Advised to start aspirin from 12 weeks

Stop ACEi/ARBs

Nifedipine / labetalol

Question 14

VBAC post c section

Answer 14

Can be successful

> 2 c sections&raquo_space;> for O&G discussion

Question 15

Target BP in pregnancy

Answer 15

135/85