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WorksheetsThe final!
Total questions: 36
Worksheet time: 12mins
Which of these is NOT a risk factor for diabetes?
Previous GDM
Previous baby >4.5kg
Australian ethnicity
BMI >30
Sarah, is 12+4 weeks pregnant and P0. Her BMI is 36. What screening will be offered in pregnancy?
HbA1c at booking
OGTT at booking
OGTT at 24- 28 weeks
Home blood glucose monitoring
What are the diagnostic values for GDM?
Fasting 5.6
2 hours 7.8
Fasting 4.5
2 hours 6.7
Fasting 7.0
2 hours 11.0
HbA1c 42 mmol/l
Sarah has her OGTT at 24 weeks, fasting is 6.0 and his two hours post OGTT is 8.1. What is the first line management?
Gliclazide 40mg BD
Humulin I 8 units nocte
Metformin 500mg BD
7 days diet + exercise
Which of these is NOT a high risk factor for pre-eclampsia?
Chronic hypertension
Renal disease
Type 1 Diabetes
BMI >30
Elizabeth, has type 1 diabetes, which of these medications prevent pre-eclampsia?
Aspirin
Labetalol
Magnesium Sulphate
Nifedipine
Elizabeth attends the MAU with a headache, she has a blood pressure of 161/98. What is the most appropriate diagnostic, first line investigation?
Urine PCR
LFTs
Renal USS
Serum PCR
What PCR is diagnostic of Pre-Eclampsia?
>100
>45
>20
>30
Elizabeth, has a PCR of 48. She is diagnosed with Pre-eclampsia. What is the first line anti-hypertensive?
Amlodipine
Labetalol
Nifedipine
Lisinopril
When would you aim to deliver Elizabeth's baby?
Spontaneously
39 weeks
34 weeks
37 weeks
Emily is 33+2 weeks, she presents with itching of the palms and feet. What investigation is diagnostic?
Liver USS
U&Es
LFTs
Serum Bile Acids
Emily's bile acids are 32, what is the diagnosis?
Primary Biliary Cirrhosis
Obstetric Cholestasis
Hepatitis P
Primary Sclerosing Cholangitis
As Emily's bile acids are 35, when would Emily be delivered?
37 weeks
38 weeks
39 weeks
Spontaneously
Rachel, is 34+6 weeks pregnant, she presents to MAU with a sudden gushing sensation and vaginal loss of clear fluid. What is the diagnostic investigation?
Amnisure
Fetal fibronectin
High vaginal swab
Rachel, is diagnosed with P-PROM, what is the first line management?
Magnesium Sulphate + Tocolytics
Erythromycin + Betamethasone
Erythromycin + Tocolytics
Magnesium Sulphate + Betamethasone
Clara, presents to MAU at 32 weeks gestation with regular abdominal tightenings, what investigation predicts the likelihood of pre-term labour?
Amnisure
Fetal Fibronectin
High Vaginal Swabs
FBC
Mandy, presents to MAU at 31+3, with a painless vaginal bleecd. Mandy is aware that she has to attend a scan next week, but can't remember why. What is the most likely diagnosis?
Placental Abruption
Vasa Praevia
Placenta Praevia
Cervical Ectropion
Annabelle is having twins, they have separate placentas and amniotic sacs. What type of twins is Annabelle having?
DCMA twins
MCMA twins
MCDA twins
DCDA twins
Kat, presents to GEAU in early pregnancy (8+2 weeks by dates) with heavy vaginal bleeding and abdominal cramping. On USS there is an empty uterus, the cervical os is closed. What is the diagnosis?
Inevitable Miscarriage
Missed Miscarriage
Incomplete Miscarriage
Complete Miscarriage
Harriet, attends her dating scan at 12+4 weeks gestation. Sadly, there is no fetal heartbeat seen on the scan. Harriet has had no symptoms of miscarriage. What is the diagnosis?
Missed Miscarriage
Complete Miscarriage
Inevitable Miscarriage
Threatened Miscarriage
After consultation with the Gynae team, Harriet opts to have medical management of miscarriage. What is the first line medication?
Oxytocin
Carboprost
Methotrexate
Misoprostol
Rebecca, presents to ED with severe right sided abdominal pain. She has a positive pregnancy test. What is the most likely diagnosis?
Cholecystitis
Appendicitis
Miscarriage
Ectopic pregnancy
Rebecca's HCG is 6781. On USS she has an adnexal mass measuring 42mm, which has ruptured. What is the first line management?
Salpingotomy
Salpingectomy
Methotrexate
ERPC
Kate, presents with left sided abdominal pain. The USS shows a left sided adnexal mass which is 21mm. There is no free fluid, and no visible heartbeat. Her HCG is 1239. What is the first line management?
Salpingotomy
Salpingectomy
Methotrexate
ERPC
Karly is 25, she had her first cervical smear. She is HPV positive with no cell changes. What is the next stage?
Colposcopy ASAP
Routine recall
Colposcopy in one year
Smear in one year
Elena, is 31, she has is HPV on her smear with mild dyskaryosis. What is the next stage of her management?
Colposcopy ASAP
Colposcopy in one year
Smear in one year
Routine Recall
What is the most common presenting symptom with fibroids?
Pelvic Pain
Menorrhagia
Dysmenorrhea
Pressure Effect
What is the surgical removal of a fibroid?
Endometrial Ablation
Hysterectomy
Myomectomy
Nancy is 71, she presents with abdominal pain and bloating. The pelvic USS shows a suspicious lesion on her left ovary. What is the most appropriate investigation?
CEA
Ca 15-3
Ca-125
Ca 19-9
Pamela is 62, she presents with post-menopausal bleeding. What is the first line investigation?
Staging CT
Pipelle Biopsy
Hysteroscopy
Transvaginal USS
On USS Pamela has an endometrial thickness of 5.9mm. What is the most appropriate next line investigation?
Hysterectomy
Hysteroscopy
Staging CT
Pipelle Biopsy/ Hysteroscopy w/ biopsy
Pamela is diagnosed with endometrial hyperplasia with atypia. What is the most appropriate management?
Hysterectomy with BSO
Surveillance
Mirena Coil
Endometrial Ablation
Which of these anti-emetics should be avoided in the first trimester?
Cyclizine
Prochlorperazine
Ondansetron
Metoclopramide
What is the first line manoeuvre in shoulder dystocia?
Episiotomy
McRobert's Manoeuvre
Lithotomy
Neville Barnes Forceps
What is the ideal position for the baby to be delivered?
Breech
Occipito- Anterior
Occipito- Posterior
Occipito- Transverse
Which of these is not in the Rotterdam Criteria for diagnosing PCOS?
Weight gain
Hirsuitism
Follicles seen on ovaries on Pelvic USS
Oligomenorrhea/ Amenorrhea
