repro formative Flashcards
What are women offered as routine screening for Down’s syndrome?
Select one:
a. Amniocentesis
b. CUB (combined ultrasound/biochemical) screening
c. AFP test
d. Free fetal DNA test
e. Nuchal translucency scan
B. CUB
A 40-year-old, Para 4 with a BMI of 40 presents with leakage of urine on laughing and coughing.
The following are appropriate management steps except:
a. Anti-cholinergic medication
b. Decrease caffeine intake
c. Physiotherapy
d. Transvaginal tape
e. Weight loss
A. Anticholinergic
A woman attends for induction of labour. Certain conditions need to be met before proceeding with induction.
Which of the following is a contraindication to induction of labour?
Select one:
a. Cephalic presentation
b. Obesity
c. Oblique lie
d. Previous caesarean section
e. Rupture of membranes
C. oblique lie
Which of the following drugs is contraindicated in pregnancy? Select one: a. Ramipril - an ACE inhibitor b. Labetalol c. Methyldopa d. Magnesium Sulphate e. Nifedipine
A. Ramipril
In order to prevent rhesus disease in the baby, which women are recommended to receive Anti-D in their pregnancy?
Select one:
a. All rhesus negative women
b. All rhesus positive women
c. All women
d. Rhesus negative women with rhesus positive partner
e. Rhesus positive women with rhesus negative partner
A. All rhesus negative wommen
A 27-year-old primigravid patient has been admitted at 37 weeks with a 6 hour history of contractions. She is having 2 contractions in 10 minutes and each is lasting 50 seconds. She has had no show and her membranes are intact but she thinks she is in labour.
Which one of the following is the best clinical sign to assess if she is in established labour?
Select one:
a. Abdominal examination to assess the descent of the fetal head
b. Abdominal examination to assess the strength of the contractions
c. Speculum examination to assess cervical dilatation
d. Vaginal examination to assess cervical dilatation
e. Vaginal examination to assess if the membranes are intact
d. Vaginal examination to assess cervical dilatation
A parous patient is in established labour and the head is just visible at the introitus. She has had no analgesia. She is being supported by her midwife and birth partner. She is pushing well but is screaming for pain relief. What method of pain relief is best for her? Select one: a. Epidural anaesthetic b. Entonox c. Morphine d. Spinal anaesthetic e. Supportive care
b. Entonox
A 26-year-old woman is pregnant with her first baby. She has remained very well during her pregnancy but her haemoglobin has dropped from 13g/dl at 12 weeks to 11g/dl at 28 weeks pregnant.
What is the most likely explanation for this?
Select one:
a. Concealed haemorrhage
b. Iron deficiency anaemia
c. Normal physiological change in pregnancy
d. Pernicious anaemia
e. Sickle cell disease
c. Normal physiological change in pregnancy
Considering secondary prevention of cervical cancer in the UK, CIN is diagnosed by:
Select one:
a. Colposcopy
b. Cytology
c. HPV testing
d. Histology
e. MRI scan
d. Histology
What is true about pregnant women who are Diabetic?
Select one:
a. They do not suffer from a higher rate of stillbirth
b. They have babies who are at risk from neonatal hyperglycaemia
c. They need good diabetic control before conception to help prevent anomalies in the baby
d. They only suffer complications in the mother as glucose does not cross the placenta and therefore does not harm the baby
e. They typically have babies which are smaller than non-diabetic mothers
c. They need good diabetic control before conception to help prevent anomalies in the baby
A 50-year-old woman has irregular periods and is suffering from mood swings and night sweats. She is perimenopausal and wishing to commence on HRT to help her symptoms.
Which hormone’s reducing level causes the menopausal symptoms?
Select one:
a. FSH
b. LH
c. Oestrogen
d. Progestogen
e. Thyroxine
c. Oestrogen
Oestrogen causes menopausal symptoms!
rimary prevention of cervical cancer in the UK is performed by: Select one: a. HPV 6 and 11 immunisation b. High risk HPV testing c. HPV 16 and 18 immunisation d. HIV immunisation e. Cervical screening
c. HPV 16 and 18 immunisation
a. The screening target population are women aged between 40 and 70 years of age
b. The screening target population are offered primary screening by clinical examination of the breasts
c. The screening target population are offered a mammogram every five years
d. The screening target population are registered with a GP practice and aged 50-70 years
e. The screening target population is anyone with a family history of a first degree relative with breast cancer
d. The screening target population are registered with a GP practice and aged 50-70 years
he pregnant woman should always be nursed in a left lateral position because:
Select one:
a. In the supine position the umbilical cord is compressed by the overlying fetus
b. In the supine position the pressure of the gravid uterus on the inferior vena cava causes a reduction in venous return to the heart with a possible 25% reduction in cardiac output
c. In the left lateral position there is an increase in functional residual capacity of the lungs
d. In the supine position the pressure of the gravid uterus on the aorta reduces blood flow to vital organs by 10%
e. Nursing in the left lateral position ensures that blood flow to a posterior placenta is not compromised
b. In the supine position the pressure of the gravid uterus on the inferior vena cava causes a reduction in venous return to the heart with a possible 25% reduction in cardiac output
Iron deficiency anaemia is by far the commonest cause of anaemia and iron deficiency anaemia is the commonest haematological problem in pregnancy.
In relation to this, the following is true -
Select one:
a. A pregnancy causes a 10 fold increase in the requirement for iron not only for haemoglobin synthesis but also for certain enzymes and the fetus
b. Because the expansion in plasma volume is greater than the increase in red cell mass there is a fall in haemoglobin concentration, haematocrit and red cell count
c. Changes in the coagulation system during pregnancy produce a physiological hypercoaguable state – clotting factors VIII, IX, X decrease and fibrinogen increases
d. A woman will not be iron deficient if she has a normal haemoglobin and MCV (mean cell volume)
e. All women planning a pregnancy should be advised to take 400mcg folate periconceptually and up until 12 weeks gestation to prevent megaloblastic anaemia
b. Because the expansion in plasma volume is greater than the increase in red cell mass there is a fall in haemoglobin concentration, haematocrit and red cell count