Passmed q's

Question 1

Importance of folic acid?
till when and how much should you take?

Answer 1

Prevents neural tube defects
all women should take 400mcg of folic acid until week 12

Question 2

higher risk of NTD?

Answer 2

antiepileptic drugs,
coeliac diseases,
diabetes, thallasaemia trait
obesity

Question 3

causes of macrocytic megaloblastic deficiency

Answer 3

folate deficiency

Question 4

causes of folate deficiency?

Answer 4

phenyotin
methotrexate
pregnancy
alcohol excess

Question 5

IoL - what is the first line?
second line?
Bishop score 5

Answer 5

membrane sweep
PGE2 / oral misoprostol
maternal oxytocin
cervical ripening balloon?

Question 6

when is balloon catheter preferred for IOL

Answer 6

when maternal risk of uterine hyperstimulation (tachysystoles)

interrupts blood flow to intervillous space over time > fetal hypoxaemia and acidemia
uterine rupture

Question 7

NICE CKS - ‘baby blues’

Answer 7

reassure and support
follow up

Question 8

NIPT

Answer 8

blood test
analyses small DNA fragments that circulate in the blood of a pregnant woman (cell free fetal DNA, cffDNA)
cffDNA derives from placental cells and is usually identical to fetal DNA
analysis of cffDNA allows for the early detection of certain chromosomal abnormalities
sensitivity and specificity are very high for trisomy 21 (>99%) and similarly high for other chromosomal abnormalities

Question 9

Down’s syndrome results
bHCG
inhibin A
nuchal

Answer 9

BINDS
increased bhcg
increased inhibin A
increased nuchal
downs

Question 10

previous C-section puts you at risk of ?
placental praevia signs

Answer 10

low lying placental
minimal bleed
no pain

Question 11

RCOG travel by air?
twin

Answer 11

> 32 weeks avoid

Question 12

RCOG travel by air?
singleton

Answer 12

37

Question 13

Constant CTG monitoring?

Answer 13

chorioamnionitis / sepsis
temp 38<
htn 160/110
oxytocin
meconium
fresh vaginal bleed that develops in labour

Question 14

normal fetal herat rate

Answer 14

100-160

Question 15

CTG indicate fetal distress

Answer 15

late deceleration

Question 16

Mx GBS?

Answer 16

IV benzylpenicillin intrapartum if allergic
cephalosporin
severe: vacncomycin

Question 17

late decelerations when in labour
next steps?

Answer 17

urgent fetal blood sampling
detal hypoxia and acidosis

Question 18

ventous delivery?

Answer 18

vacuum - greater risk of trauma to newborn

Question 19

ITP
treat?

Answer 19

steroids

Question 20

oligohydramnios

where does amniotic fluid come from?

Answer 20

deficiency of amniotic fluid

‘Bilateral renal agenesis is a condition in which both kidneys of a fetus fail to develop during gestation’

fetal urine

Question 21

Chickenpox exposure

Answer 21

aciclovir if after 20 weeks
given 7-14 days exposure

Question 22

Pregnant anaemia
post partum
second/ third trimester
first trimester

post partum - 6 weeks

Answer 22

<100
<105
<110

Question 23

initial mx of eclampsia?
2nd

Answer 23

magnesium sulfate IV
- prevents further seizures
neuroprotection

IV anti-hypertensive
labetalol (nifedipine)

C-section

Question 24

prematurity risks

Answer 24

necrotising enterocolitis
retinopathy of prematurity

Question 25

CMV infection what would examination show?

Answer 25

rash jaundice microcephaly hepatosplenomegaly 'salt and pepper' retinopathy hyper- hypopigemented regions

Question 26

what eye condition occurs with rubella / VCZ

Answer 26

congenital cataracts sensorineural deafness

Question 27

1st degree tear 4th degree tear

Answer 27

1. Superficial 2. Superficial + perineal muscle 3. Superficial + perineal muscle + anal sphincter 4. Superficial + perineal muscle + anal sphincter + rectal mucosa Hope this helps!

Question 28

cord prolapse

Question 29

drug in breastfeed contraindication abx?

Answer 29

ciprofloxacin, tetracycline, chloramphenicol, sulphonamides

Question 30

drugs to avoid in breastfeeding?

Answer 30

lithium benzodiazepine aspirin carbimazole methotrexate sulfonylureas cytotoxic amiodarone