Random

Question 1

How to manage lost coil

Answer 1

Pregnancy Test
Coil retriever
pelvic USS
If not visible abdo XR

Question 2

Abortion act clause A

Answer 2

Continuation of pregnancy involve greater risk of life to the pregnant person versus termination

Question 3

Abortion act clause B

Answer 3

Termination necessary to prevent permanent injury to physical/mental health of women the pregnant woman

Question 4

Abortion act clause C

Answer 4

< 24 weeks continuing pregnancy greater risk to pregnant woman than continuing to physical/mental health

Question 5

Abotion act clause D

Answer 5

< 24 weeks and continuing pregnancy greater risk than termination to physical mental well-being of other existing children

Question 6

Abortion clause E

Answer 6

substantial risk if child born would suffer physical or mental abnormality that would be significantly handicapped

Question 7

Abortion clause F

Answer 7

Emergency to save women life

Question 8

Abolition clause G

Answer 8

Emergency to prevent grave and permenent injury physical or mental to pregnant woman

Question 9

Swab for chlamydia

Answer 9

Vulvo-vaginal and NAAT

Question 10

What proportion of women will clear chalymdia without treatment in 12 months?

Answer 10

50%

Question 11

Rates of chlamydia in sexual partner

Answer 11

75%

Question 12

Treatment for chlamydia non pregnancy

Answer 12

1st: Doxycycline 100mg BD 7 days (contraindicated in pregnancy)

2nd Azithromycin 1 g, 500mg PO OD for 2 dats

3rd Erythromycin 500mg BD 10-14D, Ofloxacin 200mg BD 7D/400mg OD 7D

Ofloxacin (CI pregnancy, children, growing adolescent)

Question 13

Chlamydia in pregnancy

Answer 13

Azithromycin 1g, then 500mg PO OD 2D

Erythromycin 500mg QDS 7D, 500mg BD 14D

Amoxcillin 500mg TDS 7D

Question 14

Best swab to detect gonorrhoea

Answer 14

Vulvo-vaginal swab + NAAT

> 95% sensitive

Question 15

Treatment for gonorrhoea

Answer 15

IV 1g ceftriazone - single dose

(high levels ciprofloxacin resistance)

Question 16

Best swab for BV?

Answer 16

High vaginal swab and microscopy

Question 17

Summary findings for BV

Answer 17

Thin discharge. Offensive or fishy odour
No itch
Discharge coating vagina and vestibule
No vulval inflammation,
Vaginal pH ≥4.5
High vaginal swab (from lateral vaginal walls – diagnosis made using Amsel’s criteria (3/4 present): White discharge, pH>4.5, Fishy odour (with addition of 10% KOH to discharge), Clue cells (vaginal epithelial cells surrounded by bacteria)

Question 18

Treatment for BV

Answer 18

Metronidazole 400mg BD 5-7 days

Metronidazole 2g single dose

Intravaginal metrionidazole gel 0.75% OD for 5 days

Intravaginal clindamycin cream 2% OD for 7 days

Question 19

Treatment for BV in pregnancy

Answer 19

Same as non pregnant except cannot give high 2g PO regieme

Offer resetting after 1 month if still symptomatic

Question 20

Best swab for trichomoniasis?

Answer 20

High vaginal swab + NAAT

Question 21

Summary findings trichomoniasis

Answer 21

Anaerobic, flagellated protozoan parasite, causes trichomoniasis
Commonest pathogenic protozoan infection of humans in industrialized countries
Infection rates similar in men and women but women more symptomatic
Transmission typically through vaginal intercourse
Causes frothy, greenish vaginal discharge with a musty malodorous smell
Only 2% of infected women have a “strawberry” cervix (an erythematous cervix with pinpoint areas of exudation) or vagina on examination
May cause urethritis and prostatitis in males
Diagnosis made on cervical smear, infected women have a transparent “halo” around their superficial cell nucleus however this has low sensitivity
T. vaginalis was traditionally diagnosed via a wet mount, in which “corkscrew” motility was observed
Currently, the most common method of diagnosis is via overnight culture
Treated with metronidazole or tinidazole with contact tracing

Question 22

Treatment trichomoniasis

Answer 22

Metronidazole 400-500mg 5-7 days (can give in pregnancy)

Metronidazole 2g single dose or tinidazile 2g PO single dose (do not give in pregnancy)

Treat current partner(s) simultaneously or any partner from 4 weeks previous

Sexual abstinence for 1 week after treatment

Question 23

Best swab for candiaida?

Answer 23

High vaginal swab + culture

Question 24

Summary for findings candida

Answer 24

Thick white discharge
Non-offensive
Vulval itch or soreness
Superficial dyspareunia
External dysuria
Normal findings or Vulval erythema, oedema, fissuring, satellite lesions
Vaginal pH <4.5

Question 25

Best swab for genital herpes?

Answer 25

Vulvo-vaginal swab and NAAT

Question 26

Which bacteria causes donovanosis? How does it present?

Answer 26

Klebsiella granulomatsis - a firm papule that later ulcerates, 90% genital

‘Donovan bodies’ Gram -ve

Question 27

When to stop contraception with Lap Sterilisation?

Answer 27

POP implant/injection - stop at time

CHC, POP, non hormona, coils - stop after 7 days

If CHC, HFI or Day 1, omit HFI and take further 7D

Question 28

If coil in pregnancy and threads visible

Answer 28

Remove coil asap

Question 29

When does the HFI start for COCP/patch/ring

Answer 29

COCP - 24 hours after last tablet
Patch/ring - as soon as removed

Question 30

Shortest time between fertilisation and implantation?

Answer 30

6 days

Question 31

Max time
1) Referral to aborition provider
2) Abortion service must offer review within
3) Abortion must offer service within how long from decision
4) Max time seeing abortion provider and procedure

Answer 31

1) 2 days
2) 5 days
3) 5 days
4) 10 days