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Year 3 Primary Care > Women's health > Flashcards

Women's health Flashcards

1
Q

What should a patient do if they vomit within two hours of taking their OCP?

A

Take another one as soon as possible

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2
Q

What are the missed pill rules for week 1?

A

Use emergency contraception if UPSI in pill free interval for one week

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3
Q

What are the missed pill rules for week 2?

A

No need for emergency contraception

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4
Q

What are the missed pill rules for week 3?

A

Take the last pill that was missed, finish the current pack and start the next pack immediately after.

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5
Q

How long does the progesterone only pill take to become effective?

A

48 hours

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6
Q

How long does the COCP take to become effective?

A

Seven days

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7
Q

What is the preffered option in women and girls with PCOS for contraception?

A

COCP

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8
Q

Which emergency contraceptive option should be adjusted as per the patients weight?

A

Levonelle

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9
Q

When should a double dose of levonelle be taken?

A

When the patient weights over 70kg or BMI>26

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10
Q

How long after UPSI can levonelle be taken?

A

Within 3 days

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11
Q

What is the least effective method of emergency contraception?

A

Levonelle

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12
Q

How long after taking levonelle should regular contraception be resumed?

A

12 hours

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13
Q

After what time period is a Norethisterone pill considered missed?

A

3 hours , after this time condoms should be used for SI for next two days

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14
Q

After what time period is a Desogesterel pill considered missed?

A

12 hours

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15
Q

Up to what time period can Ella One (Ulipristal acetate) be used as emergency contraception?

A

5 days

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16
Q

In what conditions is Ellaone (ulipristal acetate) contraindicated?

A

Liver disease
Asthma
Must not breast feed for a week after taking

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17
Q

Side effects of EllaOne (ulipristal acetate)?

A

Painful periods, mood swings, back pain

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18
Q

How long after taking EllaOne (ulipristal acetate) is vomitting ‘safe’?

A

3 hours

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19
Q

How long does the contraceptive implant last?

A

3 years, but can be taken out sooner and fertility will return quickly following removal

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20
Q

Side effects of contraceptive implant?

A 
Irregular periods
Absent periods
Longer periods
Acne (or worsening of)
Tenderness, bruising, swelling at site of implantation
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21
Q

What is the contraceptive method of choice for girls under 16?

A

Implant

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22
Q

Important adverse affect of depo-provera injection?

A

Delayed return to fertility (aprox one year)

23
Q

How does the IUD affect periods?

A

Heavier, longer

24
Q

What is the only acceptable form of contraception for a woman with known breast cancer?

A

Copper IUD

25
Q

What is the most effective emergency contraception method?

A

IUD

26
Q

How long can an IUD stay in?

A

Up to 10 years

Once removed fertility returns to normal

27
Q

Contraindications for IUD?

A

Current pelvic infection or distorted uterus
Repeated history of STI
Unexplained bleeding
Abnormal cervix

28
Q

How long after post-partum is an IUD reccommended from?

A

28 days

29
Q

When can an IUD be used as emergency contraception?

A

Up to 120 hours after the first episode of UPSI or after the earliest expected date of ovulation

30
Q

Why can ellaOne not be used in asthma?

A

Antiglucocorticoid effect

31
Q

Over what age can women who smoke >15 a day no longer take the COCP?

A

35 years old

32
Q

What are the absolute contraindications to the combined oral contraceptive pill (UKMEC 4)?

A

Known or suspected pregnancy
Smoker over the age of 35 >15 ciggarettes/day
Obesity
Breast feeding <6 weeks post partum
Active breast cancer or cancer within the last few years
BRACA genes

33
Q

When do the disadvantages of the COCP outweigh the advantages (but not an absolute contraindication) (UKMEC 3)?

A 
Breast feeding > 6 weeks post partum
Previous arterial or venous clots
Continued use after HD or stroke
Migraines with aura
Active disease of liver or gallbladder
34
Q

When do the advantages of the COCP outweigh the disadvantages (UMEC 2)?

A

Initiation after current or past history of MI or stroke

Multiple risk factors for arterial CVD

35
Q

How do you calculate the earliest date of ovulation?

A

Length of cycle-14 days

36
Q

What is the association of COCP with cancer?

A

Increased risk of breast cancer and cervical cancer

Reduced risk of endometrial and ovarian cancer

37
Q

Which intra utirine method of contraception makes periods lighter?

A

IUS (mirena coiil)

38
Q

How long does the IUS work?

A

5 years

Once removed fertility returns to normal

39
Q

What is the only suitable contraceptive method for a woman post-partum who is breastfeeding?

A

POP

40
Q

When should the COCP be stopped in relation to surgery?

A

4 weeks before until 2 weeks after

41
Q

When, postpartum, can an IUD be instered?

A

48 hours within giving birth of from 4 weeks post-partum

42
Q

What with LH, FSH, and oestorgen levels be in a patient with ovarian failure?

A

LH raised
FSH raised
A low serum oestrogen

43
Q

In those <40 years with suggestive features of menopause how should their hormones be investigated?

A

2 FSH levels taken 4-6 weeks apart

44
Q

Common symptoms are experience in menopause?

A

Vasomotor (flushing)
Urogenital (urinary incontinence, atrophic vaginitis)
Psychological

45
Q

Average age of menopause?

A

47.5 years

46
Q

What is the most common cause of post-coital bleeding in pre-menopausal women?

A

Cervical ectropian

47
Q

What are uterine fibroids

A

the most common benign tumour of the uterus. Sometimes called leiomyomata, these growths are primarily composed of smooth muscle and fibrous connective tissue. While many uterine fibroids are asymptomatic, they can also present with menorrhagia, fatigue, infertility, and a sense of abdominal bloating. Patients of a black ethnicity are also at a significantly higher risk of developing uterine fibroids, the reason for this is not yet fully understood.

48
Q

When can oestrogen only HRT be used?

A

In patients who have had a hysterectomy

49
Q

Symptoms of PCOS?

A

 irregular periods or no periods at all
 difficulty getting pregnant as a result of irregular ovulation or failure to ovulate
 excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks
 weight gain
 thinning hair and hair loss from the head
 oily skin or acne
 PCOS is also associated with an increased risk of developing health problems in later
life, such as type 2 diabetes and high cholesterol levels.

50
Q

When will PCOS usually present by?

A

Early 20s

51
Q

What is the EVRA patch?

A

Oestrogen plus progesterone contraceptive

52
Q

Breast cancer screening in the UK?

A

50-70

Mammogram every 3 years

53
Q

Common tumour markers and the cancers they are associated with?

A 
AFP liver, testicular
CEA colorectal
PSA prostate
Ca125 Ovarian
CA 15-3 breast cancer
HcG ovarian and testicular
Ca 19-9 Pancreatic cancer, cholangiocarcinoma

Year 3 Primary Care (16 decks)

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