1

Question 1

symptoms of primary HIV transmission

Answer 1

fever, maculopapular rash, myalgia, pharyngitis, headache, aseptic meningitis

Question 2

in downs HCG
PAPPA
inhibin A
unconjugated bilirubin 
AFP

Answer 2

increase
decrease
increase
decrease 
decrease

Question 3

when is amnio

CVS

Answer 3

15 weeks

12 weeks

Question 4

fatal blood sampling

Answer 4

> 7.25 fine
7.2 - 7.25 repeat
<7.2 deliver

Question 5

AFI normal a

down

Answer 5

6-22

<6

Question 6

management of seizures in eclampsia

Answer 6

4g Magnesium sulphate loading dose over 5-10mins
1g per hour
further 2g
further 10mg Diazepam

Question 7

mod risk factors for PET

Answer 7

over 40 
first preg
FH
over 10 year period 
BMI >35
multiple preg

Question 8

severe risk factors for PET

Answer 8

prev htn/pet
AI disease like SLE/anti phospho
CKD
DM
chronic htn

Question 9

BP course through out pregnancy

Answer 9

drops in second trim
increases till term
drops post delivery
rises and peaks at d3/4

Question 10

what drugs are safe in breast feeding depression

Answer 10

sertalline
paroxetine
TCAs

Question 11

when can’t BF

Answer 11

cocaine
HIV
alcohol >8 units

Question 12

when to give iron in pregnancy

Answer 12

<11 at booking

<10.5 at 28 weeks

Question 13

VTE risk in pregnancy why

Answer 13

increase in 7 8 10 fibrinogen

decrease in protein S

Question 14

target for DM in preg

Answer 14

between 5-6

Question 15

OGGT

2hr fasting

Answer 15

5. 6

7. 8

Question 16

preterm when

Answer 16

24-36(+6)

Question 17

correcting gestations age

Answer 17

1 year in 32-36

2 years in <32

Question 18

CI to HRT

Answer 18

angina
IHD
MI
PE

Question 19

benefits to HRT

Answer 19

decrease in bowel cancer
decreased risk of fragility fracture
muscle mass and strength

Question 20

risks of HRT

Answer 20

breast cancer
VTE in oral>transdermal
CHD and stroke in combined

Question 21

tubal infertility if history of PID ix

Answer 21

laparotomy and dyr hydrotubation

Question 22

surgical TOP two types when

Answer 22

6-12 weeks vacuum aspiration

13-24 dilatation evac

Question 23

TOP when

Answer 23

23+6

18+6

Question 24

treatment of endometrial cancer

Answer 24

total abdominal hysterectomy and bilateral salpingo-oophorctomy
and post op radio

stage 3b/4 - chemo as well

Question 25

ovarian cancer treatment

Answer 25

debunking and staging bilateral salpingoophorectomy adjuvant chemo - carbaplatin and paclitoxal 6 months

Question 26

pubic lice treatment

Answer 26

malothian lotion

Question 27

trichomonad vaginalis female symptoms | rx

Answer 27

frothy musty smell, strawberry cervis PO metro 400mg BD for 7 days 2g stat

Question 28

``` genital warts treatment - - - - ```

Answer 28

no treatment 30% resolve in under 6 m cryotherapy topical podophylin imiquimod

Question 29

genital herpes commonest cause | rx

Answer 29

HSV2 acyclovir 400mg TDS for 5 days topical lidocaine 5% saline bathing analgesi

Question 30

chlamydia treatment

Answer 30

azithro 1g stat | 100mg doxy BD for 7 days if rectal

Question 31

ghonnorhea treatment

Answer 31

ceftriaxone 500mg IM and aizthro 1g | ceftriaxone 400mg orally

Question 32

syphyllis treatment

Answer 32

2.4 benzathine penicillin IM 1 in early 3 in late

Question 33

jarischher xheimer

Answer 33

fever rash tacky after first dose of penicillin in syphilis

Question 34

prostatitis treatment

Answer 34

ciprofloaxein 500mg BD for 28 days risk of CDiff Erimethoprim 200mg BD 28 days

Question 35

bacterial vaginosis

Answer 35

metro 400mg BD 7 days | 2g stat

Question 36

candida treatment

Answer 36

clotrimazole 500mg pessary and topical dotrimazole 1% cream fluconazole 150mg PO stat and topical dotrimazole 1% cream

Question 37

breast thrush superficial treatment | deepr

Answer 37

miconazole cream 2% for 7 days | fluconazole 300mg then 150mg OD for 10 days

Question 38

breath thrush in baby <4m | >4m

Answer 38

nyastatin suspension 7 days | miconazole oral gel 24mg/kg QDS 7 days

Question 39

mastitis treatment | PA

Answer 39

if no improvement/worse after 12-24 hours give fluclox 1g QDS 7-10 days PA clindamycin 450mcg TDS

Question 40

when can you start CHC | A/condoms till when

Answer 40

within d5 of cycle | 7 days

Question 41

implant when start | A/C

Answer 41

first 5 days of cycle | 7 days

Question 42

IUD when startv

Answer 42

first 7 days of period | 5 days after ovulation

Question 43

IUS when start | A/C

Answer 43

first 7 days of period | 7 days

Question 44

Depo start when | A/C

Answer 44

day 5 of cycle | 7 days

Question 45

CI to epidural

Answer 45

coagulopathy