Formatives**

Question 1

what proportion of couples suffer from infertility

Answer 1

1/6 so approx 15%

Question 2

what bony landmark is closely associated to the pudendal nerve and artery

Answer 2

spinous process of the sacrum

Question 3

boundaries of the pelvic inlet

Answer 3

anterior - symphysis pubis
laterally by the iliopentineal lines
posteriorly by the sacral promitory

Question 4

what are the boundaries of the pelvic outlet

Answer 4

anterior - pubic arch
laterally ischial tuberosities
posteriorly by the coccyx

Question 5

female
multiple small painful ulcers
flu like illness
unable to urinate due to discomfort

Answer 5

herpes simplex

Question 6

non sexually active woman
frothy brownish vaginal discharge
offensive smell

Answer 6

BV

Question 7

what stage is embryo transfer most successful at

Answer 7

blastocysts

Question 8

when does LH surge occur before ovulation

Answer 8

24-36 hours

Question 9

changes in the endometrium in the luteal phase are a direct effect of what hormone

Answer 9

progesterone

Question 10

couple with a 5 yr history of infertility treatment

Answer 10

IVF

Question 11

couple with 2 year history of anovolutary infertility due to PCOS rx

Answer 11

clomifine citrate

Question 12

indirect dx of a viable intrauterine preg not obv on scan HCG

Answer 12

doubles by 50% in 2-3 days

Question 13

oligoasthenospermia

Answer 13

low count and low motility

Question 14

teratoasthenospermia

Answer 14

low morality and abnormal forms

Question 15

where does spermatogenesis occur in a testicle

Answer 15

seminiferous tubules

Question 16

where is testerone secreted from in males

Answer 16

leydig cells

Question 17

Rectouterine pouch of douglas can be drained via a needle passed through what

Answer 17

posterior fornix of the vagina

Question 18

most lymph >75% from the breast initially drains to the

Answer 18

axially LNs

Question 19

what can contribute to the development of HIV antiretroviral treatment

Answer 19

poor adherence to meds

Question 20

which is the most effective method of EC

Answer 20

copper coil

Question 21

how long is LNG licensed to be used after unprotected sex

Answer 21

72 hours

Question 22

the coc increases the risk of which cancers

and protects against which cancers

Answer 22

breast, cervical

ovarian and endometrial

Question 23

chlamydia treatment

Answer 23

azithromycin

Question 24

when should COC be started

Answer 24

within 5 days after a period

Question 25

retinits caused by CMV in advanced immunosuppression is a result of what

Answer 25

reactivated infection

Question 26

most important risk factor for GBV

Answer 26

female sex

Question 27

stage 4 of the figo staging system for cervical cancer

Answer 27

carcinoma involves pelvic side

Question 28

what info isn't required when submitting an endometrial biopsy for examination

Answer 28

number of pregnancies

Question 29

age range for cervical cancer screening

Answer 29

25-64

Question 30

one of the main arteries that supplies the anterior abdominal wall

Answer 30

inferior epigastric

Question 31

what does a suprapubic incision cut through

Answer 31

anterior rectus sheath

Question 32

what effect does pregnancy have on the functional residual capacity

Answer 32

decreases it

Question 33

what effect does pregnancy have on the contractility of the heart

Answer 33

increases it

Question 34

does placenta praaevia lead to large for dates

Answer 34

no

Question 35

what is the symphyseal - fundal height measured in

Answer 35

cm

Question 36

what structure forms the vas deferans

Answer 36

mesonephric duct

Question 37

when is the nuchal thickness measured in an US

Answer 37

11-14 weeks | 11-13 (+6)

Question 38

when is a pregnant uterus palpable in a singleton pregnancy

Answer 38

12 weeks

Question 39

what is normal risk of someone having cystic fibrosis in a european descendent

Answer 39

1/25

Question 40

what percentage of LGBT people say that they feel safe and supported by medical staff within the NHS in terms of their sexual orientation (same for trans)

Answer 40

57% | trans - 48%

Question 41

what percentage of lesbian gay and bi people and trans people suffer from mental health issues

Answer 41

40% and 67% for trans

Question 42

what is the dose of LNG that is given

Answer 42

one dose 1.5mg

Question 43

what is COCP contraindicated in

Answer 43

women over 40 and with high BMI

Question 44

what types of contraception are ruled out if a woman has fibroids

Answer 44

mirena and hysterescopic sterilisation

Question 45

yellowish/green frothy with itching and soreness

Answer 45

trichomonas

Question 46

warts genital

Answer 46

HPV

Question 47

sore ulcerated lesions

Answer 47

genital herpes

Question 48

creamy white discharge with redness

Answer 48

candidiasis

Question 49

what can cause regret with sterilisation process

Answer 49

performed at the time of abortion or childbirth <30 few or no children not in a mutually faithful relationship or single coercion by partner or medical personnel

Question 50

failure rate of male sterilisation

Answer 50

1:2000

Question 51

what fetal anomalies are associated with fetal alcohol spectrum disorder

Answer 51

dysplastic kidneys ventricular septal defect micrognathia and smooth philtrum microcephaly

Question 52

pain from the uterus comes from which nerve fibres

Answer 52

visceral afferent fibres T11-L2

Question 53

what can be used as a landmark to administer pudendal nerve block

Answer 53

anterior superior iliac spine

Question 54

what is the ischia anal fosse filled with

Answer 54

fat

Question 55

what does mirabegron not affect

Answer 55

the voiding phase

Question 56

when are topical oestrogen's used

Answer 56

atrophy of vaginal mucosa

Question 57

uterus contracts hardens and rises and gush of blood

Answer 57

placental seperation

Question 58

beginning and end of the second stage of labour

Answer 58

full dilatation of the cervix | ends with complete delivery of the baby

Question 59

how long does it take for tissues to return to normal state after birth

Answer 59

6 weeks

Question 60

painless recurrent bleeds in third trimester

Answer 60

placental previa

Question 61

what should be taken if the mum is on anti epileptic medication

Answer 61

5mg folic acid taken from before and up to 3 months conception which reduces the risk of spina bifida

Question 62

volume of drug distribution is what during pregnancy

Answer 62

increased by changes in plasma volume and fat stored

Question 63

sudden need to urinate and difficulty deferring and potentially associated incontinance

Answer 63

OAB

Question 64

risk factors for pelvic girdle pain

Answer 64

increased BMI before preg history of lower back and pelvic pain or pelvic trauma hard physical job PGP in previous pregnancy

Question 65

why is ductus arteriosis necessary in a fetus

Answer 65

to oxygenate the fetal venous return during the right ventricle

Question 66

what is the fluid in the fetal lung before birth made

Answer 66

made by fetal lung

Question 67

how long should gestational correction continue for babies born before 32 weeks

Answer 67

until 12 months

Question 68

what is screened for in a newborn baby

Answer 68

hypothyroidism congenital dislocation of the hip hearing loss phenylketouria

Question 69

how is coverage calculated

Answer 69

screwed population/eligble population X 100

Question 70

newborn baby breathing quickly and feeding poorly

Answer 70

group B strep infection