Obs + Gynae

Question 1

Define hyperemesis gravidarurm

Answer 1

Vomiting becomes intractable in early pregnancy causing dehydration, electrolyte imbalance, ketonuria and weight loss >5% of pre-pegnancy weight

Question 2

Causes of hyperemesis gravidarum?

Answer 2

Raised levels of HCG, thyroxine and oestrogen

Question 3

Causative organism of gonorrhoea

Answer 3

Grarm -ve diplococcus Neisseria Gonorrhoeae

Question 4

What is trichomonas vaginalis and what is the clinical presentation

Answer 4

Second most common cause of vaginal discharge after candidiasis

• Vaginal discharge - thin, yellow/green, offensive, may be frothy
  -vulvovaginal irritation
• dyspareunia
• dysuria but no increased frequency or urgency
• strawberry cervix appearance

Question 5

What are TORCH infections?

Answer 5

Toxoplasmosis
Other
Rubella
CMV
HSV

Question 6

What is Sheehan’s syndrome?

Answer 6

Postpartum hypopituitarism or postpartum pituitary necrosis

PPH may cause ischaemia to the pituitary