GYN Flashcards

(61 cards)

1
Q

Hormonal

A

1-COC/OCP/Oral pill
2- POP/mini pills
3- Injectables
4- Implants
5- Emergency contraception

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

IUCD

A

Inert devices
Iucd

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

Barrier Methods

A

Condoms
Diaphragms
Cervical caps
Vaginal vault caps
Spermicides

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

Progestogen

A

First generation: Norethisterone acetate (NET) - Ethynodiol acetate - Lynestronol

2nd: Laevonorgestrol( LNG)

3rd : generation: gestogen - Destogestrel - Cyproterone acetate-Gestodene. (PCOS)

4th: Drospirenone ( less androgenic but increased risk of DVT)

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

Diane 35 (less androgenic preparations)

A

EE+ cyproterone acetate(3rd)
Use for hirsuitism and acne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Marvelon (less androgenic preparations)

A

EE+ Desogestral
Used for acne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Yasmin (less androgenic preparations)

A

EE+Drospirenone. (Aldosterone antagonist)

Used for PMS, ACNE
RISK: VTE
Being mild diuretic, it causes decreased bloating and fluid retention.

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

Biphasic pill

A

Reduce incidence of breakthrough bleeding and spotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Triphasic pill

A

A-Change both Estrogen and Progestron
B- given for women with acne
C-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

COC absolute CI

A

1)Stroke

2)Age >or =35 years and smoking >/= 15 cigarettes per day.

3) Diabetes complicated by nephropathy, retinopathy or vascular disease.

4) Estrogen dependent tumors like breast cancer.

5) Active liver disease( active hepatitis, adenoma/ hepatoma, cancer, severe cirrhosis).

6) Known thrombogenic mutations( Factor 5 Leiden/ Prothrombin mutations, Protein S and
Protein C and antithrombin deficiencies)

7)Raynaud’s with lupus anticoagulant.

8) SLE with antiphospholipid antibodies.

9) BMI >/ = 40 .

10) Major surgery with prolonged immobilisation.

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

COC absolute CI cont…

A

11) Pregnancy

12) Breast feeding and </= to 6weeks post partum

13) Current or past history of VTE

14) Vascular disease

15) Presence of multiple risk factors for CVD like older age, smoking

16) HT with systolic >/=160 or diastolic >/= 100 mm Hg

17) Complicated valvular heart disease( pulmonary HT, atrial fibrillation, h/o sub acute bacterial endocarditis)

18) Current or past history of IHD

19) Migraine with aura and focal neurological symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

COC relative CI

A

1) Adequately controlled HT

2) HT(systolic 140-159/ diastolic 90-99)

3) Migraine over 35 years

4) Current gall bladder disease

5) Mild cirrhosis

6) H/o COC related cholestasis

7) Smoker over age of 35 years(<15/day)

8) Use of medications interfering with COC metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

COC advantages

A

Decreased menorrhagia, dysmenorrhea and pre-menstrual syndrome

Periods become shorter, lighter and regular

Decreased iron deficiency anaemia

Decreased benign breast disease, PMS

Decreased incidence of functional ovarian cysts, sebaceous disorders (acne)

Decreased incidence of cancer of ovary,
endometrium and colon

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

COC side effect

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

COC precautions

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Missed Pill

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

COC different use

A

diane 35

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

Delaying periods

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

POP ( mini pill)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

POP INDICATION

A

Could be used in contraindications to estrogen content of COC

In DM, Migraine with aura, lactation, HT, history or current DVT/VTE IHD, stroke, biliary tract disease, Raynaud’s with lupus anticoagulant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

POP CONTRAINDICATION

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

POP ADMINISTRATION

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Pop side effects

A

1- irregular bleeding ( 40%)
2- Amenorrhea (20%)
3- Breast tenderness
4- Headache
5- Risk of of getting follicular ovarian cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

POP: Missed Pills

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
DEPO MPA
26
DEPO MPA PROS AND CONS
27
IMPLANTS
28
IMPLANON
29
IMPLANON CI
30
IMPLANON SIDE EFFECTS
31
Implants
32
Emergency contraception 1
33
Emergency contraception 2
34
Emergency contraception 3
35
Emergency contraception types
36
LNG Pill ( oral emergency contraception)
37
LNG Pill ( oral emergency contraception) contraindications
38
LNG Pill ( oral emergency contraception) action + S/E
39
Ulipristal ( UPA) (oral emergency contraception)
40
UPA
41
COPPER IUCD ( EMERGENCY CONTRACEPTION)
42
IUD
43
LNG IUD (MERNA)
44
LNG CI ABSOLUTE
45
LNG CI RELATIVE
46
LNG IUD AD AND DISAD
47
LNG IUD SE
48
IUCD SE
49
Vaginal Ring
50
Women <18 yrs
51
Women>40 yrs
52
Post partum contraception
53
Family planning
Women with VTE: Progestogen ONLY methods. Women having migraine with aura or women>35 who develop migraine without aura during use of COC: Progestogen ONLY methods.
54
Abnormal uterine bleeding DUB
55
DUB
56
DUB CAUSE INV
57
DUB MX
58
Acute Menorrhagia
59
Fibroids
60
Fibroids cont..1
61
Endometriosis sites on