Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Year 3 - GP Block > 12&13 - Women’s, Men’s And Sexual Health > Flashcards

12&13 - Women’s, Men’s And Sexual Health Flashcards

(47 cards)

Start Studying
1
Q

What is the criteria for Menorrhagia?

A

Menorrhagia:

  1. 80ml
  2. Over 7 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Menorrhagia Mx options?

A
  1. Transexamic acid (antifibrinolytic)
  2. Iron tablets
  3. Norethisterone
  4. COCP
  5. Levonorgestrel releasing IUS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Menorrhagia Ix?

A
  1. Bloods
  2. Exam
  3. USS/hysteroscopy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

LUTS DDs (5)

A
  1. BPH
  2. Prostatitis
  3. Prostate cancer
  4. Neuropathy
  5. Detrusor myopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

LUTS Conservative Mx

A

LUTS Mx

  1. Conservative
    Post-micturative milking
    Bladder training
  2. Collection aids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

LUTS Medical Management

- 2 ‘Alphas’, 2 ‘5’s

A
  1. Alpha Blockade
    Doxazosin 1-8mg PO
    Tamsulosin 0.4-0.8mg PO
    Terazosin 1mg-20mg PO
  2. 5-alpha-reductase inhibitor
    Finasteride 5mg PO
    Dutasteride 0.5mg PO
  3. Phosphodiesterase-5 inhibitor (PDE-5)
    Sildenafil 25-100mg PO
    Tadalafil 5-20mg PO
  4. Anticholinergic
    Oxybutynin 5mg OD-QDS
    Tolterodine 2mg BD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Criteria for menopause

A

Menopause

- 12 months of amenorrhoea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lifestyle management of menopause

A
  1. Exercise
  2. Weight loss
  3. Layered clothing
  4. Sleep hygiene
  5. Maintanence of contraception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

HRT options for menopause

A
  1. Combined therapy - Oral or Transdermal
  2. Post-hysterectomy
    Oestrogen only therapy (PO or TD)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Follow up for menopause Mx?

A

3 monthly menopause follow-up

Symptom free -> withdraw meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

HRT

  1. ADRs
  2. Red flags
A
  1. Oestrogen therapy
    i. Fluid retention and bloating
    ii. Breast tenderness
    iii. Nausea, dyspepsia, and headaches
  2. Progesterone therapy
    i. Fluid retention and bloating
    ii. Breast tenderness
    iii. Headaches or migraines
    iv. Pre-menstrual syndrome symptoms
    v. Mood swings and depression
    vi. Acne
    vii. Back and lower abdo pain
  3. Red flags
    a. Post-coital bleeding
    b. Post-menopausal bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ADRs of Copper Coil

A 
1. Menorrhagia
	3-6 months of insertion
	Improves with time
2. Expulsion (5% in 6 weeks)
3. Perforation (0.5%)
4. Cervical shock
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the effect of the COCP and the PIP on menstruation?

A

Both COCP and PIP generally lighten and regulate periods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a significant contraindication to ask about for COCP?

A

Migraine
With Aura

[Any neurological changes
Visual
Or otherwise]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the methods of Vasectomy?

A 
Vasectomy:
	Cut
	Diathermy (burn)
	Clip
	Stitch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sterilisation: important questions to ask

A
  1. Is your family complete?

2. If you lost a child, would your family still be complete?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vasectomy follow up?

A

Post vesectomy semen analysis
6 Weeks
12 Weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Options for emergency contraception?

A

A. Ask date of UPSI and LMP
B. Ask about previous hormonal EC
C. Current medications NB Liver enzymes
D. Risk assess for assault

  1. Copper IUD (120 hrs)
    Most effective
  2. Ulipristal acetate 30mg (120 hours)
    Not with CYP
    Reduced effect if recently taken progestogen
    Avoid breastfeeding for a week
  3. Levonorgestrel 1.5mg (72 hrs, max 96hrs)
    Double to 3mg with CYP
    Avoid breastfeeding for 8 hours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ulipristal acetate ADRs

Study These Flashcards
A

Ulipristal acetate

  1. Vomitting
    Take 2nd dose if within 3 hours
  2. Menstrual irregularity
  3. Ectopic pregnancy
  4. Mood disorder, headache, nausea, fatigue
20
Q

Levonorgestrel EC ADRs

Study These Flashcards
A

Levonorgestrel EC ADRs

  1. Vomitting
    2nd dose if within 3hrs of EC
  2. Menstrual irregularities
  3. Ectopic
  4. Headache, abdo pain, fatigue, N+D, breast tenderness
21
Q

What are the options for hormonal coil?

Study These Flashcards
A

Jay Kl M

  1. Mirena 20mcg/day
  2. Jaydess 13.5mg
  3. Kyleena 19.5mg
22
Q

What is an example of a contraceptive ring?

Study These Flashcards
A

NuvaRing 0.12mg/0.015mg

Ethinylestradiol 2.7mg
Etonogestrel 11.7mg
23
Q

What are injectable options for Progesterone?

Study These Flashcards
A
  1. Deep IM 12 weekly
    - Depo-Provera 150mg/1ml
    Medroxyprogesterone acetate
  2. Subcut 12 weekly
    - Sayana Press 104mg/0.65ml
    Medroxyprogesterone acetate 160mg/ml
24
Q

What is the contraceptive implant?

Study These Flashcards
A

Nexplannon 68mg implant
Etonogestrel
Up to 3 years

25
Menorrhagia differentials?
Menorrhagia differentials P olyp c3% A denomyosis 10 L eiomyoma 22 M alignancy 3 C oagulopathy 1 O varian disorders 30 E ndometrial disorder 20 I atrogenic 4 N ot classified 8
26
Erectile dysfunction | - Mx
ED Mx 1. Underlying - Psychosexual therapy - Weight/diet/exercise 2. PDE5i - Sildenafil 3. Intracavernous injection - alprostadil (PGE1 dilator) - Papaverine (opioid dilator) 4. Suppository - Alprostadil 5. Vaccum device, topical alprostadil 6. Penile prosthesis
27
Ovarian cycle | - Pituitary hormones
Ovarian cycle 2 FSH peaks - 1º/2º follicles - Endometrium troughs 8. LH rises - 3º follicles 10. Oestrogen rises - Approaches ovulation 14. LH surge - Oestrogen peaks - FSH peaks again - Ovulation 16 Progesterone surge - Others all fall - Corpus luteum develops 22. Endometrial peak - Progesterone starts to fall
28
Gynaecology | - Red Flags
Gynaecological Red Flags Vulval 1 Vulval bleeding 2. Vulval lump Vaginal 3. Vaginal mass Endometrial 4. >55 + High BMs /+ VH +/discharge+/ thrombocytosis 5. <55 and post-menopausal bleeding Ovarian 6. Appetite loss - x12 per mo 7. Abdo distension - x12 per mo 8. Ascites or pelvic mass 9. Pelvic pain (50+) 10. Bowel habit/IBS sx - 12mo and 50+ 11. Recurrent UTI sx
29
Dysmenorrhoea | - Classifications
Dysmenorrhoea Primary 1. Adolescents and <30s 2. Endometriosis in 70% 3. Cramping and lower abdominal Secondary 1. 30s & 40s 2. Worses during menses
30
Secondary Dysmenorrhoea | - DDx
Secondary Dysmenorrhoea 1. Polyps 2. Adenomyosis 3. Chronic PID 4. Cervical stenosis 5. Ovarian pathology 6. Endometriosis 7. Iagtrogenic - IUCD
31
Dysmenorrhoea | - Mx
Dysmenorrhoea Mx 0. Heat 1. NSAIDs 2. Paracetamol 3. COCP 4. IUD
32
Amenorrhoea | - Classification
Amenorrhoea Primary 1. 15 with 2º characteristics 2. 13 with no maturation Secondary 1. Non-pregnant 2. 3 missed or 6 months
33
Amenorrhoea | - DDx
Amenorrhoea DDx Physiological 1. Constitutional delay 2. Outflow obstruction 3. Stress/ED/Athlete 4. Malnutrition 5. Chronic disease Hormonal 6. PCOS 7. Hyperprolactinaemia Genetic 8. CAH 9. Kallman's/Turner's
34
Delayed puberty | - S&S
Delayed puberty S&S 1. 2º characteristics - Testes < 3ml - Absent breast - Pubic hair - Menarche 2. Absent growth spurt - Constitutional - Turner 3. Anosmia - Kallman's
35
Hypogonadotropic hypogonadism | - Classifications
HH Congenital 1. Anosmic (Kallman's) 2. Normosmic HH 3. Acquired - GnRH releasing disorder - Pituitary gonadotroph cell - Eg. Sarcoid, hypophysitis, adenoma, CNS tumour, drugs
36
Hypergonadotropic hypogonadism | - Classifications
Hypogonadism (Hypergonadotropic) 1. Congenital - Turner's/Klinefelter's/Swyer's - Leydig hypoplasia, FSH insensitivity 2. Acquired - Damage or dysfunction - Torsion, orchitis, primary failure, resistance syndromes - Trauma, surgery, chemo, radio
37
Hypergonadotropic hypogonadaism | - Mx
Hyper H Mx HRT 1. Androgen - Males 2. Oestrogen - Females
38
Hypogonadotropic hypogonadism | - Mx
HH Mx 10-20% reversal 1. HRT - T and Oe 2. hCG and FSH - Leydig and Sertoli - Granulosa and luteal
39
CAH | - Pathophysiology
CAH 1. CST enzyme deficiency 2. Increased hormones - Delta-androstenedione - Progesterone 3. Precocious puberty - Early virility - Masculinization
40
CAH | - Management
CAH Mx 1. Stress-dose steroids 2. Negative feedback - Glucocorticoid - Mineralcorticoid 3. Oral contraceptive - Hirsuitism
41
PCOS | - Complications
PCOS Complications 1. Infertility 2. Pregnancy complications 3. Insulin resistance 4. DM TII
42
PCOS Mx 1. Features 2. Fertility
PCOS Mx - Weight loss For features 1. COCP 2. Metformin 3. Anti-androgen - Spironolactone (r blocker) - Finasteride (5ari) 4. GnRH analogue and COCP - Leuprorelin For pregnancy: 1. Metformin 2. Letrozole - AI 3. Clomifene - SERM - GnRH increase 4. Dexamethasone - Reduce androgens 5. Gonadotrophins - Follitropin/menotrophin
43
Turner's Syndrome | - Pathophysiology
Turner's Pathophys 1. Second x absent - Complete - Partial 2. Haplo-insufficiency - Pseudo-autosomal genes 3. Poor growth from infancy - Below 5% at 10yo 5. Delayed puberty - Detected 10-16 yo - Primary Amenorrhoea
44
Turner's syndrome Management 0. General 1. Childhood 2. Puberty 3. Adulthood
Turner's Mx - Diet and exercise 1. Surveillance - Ovarian hormones - Heart defects - CHD - Thyroid - Turrner's hepatitis - DM and HTN - Coeliac 2. Growth - Oxandrolone 3. Puberty - Low-dose oestrogen - Cyclic progesterone 4. Adulthood - Ovarian HRT - Breast implants - Education and monitoring
45
COCP | - Week regimins
COCP regimens 1. Monpills Phasic 21-day - Take 1 for 21 days - 7 days break for bleed 2. Phasic 21-day - 2 or 3 sections - Different balances of hormones 3. Everyday pills - 21 active pills - 7 inactive i
46
COCP | - Starting pills
Starting COCP 1. Day 1 (of period/cycle) - Protected straight away 2. Day 5 - Protected straight away 3. Day 6 or later - Not protected immediately
47
COCP | - Missed Pills
COCP missed pills 1. 1 day anywhere in cycle - Take missed pill as well - Continue as normal 2. 2 or more missed pills - Take missed pill as well - 7 days of condoms - Emergency if sex in last 7 - If 7 or more pills left A Finish as normal - If 6 or fewer left A Finish pack B Skip break C Start new pack

Year 3 - GP Block (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions