SBA Flashcards
Which of these physiological changes does not take place in pregnancy?
Raised plasma volume Raised GFR Raised serum albumin concentration Raised tidal volume Raised cardiac output
Raised serum albumin concentration
Which of these does not form part of the quadruple test?
AFP Inhibin A PAPP-A B-hCG Oestriol
PAPP-A
A 23 year old woman presents at 13 weeks gestation. She is complaining of PV bleeding, lower back ache and suprapubic discomfort. Internal examination shows a closed os. What is happening? Inevitable miscarriage Missed miscarriage UTI Threatened miscarriage None of the above
Threatened miscarriage
cannot assume fetus has died
A 29 year old nulliparous women presents at 31 weeks with epigastric pain. She has had an uneventful pregnancy so far. Her BP is 170/119mmHg and urine dipstick shows 3+ proteinuria. What is the most suitable management?
Oral nifedipine IV labetalol Admit for observation Immediate section None of the above
IV labetalol
Above 140/90 –> Admit for observation
If consistently above 140/90 –> PO/IV labetalol
If above 160/100 –> PO/IV labetalol
PO nifedipine is 2nd line if asthmatic
Immediate section if severe pre-eclampsia or eclampsia
A 34 year old woman at 28 weeks gestation presents to the pregnancy assessment unit with severe abdominal pain. She has passed a small amount of blood PV. Her uterus is described as ‘woody’ and the cervix is closed. What is the most likely diagnosis?
Placenta praevia Vasa praevia Threatened miscarriage Placental abruption Complete miscarriage
Placental abruption
Characteristic signs:
1) woody uterus
2) bleeding disproportionate to pain
Vasa praevi –> with rupture of membranes
Placental praevi –> painless heavy bleeding
Which of these is not part of stage 2 of labour?
Active pushing from mother Completion of descent, flexion and rotation Fetal head reaching pelvic floor Dilation of cervix from 3-10cm Extension as head delivers
Dilation of cervix from 3 - 10cm
You are asked to go and see a baby on the ward because he has a funny hand. Upon reading the notes you learn that shoulder dystocia occured during labour one day ago. What is causing this abnormality?
Cerebral palsy Klumpke’s palsy Syndactyly Erb’s palsy Clubhand
Erb’s palsy
What are the contents of colostrum?
Fat, protein, carbohydrates Protein, vitamins, minerals and IgA Fat, protein, IgA and minerals Protein, IgG and fat IgA, fat, minerals and carbohydrates
Fat, protein, IgA and minerals
A 64-yea old woman presents to her gynae with vaginal irritation and itching. On examination, the clinician notes a 3 x 2cm lump extending from the left side of the vulva. A biopsy of the lump is taken for histological analysis. Which of the following is the most common kind of vulval carcinoma?
Malignant melanoma Basal cell carcinoma Squamous cell carcinoma Bartholin's gland carcinoma Sarcoma
Squamous cell carcinoma
Treatment: vulvectomy and dissection of the all the superficial and deep inguinal glands
Advanced cases –> remove lower part of urethra, vagina or anal canal. Cure rate of approx 70% is achieved in operable cases, prognosis depending mainly on the involvement of the lymphatic glands
A 26-year old woman is admitted to SAU with acute abdominal pain. She is also complaining of pain in her right shoulder and pain on defecation. The first day of her last period was approximately 8 weeks ago. A pregnancy test is performed and comes back positive. An urgent USS is requested and results confirm an ectopic pregnancy within the Fallopian Tube. Which of the following is the most common site of implantation for an ectopic pregnancy?
Cervix Ovary Peritoneum Ampulla of the fallopian tube Broad ligament
Ampulla of the fallopian tube
A woman aged 76 presents with a 2cm-unilateral, invasive vulva carcinoma with no evidence of lymph node involvement. What is the recommended management?
Simple vulvectomy with bilateral inguinal lymphadectomy Radiation therapy Simple vulvectomy Wide local excision Chemotherapy
Simple vulvectomy with bilateral inguinal lymphadectomy
A 25-year old healthy pregnant woman is about to give birth to her first child at 9-months gestation. The obstetrician decides to perform a C-section
Which of the following abdominal surgical incisions will the obstetrician most likely perform?
Right subcostal incision Median longitudinal incision Transverse incision just below the umbilicus McBurney's point incision Suprapubic incision
Suprapubic incision
