Randoms From 2019 Paper

Question 1

What does the morning after pill postinor 2 contain

Answer 1

750 micrograms of levonorgestrel

Question 2

Which ligament does the ovarian artery run through

Answer 2

Suspensory ligaments known as infundibulopelvic ligaments

Question 3

What is the best investigation to asses for ovarian reserve

Answer 3

Anti mullerian hormone

Question 4

What is asherman syndrome

Answer 4

Uterine synechiae due to adhesions of uterine cavity which results in disturbance of menstruation secondary to pregnancy related complications such as abortions and procedures such as d&c

Question 5

Describe figo classification for fibroids

Answer 5

Know it

Question 6

Which class of contraceptive has a side effect of affecting bone mineral density

Answer 6

Injectable contraceptives depot

Question 7

What is the most common type of ovarian tumor and the most aggressive sub type of this

Answer 7

Epithelial tumor

Serous cystAdenocarcinoma

Question 8

What is the most common benign lesion of the breast

Answer 8

Fibrocystic changes

Question 9

What are the absolute contraindications to epidural anesthesia

Answer 9

Patient Refusal
Uncorrected hypovolemia 
Increased intracranial pressure 
Infection at site 
Allergy to local anesthetic

Question 10

Which forcep is best for delivering after coming head of a breech

Answer 10

Pipers

Question 11

What kind of forceps is a wrigleys forceps

Answer 11

Outlet forcep

Question 12

Which forcep is best for asynctilism and is a mid cavity forcep

Answer 12

Keilland

Question 13

What is the effect of indomethacin why it can’t be used as a tocolytic agent.. what is the main tocolytic agent used

Answer 13

Indomethacin causes premature closure of ductus arteriosus

Nifedipine preferred with atosiban as the alternative

Question 14

What medication is given to reduce the risk of preeclampsia in women at risk

Answer 14

Low dose aspirin after 12 eeeks gestation

Question 15

What approach can a cerclage be placed

Answer 15

McDonald or shirodkar approach

Placed at 14-16 weeks only in women with recurrent preterm delivery due to cervical incompetence

Question 16

What are the causes of oligohydramnios

Answer 16

Fetal urinary tract anomalies such as renal agenesis, polycystic kidneys or any obstructive lesion

Pprom

Placental insufficiency

Maternal use of prostaglandin synthase inhibitors or angiotensin converting enzyme

Question 17

Differentials for a pregnant patient presenting with pruritus

Answer 17

With no rash: obstetric cholestasis

With rash: polymorphic eruption of pregnancy or pemphigoid gestationis.

Question 18

Tx of choice for obstetric cholestasis

Answer 18

Ursodeoxycholic acid is the primary treatment for obstetric cholestasis. It improves LFTs, bile acids and symptoms.

Symptoms of itching can be managed with:

Emollients (i.e. calamine lotion) to soothe the skin
Antihistamines (e.g. chlorphenamine) can help sleeping (but does not improve itching)

Question 19

Treatment of choice for asymptomatic uti

Answer 19

Amoxicillin clavunate

Question 20

What are the two fascial layers encountered in the abdomen

Answer 20

Superficial fatty layer: campers fascia

Membranous deep layer: scarpas

Question 21

What should be the management of a woman who is highly likely to be exposed to chicken pox

Answer 21

If woman not unu to vzv and has significant exposure should be offered varicella zoster immune globulin asap

Question 22

Describe 1st, 2nd, 3rd degree lacerations

Answer 22

Know it

Question 23

What drug is given to an hiv positive with high viral load about to do csection

Answer 23

Zidovudine

Question 24

What is tested in the biophysical profile

Answer 24

Heart rate breathing, movement, muscle tone ? Amniotic fluid level