Reproduction

Question 1

USS “Snowstorm appearance”

Answer 1

Hydatidiform mole

Question 2

Antepartum haemorrhage in patient with Succenturate Lobe or Velamentous Insertion

Answer 2

Vasa Praevia

Question 3

Painless maternal blood + no Fetal distress

Answer 3

Placenta previa (must exclude before vaginal exam)

Question 4

“doughy abdomen”

Answer 4

Placenta accreta

Question 5

Adherent to uterine wall

Answer 5

Placenta accreta

Question 6

Chorionic villi invasion in to perimetrium

Answer 6

Placenta percreta

Question 7

Fetal blood + sudden fetal distress

Answer 7

Vasa previa

Question 8

“Woody hard” uterus, bleeding, pain

Answer 8

Placenta abruption

Question 9

Fetal distress and loss of engagement, previous C-section or surgery

Answer 9

Uterine rupture

Question 10

PPH followed by pituitary failure

Answer 10

Sheehan’s syndrome

Question 11

Strawberry cervix

Answer 11

Trichomonas vaginalis

Question 12

Clue cells, high vaginal pH (>4.5)

Answer 12

Bacterial vaginosis

Question 13

Eczema + itchy nipple

Answer 13

Paget’s disease of nipple

Question 14

Mobile, well- circumscribed, painless, rubbery lump in breast

Answer 14

Fibroadenoma

Question 15

Bloody nipple discharge

Answer 15

Intraductal papilloma

Question 16

Star/rosette shaped lesion with translucent centre

Answer 16

Radial scar

Question 17

Green nipple discharge

Answer 17

Duct ectasia

Question 18

Grey fish smelling discharge

Answer 18

Bacterial vaginosis

Question 19

Post-coital bleeding + loss of pubic hair

Answer 19

Atrophic vulvovaginitis

Question 20

Palpable vulva swelling and pain

Answer 20

Bartholin gland cyst

Question 21

Post-coital bleeding, red cervix, young person, COCP

Answer 21

Cervical Ectropion

Question 22

Two feet at head of foetus

Answer 22

Frank breech

Question 22

Foot first

Answer 22

Footling breech

Question 23

Gestation diabetes: oral glucose tolerance test

Answer 23

Fasting: <5.6
2 hours: <7.8
E.g. 5678

Question 24

Tender, immobile uterus

Answer 24

Endometriosis

Question 25

"shoulder tip pain" + RUQ pain secondary to PID

Answer 25

Fitz-Hugh-curtis syndrome

Question 26

Single, painless lesion

Answer 26

Chancre - Syphilis !!

Question 27

Boggy uterus

Answer 27

Adenomyosis

Question 28

Open external cervical os

Answer 28

Inevitable miscarriage

Question 29

Vaginal bleeding and closed cervical os

Answer 29

Threatened miscarriage

Question 30

"Turtle-neck" sign

Answer 30

Head delivered then retracts back into vagina (shoulder dystocia)

Question 31

"cottage cheese" vaginal discharge

Answer 31

Candidiasis

Question 32

Chandelier sign

Answer 32

Cervical motion tenderness- ECTOPIC PREGNANCY

Question 33

"Transitional epithelium and coffee bean nuclei"

Answer 33

Brenner epithelial ovarian tumour

Question 34

"Hobnail" cells

Answer 34

Clear cell ovarian tumours

Question 35

Cysts on cervical os containing "amber mucous"

Answer 35

Nabothian cysts