part 10

Question 1

What hormone is responsible for being an indicator of the viability of a foetus?

Answer 1

Oestriol

Question 2

Failure to progress is indicated by…

Answer 2

<2cm dilatation in 4 hours

Question 3

Indication for operative vaginal delivery?

Answer 3

Delay, foetal distress

Maternal cardiac disease, severe PET/ eclampsia, intrapartum haemorrhage, umbilical cord prolapse stage 2

Question 4

Timeframe for prolonged duration in stage 2 prims vs multips with and without epidural, therefore indicating operative vaginal delivery

Answer 4

Primip: no epidural = >2hr, with epidural = >3hr
Multips: take an hr off (no epidural = >1h, with epidural = >2hr)

Question 5

C-section must take place after how long after no response on cpr on mother?

Answer 5

4 minutes

Question 6

Fasting glucose of what is suggestive of gestational diabetes?

Answer 6

> 5.1mmol/l

Question 7

What is low birth weight (irrespective of gestational age)?

Answer 7

<2.5kg

Question 8

when is the booking appointment? and what is done?

Answer 8

<12 weeks

• offer screening for anaemia, rhesus, hep. B, HIV, syphilis
• BMI, BP, Urine dipstick, Hx

Question 9

When is Rh D checked and what is offered when?

Answer 9

28 + 34 weeks

If Rh -ve, anti-D is given

Question 10

when is foetal lie checked?

Answer 10

36 weeks

Question 11

when are the Ultrasounds done?

Answer 11

dating / nuchal translucency at 10-14wks;

foetal anomaly scan at 18-20wks

(anomalies identified - anencephaly, spina bifida, gastroschisis)

Question 12

What is responsible for defensive responses to threatening stimuli?

Answer 12

Periaqueductal gray

Question 13

What area is repsonsible for reward and motivation (also plays a role in avoidance and fear-conditioning)?

Answer 13

Ventral Tegmental area

Question 14

which part of the brain is important for perception of fear and other emotions?

Answer 14

Amygdala

Question 15

Tx of PTSD?

Answer 15

Traum CBT or EMDR

Paroxe

Question 16

What is Autism spectrum disorder and it’s most common morbidity?

Answer 16

Social Interaction, Imagination, + Communication (SIIC)

Most common comorbidity = ADHD (Inattention, Hyperactivity, Impulsivity)

Question 17

Management of Autism?

Answer 17

• NO medication intervention of core symptoms of autism
• Risperidone to manage severe aggression and significant self-injury
• Treat co-morbidities

Question 18

When is the LH surge prior to ovulation?

Answer 18

24-36 hours

Question 19

The fundus of the uterus is normally palpable by what date?

Answer 19

week 12

Question 20

neurotransmitters involved in memory

Answer 20

Glutamate + ACh

Question 21

What is Wernickes + Krosakoff

Answer 21

Thiamine deficiency
Confusion, ataxia, ophthalmoplegia

Amnesia, confusion, psychosis IRREVERSIBLE

Question 22

Episodic vs semantic memory?

Answer 22

Episodic = personal experiences and specific objects, people and events experienced at particular time and place 
Semantic = general knowledge and facts about the world

Question 23

1st rank (schneider) symptoms of SCZ?

Answer 23

Thought - interference + passivity
Hallucinations - 3rd person
Delusions - persistent + impossible

Question 24

What is OCD and Tx?

Answer 24

recurrent obsessive ruminators (lists, rules etc)
contamination (40%) checking (30%)

CBT + ERP > SSRI > Clomipramine (TCA) [‘keeps it clean’]

Question 25

The role of GABA (and hence benzodiazepines) once bound to its receptor is to allow what?

Answer 25

Passage of Cl- ions to produce hyperpolarisation (This makes it less likely that a neurone will fire an action potential.)