O&G

Question 1

medication that causes overflow incontinence

Answer 1

anti-cholinergics

Question 2

medication for people who don’t ovulate but want kids

Answer 2

clomifene citrate

Question 3

which STI does not stain with GM stain

Answer 3

chlamydia

Question 4

types of HPV

Answer 4

6 & 11- warts
16 & 18- cancer

Question 5

epithelial ovarian cancer
- serous
- mucinous
- endometroid

Answer 5

• serous = epithelium of fallopian tube
• mucinous = epithelium of endocervix
• endometroid = epithelium of uterus

Question 6

size of fibroid that prevents IUDs/ needs surgery

Answer 6

> 3cm

Question 7

hormone that reduces contractility of the uterus

Answer 7

progesterone

Question 8

pre-eclampsia treatment

Answer 8

labetalol
if asthmatic - nifedipine

Question 9

what is given if early delivery is indicated

Answer 9

24-35 weeks - steroids
less than 32 weeks - magnesium sulphate

Question 10

prolonged labour

Answer 10

stage 1 - >2cm on 4h
stage 2:
nulliparous >3h + analgesia/ 2h
multiparous >2h + analgesia/ 1h

Question 11

DR C BRAVADO

Answer 11

DR - define risk
C - contractions
BRA - baseline rate
V - variability
A - accelerations
D - decelerations
O - overall

Question 12

fetal rubella

Answer 12

cataract
cardiac abnormalities
deafness

Question 13

treatment of neonatal sepsis

Answer 13

IV benzylpenicillin + gent

Question 14

management of cord prolapse

Answer 14

knees to chest
reduce cord
tocolytics then C section

Question 15

treatment of PPH

Answer 15

rub fundus
IV oxytocin
balloon tamponade

Question 16

boggy uterus =

Answer 16

adenomyosis

Question 17

how long does contraception take to provide coverage

Answer 17

IUD - immediatly
POP - 2 days
COCP & IUS - 7 days

Question 18

treatment of miss vs incomplete misscarriage

Answer 18

missed - both ms
incomplete - just misoprosol

Question 19

duct papilloma vs duct ectasia

Answer 19

papilloma = bloody discharge
ectasia = green discharge

Question 20

indications for increased folic acid in pregnancy

Answer 20

NTD/ family history of NTDs
in anti-epileptics
BMI ≥30
diabetic, sickle, thalasseamia

Question 21

how many weeks should you investigate no fetal movements

Answer 21

24

Question 22

treatment of gestational diabetes

Answer 22

(first glucose >7 straight to insulin)
metformin 2 weeks
short acting insulin (not long)

Question 23

PE treatment in pregnancy

Answer 23

LMWH (not DOAC)

Question 24

induction of labour according to bishops score

Answer 24

< 8 let it happen naturally
< 6 prostaglandins
> 6 amiotomy

Question 25

GBS prophylaxis

Answer 25

benzypenicillin

Question 26

treatment of hyperemisis gravidum

Answer 26

promethazine 1st line

Question 27

PCOS hormone levels

Answer 27

increased LH:FSH ratio increased testosterone decreased sex hormone binding globulin

Question 28

how long should lochia last

Answer 28

no more than 6 weeks postpartum

Question 29

how long after birth is contraception not required

Answer 29

up to 21 days

Question 30

when can an IUD or IUS be inserted after birth

Answer 30

2 days or 4 weeks

Question 30

how long after birth can POP and COCP be started

Answer 30

POP immediately COCP 6 weeks if breastfeeding

Question 31

phimosis

Answer 31

foreskin doesn't retract - only treat 2 years+

Question 32

normal blood changes in pregnancy

Answer 32

decreased creatinine increased ALT

Question 33

cyst rupture vs torsion

Answer 33

rupture - sudden pain during sex torsion - slow onset

Question 34

measuring for IUGR

Answer 34

abdominal circumferance

Question 35

uterine rupture

Answer 35

vaginal birth after a C section

Question 36

cervical screening program

Answer 36

25 - 64 every 5 years

Question 37

how long is post exposure given

Answer 37

(within 72hrs) for a month

Question 38

treatment of antiphospholipid syndrome

Answer 38

prophylaxis - asprin 1 confirmed VTE - warfarin

Question 39

herpes 1 vs 2

Answer 39

1 - oral 2 - genital (1 type of mouth 2 types of genitals)

Question 40

increased neck translucency

Answer 40

downs congenital heart problems

Question 41

examples of tocolytics - suppress contractions

Answer 41

magnesium sulphate nifedipine indomethacin

Question 42

treatment of hirstuism in PCOS

Answer 42

COCP eflornithine cream

Question 43

contraception contraindicated in impaired cardiac function (including AF)

Answer 43

COCP

Question 44

only contraception you can get in active breast cancer

Answer 44

IUC (copper)

Question 45

contraception contraindicaated in chlamydia and gonorrhoea

Answer 45

IUS/D

Question 46

UKMEC 2 in under 20s

Answer 46

IUD/S

Question 47

contraception contraindicated in complications of diabetes

Answer 47

COCP (UKMEC 3)

Question 48

symptoms of vesicovaginal fistula

Answer 48

continuous incontinance UTIs urgancy/ frequency

Question 49

HPV associated with anal cancer

Answer 49

16

Question 50

side effect of tamoxifen

Answer 50

increased risk of endometrial cancer

Question 51

what is aneamia in pregnancy

Answer 51

<110 1st trimester <105 2nd & 3rd trimester <100 post

Question 52

LH >>>> FSH (2:1)

Answer 52

PCOS

Question 53

LH & FSH increased

Answer 53

POI

Question 54

prolactinoma hormone results

Answer 54

very increased prolactin FSH ↓ LH ↓ oestradiol ↓

Question 55

FSH > LH

Answer 55

anorexia

Question 56

congenital adrenal hyperplasia incl hormone levels

Answer 56

almost everything normal increased testosterone

Question 57

primary ameanorhoea + raised FSH & LH

Answer 57

turners

Question 58

treatment of genital warts

Answer 58

one - cryotherapy multiple - toical podphyllum

Question 59

complications of SSRi in pregnancy

Answer 59

1st trimester - congenital heart defects 3rd - persistent pulmonary hypertension of the newborn

Question 60

risk for cervical cancer

Answer 60

smoking COCP high parity

Question 61

warfarin and breastfeeding

Answer 61

fine

Question 62

risk of olanzapine in pregnancy

Answer 62

gestational diabetes

Question 63

Rokitansky's protuberance

Answer 63

teratoma

Question 64

contraindication to copper IUD as emergency contraception

Answer 64

2nd emergency in the cycle