SAQ book

Question 1

Investigations after APH?

Answer 1

USS, FBC, clotting profile, G&S/crossmatch, Kleihauer, CTG

Question 2

Why can you not see the bleed in palcental abruption?

Answer 2

concealed bleed - retroplacental

Question 3

What may you see on clotting profile after APH?

Answer 3

low fibrinogen - DIC causes fibrinogen to be used up

Question 4

From when is the fetus first palpable?

Answer 4

12 weeks

Question 5

What blood tests should be offered in pregnancy?

Answer 5

FBC, blood group and rhesus status
rubella
HIV
syphilis serology

Question 6

When does puerperal psychosis typcially come on? Risk of recurrence?

Answer 6

Within 2 weeks
50%

Question 7

When does postpartum depression come on? How common is it?

Answer 7

3 months
5-15%

Question 8

Risk factors for pre-eclampsia?

Answer 8

fam hx
nulliparity
increasing maternal age
pre-existing diabetes / hypertension

Question 9

What makes up the Bishop Score?

Answer 9

cervical dilation
station of foetal head
cervical position, effacement and consistency

Question 10

Why is DVT in pregnancy more likely to occur in the left leg?

Answer 10

Gravid uterus puts more pressure on the left iliac vein

Question 11

Give pre-labour and intrapartum risk factors for shoulder dystocia

Answer 11

pre labour: diabetes, macrosomia
intrapartum: prolonged second stage, oxytocin augmentation

Question 12

Risk factors for cord prolapse?

Answer 12

prematurity
abnormal lie
polyhydramnios
artificial rupture of membranes

Question 13

Should you be worried about an ejection systolic murmur in a pregnant woman?

Answer 13

No because of hyperdynamic circulation

Question 14

What makes a CTG reassuring?

Answer 14

foetal heart rate from 110-160
baseline variability 5-25
preseence of accelerations
absence of decelerations

Question 15

Give 2 contraindications to foetal blood sampling

Answer 15

maternal infection
foetal bleeding disorder

Question 16

Besides fluids, what can be given to women with hyperemesis?

Answer 16

thiamine to prevent Wernicke’s encephalopathy
LMWH
anti-emetics

Question 17

What testing can be done on expelled POC after a miscarriage?

Answer 17

histology and karyotyping

Question 18

What is CIN?

Answer 18

presence of dysplastic cells that have not invaded beyond the basement membrane

Question 19

Markers associated with ovarian cancer?

Answer 19

CA-125, AFP

Question 20

Give 2 sites of endometriotic lesions

Answer 20

uterosacral ligaments, pelvic peritoneum

Question 21

Give 2 contraindications to coil insertion

Answer 21

pregnancy
STI

Question 22

Complications of PID?

Answer 22

peri-hepatitis
tubo-ovarian abscess
chronic pelvic pain
infertility
ectopic pregnancy

Question 23

What can be used to distinguish delirium from dementia?

Answer 23

Confusion Assessment Method - CAM

Question 24

Give some changes in dementia aside from memory loss

Answer 24

personality change
inattention
language / communication issues

Question 25

How does duloextine work for stress incontinence?

Answer 25

SNRI- increase NA at the synapse and increases tone of the IUS

Question 26

What can be used to assess risk of stroke post TIA?

Answer 26

ABCD2 score

Question 27

What is the MCA a branch of?

Answer 27

the internal carotid

Question 28

What is the difference between T score and Z score?

Answer 28

T score is compared against healthy young adult bone, Z score is age adjusted

Question 29

What should be tested for in suspected myeloma?

Answer 29

urinary Bence Jones protein serum electrophoresis

Question 30

Pathophysiology of PD?

Answer 30

neuronal degeneration in the substansia nigra meaning less dopamine in basal ganglia

Question 31

Tests to do before starting lithium?

Answer 31

ECG - Qtc prolongation TFTs U&Es

Question 32

Why are subjective scoring sxs useful in mental disorders?

Answer 32

diagnosis, monitoring, research

Question 33

Risks of sedatives in the elderly?

Answer 33

Increased confusion Increased falls risk Resp depression and hypotension

Question 34

Recommended alcohol intake?

Answer 34

14 units per week, 2-3 in one sitting

Question 35

Intervetions in alcohol abuse?

Answer 35

Refer to AA Disulfiram, acamprosate benzos

Question 36

How can someone appeal a section?

Answer 36

Writing to a tribunal within 14 days

Question 37

How does N-acetylcysteine work in overdose?

Answer 37

Provides the liver with enough glutathione to break down NAPQI

Question 38

Limitation of behavioural change model?

Answer 38

assumes people always act in the same, rational way

Question 39

Cause of bronchiolitis? Finding on CXR?

Answer 39

Respiratory syncytial virus Hyperinflation

Question 40

Main cause of croup? Signs of croup other than cough and SOB?

Answer 40

Parainfluenza virus hoarse voice, stridor

Question 41

What can you give croup that doesn't respond to steroids?

Answer 41

nebulised adrenaline

Question 42

Peak age of SUFE? RF?

Answer 42

10-17 obesity, GH deficiency, male, trauma

Question 43

Risk of untreated jaundice? Mx of jaundice?

Answer 43

Kernicterus phototherapy, exchange transfusion

Question 44

Signs of decompensated congential heart disease

Answer 44

dyspnoea poor feeding lethargy cold peripheries hepatomegaly

Question 45

What causes an increased risk of respiratory distress syndrome?

Answer 45

maternal diabetes C section second twin

Question 46

Sign of IRDS on CXR?

Answer 46

ground glass shadowing

Question 47

Define cerebral palsy. Give 2 types

Answer 47

chronic disorder of movement and posture due to non-progressive brain abnormalities before the brain is fully developed spastic ataxic