Obstetrics & Gynaecology4 UKMLA questions
Obstetric cholestasis — UKMLA Revision Notes
Obstetric cholestasis is an important clinical condition in Obstetrics & Gynaecology that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Obstetric cholestasis as outlined in current NICE guidelines.
Key Facts
- Obstetric cholestasis is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Obstetrics & Gynaecology section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- Urine hCG
- Pelvic USS
- FBC, clotting, group & save
- CTG
- Cervical smear
- Colposcopy
Management
- Multidisciplinary team approach
- Fetal monitoring (CTG) if pregnant
- Hormonal therapy as indicated
- Surgical management if required
- Obstetric/gynaecology outpatient follow-up
- Contraception counselling