Part 4

Question 1

Uveitis associated with Sarcoidosis and HLA B27 and back pain

Answer 1

Ankylosing Spondylitis

Question 2

Altitudinal defect (i.e. visual field defect in which either the upper or lower half of the visual field is selectively affected)

Answer 2

Ischaemic Optic Neuropathy

Question 3

Photophobia, tearing, red sclera

Answer 3

scleritis

Question 4

dizziness post infection

Answer 4

vestibular neuritis

Question 5

Attacks of dizziness, buzzing, hearing loss, nausea

Answer 5

Menieres

Question 6

Managament of person with sinusitis exceeding 10 days

Answer 6

Antibiotics

Question 7

Person with nasal trauma + blocked nose Tx

Answer 7

Septoplasty (correct deviated septum)

Question 8

A person has a bump to the head and has sudden asystole + collapse

Answer 8

Reflex Anoxic Seizure (Syncope due to excitation of vagus causing temporary stoppage of heart)

Question 9

Why do lipophilic drugs have a higher volume of distribution in elderly?

Answer 9

Body composition changes - less lean tissue more fat

Question 10

What Prevents involution of corpus luteum at end of female monthly cycle

Answer 10

HCG

Question 11

fertilisation occurs where?

Answer 11

Ampulla of fallopian tube

Question 12

Ureter passes where in relation to uterine artery

Answer 12

Under (water under the bridge)

Question 13

Irregular periods, excess androgens (hirsutism, oily), polycystic ovaries

Answer 13

PCOS (clomifine)

Question 14

BMI normal range and equation

Answer 14

18.5 – 24.9

[BMI = Weight (kg) / Height (m)2]

Question 15

Fixed bulky uterus + pain prior to menstruation

Answer 15

endometriosis

Question 16

landmark for identifying pudendal nerve

Answer 16

Ischial Spines

Question 17

There are how many umbilical arteries and veins?

Answer 17

2 arteries and 1 vein

Question 18

The relation of the longitudinal axis of the fetus to the longitudinal axis of the uterus

Answer 18

The lie

Question 19

The area on the fetal head delineated by the anterior and posterior fontanelles and the parietal eminences - the highest point of the fetus’s head ( in the occiput)

Answer 19

The vertex

Question 20

The leading part of the fetus which occupies the lower pole of the uterus - the presenting part to the maternal pelvis ( i.e cephalic/breech/shoulder)

Answer 20

The presentation

Question 21

The relation of the denominator of the presenting part to the quadrants of the maternal pelvis. For a cephalic presentation this is the occiput, and for a breech the sacrum. An example is right occipito anterior (ROA)

Answer 21

The position

Question 22

The location of the presenting part of the fetus in the birth canal, designated as −5 to −1 according to the number of centimeters the part is above an imaginary plane passing through the ischial spines, 0 when at the plane, and +1 to +5 according to the number of centimeters the part is below the plane = The Station
If the widest leading part (typically the widest circumference of the head) has passed through the pelvic inlet

Answer 22

The Engagement

Question 23

Oedema typically formed by the tissue overlying the fetal skull during the vaginal birthing process

Answer 23

Caput

Question 24

Standard Tx of VTE in pregnancy

Answer 24

LMWH (including 6 weeks postpartum)