miscellaneous

Question 1

how many couples on average suffer from infertility

Answer 1

15%

Question 2

on bimanual palpation you can assess..?

Answer 2

size
shape
motility
position
cervical motion tenderness

Question 3

anteriorly bounded by pubic symphysis, laterally by iliopectinal lines and posteriorly by sacral promitory

Answer 3

pelvic inlet

Question 4

bounded anteriorly by pubic arch, laterally by ischial tuberosites and coccyx posterioly

Answer 4

pelvic outlet

Question 5

when is the LH surge

Answer 5

24-36 hours before ovulation

Question 6

a couple where the man has had a vasectomy 3 years ago…what do to?

Answer 6

surgical sperm retrieval and ICSI

Question 7

oligoasthenospermia

Answer 7

low count and mobility

Question 8

teratoasthenospermia

Answer 8

low mobility and abnormal forms

Question 9

a couple with 5 year history of unexplained infertility

Answer 9

IVF

Question 10

what is the most effective method of emergecny contraception

Answer 10

copper coil

Question 11

is vasectomty reversal carried out by NHS?

Answer 11

not anymore

Question 12

most important risk factor or gender bases violence

Answer 12

being female

Question 13

what % of gay /lesbian suffer from mental health issues

Answer 13

40%

65% for transgender

Question 14

what contraception confers best efficacy in an otherwise fit and healthy 24 year old

Answer 14

the implant

Question 15

what does the procedure of a vasectomy need?

Answer 15

division of vas deferens plus fascial interpositon

Question 16

can HIV testing be done on a saliva sample

Answer 16

yes

Question 17

does a HIV test have any effect on a persons insurance companies

Answer 17

no

Question 18

what is the preferred test for chlamyidia in an aymptomatic female?

Answer 18

first pass urine for NAAT

Question 19

what is given to reduce the risk of developing pre-eclampsia?

Answer 19

low dose aspirin

Question 20

what is used to predict induction of labour?

Answer 20

Bishop’s score

score of 5 or less means its less likely to start without induction

Question 21

what is the first step if there is chickenpox exposure in pregnancy?

Answer 21

check antibodies

Question 22

intense itch
no rash
jaundice
increased bilirubin

Answer 22

cholestasis of pregnancy

Question 23

1st degree perianal tear

Answer 23

in vag mucosa only

Question 24

2nd degree perianal tear

Answer 24

into subcutaneous tissue

Question 25

3rd degree perianal tear

Answer 25

extends into external anal sphincter

Question 26

4th degree perianal tear

Answer 26

laceration through anal sphincter and into rectal mucosa

Question 27

what is involved in the down syndrome combined test

Answer 27

USS for nuchal translucency | Bloods for beta- human chorionic gonadotrophin

Question 28

from when can you see meconium in the liquor

Answer 28

From 32 weeks onwards if earlier this could be a sign of fetal distress

Question 29

what is adequate uterine activity?

Answer 29

4 contractions in 10mins

Question 30

why is folic acid good in pregnany?

Answer 30

prevents neural tube defects

Question 31

how much folic acid should a pregnant woman take?

Answer 31

400mcg a day from trying to conceive until 12 weeks into pregnancy may need higher dose 5mg if diabetic, epileptic, previous history of neural tub defect or previous preg with other defect

Question 32

first line for high BP on pregnancy?

Answer 32

labetalol

Question 33

what can you give for heart burn in pregnancy

Answer 33

antacids and aliginates

Question 34

visceral afferent fibres to T11-L2 carry pain from where?

Answer 34

uterus

Question 35

landmark for pudenal nerve block

Answer 35

ischial spine

Question 36

what muscle contributes to the pelvic diaphragm

Answer 36

levator ani

Question 37

what are the ischio-anal fossaw normally filled with

Answer 37

fat

Question 38

what is the second stage of labour

Answer 38

begins with full dilation of cervix and ends with complete delivery of baby

Question 39

what is the length of time it takes for tissues to return tp normal state following child birth?

Answer 39

6 weeks

Question 40

painless recurrent bleeds in 3rd trimester

Answer 40

placenta previa

Question 41

what are all these associated with? dysplastic kidneys ventricular septal defect micrognathia and smooth philtrum microcephaly

Answer 41

fetal alcohol spectrum disorder

Question 42

what is the normal blood loss in labour

Answer 42

500ml

Question 43

following labour, what are the classic signs to indicate placental separation?

Answer 43

uterus contracts and hardens and rises increase length of umbilical cord is visible at intoitus gush of blood appears feeling of fullness in vagina

Question 44

sudden abo pain in 3rd trimester codl to touch bleeding (in most cases) tender uterus

Answer 44

placental abruption

Question 45

what is amniotic fluid embolism?

Answer 45

when fetal cells/ amniotic fluid enters mothers blood stream and stimulates a reaction chills, shivering, sweating, anxiety, cough, cyanosis, tachypnoea, hypotension, bronchospasm

Question 46

name some drugs to be avoided in breast feeding?

Answer 46

``` lithium benzos aspirin amiodarone cirpofloxacin, tetracycliine carbimazole sulphonylureas ```

Question 47

ascending bacterial infection of fluid/ membrane/placenta life threatening to mother and baby

Answer 47

chorioamnionitis

Question 48

true or false in pregnancy, the volume of drug distribution is increased by changes in plasma volume and fat stores

Answer 48

true

Question 49

sudden need to pee with difficulty deferring and potentially associated incontinence

Answer 49

overactive bladder

Question 50

name some risk factors for pelvic girdle pain in pregnancy

Answer 50

increased BMI before pregnancy history of low back pain/ pelvic trauma hard physical job/ poor work ergonomics PAP in last pregnancy

Question 51

neccessary to oxygenate the fetal venous return using the night ventricle

Answer 51

ductus arteriosus

Question 52

fluid in the fetal lung before birth is mostly made by..?

Answer 52

The fetal lung

Question 53

what is screened for in new borns

Answer 53

hypothyroidism congenital dislocation of the hip hearing loss PKU