Obs

Question 1

Which emergency contraceptive blocks progesterone action?

Answer 1

Ulipristal acetate (ellaOne)

Question 2

Most common heart anomaly PICKED UP ON USS for down’s syndrome?

Answer 2

Tricuspid regurgitation

Question 3

Name the medical treatments available for endometriosis

Answer 3

Standard COCP, mini-pill, mirena coil

Or

Prior to surgery, give GnRH agonists such as triptorelin or Zoladex. However these can cause osteoporosis so can only give for 6 months

Question 4

What is a lutein cyst?

Answer 4

A big corpus luteum

Question 5

Name two anti-androgenic treatments of PCOS

Answer 5

Cyproterone acetate and spironolactone

Question 6

Mx of USI?

Answer 6

1. Lose weight, stop smoking, drink less.
2. 3 months of pelvic floor muscle training
   Can use vaginal cones/sponges
3. Duloxetine
4. TFVT or TOT
   Periurethral bulking agents in elderly

Question 7

Mx Urge?

Answer 7

1. Drink less water/caffeine
2. Keep a diary of how much you piss for a week
3. Do bladder training exercises for 3 weeks
4. Take some oxybutynin
5. Botulin toxin A can be used
6. Electric nerve root S3 generator thing
7. Clam ileocystoplasty surgery