Browse topics
Obstetric medicine
22 notes, 67 questions and 196 flashcards.
Tier 1 is core knowledge expected of every trainee. Tier 2 is deeper or less common.
Key conditions
- Asthma in pregnancyFree sampleWhy uncontrolled asthma is the bigger fetal risk, which medicines to continue, reading a blood gas against pregnancy physiology, acute severe asthma, and the drugs to avoid around birth.Tier 1, condition, 3 questions, 8 flashcards
- Chronic and gestational hypertension in pregnancyFree sampleClassifying hypertension in pregnancy, preconception drug switches, the SOMANZ 2023 target of 135/85, oral agents, aspirin and calcium, timing of birth and the postpartum plan.Tier 1, condition, 3 questions, 9 flashcards
- Epilepsy in pregnancyPreconception choice of antiseizure medication, teratogenic and neurodevelopmental risks by drug, falling drug levels in pregnancy, contraception interactions, seizures versus eclampsia, birth, breastfeeding and postpartum safety.Tier 1, condition, 3 questions, 8 flashcards
- Gestational diabetesThe 2025 ADIPS diagnostic thresholds and early testing, the evidence that treatment helps (ACHOIS, TOBOGM), diet, metformin and insulin, birth, and postpartum and lifelong diabetes screening.Tier 1, condition, 4 questions, 9 flashcards
- Hyperemesis gravidarumDefining hyperemesis with the Windsor criteria and PUQE-24, GDF15, the investigations that matter, stepwise antiemetics including ondansetron and steroids, fluids with thiamine first, Wernicke encephalopathy and gestational thyrotoxicosis.Tier 1, condition, 3 questions, 9 flashcards
- Infections in pregnancy: CMV, Zika, HIV, hepatitis B and C, skin and lower respiratory tractAntenatal screening, congenital CMV and valaciclovir, Zika travel advice, HIV viral load and mode of birth, hepatitis B tenofovir and infant prophylaxis, hepatitis C, varicella and other skin infections, pneumonia and influenza, vaccines in pregnancy and safe antibiotics.Tier 1, condition, 3 questions, 10 flashcards
- Inflammatory bowel disease in pregnancyConceiving in remission, which IBD drugs to continue or stop (methotrexate, JAK inhibitors, S1P modulators), assessing a flare in pregnancy, mode of birth, breastfeeding and live vaccines in biologic-exposed infants.Tier 1, condition, 3 questions, 9 flashcards
- Maternal obesityRisks of obesity in pregnancy by BMI class, preconception care (5 mg folic acid, drug-specific washout for GLP-1 receptor agonists and tirzepatide, bariatric surgery timing), weight gain targets and the LIMIT trial, early diabetes testing, aspirin, VTE scoring, anaesthetic and birth planning, and postpartum follow-up.Tier 1, condition, 3 questions, 9 flashcards
- Pre-eclampsia and eclampsiaSOMANZ 2023 diagnostic criteria, the work-up including urine PCR and sFlt-1/PlGF, acute BP control, magnesium sulphate and its toxicity, HELLP, timing of birth and long-term risk.Tier 1, condition, 3 questions, 10 flashcards
- Pre-existing diabetes in pregnancyPreconception targets and medicine changes, glucose and CGM targets, how insulin needs change through pregnancy, retinopathy, nephropathy, DKA, birth and the postpartum fall in insulin requirement.Tier 1, condition, 3 questions, 9 flashcards
- Thyroid disorders in pregnancyThyroid physiology in pregnancy, targeted TSH testing (ATA 2026 triggers) and laboratory-specific TSH ranges, levothyroxine dose increases, subclinical disease and TABLET, Graves versus gestational transient thyrotoxicosis, PTU and carbimazole timing, TRAb and fetal thyrotoxicosis, and postpartum thyroiditis.Tier 1, condition, 3 questions, 10 flashcards
- Urinary tract infection and asymptomatic bacteriuria in pregnancyWhy pregnancy is the exception to "don't treat asymptomatic bacteriuria", screening culture at booking, antibiotic choices by trimester (trimethoprim, nitrofurantoin, amoxicillin-clavulanate), group B streptococcus in urine, admitting pyelonephritis, its complications, and prophylaxis.Tier 1, condition, 3 questions, 9 flashcards
- Venous thromboembolism in pregnancy and the puerperiumRisk scoring and thromboprophylaxis (SOMANZ table adapted from RCOG), previous VTE and thrombophilia, diagnosing DVT and PE in pregnancy (SOMANZ 2021 versus pregnancy-adapted YEARS), weight-based LMWH, planning birth around anticoagulation and neuraxial anaesthesia, and postpartum care.Tier 1, condition, 3 questions, 10 flashcards
Less common or complex conditions
- Amniotic fluid embolismSudden collapse in labour or just after birth with hypoxia and early DIC. The clinical diagnosis (Clark criteria), the differentials to exclude, resuscitation with uterine displacement and resuscitative hysterotomy at 4 minutes, blood products over crystalloid, and the SMFM 2026 checklist's stance against routine A-OK.Tier 2, condition, 3 questions, 8 flashcards
- Cardiac complications of pregnancy including peripartum cardiomyopathyTelling heart failure from normal pregnancy breathlessness, peripartum cardiomyopathy (definition, drugs before and after birth, bromocriptine with LMWH, recovery and next-pregnancy risk), rheumatic mitral stenosis, pregnancy-associated SCAD and aortic dissection, arrhythmias, and planning birth, following the 2025 ESC pregnancy guideline.Tier 2, condition, 3 questions, 10 flashcards
- Postpartum depression and psychosisTelling blues from postnatal depression and postpartum psychosis, EPDS screening, the organic causes to exclude, SSRIs and breastfeeding, lithium around delivery, and postpartum prophylaxis in bipolar disorder.Tier 2, condition, 3 questions, 8 flashcards
- Pregnancy-specific liver disease: ICP, HELLP and acute fatty liverReading LFTs in pregnancy (placental ALP, low albumin, any ALT rise is abnormal), sorting liver disease by trimester, intrahepatic cholestasis with RCOG 2022 bile acid bands and timing of birth, HELLP versus acute fatty liver (Swansea criteria, hypoglycaemia, coagulopathy, delivery and neonatal LCHAD testing), and the non-obstetric causes not to miss.Tier 2, condition, 3 questions, 10 flashcards
- Recurrent miscarriageDefinitions (2 losses in Australasia and ESHRE, 3 in RCOG), the workup that changes management (APS, thyroid, uterine imaging, genetics), aspirin plus LMWH for obstetric APS, and the treatments that failed in trials (LMWH in unexplained loss, levothyroxine in TPO-positive euthyroid women, which ACCEPT still allows as a low-evidence option).Tier 2, condition, 3 questions, 8 flashcards
Investigations and procedures
- Interpreting thyroid function tests in pregnancyFree sampleHow hCG, TBG and assay bias change TSH and free T4 through pregnancy, laboratory and trimester-specific ranges with the 4.0 mU/L fallback, a step-by-step read of a pregnant woman's TFTs, TPO and TRAb, and worked results that do and don't need treatment.Tier 1, medical sciences concept, 3 questions, 8 flashcards
- Oral glucose tolerance test and glucose challenge test in pregnancyHow the 75 g pregnancy OGTT is done and read against the ADIPS 2025 thresholds, why the 50 g glucose challenge ("polycose") test isn't used in Australia, sample handling errors, HbA1c and fasting glucose as alternatives, and worked results.Tier 1, medical sciences concept, 3 questions, 8 flashcards
- Urine dipstick and protein:creatinine ratio in pregnancyWhat each dipstick pad means in pregnancy, why a 1+ protein needs a spot protein:creatinine ratio, the 30 mg/mmol and ACR 8 mg/mmol thresholds (SOMANZ 2023, ISSHP, NICE), PCR accuracy against 24-hour collection, booking proteinuria, nephrotic-range results and worked examples.Tier 1, medical sciences concept, 3 questions, 8 flashcards