4.2. Obstetrics & Gynaecology High Yield

Question 1

Unicornuate uterus (next step)

Answer 1

Look at kidneys

Question 2

T shaped uterus

Answer 2

DES related
OR
Vaginal clear cell Ca

Question 3

Marked enlargement of uterus

Answer 3

Adenomyosis

Question 4

Adenomyosis

Answer 4

Thickening of the junctional zone

Question 5

Wolffian duct remnant

Answer 5

Gartner Duct Cyst

Question 6

Theca lutein cysts

Answer 6

Moles and multiple gestations

Question 7

Theca lutein cysts + pleural effusions

Answer 7

Hyperstimulation syndrome (fertility meds)

Question 8

Low level internal echoes

Answer 8

Endometrioma

Question 9

T2 shortening

Answer 9

Endometrioma (shading sign)

Question 10

Fishnet appearance

Answer 10

Haemorrhagic cyst

Question 11

Ovarian fibroma & pleural effusions

Answer 11

Meigs syndrome

Question 12

Snow storm uterus

Answer 12

Complete mole, 1st trimester

Question 13

Serum beta-HCG rise in 8-10 weeks following evacuation of molar pregnancy

Answer 13

Choriocarcinoma

Question 14

Midline cystic structure near the back of the bladder of a man

Answer 14

Prostatic utricle

Question 15

Lateral cystic structure near the back of the bladder of a man

Answer 15

Seminal vesicle cyst

Question 16

Isolated orchitis

Answer 16

mumps

Question 16

Homogenous and macrocalcifications

Answer 16

Seminoma

Question 16

Onion skin appearance

Answer 16

epidermoid cyst

Question 16

Multiple hypoechoic masses in testicle

Answer 16

Lymphoma

Question 16

Gynaecomastia and testicular tumour

Answer 16

Sertoli Leydig

Question 16

Cystic elements and macrocalcifications in the testicle

Answer 16

Mixed germ cell tumour

Question 17

One artery adjacent to bladder

Answer 17

2 vessel cord

Question 17

Fetal macrosomia

Answer 17

Maternal diabetes

Question 18

Mum doing cocaine

Answer 18

Placenta abruption

Question 18

Painless PV bleeding in third trimester

Answer 18

Placenta previa

Question 19

Thinning of myometrium with turbulent doppler

Answer 19

placenta creta

Question 20

Mass near cord insertion with flow pulsating at the fetal heart rate

Answer 20

Placenta chorioangioma

Question 21

Cystic mass in posterior neck, antenatal period

Answer 21

Cystic hygroma

Question 22

Pleural effusions and ascites on prenatal US

Answer 22

Hydrops

Question 23

Massively enlarged bilateral kidneys

Answer 23

ARPKD

Question 24

Twin peak sign

Answer 24

Dichorionic, Diamniotic

Question 25

Endometrial tissue in a rudimentary horn (even if it doesn't communicate) increases...

Answer 25

...risk of miscarriage

Question 26

Arcuate uterus & fertility

Answer 26

Does NOT increase risk of infertility (normal variant)

Question 27

Fibroids with higher T2 signal...

Answer 27

Respond better to UAE

Question 28

Most common subtype of fibroid degeneration

Answer 28

Hyaline fibroid degeneration

Question 29

Adenomyosis distribution

Answer 29

Favours posterior wall, spares the cervix

Question 30

NHPCC increases risk of...

Answer 30

...Endometrial Ca (30-50x)

Question 31

Tamoxifen increases risk of ...

Answer 31

Endometrial Ca and polyps

Question 32

Cervical Ca with parametrial involvement (stage and Rx)

Answer 32

2B, chemo/radiation

Question 33

Cervical Ca without parametrial involvement

Answer 33

2A, managed surgically

Question 34

Vaginal cancer in adults is usually...

Answer 34

...squamous cell

Question 35

Vaginal rhabdomyosarcoma occurs in...

Answer 35

kids/teens

Question 36

Premenopausal ovaries on PET

Answer 36

can be hot depending on cycle

Question 37

Postmenopausal ovaries on PET

Answer 37

should never be hot

Question 38

Transformation subtypes

Answer 38

Endometrioma = clear cell Dermoid = squamous

Question 39

Post partum fever can be caused by

Answer 39

ovarian thrombophlebitis

Question 40

Fractured penis is

Answer 40

Rupture of corpus cavernosum and surrounding tunica albuginea

Question 41

Commonest place for prostate cancer

Answer 41

peripheral zone, ADC dark

Question 42

Commonest place for BPH nodules

Answer 42

Central zone

Question 43

Hypospadias commonly associated with

Answer 43

Prostatic utricle

Question 44

Seminal vesicle cysts associated with

Answer 44

Renal agenesis and ectopic ureters

Question 45

Cryptorchidism increases risk of...

Answer 45

Cancer (both testicles). not reduced by orchidoplexy

Question 46

Immunosuppressed pts can get (testicles)

Answer 46

Testicular lymphoma, hiding behind blood testes barrier

Question 47

Commonest correctible cause of male infertility

Answer 47

Varicocele

Question 48

Undescended testes more common in

Answer 48

Premature kids

Question 49

Membranes disrupted before 10 weeks increases risk of

Answer 49

Amniotic bands

Question 50

Earliest visualisation of embryo

Answer 50

Double bleb sign

Question 51

Haematoma size and risk of abortion

Answer 51

Haematoma >2/3 circumference of chorion has 2x risk of abortion

Question 52

How to measure biparietal diameter

Answer 52

Level of thalamus. Outermost edge of near skull to inner table of far skull

Question 53

Abdominal circumference measurement

Answer 53

Doesn't include subcutaneous soft tissues

Question 54

Abdominal circumference measurement

Answer 54

Level of umbilical vein and left portal vein

Question 55

Parameter classically involved with asymmetric IUGR

Answer 55

Abdominal circumference

Question 56

Femur length measurement

Answer 56

Does not include epiphysis

Question 57

Umbilical artery systolic/diastolic ratio significance

Answer 57

Should not excees 3 at 34 weeks (consider pre-eclampsia and IUGR)

Question 58

Full bladder can mimic

Answer 58

placenta previa

Question 59

Nuchal lucency measurement and significance

Answer 59

Measured 9-12 weeks, Should be <3mm, More than 3mm suggests Down's

Question 60

Lemon sign should disappear at

Answer 60

24 weeks

Question 61

Commonest cause of non-communicating hydrocephalus in neonate

Answer 61

Aqueductal stenosis