Obs and Gynae

Question 1

High risk pre-eclampsia management:

Answer 1

Low dose aspirin from 12-14w 75mg

Question 2

Groups at high risk for pre-eclampsia

Answer 2

HTN/pre-eclampsia during previous pregnancies
Chronic kidney disease
Autoimmune - SLE, anti phospholipid
Diabetes

Question 3

Hypertension in pregnancy definition

Answer 3

Over 140/90 or increase of 30/or 15
After week 20
No proteinuria or edema
Resolves after birth

Question 4

HELLP:

Symptoms

Answer 4

Haemolytic, liver enzymes, low platelet

Malaise
Fatigue
RUQ/epigastric pain 
Nausea and vom
Flu
Hepatomegaly
Edema, proteinuria, HTN
Bruising 

Raised LDH

Question 5

HELLP:

Management

Answer 5

Deliver fetus
Mag sulphate
Dexamethasone
Control of BP

Question 6

COCP:

Counseling

Answer 6

> 99% if taken correctly
Risk clot/heart attack/strokes
Risk of breast and cervical cancer

First 5 days after period works straight away, any other time condoms 7 days

21 on 7 days off
Same time every day

Question 7

Meigs Syndrome

Answer 7

Benign Ovarian tumour + ascites + pleural effusion