revision

Question 1

Quadruple screen - results for trisomy 18 and 21

Answer 1

18: low inhibin A
21: high inhibin, high BhCG, low AFP, low estriol

Question 2

Kleihauer test

Answer 2

measures amount of feral Hb transferred from fetes to mothers bloodstream

Question 3

psammoma bodies

Answer 3

serous tumour

Question 4

cyst containing straw coloured fluid

Answer 4

serous tumour

Question 5

pseudomyxoma peritonei

Answer 5

mucus in pelvis - mucinous tumour

Question 6

small benign tumour of uroepithelial origin

Answer 6

brenner tumour

Question 7

meigs syndrome

Answer 7

fibroma, ascites, pleural effusion

Question 8

what tumour secretes AFP

Answer 8

teratoma aka dermoid cyst

Question 9

krukenberg tumour

Answer 9

secondary ovarian tumour - mets from GI tumours

Question 10

5 year survival rate for ovarian cancer

Answer 10

25%

Question 11

radical trachelectomy

Answer 11

removal of upper 2/3 vagina, 80% cervix (up to internal os), parametrical tissue, pelvic LN

less invasive alternative to radical hysterectomy for stage 1b cervical cancer to preserve fertility

stage 1b = confined to cervix, >3mm deep/>7mm across

Question 12

OAB Mx

Answer 12

1) Bladder training for 6 weeks
2) oxybutynin
3) botox injections into bladder wall - pt must be willing to self catheterise
4) sacral nerve stimulation

Question 13

stress incontinence mx

Answer 13

1) at lest 3 months pelvic floor muslce training = 8 contractions 3x a day
2) vaginal tape
3) colposuspension
4) anterior repair if cystocele
5) duloxetine if not fit for surgery