Reproductive and Sexual Health

Question 1

USS Snowstorm Appearance

Described as frogspawn

Answer 1

Hydatiform mole

Question 2

Antepartum haemorrhage with succenturiate lobe or velamentous insertion

Answer 2

Vasa praevia

Question 3

Maternal bleed + No foetal distress

What need to exclude before PV?

Answer 3

Placenta praevia

Question 4

Foetal blood and sudden foetal distress

Answer 4

Placenta praevia

Question 5

What is placenta accreta?

Answer 5

Insertion into the myometrium post-endometrial ablation

Treat with C-section +/- hysterectomy

Question 6

Doughy abdomen

Answer 6

Placenta accreta

Question 7

Foetal distress, loss of engagement, previous C-section or surgery

Answer 7

Uterine rupture

Question 8

Post-partum haemorrhage + pituitary failure

Answer 8

Sheehan’s syndrome

Question 9

Strawberry cervix

Management?

Answer 9

Trichomonas vaginalis

Mx: Metronidazole

Question 10

Clue cells, high vaginal pH

Management?

Answer 10

Bacterial vaginosis

Mx: Metronidazole

Question 11

Prolapse and back pain

Answer 11

Uterine prolapse

Question 12

Large tense uterus, bleeding and pain

Answer 12

Placental abruption

Question 13

Woody uterus

Answer 13

Placental abruption