Obs/Gynae Passmed Test Questions 100% Correct Answers Verified Latest 2024 Version
0 view 0 purchase
Course
Academic Avengers Verified Papers
Institution
Academic Avengers Verified Papers
Obs/Gynae Passmed Test Questions |
100% Correct Answers | Verified | Latest
2024 Version
A 38-year-old woman with a 4.5cm fibroid has been listed for a myomectomy following a 5 month
history of heavy menstrual bleeding, What drug should be prescribed to be taken whilst awaiting
surgery? - GnRH...
Obs/Gynae Passmed Test Questions |
100% Correct Answers | Verified | Latest
2024 Version
A 38-year-old woman with a 4.5cm fibroid has been listed for a myomectomy following a 5 month
history of heavy menstrual bleeding, What drug should be prescribed to be taken whilst awaiting
surgery? - ✔✔GnRH anaologue to reduce the size of fibroids
In who are fibroids more common? - ✔✔more common in Afro-Caribbean women
rare before puberty, develop in response to oestrogen, don't tend to progress following menopause
How do fibroids present? - ✔✔Most are ASx
Sx:
- bleeding: longer, heavier periods; anemia
- pressure: pelvic pressure and bloating; constipation and rectal pressure; urinary frequency or retention
- pain: secondary dysmenorrhea, dyspareunia
- pelvic sx: firm, nontender, irregular enlarged ("lumpy-bumpy") or cobblestone uterus may be seen
How do we diagnose fibroids? - ✔✔Transvaginal USS
How do we manage fibroids? - ✔✔-symptomatic management with a levonorgestrel-releasing
intrauterine system is recommended by CKS first-line
-other options include tranexamic acid, combined oral contraceptive pill etc
-GnRH agonists may reduce the size of the fibroid but are typically useful for short-term treatment
-surgery is sometimes needed: myomectomy, hysterscopic endometrial ablation, hysterectomy
,uterine artery embolization
What is a Cx of fibroids? - ✔✔red degeneration - haemorrhage into tumour - commonly occurs during
pregnancy
A 24-year-old woman presents to her GP 8 days after giving birth. She complains of a persistent pink
vaginal discharge which is 'smelly'. On examination her pulse is 90 / min, temperature 38.2ºC and she
has diffuse suprapubic tenderness. On vaginal examination the uterus feels generally tender.
Examination of her breasts is unremarkable. Urine dipstick shows blood ++. What is the most
appropriate management? - ✔✔Admit to hospital (puerperal pyrexia)
What is the definition of puerperal pyrexia? - ✔✔Temp >38C, within 14 days of delivery
What are the causes of puerperal pyrexia? - ✔✔endometritis: most common cause
How do we manage endometritis/puerperal pyrexia? - ✔✔1. Admit
2. IV Abs (clindamycin and gentamicin until afebrile for over 24 hours)
A 36-year-old nulliparous woman is admitted in labour at 37 weeks gestation. On examination, the cervix
is 7 cm dilated, the head is direct Occipito-Anterior, the foetal station is at -1 and the head is 2/5 ths
palpable per abdomen. The cardiotocogram shows late decelerations and a foetal heart rate of 100
beats/min which continue for 15 minutes. How should this situation be managed? - ✔✔C-section
(late decelerations in context of bradycardia is worrying)
, - can't do inhstrumental delivery because the cervix isnt fully dilated and baby's head is high
-oxytocin and PG are contraindicated due to foetal distress
What is the normal variation of foetal HR? - ✔✔100-160
Causes of baseline bradycardia - ✔✔Increased faetal vagal tone
Maternal BB use
Causes of baseline tachycardia - ✔✔maternal pyrexia
Chorioamnionitis
Hypoxia
Prematurity
Causes of a loss of baseline variability - ✔✔Prematurity/hypoxia (<5BPM)
What is the cause of an early deceleration and what does it mean? - ✔✔Deceleration of the heart rate
which commences with the onset of a contraction and returns to normal on completion of the
contraction
Usually inocuous- indicates head compression
What is the cause of a late deceleration and what does it mean? - ✔✔Deceleration of the heart rate
which lags the onset of a contraction and does not returns to normal until after 30 seconds following the
end of the contraction
Indicates fetal distress e.g. asphyxia or placental insufficiency
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller hov. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.