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CWH Exam > Tintinalli MCQS > Flashcards

Tintinalli MCQS Flashcards

1
Q

What percentage of women on OCP experience abnormal bleeding in first 4-6 months?

A

40%

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2
Q

The most common coagulopathy causing heavy uterine bleeding is..

A

Von Willebrands

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3
Q

Adverse effects of ovarian hyperstimulation syndrome

A 
AKI
VTE - Saggital sinus thrombosis
Ascites, pulmonary effusion
Inc WCC (>25)
Hypoalbuminaemia
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4
Q

Which side is ovarian torsion more common on?

A

Right - 50-70%

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5
Q

What is ovarian hyperstiumulation syndrome?

A

Iatrogenic condition in women undergoing ovulation induction which is due to exaggerated response to FSH and LH

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6
Q

Risk factors for ovarian torsion

A

Pregnancy, ovarian hypertstimulation syndrome, large cysts

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7
Q

T or F, N&V is rare in ovarian torsion

A

False - Present in 60-70% of cases

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8
Q

Can tenderness be bilateral in ovarian torsion?

A

Yes, 30% of patients have bilateral adenexal tendernes s on bimanual

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9
Q

How useful is doppler ultrasound in ovarian torsion? What percentage does it miss and is a positive study for poor blood flow diagnostic?

A

Can be missed in 60% of cases. A positive doppler ultrasound is 100% predictive.

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10
Q

Heterotrophic pregnancies occur in what percentage of naturally conceived pregnancy?

A

1:30,000 (1-3:100 in ARF, 1:3000 in general)

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11
Q

How long can bHCG remain positive after ectopic pregnancy surgery?

A

2-3 weeks

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12
Q

Where are ectopic pregnancies most commonly located?

A

80% in ampulla 10% in isthmus

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13
Q

Do the following require Anti-D ?

  • Medical termination of pregnancy
  • CVS
  • Threatened miscarriage
  • Complete miscarriage
  • Ectopic pregnancy
A

Anti-D is not recommended for threatened miscarriage if before 12 weeks. Rest get anti-D

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14
Q

Is bleeding or vomiting more common in a molar pregnancy?

A

Bleeding - 75-95%

Hyperemesis - 26%

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15
Q

Who/when is DKA most common in obstetric patients?

A

2nd and 3rd trimester or newly diagnosed DM in pregnancy

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16
Q

Do transient hyperthyroidism of hyperemesis gravidarum develop palpable goitre or antibodies?

A

NO

17
Q

What is the risk of VTE in a) pregnancy b) postpartum

A

a) 5x general population b) 60x general population

18
Q

Is it more common to get left or right sided DVTs, why?

A

Left side DVTS (90%) is more common due to right iliac artery crosses left iliac vein

19
Q

Rank the following from most radiation exposure to the fetus to least

  • Abdo-xray
  • Chest CTPA
  • CXR
  • CT KUB
  • VQ scan
  • Head CT
  • AbdoCT
  • Pelvic x-ray
A

AbdoCT>CT KUB> VQ SCAN or Abdo x-ray>Head CT>Pelvic x-ray>Chest CTPA>CXR

20
Q

In placental abruption, how useful is CTG and ultrasound

A

CTG has 100% negative predictive value for adverse outcomes

U/S high SP, low SN

21
Q

Do you expect bleeding in placental abruption?

A

yes (80%), but often mild

22
Q

Why should ADF not be used in PROM?

A

Risk of necrotising enterocolitis

23
Q

PPH Risk factors

A 
Birthweight >4.5kg
Pre-eclampsia
Prolonged third stage
Fetal age <32w
Placental praevia
Transverse lie
Cervical trauma
Coagulopathy
Previous PPH
24
Q 
Which of the following do not need to be rushed to caesarean section?
Complete breech
Transverse
Footling breech
Frank breech
Cord prolapse
A

Complete and frank breech

25
Q

How do you manage shoulder dystocia (in order)?

A 
Call for help
McRoberts position
Suprapubic pressure
Consider episiotomy
Internal maneouvres
All fours
26
Q

What is the most common non viral STI?

A

Trichomonas vaginalis

27
Q

What is the most common cause of infectious vaginitis in symptomatic women

A

Bacterial vaginitis accounts for up to 50% of cases in symptomatic women

28
Q

Prolactinoma is associated with what symptoms

A 
bitemporal hemianopia
amenorrhoea
dysparenuia
headache
hypothyroid

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