Obs and Gynae

Question 1

What should be monitored when magnesium sulphate is given?

Answer 1

Respiratory rate and reflexs

Question 2

When should mothers be referred if they haven’t yet felt movements?

Answer 2

24 weeks

Question 3

Cut off for iron replacement post delivery?

Answer 3

<100g/L

Question 4

Smear testing intervals for different ages?

Answer 4

25-49 = every 3 years
50-64 = every 5 years

Question 5

When to stop the COCP in relation to planned surgery?

Answer 5

Stop 4 weeks before and restart 2 weeks after

Question 6

UKMEC 3 Criteria?

Answer 6

> 35yrs smoking <15/day
BMI >35
VTE in 1st degree relative <45yrs
Controlled hypertension
Immobility
BRCA1/2
Current gallbladder disease

Question 7

UKMEC 4 Citeria?

Answer 7

Migraine with aura
>35yrs smoking >15/day
History of stroke/VTE/HD
Breastfeeding <6 weeks postpartum
Uncontrolled hypertension
Current breast cancer
Antiphospholipid syndrome
Major surgery + prolonged immobilisation

Question 8

Phases of the menstrual cycle and hormone changes?

Answer 8

Follicular - FSH and oestrogen UP
Ovulation - LH spikes
Luteal - progesterone UP

Question 9

Which cancers is COCP protective for?

Answer 9

Endometrial, ovarian, colon

Question 10

Contraindications for ulipristal acetate (EllaOne)

Answer 10

Diseases of malabsorption, severe hepatic dysfunction, asthma, breastfeeding, drugs increasing stomach pH (PPIs)

Question 11

What is gravidity?

Answer 11

Number of pregnancies of any duration, regardless of the outcome

Question 12

What is parity?

Answer 12

Total number of pregnancies carried over the threshold of viability (24w)

Question 13

Which medication inhibits milk production?

Answer 13

Cabergoline

Question 14

Which types of cancer does the COCP increase the risk of?

Answer 14

Breast and cervical

Question 15

Time limits for different category c-sections?

Answer 15

Cat 1 - within 30 minutes
Cat 2 - within 75 minutes
Cat 3 - delivery required but mum and baby are stable
Cat 4 - elective c-section

Question 16

Indications for category 1 c-section?

Answer 16

Uterine rupture, major placental abruption, cord prolapse, fetal hypoxia, persistent fetal bradycardia

Question 17

Management of placental abruption <36 weeks (live fetus)?

Answer 17

No fetal distress: admit for corticosteroids, observe closley
Fetal distress: emergency c-section

Question 18

Management of placental abruption >36 weeks?

Answer 18

Fetal distress: emergency c-section
No fetal distress: vaginal delivery

Question 19

Bishop score meanings?

Answer 19

</=5 - spontaneous labour unlikely
8+ - cervix is ripe/favourable, high chance of spontaneous labour

Question 20

Guidelines for IOL if bishop score <6 or 6?

Answer 20

Vaginal prostoglandins or oral misoprostol
(Sometimes ballone induction)

Question 21

Guidelines for IOL if bishop score >6?

Answer 21

Amniotomy and IV oxytocin infusion

Question 22

Pharmacological interventions for reduced feral movements before term?

Answer 22

Steroids - for lung maturity
Magnesium sulphate - for neuroprotection

Question 23

How can ovarian cancer cause raised urea and creatinine?

Answer 23

Renal tract obstruction due to tumour