Obs / Gynae

Question 1

What is the scan between 10 and 13+6 weeks?

Answer 1

Dating scan:
- Gestational age calculated from crown rump length (CRL)
- Multiple pregnancies identified

+ Nuchal translucency (think Down’s if >6mm)

Question 2

What are booking bloods taken for?

Answer 2

Blood group, rhesus D status
FBC
Thalassaemia and SCD screening
Antibodies to infection - Hepatitis B, HIV, Syphillus

Question 3

What is the scan between 18 and 20+6 weeks?

Answer 3

Anomaly scan + screen for planta praevia

Question 4

Consideration in multiple prgenancy?

Answer 4

Anaemia

FBC at booking clinic, 20 weeks and 28 weeks gestation as may need iron or folic acid

Question 5

When to take aspirin from 12 weeks in pregancy?

Answer 5

1 of:
- Hypertensive disease during previous pregnancy
- CKD
- Autoimmune disease
- Chronic hypertension
- T1DM or T2DM

2+ of:
- Nulliparous
- Multiple pregnancy
- BMI > 35
- FHx of pre-eclampsia
- >40yo
- Pregnancy interval of >10 years

Question 6

Initial Mx in PCOS patient wanting to concieve?

Answer 6

Clomifene citrate

Question 7

Gold standard Dx of endometriosis?

Answer 7

Diagnostic laparoscopy

Question 8

First line Ix for DVT in pregnant women?

Answer 8

Doppler ultrasound

D-dimer is also elevated in pregnancy regardless

Question 9

Labratory Ix to assess severity of pre-eclampsia?

Answer 9

FBC, U&Es, LFTs
Urate
Urine PCR

Question 10

1st line Mx for hypertension in pregnancy?

Answer 10

Labetalol

Question 11

Rx of V/Q scan and CTPA in pregnancy?

Answer 11

V/Q scan slightly increases Rx of cancer to fetus
CTPA increases Rx of breast cancer

Question 12

How long to give aspirin for in a patient with anti-phospholipid syndrome?

Answer 12

Antenatally until 6 weeks postnatally

Question 13

Which measurement to estimate weight of fetus?

Answer 13

Abdominal circumference

Question 14

Dx of antepartum bleeding, trauma, tender uterus and fetal distress?

Answer 14

Placental abruption

Question 15

Dx of painless antepartum bleeding with soft, non-tender uterus?

Answer 15

Placenta praevia

Question 16

First line Mx for atony PPH?

Answer 16

Syntocinon

Question 17

Biochemical abnormality due to massive transfusion?

Answer 17

Hypocalcaemia & hyperkalaemia

Question 18

What is the routine recall for cervical screening in UK?

Answer 18

From 25, routinely every 5 years, stopping aged 64

Question 19

Mx for long-history of fibroids leading to flooding menorrhagia in patient with complete family?

Answer 19

GNRH analogue for 3 months then hysterectomy

Question 20

Time frame for chorionic villus sampling and amniocentesis?

Answer 20

Chorionic villus sampling (CVS) - weeks 11 - 14
Amniocentesis - week 15 - 20