OSCE Key Stats

Question 1

Timing of growth scans for DCDA twins

Answer 1

4 weekly from 24 weeks

Question 2

frequency of growth scans for MCMA or MCDA twins

Answer 2

Fortnightly from 16 weeks

Question 3

Timing of delivery for MCMA twins

Answer 3

32 weeks

Question 4

Timing of delivery for MCDA twins

Answer 4

36-37 weeks

Question 5

Timing of delivery for DCDA twins

Answer 5

37-38 weeks

Question 6

Mode of birth recommended for MCDA or DCDA twins

Answer 6

Vaginal birth if the leading twin is cephalic
if the leading twin is non cephalic, recommend CS

Question 7

of the women with twin pregnancies who attempt vaginal birth, what percentage will achieve a vaginal birth?

Answer 7

60-70%

Question 8

the risk of uterine rupture with VBAC

Answer 8

6 per 1000

Question 9

The risk of uterine rupture with VBAC if there are 2x prev CS

Answer 9

16 per 1000

Question 10

what is the likelihood of a successful VBAC?

Answer 10

74%

Question 11

in the term breech trial, what was the neonatal mortality between vaginal birth versus elCS

Answer 11

vaginal: 5
CS: 1.6

Question 12

from what gestation can you offer ECV?

Answer 12

37+0

Question 13

success of ECV in nullip

Answer 13

40

Question 14

success of ECV in multip

Answer 14

60%

Question 15

list some absolute CI for ECV

Answer 15

abnormal CTG
need CS anyway ie praevia
APH in the last 7 days
ROM
Multiple pregnanc

Question 16

relative contraindications for ECV

Answer 16

oligo
SGA with abnormal dopplers
PET
major fetal anomalies
uterine anomalies

Question 17

when should an elective CS for breech be performed?

Answer 17

39 weeks

Question 18

List contraindications to vaginal breech birth

Answer 18

footling
hyperext of the fetal neck
cord presentation
abnormal CTG
EFW <10th or > 3.8kg

Question 19

timing of induction for PET

Answer 19

37 weeks

Question 20

When do you check a progesterone level of confirm ovulation?

Answer 20

Mid luteal phase, which is 7 days before the next menses is predicted

Question 21

treatment of first episode of genital herpes

Answer 21

valaciclovir 500 bd for 7 days

Question 22

treatment of recurrent episode of genital herpes

Answer 22

valaciclovir 500mg bd for 3/7

Question 23

true or false: all first episodes of gential herpes should be treated regardless of the onset of symptoms

Answer 23

True. all treated with 500 BD for 7/7 regardless of onset.

Question 24

what is the first line alternative prescribing to HRT?

Answer 24

Gabapentin 100 TDS

Question 25

recommendations for lifestyle changes for menopause

Answer 25

Decrease caffiene, decrease alcohol, no smoking, regular resistance training

Question 26

what is the benefit in reduction of flushes for SSRI or gabapentin

Answer 26

50%

Question 27

what is the reduction in flushes in menopause using MHT

Answer 27

80%