Repro

Question 1

‘snowstorm’ appearance on US scan, described as ‘frogspawn’ when expelled

Answer 1

hydatidiform mole (trophoblastic disease)

Question 2

antepartum haemorrhage in pts w/ succenturate lobe or velamentous insertion

Answer 2

vasa praevia

Question 3

maternal blood + no fetal distress

Answer 3

placenta praevia (must exclude before vaginal examination!) in ante-partum haemorrhage

Question 4

fetal blood + sudden fetal distress

Answer 4

vasa praevia

Question 5

placenta accreta (‘doughy abdomen’) management

Answer 5

insertion into myometrium post endometrial ablation –> C/S +/- hysterectomy + always give contraception!

Question 6

fetal distress, loss of engagement + previous C/S or surgery

Answer 6

uterine rupture

Question 7

PPH followed by pituitary failure

Answer 7

Sheehan’s syndrome

Question 8

strawberry cervix

Answer 8

trichomonas vaginalis

Question 9

clue cells, high vaginal pH (>4.5)

Answer 9

bacterial vaginosis

Question 10

prolapse + back pain

Answer 10

uterine prolapse

Question 11

large, tense uterus (woody abdomen), bleeding + pain

Answer 11

placental abruption