obs and gynae questions

Question 1

common sites for endometriosis

Answer 1

● Ovaries. ● Pouch of Douglas. ● Uterosacral ligaments.

Question 2

tumour markers for ovarian cancers

Answer 2

b-hCG
AFP
CA125

Question 3

What are the three broad types of malignant ovarian tumours?

Answer 3

Epithelial. Sex cord stromal. Germ cell.

Question 4

management of prolapse:
cystocele/cystourethrocele:
uterine prolapse:
rectocele:

Answer 4

cystocele/cystourethrocele: anterior colporrhaphy, colposuspension
uterine prolapse: hysterectomy, sacrohysteropexy
rectocele: posterior colporrhaphy

Question 5

oligohydraminos: complications during delivery

Answer 5

● Umbilical cord compression. ● Fetal hypoxia. ● Shoulder dystocia.

Question 6

how is oligohydraminos measured

Answer 6

Deepest pool of amniotic fluid <2cm, US

Question 7

Define the three stages of labour.

Answer 7

1st stage — from onset of labour to full cervical dilatation.
2nd stage — from full cervical dilatation to expulsion of the fetus. 3rd stage — from fetus expulsion to delivery of the placenta.

Question 8

What is the anatomical landmark that is used to determine the station of the fetal head when examining internally?

Answer 8

Ischial spines

Question 9

Describe two methods of management of the third stage of labour.

Question 10

What are the components of the combined screening test?

Answer 10

Nuchal translucency. AFP. β-HCG. Unconjugated estriol.

Question 11

Which three conditions does the combined screening test for

Answer 11

Down’s, Edward’s, Patau’s

Question 12

Specify two types of imaging used to investigate female infertility.

Answer 12

Ultrasound pelvis. Hysterosalpingogram.

Question 13

2 neoplastic diseases caused by hydatidiform mole

Answer 13

chorioadenoma, choriocarcinoma

Question 14

What is the initial treatment and follow-up for molar pregnancy?

Answer 14

Surgical curettage and follow-up with regular β-HCG every 2 weeks for the first 8 weeks, then every 3 months for 6 months to 2 years