Obstetrics

Question 1

What does increased alpha feto protein indicate

Answer 1

• neural tube defects (meningocele, myelomeningocele and anencephaly)
• abdominal wall defects (omphalocele, gastroschisis)
• multiple pregnancy

Question 2

What does decreased alpha feto protein indicate

Answer 2

Down’s syndrome
Trisomy 18
Maternal diabetes

Question 3

What is Sheehan’s syndrome

Answer 3

Hypopituitarism caused by ischaemic necrosis due to blood loss and hypovolaemic shock

Can cause: agalactorrhoea
Amenorrhoea
Hypothyroidism
Hypoadrenalism

Question 4

What is ashermans syndrome

Answer 4

Intrauterine adhesions may occur following dilation and curettage
Can prevent the endometrium responding to oestrogen as it normally would

Question 5

What is the treatment for vaginal vault proplapse

Answer 5

Sacrocolpoplexy

• suspends the vaginal apex to the sacral promontory

Question 6

Presentation of Turner’s syndrome

Answer 6

Primary amenorrhoea
Raised FSH and LH

Question 7

When should the 2 doses of anti D prophylaxis be given to rhesus negative women

Answer 7

28 weeks
34 weeks

Question 8

What should be given to women at high risk of pre eclampsia

Answer 8

Low dose aspirin at 12-14 weeks

Question 9

What is placenta accreta

Answer 9

When the placenta is attached to the myometrium and increases risk of PPH

Question 10

What should be done if someone with pre eclampsia presents with seizures

Answer 10

Deliver baby
Give MgSO4 for 24h after delivery / last seizure

Question 11

Location of ectopic that increases risk of rupture

Answer 11

Isthmus

Question 12

What can help to reduce BP in induced labour

Answer 12

Epidural anaesthesia

Question 13

What are the test results that suggest Down’s syndrome

Answer 13

Thickened nuchal translucency, increased B-HCG, reduced PAPP-A