Sept 2016 recall

Question 1

Risk of postnatal psychosis if bipolar?

Answer 1

25%
50% if family history as well

Question 2

Risk of EOGBS without screening program

Answer 2

0.6/1000

Question 3

Risk of EOGBS after a temp in labour?

Answer 3

5.3/1000

Question 4

Risk of EOGBS if delivering preterm?

Answer 4

2.3/1000

Question 5

If positive for GBS what is the risk of EOGBS?

Answer 5

2.5/1000 (1/400)

Question 6

How many times increased is the maternal mortality in multiple pregnancy?

Answer 6

2.5X

Question 7

Risk of adverse outcome in a home brith?

Answer 7

9/1000

Question 8

Risk of adverse outcome in midwifery led/ CDS

Answer 8

5/1000

Question 9

% of babies that will spontaneously move back to breech after ECV

Answer 9

3%

Question 10

Cure rate of a post dural headache after a blood patch?

Answer 10

60-90% cure

Question 11

When is the earliest the FH can be heard?

Answer 11

35/37 days

Question 12

Risk of neonatal infection with primary HSV 6 weeks before delivery

Answer 12

41%

Question 13

Risk of going into labour before planned c section

Answer 13

10%

Question 14

Which suture should be used for IAS or EAS

Answer 14

PDS 3.0

Question 15

What is recommended in pregnancy if spinal lesion above T4?

Answer 15

Ventilation assessment

Question 16

What level of spinal lesion is at risk of autonomic dysreflexia?

Answer 16

Above t6

Question 17

At what spinal level injury would you have altered perception of fetal movements and labour pains?

Answer 17

Above t10, risk of late arrival in PTL and UTI

Question 18

What is the risk for spinal lesions above t12?

Answer 18

Risk of malpresentation

Question 19

What is the lowest acceptable preductal sats of a neonate at 1 minute?

Answer 19

60%
They go up in 5% increments every minute

Question 20

Engaging diameter of a face presentation?

Answer 20

9.5cm

Question 21

How does nitric oxide work?

Answer 21

Suppresses reticulo-endothelial system, increases endorphins and dopamine, reduces pain pathways

Question 22

How long does a CTG have to be normal for (after FH concerns) before you return to intermittent auscultation

Answer 22

20 mins

Question 23

What condition are patients with CF more likely to develop in pregnancy?

Answer 23

GDM

Question 24

Risk of congenital abnormality and autism if taking sodium valproate?

Answer 24

Congenital defect 10% (baseline risk 2.3%)
Autism, 3x likely

Question 25

Inheritance of duchenne muscular dystrophy?

Answer 25

X linked recessive

Question 26

Last pregnancy t21, found to have maternal translocation of the 21 gene what is the risk of recurrent down syndrome?

Answer 26

if maternal translocation risk is 1:10 If paternal translocation 1:50 (however most are caused by dysjunction, 1% above mat age risk when caused by this)

Question 27

What is GBS also known as?

Answer 27

Streptococcus agalactiae

Question 28

Timing of delivery for MCMA twins?

Answer 28

32-34 weeks

Question 29

Timing of delivery for MCDA twins?

Answer 29

37 weeks

Question 30

Commonest presenting symptom of cerebral venous thrombosis?

Answer 30

Headache (MRI will show a filling defect)

Question 31

In pregnancy what is the first line ix for ?MI

Answer 31

ECG- would show ST elevation, T wave inversion is v common Then troponin

Question 32

Reasons for a baby to be on the hypo policy?

Answer 32

IUGR LGA Diabetic mothers Mothers on b blockers Preterm

Question 33

Disease most inc risk due to male fetus

Answer 33

AFLD

Question 34

What is the infectious period of influenza A/ swine flu (H1N1)

Answer 34

1 day prior to symptoms and up to 7 days after (incubation 1-7 days)

Question 35

What is the increased risk of stillbirth with malaria falciparum

Answer 35

2-7 fold increase

Question 36

What is the treatment of severe falciparum malaria?

Answer 36

IV Artesunate- can use for any species when malaria is severe (IV quinine if artesunate isnt available)

Question 37

What is the treatment for uncomplicated falciparum malaria?

Answer 37

Oral Quinine and oral Clindamycin If vomiting, can give the quinine IV but need to give it alongside a dextrose infusion

Question 38

What is the treatment for uncomplicated NON falciparum malaria?

Answer 38

Chloroquine Can give a once a week dose to prevent relapse in pregnancy. Remember to test neonate for G6PD deficiency as high risk of haemolysis with use of these drugs

Question 39

Most common antimalaria prophylaxis in pregnancy

Answer 39

Mefloquine

Question 40

What is the neonatal management if a pregnant woman has been treated for malaria in pregnancy

Answer 40

Cord blood film and then weekly bloods until 28 days old