OBS/Gyn

Question 1

Infertility in PCOS

Answer 1

clomifene
weightloss with metforminif high BMI

Question 2

hyperemisis gravidum RF

Answer 2

multiple pregnancies
trophoblastic disease
hyperthyroidism
nulliparity
obesity

Question 3

Meigs Syndrome

Answer 3

Benign ovarian tumour, ascites, and pleural effusion.

Question 4

COC increases risk of

Answer 4

Breast and ovarian cancer

Question 5

HPV and Cervical swabs abnormal results

Answer 5

Cervical cancer screening: if sample is hrHPV +ve + cytologically normal → repeat smear at 12 months

Question 6

cevical HPV testing

Answer 6

25 yo every 5 years asymptomatic
stop screening at 70 yo

Question 7

Pap tests

Answer 7

normal risk - every 2 years
increased risk = HPV 16 18 OCP use , smoker -
LISL comfirmed- yearly
> 30 years old - 6 monthly
HSIL- colposcopy

Question 8

malodorous thin green discharge

Answer 8

Tricomatis vaglinalis -
pH 5-6
metronidazole 500mg bd for 7 days

Question 9

PPH management
6 things

Answer 9

> 750mls
Give Ergometrine IM
2x 18g canula
examine placenta
inspect vagina for lacerations
cross match
empty bladder