Previous Osce

Question 1

Complete Breech

Answer 1

legs flexed at hips and knees

Question 2

footling breech

Answer 2

foot through cervix with leg extended

Question 3

extended breech

Answer 3

both legs flexed at hip and extended at knee

Question 4

incomplete breech

Answer 4

one leg flexed at hip and extended at knee

Question 5

management of breech position and when is it done

Answer 5

ECV
36 weeks nulliparous women
37 weeks multiparous women

Question 6

What are women given before ECV attempted

Answer 6

SC terbutaline

beta agonist that decreases contractility

Question 7

kleihauer test

Answer 7

how much fetal blood mixed with maternal blood to determine dose of anti-d prophylaxis needed

Question 8

what happens to baby in GD

Answer 8

big baby

shoulder dystocia

Question 9

how is GD screened for and when is it done

Answer 9

OGT

24-28 weeks

Question 10

risk factors for GD

Answer 10

previous GD
previous big baby
BMI over 30
FH diabetes

Question 11

features of GD

Answer 11

macrosomia
polyhydramnios
glucose on dipstick

Question 12

results to diagnose GD

Answer 12

fasting 5.6

2 hour 7.8

Question 13

management of GD

Answer 13

four weekly USS
fasting glucose <7 - diet and exercise for 1-2 weeks then metformin then insulin
>7 insulin then metformin

Question 14

risk factors for ectopic pregnancy

Answer 14

previous ectopic 
PID
previous surgery 
intrauterine devices 
age 
smoking

Question 15

when does ectopic pregnancy present wand what is the presentation

Answer 15

6-8 weeks gestation then lower abdominal pain
missed period
vaginal bleeding
cervical motion tenderness

Question 16

investigation for ectopic

Answer 16

TVUS

Question 17

medical management of ectopic

Answer 17

methotrexate , IM injection

Question 18

surgical management for ectopic

Answer 18

laparoscopic salpingectomy

laparoscopic salpingotomy

Question 19

contraindications to combined pill

Answer 19

hypertension 
migraine with aura 
VTE history 
over 35 smoking more than 15 cigarettes a day 
major surgery

Question 20

how does COCP prevent pregnancy

Answer 20

inhibits ovulation

Question 21

risks of COCP

Answer 21

increased risk of breast and cervical cancer
hypertension
headaches
VTE

Question 22

one missed COCP pill

Answer 22

take missed pill no extra precaution needed

Question 23

two missed COCP

Answer 23

take recent pill use additional contraception for 7 days

if in last half of cycle skip pill free period

Question 24

POP contraindication

Answer 24

active breats cancer

Question 25

how does desoestrogel differ to traditional POP

Answer 25

inhibits ovulation

Question 26

how long is extra protection needed if POP started after day 5

Answer 26

2 days condoms - time it takes to thicken cervical mucus

Question 27

side effects of POP

Answer 27

1/3 no bleeding
1/3 normal bleeding
1/3 heavy bleeding

Question 28

how does depo injection work

Answer 28

inhibits ovulation (inhibits FSH secretion)

Question 29

side effects of depo injection

Answer 29

weight gain

osteoporosis

Question 30

how long does implant last

Answer 30

3 years

Question 31

how long does copped coil last

Answer 31

5-10 years

Question 32

how long is mirena effective for in contraception and HRT

Answer 32

5 years contraception

4 years HRT

Question 33

protection needed after vastectomy

Answer 33

use protection for two months

semen testing at 12 weeks to check tubes are clear