Repro Week 3 formative

Question 1

Obesity is a particularly big risk factor for cancer of which body part

Answer 1

Oesophagus

Question 2

What is the current age range for cervical screening

Answer 2

25-64

Question 3

Why does functional residual capacity decrease in pregnancy

Answer 3

Uterus compresses diaphragm as it grows

Question 4

What happens to cardiac contractility during pregnancy

Answer 4

Increases

To allow for extra force to pump blood to the fetus

Question 5

Name 4 causes for a Large-For-Dates baby

Answer 5

Fibroid uterus
Multiple pregnancy
Polyhydramnios
Fetal Macrosomia

Question 6

How is fetal growth assessed in utero

Answer 6

Symphyseal fundal height in cm

Question 7

What are the 2 ducts which can grow into the male and female reproductive tracts respectively

Answer 7

Mesonephric (Wolffian) –> male tract
Paramesonephric (Mullerian) –> female tract

Mullerian - M for Mum

Question 8

Name 4 risk factors for IntraUterine Growth Restriction (IUGR)

Answer 8

Smoking
Previous IUGR in pregnancy
BMI < 18
Conception by IVF

Question 9

What is measured to screen for Down Syndrome risk

Answer 9

Nuchal Thickness

Question 10

What is the Nuchal thickness

Answer 10

Skin thickness behind fetal neck

Question 11

How is Nuchal Thickness measured

Answer 11

Ultrasound

Question 12

During what gestation is Nuchal Thickness measured

Answer 12

11-14 weeks

Question 13

On abdominal palpation, the fundus of the pregnant uterus is normally palpable for a singleton pregnancy at which gestation

Answer 13

12 weeks

Question 14

Give 4 anaesthesia options for a woman requiring forceps delivery

Answer 14

Spinal
Epidural
Pudendal nerve block
Perineal block

Question 15

What cannot be confirmed from an early pregnancy scan

Answer 15

The sex of the fetus

Question 16

Pain from the body of the uterus is carried in which nerve fibres

Answer 16

Visceral afferent fibres to T11-L2 spinal cord levels

Question 17

Which bony landmark is used to administer a pudendal nerve block and how can it be located

Answer 17

Ischial Spine

can be palpated at 4 and 8 o’clock on vaginal exam

Question 18

What is the major advantage of MRI over CT scan for imaging the pelvis in females of reproductive age?

Answer 18

No ionising radiation

Question 19

Why might a CT scan be used instead of an MRI in the case of an Obs & Gynae malignancy

Answer 19

To look for distant metastases to lungs and mediastinum

MRI has poor depiction of lung parenchyma