Obs and Gynae

Question 1

How long do you have to wait before getting pregnancy again after medical management of ectopic

Answer 1

Can’t get pregnant for at least 3 months as methotrexate is teratogenic

Question 2

What can you use to decrease transmission of HIV during and after labour?

Answer 2

• Antenatal antiretroviral therapy during pregnancy and delivery- IV Zidovudine 4 hours pre partum
• Avoidance of breastfeeding
• Neonatal post-exposure prophylaxis- zidovudine for 6 weeks

Question 3

what is the diagnostic test for PCOS ?
Free androgen index
FSH/LH
TFT

Answer 3

Raised free androgen index is the diagnostic test for PCOS, and is the result of suppressed SHBG levels, resulting in higher concentration of circulating free testosterone. FSH/LH and TFT would help exclude other conditions.

Question 4

Which medications are contraindicated in breastfeeding ?
Mneumonic

Answer 4

SAFE Moms Like To Be Careful

Sulphonamides, SUs
Aspirin and amiodarone
Fluroquinolones- Ciprofloxacin
Erythromycin

Methotrexate
Lithium
Tetracyclines
Benzos
Chloramphenicol, Carbimazole

Question 5

How common is chronic pain after c section due to nerve entrapment ?
a 0.7%
b 3.7%
c 9.7%
d 12.7%

Answer 5

3.7%

Question 6

Whats the first line medical treatment for pain in IBS?

Answer 6

Antispasmodics such as mebeverine hydrochloride, and a high fibre diet improve IBS
symptoms if given for at least 3- 6 months.

Question 7

Can a 15 yr old undergo an abortion without parental consent?

Answer 7

Yes, She can consent for termination of pregnancy according to Fraser
guidelines (Gillick competence)

Question 8

How many antenatal visits are given to women who have a single uncomplicated pregnancy?

Answer 8

7 for multiparous
9 for nulli
Midwife- and GP-led models
of care should be offered.
Referral to secondary care(Obstetrician care) is only required if there are any
concerns about maternal or fetal health or any issues arise that require discussion

Question 9

If there is intra-partum bleeding or meconium stained liquor what is indicated

Answer 9

continuous electronic fetal
monitoring is indicated to assess whether or not there is fetal compromise.

Fetal blood sampling should be only performed if there is evidence of fetal compromise on
CTG, unless it is contraindicated

Question 10

Obstetric cholestasis follow up after labour?

Answer 10

women with obstetric cholestasis should have postnatal LFT test
10 days after delivery

Question 11

what medical management is there for PPH and what are each drugs CI?

Answer 11

IV oxytocin: slow IV injection followed by an IV infusion
ergometrine slow IV or IM (unless there is a history of hypertension)
carboprost IM (unless there is a history of asthma)
misoprostol sublingual

Question 12

What baseline investigations would you do in pre-eclampsia after urine dip and bp?

Answer 12

FBC, U&E, LFT, Protein/creatinine ratio

mild hypertension and proteinuria the baseline investigations aim to check
platelets, urea and creatinine and ALT, as well as urinary PCR to quantify proteinuria.