obs and gynae

Question 1

who does amniocentesis?

Answer 1

pernatologist (speically trained obstertrician)

Question 2

who repairs 2nd degree tears

Answer 2

midwife

Question 3

who does the post-natal baby checks

Answer 3

GP

Question 4

nullparous women, diabetic , known endometrial biopsy thickening

what is it

Answer 4

suspicions of endometrial cancer

or hyperplasia

Question 5

women with previous breast cancer taking tamoxifen for 5 years

Answer 5

suspicions of endometrial cancer

or hyperplasia

Question 6

after severe dyskariotic smear

Answer 6

Refer for colposcopy

Question 7

after mild dyskariotic smear

Answer 7

ideally should be referred for colposcopy but still acceptbale to suggest a repeat test in 6 months

Question 8

what to do if colposcopy shows ulcerated malignant/ type lesion with discharge

Answer 8

LLETZ

large loop excision biopsy of transformational zone

Question 9

prevention of pre-eclampsia

Answer 9

aspirin
labetalol
nifedipine
hydralazine

Question 10

treatment of pre-eclampsia with seizure

Answer 10

magnesium sulphate

Question 11

IVF: woman okay, . man is fit and well

Answer 11

test for male factor infertility

Question 12

woman who had TAH BSO (total abo hysterectomy) vage 45 with hot flushes and night sweats

Answer 12

ostrogen HRT

Question 13

woman aged 39 who had TAH BSO for endometriosis .

what type of HRT

Answer 13

sequential

Question 14

31 year old smoker, wants contraception that must be oral, previous arterial disease

Answer 14

POP

Question 15

someone with persistent vag bleeding in mid 50’s and intermenstrual bleeding

Answer 15

refer to gynae

Question 16

in men, LH stimulates what?

Answer 16

testosterone

Question 17

corpus luteum secretes what?

Answer 17

progetserone

Question 18

what stores sperm

Answer 18

epidydmis

Question 19

man has hypopituitary and bitemporal hemianopia

Answer 19

non functioning adenoma

Question 20

bets investigation for checking uterine pathology?

Answer 20

hysteroscopy/ USS

Question 21

patient has galactorrhoea

Answer 21

prolactin producing tumour

Question 22

in lanour, if baby had HR of 50, what do you do?

Answer 22

emergency C-section

Question 23

woman not dilating in labour

Answer 23

give oxytocin

Question 24

pregnant lady is large for dates with sore abdomen

Answer 24

uterine fibroid due to red degeneration

Question 25

lady has delivered but is still bleeding heavily

Answer 25

give syntometrine for PPH

Question 26

treatment for pregnant lady with hypertension and proteinuira

Answer 26

labetalol

Question 27

what is pre-term labour

Answer 27

24-36+6

Question 28

post dates?

Answer 28

42+

Question 29

history of PID, ectopic pregnancy and fears injections, what contraception

Answer 29

POP

Question 30

emergency contraception >5 days posts ex, dat 16 of cycle

Answer 30

copper coil

Question 31

deep dysparenenia and fixed retroverted uterus

Answer 31

endometriosis

Question 32

BMI 38, irregular periods

Answer 32

PCOS

Question 33

heavy bleeding and lots of discharge

Answer 33

PID

Question 34

post coital bleeding and intermenstrual bleeding | what test?

Answer 34

cervical smear

Question 35

patient has increased endometrial thickness what test?

Answer 35

endometrial biopsy

Question 36

patient suspected menopause | what bloods can you check?

Answer 36

LH and FSH (elevated)

Question 37

woman has type 2 diabetes and is on tamoxife, what could she get?

Answer 37

endometrial cancer

Question 38

woman has DUS | best treatment?

Answer 38

tranexamic acid

Question 39

woman has bilateral lymphoedema, not hot or swollen, chest and abdo exam are normal, what test should be done?

Answer 39

pelvic USS

Question 40

STI- flagellae under miscroscope

Answer 40

trachmonas

Question 41

STI- gram neg diploccoi

Answer 41

gonorrhoea

Question 42

STI- sore ulcers on labia

Answer 42

herpes simplex virus

Question 43

51 year old with hot flushes, night sweats, 18 months since last period what is it and what does she need

Answer 43

menopause continuous combined HRT

Question 44

40 ish woman still having periods, but mood swings and hot flushes, what HRT does she need?

Answer 44

oral oestrogen and mirena she needs combined

Question 45

younger woman still having irregular periods

Answer 45

squential (cyclical) combined HRT

Question 46

treatment of vault prolapse

Answer 46

sacrospinous fixation

Question 47

best treatment for urethrocele (prolape of urethra into vag), no other medical problems

Answer 47

pelvic floor exercises

Question 48

bets pill for PCOS

Answer 48

dianette ( combined pill)

Question 49

28 year old female,no periods for 2 years, otherwise well but raised GNRH

Answer 49

primary ovarian failure

Question 50

girl has herpes on lip

Answer 50

swab for viral PCR

Question 51

antepartum haemorrhage, tense uterus, not foetal herat beat

Answer 51

placental abruption

Question 52

transverse lie

Answer 52

placental praevia

Question 53

haematuria in preg

Answer 53

accreta?

Question 54

contraception for fat smoker-

Answer 54

POP