Obstetrics

Question 1

5 basic questions

Answer 1

1. gestatation age
2. previous pregnancies, complications
3. antenatal screening
4. Rhesus group
5. Well or unwell
6. if unwell screen for preeclampsia
7. contractions
8. PV fluid or blood
9. after 25 weeks if fetal movement felt, abnormal less frequency
   10.

Question 2

PPROM INV

Answer 2

1. Doppler
2. CTG
3. ferning, Amnicator\
4. low and high vaginal swab

Question 3

PPROM MGMT

Answer 3

1. admit for 72 hours
   - daily CTG, CBE, CRP
2. MgSO4 if >30
3. Abx IV benzylpenicillin
4. 2 IM betamethasone 24 hours apart if 25-33 weeks
5. if D/c advice about chorio, bleed, labour
6. f/u weekly swabs and fortnight CBE, CTG and CRP
7. (most deliver within 1 week of rupture)
   8.

Question 4

5 ECG changes

Answer 4

1. N 90-100
2. L shift QRS from push
3. TWI in lat leads
4. A and V ectopics
5. Q wave inversion in III

Question 5

hormones contributing to insulin resistance

Answer 5

1. human placenta lactogen
2. cortisol
   shunt nutrients to fetus

Question 6

risk of poor DM control

Answer 6

cardiac

NTD

Question 7

not immune to rubella rx

Answer 7

IgM + IgG