Repro Week 4 formative

Question 1

Name 4 fetal features of Fetal Alcohol Spectrum Disorder

Answer 1

Microcephaly
Micrognathia & smooth philtrum
Ventricular septal defect
Dysplastic kidneys

Question 2

Which muscles make up the pelvic diaphragm

Answer 2

Levator Ani

Coccygeus

Question 3

What do the ischio-anal fossae contain

Answer 3

Fat

Question 4

Give 2 reasons why you might use Mirabegron instead of Anti-muscarinics to treat an overactive bladder

Answer 4

Lower risk of side effects

Cheaper

Question 5

What is the mechanism of action of Mirabegron

Answer 5

Beta 3 agonist

Relaxes bladder smooth muscle

Question 6

When should you consider topical estrogens as a treatment for overactive bladder

Answer 6

In the case of the atrophy of the vaginal mucosa

Question 7

What happens to the uterus when placental separation has occurred

Answer 7

The uterus contracts rises and hardens

Question 8

What is involved in the first stage of labour

Answer 8

Latent phase up to 3-4cms dilatation

Active stage 4cms -10cms (full dilatation)

Question 9

What is involved in the second stage of labour

Answer 9

Full dilatation to the delivery of the baby

Question 10

What is involved in the third stage of labour

Answer 10

Delivery of baby & expulsion of placenta and membranes

Question 11

What is the length of time considered normal for return of tissues to a normal state following childbirth?
What is this period called?

Answer 11

6 weeks

puerperium

Question 12

What volume of blood loss is considered normal in labour

Answer 12

500mls

Question 13

What is the appropriate management for minimal bleeding due to a mild placental abruption

Answer 13

Admit, give steroids and observe closely

Question 14

Which statement best describes bleeding in cases of Placenta Previa

Answer 14

Painless, usually recurrent bleeds >24weeks