Obs & Gyne

Question 1

Congenital CMV Pcx?

Answer 1

Low birth weight, microcephaly, seizures, petechial rash hepatosplenomegaly with jaundice
Hearing loss, vision impairment and learning disability

Question 2

Congenital HSV Pcx?

Answer 2

Vesicular rash, very low birth weight, microcephaly, microphthalmia and preterm birth

Question 3

Congenital Parvovirus Pcx?

Answer 3

Hydrops fetalis

Question 4

Congenital Rubella Pcx?

Answer 4

Sensorineural deafness, eye abnormalities (e.g. retinopathy and cataracts) + congenital heart disease (pulmonary artery stenosis + PDA)

Question 5

When is Congenital rubella contracted?

Answer 5

1st trimester

Question 6

Congenital Varicella Pcx

Answer 6

Hypertrophic scars (rather than a petechial rash), limb defects (such as hypoplasia) and ocular defects (such as cataracts and microphthalmia

Question 7

Congenital Toxoplasmosis Pcx?

Answer 7

Cerebral calcification
Chorioretinitis
Hydrocephalus

Question 8

Amenorrhoea secondary to hypothalamic dysfunction investigations results?

Answer 8

Low FSH, low LH, low oestradiol, normal TFTs, negative 10d progestogen challenge

Question 9

Tx for neonatal Hypoglycaemia within 24h?

Answer 9

Encourage breastfeeding or bottle feeding unless capillary blood glucose <1mmol/L or symptomatic - IV 10% dextrose

Question 10

Endometrial cancer Pcx?

Answer 10

Postmenopausal bleeding, pelvic pain in late disease,

Question 11

Endometrial ca Ix + Tx

Answer 11

Ix - trans-vaginal USS: endometrial thickening > 4mm
Tx - total abdominal hysterectomy with bilateral salpingo-oophorectomy, progestogen therapy in frail + unsuitable for surgery

Question 12

Endometrial ca Rx?

Answer 12

Obese, Nulliparity, early menarche, late menopause, tamoxifen, PCOS, DM, unopposed oestrogen, hereditary non-polyposis colorectal carcinoma
Smoking is protective

Question 13

Umbilical cord prolapse Tx?

Answer 13

Presenting part of foestus pushed back, avoid handling cord due to vasospasm, patient go on all fours, retrofilling bladder with 500-700ml saline, tocolytics if needed, C section is first line method of delivery or instrumental vaginal if 10cm dilated + head low

Question 14

Umbilical cord prolapse Rx?

Answer 14

prematurity, multiparity, polyhydramnios
twin pregnancy, cephalopelvic disproportion, abnormal presentations e.g. Breech, transverse lie

Question 15

Pre-eclampsia high risk factors

Answer 15

HTN in previous pregnancy, CKD, Autoimmune diseases eg SLE or antiphospholipid , DM1/2, HTN

Question 16

Pre-eclampsia moderate Rx?

Answer 16

P1, >40, >10y pregnancy interval, BMI>35 at first visit, Fhx or pre-eclampsia, multiple pregnancy