passmed

Question 1

Management of placental abruption when the fetus is alive, <36 weeks and not showing signs of distress

Answer 1

admit and administer steroids

Question 2

The most common explanation for short episodes (< 40 minutes) of decreased variability on CTG

Answer 2

foetus is asleep

Question 3

if fasting glucose is over 7 in gestation what is the management

Answer 3

insulin

Question 4

first line investigation for PID

Answer 4

vulvo/vaginal swabs to check for chlamydia/gonorrhoea

Question 5

necrotic irregular mass in the upper vagina

Answer 5

cervical carcinoma

Question 6

how long does a pregnancy test remain positive after a TOP

Answer 6

4 weeks

Question 7

gold standard investigation for endometriosis

Answer 7

laparoscopy

Question 8

treatment for urge urinary incontinence

Answer 8

1st) bladder retraining
2nd) antimuscarinics - oxybutynin (immediate release), tolterodine (immediate release) or darifenacin (once daily preparation)
3rd) mirabegron if worry about anti-cholinergic side effects

Question 9

what is the only surgical treatment for adenomyosis

Answer 9

hysterectomy

Question 10

what blood test should be done for every woman with heavy menstrual bleeding

Answer 10

full blood count

Question 11

can PCOS present with primary amennorhoea

Answer 11

no only secondary

Question 12

treatment for thrush in pregnant women

Answer 12

clotrimazole pessary

Question 13

how does metformin improve fertility in PCOS

Answer 13

increases peripheral insulin sensitivity

Question 14

what types of HPV cause genital warts

Answer 14

6 and 11

Question 15

which types of HPV are more likely to cause cancer

Answer 15

16 and 18

Question 16

incubation period of chlamydia

Answer 16

3-21 days

Question 17

does genital herpes require partner notification

Answer 17

no

Question 18

std test for heterosexual men

Answer 18

FIRST PASS urine sample

Question 19

In patients infected with human immunodeficiency virus, the risk of opportunistic infections is greatly increased when their CD4 count falls below what level?

Answer 19

200

Question 20

what is HAART combined of

Answer 20

A combination of 3 drugs from at least 2 different drug classes to which the virus is susceptible

Question 21

what contraceptives are immediately effective

Answer 21

IUD

Question 22

what contraceptives take 2 days to start working

Answer 22

POP

Question 23

what contraceptives take 7 days to start working

Answer 23

COC, injection, implant, IUS

Question 24

if a semen sample is abnormal when should a repeat test be done

Answer 24

3 months

Question 25

first line investigation for someone who thinks they are infertile

Answer 25

day 21 progesterone or 7 days prior to their next expected period

Question 26

Raised FSH/LH in primary amenorrhoea

Answer 26

turner’s syndrome

Question 27

PID but with lesions on liver

Answer 27

Fitz-hugh-curtis

Question 28

can BRCA1 cause ovarian cancer

Answer 28

yes

Question 29

cause of secondary amenorrhoea in athletic women

Answer 29

hypothalamic hypogonadism

Question 30

which contraceptive can cause a delay in fertility

Answer 30

progesterone only injectable (depot)
-can cause delay by 12 months

Question 31

Cervical cancer screening: if two consecutive inadequate samples then?

Answer 31

colposcopy

Question 32

uterus size greater than expected for gestational age and abnormally high serum hCG

Answer 32

complete hydratiform mole