Women's health - PASSMED

Question 1

GBS disease in pregnancy tx.

Answer 1

IAP - intrapartum antibiotic (IV benzyl penicillin) prophylaxis

Question 2

Women w/ pyrexia (>38*c) should be given:

Answer 2

IAP

Question 3

Can warfarin and heparin be given while breast feeding?

Answer 3

YES

Question 4

Early on-set neonatal sepsis: likely causative organism:

Answer 4

GBS

Question 5

Suspected pre-eclampsia next move:

Answer 5

URGENT REFERRAL

Question 6

If LMP was 16 days ago, how far into ovulation is the woman likely to be if she has a 30 day cycle:

Answer 6

1 day ago

Question 7

Which women should take aspirin 75-100mg before birth:

From how many weeks out should they take it from ?

Answer 7

Those at Moderate/high risk of pre-eclampsia

from 12 weeks till birth

Question 8

Pre-eclampsia high risk factors:

How many do you need for aspirin prophylaxis:

Answer 8

Hypertensive disease in a previous pregnancy
Chronic kidney disease
Autoimmune disease, such as systemic lupus erythematosus or antiphospholipid syndrome
Type 1 or type 2 diabetes
Chronic hypertension

Need only ONE

Question 9

Pre-eclampsia moderate risk factors:

How many do you need for aspirin prophylaxis:

Answer 9

First pregnancy
Age 40 years or older
Pregnancy interval of more than 10 years
Body mass index (BMI) of 35 kg/m² or more at first visit
Family history of pre-eclampsia
Multiple pregnancy

Need 2

Question 10

Anaemia: cut-offs for iron supplementation

Answer 10

T1 = < 110 
T2/T3 = < 105
Post-partum = < 100

Question 11

If patch change is delayed by >48 hours are extra measures required:

Answer 11

Yes, consider emergency contraception and 7/7 condom cover

Question 12

Puerperal pyrexia mx.

Answer 12

ADMIT for IV antibiotics

Question 13

Safest hormonal contraception when woman is taking ENZYME INDUCING drugs (rifampicin etc.)

Answer 13

Depot Provera - injectable contraceptive

Question 14

Tumour outside ovary but still w/ in pelvis - stage:

Answer 14

2

Question 15

Vaginal PH in Gardnerella (BV) /trichomonas vaginalis

Answer 15

> 4.5

Question 16

Post-partum -> When can COCP be prescribed from if not breast-feeding

Answer 16

21 days

Question 17

Gonadal dysgenesis is another name for:

Answer 17

Turner’s syndrome

= raised gonadotrophins (FSH/LH)

Question 18

Intrahepatic cholestasis of pregnancy increases the chance of foetal ____

Answer 18

Still-birth

Question 19

Management of PPROM

Answer 19

Admit for at least 48 hours give antibiotics and steroids

Question 20

Most common benign ovarian tumour in women < 25 yrs

Answer 20

Teratoma - dermoid cyst