EFA O and G quiz answers

Question 1

Haemophilia - genetics?

Answer 1

X linked

Question 2

Name some other x-linked diseases

Answer 2

redgreen colour blindness etc

Question 3

Pudendal nerve block - what do you palpate?

Answer 3

Ilioinguinal nerve runs behind ischial spine, so palpate for ischial spine

Question 4

Pudendal nerve supplies which three areas?

Answer 4

Clitorus
Perineum
Anus

Question 5

Why do you give the pudendal nerve block?

Answer 5

Local anaesthetic for instrumental delivery

Question 7

Ibuprofen in third trimester of pregnancy is contraindicated - why?

Answer 7

It can cause premature closure of ductus arteriosus

Question 8

What is Reye’s syndrome?

Answer 8

Aspirin usage in children - brain defects, seizures

Question 9

What is the one exception where you would give aspirin in children?

Answer 9

Kawasaki’s disease

Question 10

Management of severe pre-eclampsia?

Answer 10

IV labetalol and IV magnesium sulphate

Question 11

Most appropriate IMMEDIATE treatment for 160/110mg BP

Answer 11

Seizure prophylaxis - magnesium sulphate FIRST

then give the labetalol

Question 12

How much do you dilate normally during labour?

Answer 12

Normally 0.5cm-1 per hour, therefore first labour should be around 8-10 hours

Question 13

23yo, iranian pregnant women. Haemoglobin normal, MCV low, ferritin normal.

Answer 13

Beta thalassemia - microcytosis, common

(sickle cell would be picked up much earlier in life)

Question 14

G6PD - genetics? Can it happen in females?

Answer 14

X-linked therefore unlikely in women

Question 15

Sickle cell

Answer 15

Normocytic anaemia

Question 16

Nuchal translucency fluid is what time of fluid?

Answer 16

Lymph fluid

Question 17

When do we do the nuchal translucency scan?

Answer 17

10-14 weeks gestation

Question 18

18yo woman, irregular uterine contractions at 29weeks. Stopped smoking at 6 weeks. VE shows effaced, shortened cervix. What’s caused her preterm labour? What causes pre-term labour? Is it smoking:

Answer 18

High blood pressure
Diabetes
Smoking or drug use - CURRENT smoking
Underweight or overweight before pregnancy
Stressful life events
Idiopathic (for her)

Question 19

How does SFH correlate to gestational weeks? What is normal?

Answer 19

Gestational age in weeks +/- 3cm is normal

Question 20

How many pluses of protein

Question 21

Menstrual phase - day 1 to 4

Question 22

Proliferative phase

Answer 22

4-14

Question 23

Secretory phase

Answer 23

15-28???

Question 24

Irregular bleeding, contraception and when you wouldn’t give it.

Answer 24

COCP - don’t give in high BMI or if smoking

You wouldn’t give progest

If smoking over 15 a day and is 35 years old, you cannnnoooott give

Question 25

When is the risk of breast cancer with HRT seen? How would you tell a pt about this risk being minimal?

Answer 25

HRT use over 5 years similar risk with alcohol or obesity

Question 26

How often should you check the mirena coil/ius?

Answer 26

Every time you menstruate

Question 27

Another name for mature cystic ovarian teratoma?

Answer 27

Ovarian dermoid cyst

Question 28

Blood in cyst

Answer 28

Endometrioma

Question 29

Capsule cysts

Answer 29

Benign cystadenoma

Question 30

Issues with compliance. 2 ToP after COCP. Bulky fibroids. Family planning clinic. Which contraception?

Answer 30

Not barrier method Not prog only pill as have to take every day Copper coil useless for fibroids, IUS better IUS ok for smaller fibroids, but she has large fibroids IUS would need outpatient gynae appt, but she's DNA-ed a few times and we're in a family planning clinic. What can we offer right now? PROG IMPLANT best option

Question 31

Uterine prolapse - look up managements

Answer 31

Anterior repair Sacrospinous fixation Vaginal pessary (to keep bladder up and out of the way)

Question 32

Look up cervical shock

Question 33

Inevitable misscariage

Answer 33

Cervical os open, bleeding

Question 34

Incomplete miscarriage

Answer 34

fetal contents

Question 35

Threatened miscarriage

Answer 35

Some bleeidng but cervical OS closed

Question 36

amenorrhoea for 6 months, FSH 30 on two scans

Answer 36

Under 40 Two FSH levels above 30, taken 4-6 weeks apart

Question 37

37yo woman. 10 weeks. Excessive vomiting + increased fundal height. Temp 37.2, pulse 100bpm, BP 180/110mg.

Answer 37

MOLAR PREGNANCY Hyperemesis gravidum doesn't explain high blood pressure We have to think about the

Question 38

Molar pregnancy

Answer 38

ovum's DNA ejected, sperm DNA doubles Snowstorm appearance

Question 39

Partial mole

Answer 39

2 sperms, 1 egg DNA

Question 40

What is cervical shock?

Answer 40

Miscarriage contents stuck in cervix - causes vasovagal response: -increased HR -low BP