O&G: General Questions

Question 1

List the most important obstetric emergencies (Min: 4, threshold: 10)

Answer 1

-Shoulder dystocia -Major Obstetric haemorrhage -Umbilical cord prolapse -Amniotic fluid embolism ////////////// -Pulmonary Embolism -Uterine rupture -Uterine Inversion -Epileptiform seizures -Local anaesthetic toxicity

Question 2

What does the ‘Lie’ of the baby mean?

Answer 2

-The rotation of the spinal cord: -Can either be longditudinal, transverse or oblique

Question 3

What are the major causes of PV bleeding in the 1st trimester of pregnancy?

Answer 3

• Spontaneous abortion
• Ectopic pregnancy
• Hydatidiform mole

Question 4

What are the major causes of PV bleeding in the 2nd trimester of pregnancy?

Answer 4

Spontaneous abortion
Hydatidiform mole
Placental abruption

Question 5

What are the major causes of PV bleeding in the 3rd trimester of pregnancy?

Answer 5

Bloody show
Placental abruption
Placenta praevia
Vasa praevia

Question 6

Ovarian cancer is suspected or wanting to be ruled out. What test do you order?

Answer 6

CA-125

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Endometriosis, menstruation, benign ovarian cysts and other conditions may also raise the CA125 level

Question 7

A common gynaecological complication of Tamoxifen?

Answer 7

Endometrial hyperplasia

Question 8

A 34-year-old pregnant woman presents at 30 weeks gestation for a routine check. On examination she has a symphysis-fundal height of 25 cm. What is the next most important investigation to confirm the examination findings?

Answer 8

Ultrasound