quesmed obs

Question 1

mx for maternal GBS colonisation

Answer 1

IV intrapartum abx

Question 2

what immunoglobulin is given to baby if mum gets hep B

Answer 2

igG

Question 3

when is aspirin given in pre eclampsia

Answer 3

from 12 weeks to term

Question 4

how does

Question 5

what class of antibody is synthesised in rhesus sensitisation

Answer 5

IgG

Question 6

when are anti d prophylactic injections given

Answer 6

one dose at 28-30 weeks
or 2 doses and 28 and 34 weeks

Question 7

when is early scan for dates and mx pregnancies performed

Answer 7

11-14 weeks

Question 8

what is given in PPROM

Answer 8

streroids

IM betamethasone 2x 12 hrs apart

for foetal lung maturity as they are likely to deliver preterm

Question 9

how to differentiate placenta praevia from vasa praevia

Answer 9

in vasa praevia there will be membrane rupture and foetal distress alongside bleeding

in placenta praevia there will not

Question 10

preterm labour is defined as

Answer 10

before 37 weeks

Question 11

preterm labour mx

Answer 11

steroids and tocolytics

Question 12

examples of tocolytics

Answer 12

terbutaline
nifedipine

Question 13

pregnancy and chickenpox rules

Answer 13

check antibodies
if not present and over 20 weeks GA, give oral aciclovir 7-14 days after exposure

Question 14

postpartum depression first line mx

Answer 14

guided self help
CBT

Question 15

post partum tears
1st degree
2nd degree
3rd degree A/B/C
4th degree

Answer 15

1st degree= perineal skin and vaginal mucosa

2nd degree= perineal muscle but no sphincter involvement

3rd degree
A= <50% external anal sphincter
B= >50% external anal sphincter
C= internal anal sphincter

4th degree= anal mucosa

Question 16

what complication occurs during controlled cord traction

Answer 16

uterine inversion

Question 17

how is uterine inversion managed

Answer 17

first try to push the fundus back into the abdomen

laparotomy if conservative mx fails

Question 18

what abx is used in PPROM

Answer 18

erythromycin or clarithromycin

Question 19

indications for surgical mx of ectopic

Answer 19

1. significant pain
2. bHCG >5000
3. mass >35 mm
4. foetal heartbeat visible
5. haemodynamic instability
6. unable to attend follow up

Question 20

obstetric cholestasis mx

Answer 20

cholestyramine and emollient creams

ursodeoxycholic acid is no longer routinely given

Question 21

postpartum haemorrhage mx

Answer 21

1. uterine massage
2. oxytocin/ syntocinon etc
3. balloon tamponade
4. b lynch suture
5. uterine artery embolisation
6. hysterectomy

Question 22

weight loss in hyperemesis gravidarum

Answer 22

> 5% pre pregnancy weight despite anti emetics

Question 23

what do you see in urine in hyperemesis gravidarum

Answer 23

ketones

Question 24

first stage of labour latent vs active phase

Answer 24

latent <3cm
active 3-10cm

Question 25

how does maternal diabetes affect the amniotic fluid

Answer 25

cause polyhydramnios because of foetal hyperglycaemia and therefore polyuria

Question 26

when is folic acid taken during pregnancy

Answer 26

3 months before conception 12 weeks into pregnancy

Question 27

indications for high dose folic acid

Answer 27

previous pregnancy with NTD family hx of NTD diabetes epilepsy BMI >30 poor intake or absorption eg veggie/vegan/IBD/coeliacs

Question 28

what does the quadruple screening test look for

Answer 28

only downs syndrome

Question 29

when is the quadruple test done

Answer 29

15-20 weeks

Question 30

what does the combined screening test look for

Answer 30

downs, edwards and pataus syndrome

Question 31

when is the combined screening test done

Answer 31

10-14 weeks

Question 32

what is cell free foetal DNA test used for

Answer 32

for screening for downs syndrome

Question 33

how is proteinuria quantified in pre eclampsia and what is a significant resulr

Answer 33

urine protein:creatinine >30 is significant

Question 34

complete vs frank breech

Answer 34

frank= legs extended complete= legs flexed

Question 35

in hyperemesis gravidarum what vitamin is given alongside treatment

Answer 35

thiamine

Question 36

what is done when amniotic fluid embolism is suspected

Answer 36

oxygenate mother and call anaesthetist

Question 37

what is used first to confirm foetal heartbeat

Answer 37

handheld doppler

Question 38

if bishop score is above 6 how is labour induced

Answer 38

amniotomy IV oxytocin