Obstetrics And Gynae

Question 1

When is the earliest date for an anaomaly scan, dating scan and nuchal scan?

Answer 1

18-20 + 6 weeks - anomaly
8 weeks - dating
11 weeks - nichal

Question 2

Which antidepressants are safe to use whilst breastfeeding?

Answer 2

Sertraline
Paroxetine

Question 3

What are the antihypertensive options in pregnancy?

Answer 3

1. Labetalol
2. Nifedipine

Question 4

In which phase of the menstrual cycle do women have pms?

Answer 4

Luteal

Question 5

GBS should be offered to which groups and given when?

Answer 5

Give 3-5 weeks before delivery date

Give to
Prematurity
PROM
Previous GBS infection
Pyrexic mother

Question 6

Uterine fibroids are more common in white women

Answer 6

Falsw

Question 7

What are the high risk factors for pre eclampsia

Answer 7

Current hypertension
Hypertension in previous pregnancy
CKD
Autoimmune disease

Question 8

What are the moderate risk factors for preeclampsia

Answer 8

primi
>40
10 year pregnancy interval
BMI >35
+ve FHx
Multiple pregnancy

Question 9

What are the diagnostic thresholds for gestational diabetes

Answer 9

fasting glucose >=5.6
2hr glucose >=7.8

Question 10

When should insulin be started over metformin, in gestational diabetes

Answer 10

FG >7
Borderline (6-6.9) + complications

Question 11

Metformin should be continued in pre-existing diabetes and pregnancy

Answer 11

True

Question 12

Apart from a history of NTD, when should a woman take the higher dose of folic acid?

Answer 12

Diabetes, obese, coeliac disease, thalassaemia, anti epileptic drugs

Question 13

Which is the antibiotic of choice in PPROM

Answer 13

Erythromycin

Question 14

Risk factors for cord prolapse

Answer 14

prematurity
multiparty
polyhydramnios
twins
abnormal presentation
artificial rupture of membranes (amniotomy)

Question 15

How is urge incontinence managed?

Answer 15

1. Bladder retraining (min 6 weeks)
2. Antimuscuranics (oxybutynin, tolterodine, darifenacin)
3. Mirabegron

Question 16

Tests in the combined and quadruple tests

Answer 16

Combined: PAPPA, nuchal, HCG
Quad: AFP, unconjugated estriol, HCG, Inhibin A

Question 17

Which vaccines are live and should not be given in pregnancy

Answer 17

MI BOOTY

MMR
Influenza
BCG
Oral polio
Oral rotavirus
Typhoid
Yellow Fever

Question 18

What is the medical management options of primary PPH

Answer 18

1. IV oxytocin
2. IV/IM ergometrine if no HTN
3. Carboprost IM if no asthma
4. Sublingual misopristol

Question 19

What are the first line medications for hyperemesis

Answer 19

PO cyclizine / promethazine
PO prochlorperazine / chlorpormazine

Question 20

Incubation period of rubella

Answer 20

14-21 days

Question 21

Infective period of rubella

Answer 21

7 days before symptoms to 4 days after rash onset

Question 22

How is menorrhagia secondary to fibroids managed?

Answer 22

LNG-IUS
NSAIDS
TXA
COC
Oral progestogen