sunday 13th

Question 1

what c-peptide level is seen in t1dm

Answer 1

low c-peptide

Question 2

long acting insulins used in t1dm- proper and brand

Answer 2

insulin detemir - leveir
insulin glargine - lantis

Question 3

short acting insulins - proper and brand

Answer 3

aspart - novorapid
lispro - humalog

Question 4

blood glucose targets in t1dm

Answer 4

on waking - 5-7 on waking
4-7 before meals and other times

Question 5

t1dm autoantibodies

Answer 5

anti GAD
islet cell antibodies
insulin autoantibodies

Question 6

what gestation is classed as pre-term

Answer 6

< 37 weeks

Question 7

what is the main casue of chorioamniotitis

Answer 7

preterm premature rupture of memebranes -PPROM

Question 8

complications to baby from pprom

Answer 8

sepsis, prematurity and pulmonary hypoplasia

Question 9

dx of pprom

Answer 9

speculum exam shows pooling in posterior fornix

Question 10

if pooling cant be seen in PPROM what shoudl be doen

Answer 10

PAMG-1

Question 11

treatment of PPROM

Answer 11

admit
oral erythromycin 10 days
maternal steroids
early delivery ?

Question 12

in preterm delivery of the baby what is given for neuroprotection

Answer 12

iv mag sulphate

Question 13

in preterm delivery what is given for neuroprotection

Answer 13

iv mag sulphate

Question 14

does MCA PSV increase or decrease in foetal anaemia

Answer 14

increased increaed CO and velocity as anaemic

Question 15

describe level sof antepartum haemorrhage

Answer 15

minor<500ml
major 500-1L
massive >1L or shock

Question 16

defintion of placenta praevia

Answer 16

covering os or within 2 cm

Question 17

woody hard uterus

Answer 17

placental abruption

Question 18

what is a blue uterus called and when is it seen

Answer 18

couvelaire uterus
placental abruption

Question 19

rubella triad

Answer 19

cardiac abnormalities
cataracts
deafness

Question 20

what is erythema infectiosum also called? whats it caused by

Answer 20

slapped cheek
parvovirus b19

Question 21

complication of parvovirus b19 in pregnancy

Answer 21

hydrops fetalis - stops eryhtopoiesis

Question 22

treatment of chicken pox exposure in pregnancy in non immune mother

Answer 22

<20 weeks - give VZIG
>20 weeks- give VZIG or oral aciclovir if within 24hrs of rash

Question 23

how to differentiate between chicekn pix and measels

Answer 23

measels - first on forehead, white (koplik) spots in mouth
chickenpox - first on chest and face

Question 24

VTE prophylaxis in pregnancy

Answer 24

LMWH

Question 25

How long is second stage of labour

Answer 25

1 hour multiparous
2 hours nulli

Question 26

7 cardinal movements in labour

Answer 26

1. engagement
2. descent
3. flexion
4. internal rotation
5. extension
6. ext -rotation - restitution
7. explusion

Question 27

contraindications for epidural

Answer 27

coagulopathy
local or systemic infection
uncorrected hypovolaemia

Question 28

how do you reduce the chance of hypovolaemia in epidural

Answer 28

add a local anaesthetic before eg bupivcaine