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SPECIALTIES PAST PAPERS > SPECIALTIES 2019 > Flashcards

SPECIALTIES 2019 Flashcards

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1
Q

Itching in third trimester, what is the most important investigation?

A

serum bile acids

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2
Q

23yr old woman with dyspareunia and FGM. What do you do?
Refer to police
Refer to safeguarding
offer surgical reversal
psychosexual counselling.

A

SAFEGUARDING

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3
Q

A 30 yr woman with last menstrual period on 25th August, 31 days cycles. What is the EDD?
May 30
June 1
June 4
June 8

A

June 4

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4
Q

Pregnant woman has a scan which shows anencephaly, until when can she have a TOP?
Any point during this pregnancy
24 weeks
28 weeks
she can’t have one

A

Any point during this pregnancy

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5
Q

Woman wants to terminate her 8 week pregnancy because she already has 3 children - which clause of the abortion act does this fall under?
A
B
C
D
E

A

D

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6
Q

Hysterectomy yesterday. How long to stay off work for:
48h
1w
4w
3 months

A

4w

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7
Q

A 45F. Wertheim’s hysterectomy. Last cervical smear was 2 years ago. When next smear?
1 year?
no smears needed

A

no smears needed

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8
Q

Post-LLETZ, when is her next smear?

A

6 months

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9
Q

Lambda sign on USS - DCDA? When do you deliver?

A

37 weeks

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10
Q

Woman in stage 2 of labour, pushing for 30 minutes, head pressing against perineum, when CTG becomes pathological - what do you do next?
Emergency C section
forceps delivery
episiotomy

A

episiotomy

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11
Q

Woman with fever, deep dyspareunia
send them for IV Abx?
Send home with oral Abx?

A

oral ABx
IV for severe cases e.g RUQ pain. pregnant, septic

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12
Q

32 year old with raised LH/FSH and amenorrhoea -

A

POI

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13
Q

16 year old girl suffering from PMS - what is the next step?
Ask her to complete a menstrual diary
prescribe long acting progesterone

A

Ask her to complete a menstrual diary

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14
Q

LH raised more than FSH (3:1)

A

PCOS

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15
Q

Woman has come for a sterilisation, has had protected sex (definitely protected) since her last menstruation one week ago, just post-ovulation
immediate tx
Insert IUD
Cancel surgery
Continue with Surgery

A

Continue with Surgery

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16
Q

Woman has menopausal symptoms and wants to start HRT, last period 6m ago

A

cyclical combined HRT

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17
Q

Woman with dribbling all the time and had to wear a pad
vesicovaginal fistula
overflow incontinence
overactive detrussor

A

vesicovaginal fistula

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18
Q

Woman with stress incontinence, with prolapse + leakage on coughing and standing, 1st line treatment
Pelvic floor exercises
oestrogen pessary
tension-free tape
B3 adrenergic antagonist (repeat)

A

Pelvic floor exercises

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19
Q

Bloating, raised CA125, next step?

A

Abdominal and pelvic USS

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20
Q

Which test for Down syndrome screening at 15 weeks?
Amniocentesis
NIPT
CVS

Study These Flashcards
A

NIPT (think its this as this was the only SCREEN)

21
Q

Smoker, which extra tests does she require in pregnancy
serial growth scans
nicotine levels

Study These Flashcards
A

serial growth scans

22
Q

Protein 1+ in urine, BP normal, what does she have?
Normal pregnancy
Pre-eclampsia
xx

23
Q

Previous baby 5.1Kg and mother has diabetes, fasting glucose and OGTT normal - what extra tests should be arranged for her?
OGTT at 26-28 weeks
constant glucose monitoring

24
Q

Woman had a 3B tear previously, what mode of delivery for current pregnancy?

Study These Flashcards
A

maternal choice

25
Lady with pain on (left?) breast,mastitis, given antibiotics by GP - what other breastfeeding advice do you give her? Continue breastfeeding from both breasts, continue from affected breast, continue from unaffected breast, express breast milk and discard, stop breastfeeding
Continue breastfeeding from both breasts
26
Complex mass with solid components on ovary on USS 23y female
teratoma
27
PMB, 5mm endometrial thickness, what do you do next?
pipelle
28
Young girl, no sexual hx, white discharge, vulval itching
vulvovaginitis
29
Creamy white discharge, sexually active
vulvovaginal candidiasis
30
Treatment for candidiasis?
clotrimazole
31
Woman with sodium valproate wants to get pregnant but has relapsed when coming off it before. What do? Swap to alternative drug reduce dose stop dose
i dont think any of these are appropriate, as a GP you have to refer to epilepsy clinic for preconception, dont change meds
32
16 year old girl with secondary characteristics only and no periods. Imperforate hymen constitutional delay
Imperforate hymen
33
Girl has a kid but had a large tear a few years ago and is worried about this pregnancy. What do you do differently in this pregnancy? Prophylactic episiotomy Elective C-section Episiotomy on the day
Episiotomy on the day
34
Dishevelled woman come to antenatal clinic, baby is low weight, but everytime admitted to hospital, gains weight easily refer to safeguarding midwife refer to caldicott guardian
Dishevelled woman come to antenatal clinic, baby is low weight, but everytime admitted to hospital, gains weight easily refer to safeguarding midwife refer to caldicott guardian
35
Mother who has normal fasting glucose and normal OGTT (ranges given)
reassure mother
36
Treatment for menorrhagia IUS TXA
first line is IUS
37
Woman gets a headache 24hrs after delivery?? Post-dural headache Pre-eclampsia Migraines cerebral vein thrombosis
Post-dural headache
38
Woman who has just given birth to 2 day old baby. Her 2 year old son gets chicken pox, women has antibodies. Goes to GP, what should be done? Nothing test foetal antibodies give IVIG to baby give aciclovir to baby
nothing
39
Best test for predicting preterm labour?
foetal fibronectin
40
Woman with a little bit of pink post-coital bleeding on wiping. Smear is fine, ultrasound is clear. What is the next investigation?
endocervical swabs
41
Secondary amenorrhoea. Table shows high prolactin and low LH
PRLoma
42
Twins, presenting twin is breech, other cephalic. How to deliver?
C section
43
Woman had abdo trauma 32 weeks, had anti-D. Had her anti-D at 28 weeks - what to do next?
KLeihauer test
44
Total abdo Hysterectomy yesterday. Woman goes upstairs and faints. Normal BP. DX.
hypovolaemic shock
45
Gravidity and Parity Q - currently pregnant woman with hx of 1 x 37 week stillbirth, 1 x current 7 week pregnancy, 1 x premature baby, 1 x miscarriage
G4P2
46
Lady who had a tear after delivering baby, a few days later has offensive discharge, no fever or other symptoms
perineal wound infection
47
Girl with dyskaryosis has a colposcopy and biopsy showing CIN1. When should the next colposcopy be?
12 months
48

SPECIALTIES PAST PAPERS (6 decks)

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