questios

Question 1

Down’s syndrome: quadruple test result

Answer 1

↓ AFP
↓ oestriol
↑ hCG
↑ inhibin A

Question 2

ovarian torsion on US

Answer 2

whirlpool

Question 3

menorrhagia/dysmenorrhoea + bulky uterus

Answer 3

fibroids

Question 4

young female, +ve HCG, abdo pain

Answer 4

ectopic pregnancy

Question 5

abdo distension, SOB

Answer 5

ovarian tumour

Question 6

meig’s syndrome

Answer 6

benign ovarian adenoma + ascites + pleural effusion

Question 7

COCP + increased discharge

Answer 7

ectropion

Question 8

contact bleeding/dyspareunia

Answer 8

cervical cancer

Question 9

itchy white, curd like discharge

Answer 9

candida

Question 10

fishy, watery discharge, clue cells on microscopy

Answer 10

BV

Question 11

gram positive diplococci, kidney bean shaped

Answer 11

gonorrhoea

Question 12

spirochates on dark ground microscopy, painless ulcer

Answer 12

syphilis

Question 13

first line antiemetics in pregnancy

Answer 13

Promethazine and cyclizine

Question 14

most common bacterial cause of lactational mastitis

Answer 14

staphylococcus aureus

Question 15

how long does the puerperium last

Answer 15

6 weeks

Question 16

primary PPH time cut off

Answer 16

before 24 hours

Question 17

what is tested for at newborn screening

Answer 17

maple syrup urine disease
sickle cell disorder
congenital hypothyroidism
homocystinuria
phenylketonuria
CF

Question 18

postmenopausal bleeding… until proven otherwise?

Answer 18

endometrial cancer

Question 19

what age group is invited to attended routine cervical screening

Answer 19

25-65

Question 20

gynae malignancy associated with tamoxifen use

Answer 20

endometrial cancer

Question 21

what does the pelvic diaphragm contain

Answer 21

the pelvic floor muscles

Question 22

what is the most internal layer of the pelvic floor

Answer 22

the pelvic diaphragm

Question 23

how is the fertile window determined

Answer 23

20 days subtracted from the shortest cycle length
last fertile day is calculated by subtracting 10 days from the longest cycle length

Question 24

what is a partial mole

Answer 24

a non viable fertilised egg consisting of 2 sets of paternal genes and one set of maternal genes

Question 25

acute management of severe HG

Answer 25

IV fluids and IV cyclizine

Question 26

management of a molar pregnancy

Answer 26

surgical evacuation of uterus under anaesthetic

Question 27

endocrine features in obstructive male factor infertility

Answer 27

normal LH normal FSH normal testosterone

Question 28

on what day does embryo transfer take place in IVF

Answer 28

day 5

Question 29

what are the endocrine features of PCOS

Answer 29

high LH
high free androgens

Question 30

premature ovarian failure is an example of what kind of infertility

Answer 30

anovulatory- ovarian

Question 31

first line investigation for history of PID presenting with infertility

Answer 31

laparoscopy to investigation tubal patency

Question 32

first line investigation in pregnant woman presenting with suspected PE

Answer 32

CXR and ECG
(then CTPA, then V/Q scan)