Obstetrics and Gynaecology

Question 1

Chorioamnionitis

Answer 1

Life-threatening infection of chorion and amnion. Involves premature rupture of membranes and foul smelling liquid coming from cervix

Tx - delivery of foetus and IV abx for mother

Question 2

Granulosa cell tumour

Answer 2

oestrogen-secreting tumours arising from the ovaries or testes, often causing large masses

Question 3

Meigs syndrome

Answer 3

triad (ovarian tumour, pleural effusion and ascites) that is cured by resection of the benign tumour. The cause of the effusion and ascites is unknown

Question 4

Mucinous Cystadenoma

Answer 4

Benign cystic tumours that have a mucinous epithelium. Can arise in ovaries, pancreas, liver or retroperitoneal

Question 5

Placenta Praevia

Answer 5

where the placenta attaches in an abnormal position either on or near the cervix. Diagnosis is made by USS and treatment includes bed rest and avoiding sex. Usually presents with vaginal bleeding and a csection is often advised

Question 6

PUQE score

Answer 6

Used to rate severity of morning sickness

4-6= mild
7-12 = moderate
13+ = severe

Question 7

Sheehan Syndrome

Answer 7

Excessive blood loss during or after delivery of a baby may affect the function of the pituitary gland, leading to a form of maternal hypopituitarism known as Sheehan syndrome. During pregnancy the pituitary gland will enlarge and may double in size. At this time the gland is especially vulnerable to a severe drop in blood pressure (sometimes called “shock”) and excessive maternal bleeding may induce the “shock” and the damage to the cells of the gland.

The clinical features of Sheehan syndrome are highly variable and depend on the degree of failure of secretion of pituitary hormones including:

Prolactin, the hormone that stimulates lactation

Gonadotrophins (luteinizing hormone [LH] and follicle stimulating hormone [FSH]), which regulate the function of the ovaries

TSH, which stimulates the thyroid gland

ACTH, adrenocorticotrophin, which stimulates the adrenal cortex

Growth hormone (GH)