Obstetrics 2

Question 1

what are the conditions for expectant management of miscarriage

Answer 1

absence of any symptoms-no pain 
unruptured embryo 
<30mm in size 
no heartbeat 
have a BhCG level of <200 and declining

Question 2

what are the conditions of medical management of miscarriage

Answer 2

size <35mm
unruptured
no pain
serum BhCg <1500
not suitable if another intrauterine pregnancy
medical management involves methotrexate and can only be done if patient is willing to attend follow up

Question 3

what is the surgical management of miscarriage

Answer 3

size >35mm 
can be ruptured 
severe pain 
visible fetal heartbeat 
serum bHcG >1500 
compatible with another intrauterine pregnancy

Question 4

what is the transformational zone

Answer 4

squamo-columnar junction between ectocervical (squamous) and endocervical (columnar) epithelium

Question 5

what is a Nabothian follicle

Answer 5

a mucus cyst on the surface of cervix

Question 6

what is the most common type of cervical cancer

Answer 6

adenocarcinoma

Question 7

from what age can the uterus be palpated

Answer 7

12 weeks

Question 8

what is the main type of ovarian cancer

Answer 8

epithelial

Question 9

what are the conditions for taking 5mg of folic acid

Answer 9

if either partner has a NTD, previous pregnancy affected by NTD
family history of NTD
if woman is taking antiepileptic drugs
if woman has coelic disease, diabetes or thalassaemia trait
obese >30kg/m2

Question 10

where does the ureter pass in relation to the uterine artery

Answer 10

inferior