passmed

Question 1

what is the RMI prognosis index for ovarian cancer based on?

Answer 1

Risk malignancy index (RMI) prognosis in ovarian cancer is based on US findings, menopausal status and CA125 levels

Question 2

what diabetes drug can you take when breastfeeding

Answer 2

metformin

Question 3

if a cervical smear comes back hrHPV positive but cytology is normal what do you do

Answer 3

retest in 12 months

Question 4

what antenatal blood test result indicates downs syndrome

Answer 4

↑ HCG, ↓ PAPP-A, thickened nuchal translucency

Question 5

amenorrhoea, abdominal pain and vaginal bleeding in combination with shoulder tip

Answer 5

ruptured ectopic pregnancy

Question 6

what hormone peaks on day 21 of the cycle

Answer 6

progesterone

Question 7

bladder still palpable after urination?

Answer 7

retention with urinary overflow

Question 8

treatment of a suspected PE in pregnancy

Answer 8

LMWH

Question 9

This patient presents with first-trimester vaginal bleeding, with a dilated cervical os and an intrauterine sac that has no cardiac fetal activity

what type of miscarriage?

Answer 9

inevitable

Question 10

treatment of an inevitable miscarriage in a haemodynamically unstable patient

Answer 10

dilation and curettage

Question 11

how many months after your last menstrual period defines menopause

Answer 11

12 months

Question 12

women who menopause under 50 require contraception for how long?

Answer 12

2 years after last period

(1 year for over 50s)

Question 13

when can copper coil be inserted as emergency contraception

Answer 13

within 5 days after the first unprotected sexual intercourse in a cycle, or within 5 days of the earliest estimated date of ovulation, whichever is later

Question 14

what is a potential complication of a women with PCOS undergoing IVF

Answer 14

ovarian hyperstimulation syndrome

Question 15

what do you do if you miss one of you COCs

Answer 15

take the last pill even if it means taking two pills in one day and then continue taking pills daily, one each day
no additional contraceptive protection needed

Question 16

if you miss a COC in first week (days 1-7) and have unprotected sex what should you do?

Answer 16

emergency contraception should be considered if she had unprotected sex in the pill-free interval or in week 1

Question 17

if you miss a COC in week 2 (days 8-14) and have unprotected sex what should you do

Answer 17

after seven consecutive days of taking the COC there is no need for emergency contraception*

Question 18

if you miss a COC in week 3 (days 15-21) and have unprotected sex what should you do?

Answer 18

she should finish the pills in her current pack and start a new pack the next day; thus omitting the pill free interval

Question 19

firm woody uterus

Answer 19

placental abruption

Question 20

when should women with uncomplicated pregnancies be offered induction

Answer 20

between 41 and 42 weeks

Question 21

Planned vaginal birth after caesarean (VBAC) is contraindicated in what patients?

Answer 21

patients with previous vertical (classical) caesarean scars, previous episodes of uterine rupture and patients with other contraindications to vaginal birth (e.g. placenta praevia)

Question 22

severe continuous abdo pain and vaginal bleeding

Answer 22

placental abruption

Question 23

what manoeuvre for shoulder dystocia

Answer 23

mcroberts

Question 24

what position for a cord prolapse

Answer 24

go on all fours

Question 25

blood markers for down syndrome in a foetus

Answer 25

-beta HCG
-PAPP-A

Question 26

what medication to suppress lactation

Answer 26

cabergoline

Question 27

if a woman had a premature prelabour rupture of membranes what would be found on speculum exam

Answer 27

The presence of an odourless clear-white watery fluid in the posterior vaginal vault

Question 28

screening tool for post partum depression

Answer 28

edinburgh scale

Question 29

if a foetus is still in breech position at 36 weeks what should be done?

Answer 29

external cephalic version
-if this doesnt work then plan a c section

Question 30

quadruple test result for edwards syndrome

Answer 30

↓ AFP
↓ oestriol
↓ hCG
↔ inhibin A

Question 31

group B strep prophylaxis in pregnant women

Answer 31

benzylpenicillin