Obstetrics

Question 1

What type of bleeding is characteristic of placenta praevia?

Answer 1

Painless, bright red bleeding

Placental abruption presents with painful, dark red bleeding

Question 2

How is Down’s syndrome screened for antenatally?

Answer 2

• Nuchal translucency
• B-HCG
• PAPP-A

Question 3

First line management of shoulder dystocia?

Answer 3

Ask mother to hyper-flex legs and apply subra-pubic pressure

Question 4

Values for diagnosis of gestational diabetes?

Answer 4

Fasting glucose: >4.8mmol/l

2 hour glucose: >7.8mmol/l

Question 5

Treatment of uterine atony?

Answer 5

IV syntocinon (oxytocin) followed by ergometrine

Question 6

What infections are screened for antenatally?

Answer 6

• Hep B
• Rubella
• HIV

Question 7

First line treatment of gestational hypertension?

Answer 7

Oral labetalol

Question 8

Common brachial plexus injury due to shoulder dystocia?

Answer 8

Erb’s palsy (adduction and internal rotation)

Question 9

Define postpartum haemorrhage (PPH)

Answer 9

Blood loss of >500ml

Question 10

36-year-old multiparous woman with breech baby. Fully dilated and has been pushing for 1.5 hours, buttocks still not visible.
How should this situation be managed?

Answer 10

C-section

Question 11

What new cardiac sign is not considered normal and requires prompt referral for further evaluation?

Answer 11

Pulmonary oedema

Question 12

What dosage of folic acid do pregnant women need to take to prevent neural tube defects?

Answer 12

Low risk women = 400 micrograms/day

High risk women = 5mg/day

Question 13

Woman who is 20 weeks pregnant presents for a review. She has had a previous baby who developed Group B Streptococcus infection following delivery. What additional treatment does this mother require?

Answer 13

Intrapartum antibiotics