Obs and gynae Flashcards

1
Q

When does placenta accreta usually present?

A

Delivery

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2
Q

Endometriosis treatment

A

COC
POP
IUS

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3
Q

Most common Bartholin’s cyst infector

A

Ecoli

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4
Q

Placenta previa staging

A

2 - margin
4 - complete

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5
Q

GBS treatment

A

Benzylpenicillin

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6
Q

Chickenpox prophylaxis _________ after exposure

A

1-2 weeks

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7
Q

What day is progesterone measured?

A

-7

(21 usually)

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8
Q

What increases risk of endometritis?

A

Long labour
Rupture
Poo

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9
Q

Prevention of cord compression

A

Hands and knees

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10
Q

PID organisms

A

Chlamydia
Gonnorhoea

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11
Q

Amniotic fluid embolism

A

Hypoxia

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12
Q

🤮 treatment

A

Prochlorperazine
Cyclizine
Promethazine

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13
Q

🤮 sign

A

ketonuria

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14
Q

Combined test

A

Down syndrome test
weeks 10-13

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15
Q

Quadruple test

A

Down syndrome test
weeks 15-22

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16
Q

Quadruple test includes…

A

oestrogen and inhibin.

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17
Q

Signs of ruptured ovarian cyst

A

Low bp
High hr
Clammy
Peritonism

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18
Q

Tear staging

A
  1. skin
  2. muscles
  3. anus
  4. rectum
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19
Q

Test to diagnose gestational diabetes

A

Glucose tolerance test

(24-28 weeks)
(soon if high risk)

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20
Q

FSH is measured ____ weeks apart.

A

4-6

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21
Q

When does placenta previa warrant admission?

A

Major
Symptomatic
From 34 weeks

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22
Q

Twin to twin transfusion treatment

A

Lasers

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23
Q

Hemolytic disease of the newborn presentation

A

jaundice
yellow amniotic fluid
hepatosplenomegaly
hydrops fetalis

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24
Q

Preeclampsia tests

A

U&E
FBC
transaminases
bilirubin

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25
Q

Switch from lithium…

A

gradually.

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26
Q

Can atrophic vaginitis have discharge?

A

Yes

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27
Q

Ovarian hyper stimulation symptoms

A

breathlessness
ascites
vomiting

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28
Q

Asherman’s syndrome

A

Scarring

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29
Q

Which cancer does PCOS increases risk of by 2-3x?

A

Endometrial
Ovarian

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30
Q

5 mg folic acid for BMI >

A

30

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31
Q

In a normal pregnancy, hBCG doubles in…

A

48 hours.

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32
Q

hCG in ectopic

A

Barely rises

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33
Q

Clammy and bleeding with tense uterus

A

Haemorrhages

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34
Q

Umbilical cord prolapse

A

Gush of fluid during labour

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35
Q

Itch

A

Ursodeoxycholic acid

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36
Q

Haemorrhage

A

Admit

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37
Q

COC is contraindicated by smoking within the last…

A

year.

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38
Q

First analgesia for labour

A

Diamorphine

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39
Q

Woody

A

Abruption

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40
Q

Ectopic pregnancy treatment

A

Methotrexate

(If βHCG < 5000 IU/l)

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41
Q

Ferrous sulphate side effect

A

Dark stool

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42
Q

COC can be started _________ after birth.

A

6 weeks

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43
Q

Polymorphic eruption of pregnancy

A

Itchy
Red
Papular
Abdomen

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44
Q

Smoking decreases risk of which cancer?

A

Endometrial

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45
Q

High dose folic acid

A

diabetes
thalassaemia trait
obese
coeliac

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46
Q

Glycosuria in pregnancy

A

Normal

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47
Q

Placenta ac/in/peccreta

A

A - attached
I - inside
P - past

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48
Q

Vulval cancer presentation

A

itchy ulcer

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49
Q

90% of vulval cancer is…

A

SCC

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50
Q

Oestrogen in Down’s syndrome

A

Low

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51
Q

CTG for __ mins

A

20

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52
Q

Inducing labour

A

sweep
PGE
rupture

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53
Q

Uterine hyper-stimulation is more than _ contractions in 10 minutes.

A

5

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54
Q

Contraindications to ECV

A

Oligohydramnios
Recent haemorrhage

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55
Q

COC _________ risk of cervical cancer.

A

increases

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56
Q

Start insulin at a fasting glucose of…

A

7.

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57
Q

First line for heavy bleeding (after tranexamic acid)

A

IUS

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58
Q

Primary dysmenorrhoea cause

A

None

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59
Q

Psammoma bodies

A

serous cystadenocarcinoma
papillary thyroid cancer
meningioma
mesothelioma

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60
Q

How do you differentiate an ectopic from a normal pregnancy?

A

US in EPU
bHCG

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61
Q

PID symptoms

A

fever
tachycardia
hypotension

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62
Q

Goserelin

A

GnRH analogue that prevents ovulation

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63
Q

Goserelin use

A

Stops bleeding in anaemia

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64
Q

Drug that causes ovarian hyperstimulation

A

Clomifine

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65
Q

Which weeks are antiD injection given?

A

28
34

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66
Q

HRT for women with regular periods

A

monthly

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67
Q

HRT for women with irregular periods

A

3 monthly

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68
Q

Smoking increases ectopic risk

A
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69
Q

Benpen allergy

A

Vanc

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70
Q

Uterine rupture treatment

A

Laparotomy

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71
Q

Twins are a risk factor for…

A

VTE.

72
Q

What ruptures ovarian cysts?

A

Exercise

73
Q

If preterm, transfer to

A

neonatal unit

74
Q

Severe premenstrual syndrome treatment

A

SSRI

75
Q

Treatment for asymptomatic bacteriuria in pregnancy

A

Oral antibiotics

76
Q

Induce labour week…

A

41-42

77
Q

Cervical screening HIV

A

Annual

78
Q

CIN 1 treatment

A

repeat cytology in 6 months

79
Q

Restitution

A

Rotation

80
Q

When is salpingostomy performed?

A

Previous salpingectomy

81
Q

Chorioamnionitis management

A

admission and delivery
blood cultures
broad IV antibiotics

82
Q

Gestational hypertension starts at __ weeks.

A

20

83
Q

Lichen sclerosis treatment

A

Clobetasol propionate

84
Q

When is reduced variability worrying?

A

< 5bpm for over 40 minutes

85
Q

Early GBS

A

within 48 hours

86
Q

Late GBS

A

After 1 week

87
Q

sinusoidal trace

A

bad

88
Q

Germ cell tumours are more common…

A

age < 40.

89
Q

Booking appointments are within __ weeks.

A

10d

90
Q

In PCOS, LH is _____ and FSH is _____.

A

high
normal

91
Q

clear discharge, bleeding

A

Vasa previa

92
Q

IUS is first line for fibroids <_ cm.

A

3

93
Q

Weight loss first if BMI > __

A

25

94
Q

Effects of varicella zoster on the foetus

A

hypoplastic limbs
neurological impairment

95
Q

After 3 pulls

A

C section

96
Q

Breech increases the risk of…

A

umbilical cord prolapse

97
Q

How is proteinuria in preeclampsia identified?

A

Urine protein:creatinine ratio (PCR)

98
Q

Management for inevitable miscarriage

A

Expectant

99
Q

Ectropion treatment

A

Cautery

100
Q

Can chlamydia be cultured?

A

No

101
Q

What reduces risk of preeclampsia?

A

Aspirin

102
Q

Frank breech

A

Bum first

103
Q

Category 1 C section

A

Emergency

104
Q

Recipient twin risk

A

Hypervolaemia

105
Q

Amyloidosis

A

Big kidneys
Big heart

106
Q

Which HRT does not increase risk of VTE?

A

Transdermal

107
Q

Serum bcg use

A

Monitoring pregnancy

108
Q

Mifepristone

A

Kill

109
Q

What is given for anaerobic cover in PID?

A

metronidazolee

110
Q

Which condition increases risk of miscarriage complications?

A

Diabetes

110
Q

Actim PROM

A

IGFBP-1

111
Q

Fibroids in late pregnancy

A

Rapid growth and ischaemia

112
Q

PCOS patients should induce a withdrawal bleed every…

A

3 months.

113
Q

When is tocolysis used?

A

Premature membrane rupture but mum and baby are stable

114
Q

Oesophageal atresia causes _________hydramnios.

A

poly

115
Q

Viral infections cause _________hydramnios.

A

poly

116
Q

Kleihauer test

A

Rhesus D

117
Q

Calculating due date

A

+ 7 days
- 3 months

117
Q

Triptan contraindications

A

Peripheral vascular disease

Angina

118
Q

Tamoxifen risk

A

VTE

119
Q

Amniotic fluid is important for ____ development.

A

lung

120
Q

Dysuria in apendicitis

A
121
Q

Dysuria in ovarian cancer

A
122
Q

Fitz–Hugh–Curtis syndrome

A

Liver adhesion caused by PID

123
Q

Urge

A

OAB + leak

124
Q

Weight in ovarian hyper-stimulation

A

Increases due to fluid retention

125
Q

Lamotrigine in pregnancy

A

Increase dose
5 mg folic acid

126
Q

No vaginal delivery allowed after _________ C section.

A

vertical

127
Q

Syntometrine

A

Oxytocin

128
Q

Anomaly scan time

A

18-20 + 6 weeks

129
Q

Androgen-insensitivity syndrome

A

XY but appears female

130
Q

Chadwick’s sign

A

Blue cervix

(pregnancy)

131
Q

Chandelier sign

A

Pain on compressing the uterus

(PID)

132
Q

Is BMI a criteria for PCOS?

A

No

133
Q

Diabetes increases risk of ___________ cancer.

A

endometrial

134
Q

Cord prolapse category

A

1

135
Q

Accentuating McRobert’s Manoeuvre

A

Apply suprapubic pressure

136
Q

Which rule calculates the due date at booking?

A

Naegele’s Rule

137
Q

Most common anomaly caused by valproate

A

Neural tube defects

138
Q

Mittelschmerz

A

Mid-ovulatory cycle pain caused by follicle rupture

139
Q

Molar pregnancy symptoms

A

Sickness
Loose stools
Hot flush

140
Q

Screening requirements

A

Known history
Recognised early stage

141
Q

Which other antibiotic can be used in PID?

A

ofloxacin

142
Q

Insufficient hcg

A

Ectopic

143
Q

First line for prolonged labour

A

Foreceps

144
Q

Abnormal cervix with symptoms

A

Urgent referral

145
Q

Risk factor for breech

A

Polyhydramnios

145
Q

Contraindications to ergometrine

A

Hypertension
CVD
VD

145
Q

Most common fibroid

A

Intramural

146
Q

Normal variability

A

15 bpm

147
Q

Hyperemesis gravidarum treatment

A

Saline
KCl
Cyclizine

No dextrose

147
Q

Px+y

A

x - after 24 weeks
y - under 24 weeks

148
Q

Tocolytic that improves ECV

A

Terbutaline

149
Q

Drug given before all C sections

A

Omeprazole

150
Q

Acute fatty liver of pregnancy treatment

A

Immediate delivery

150
Q

Does radical tracheotomy impair fertility?

A

No

150
Q

Lichen sclerosis treatment

A

Topical steroids

151
Q

Early scans weeks

A

11
14

152
Q

First line for menorrhagia

A

IUS

153
Q

Rhesus antibody

A

IgG

153
Q

colporrhaphy

A

strengthening the vaginal wall

154
Q

Women with gestational diabetes should give birth no later than _____ weeks of gestation.

A

40+6

155
Q

Both sphincters torn

A

3c

156
Q

Can labour be induced in breech?

A

Ya 😐

157
Q

What is taken up by abnormal cervical cells?

A

Acetic acid

158
Q

Preeclampsia prevention

A

Low-dose aspirin

159
Q

Avoid COCP in BMI >

A

35

160
Q

Fibroid 💩

A

Constipation

161
Q

ECV in placenta previa

A

Fine

161
Q

How does hereditary haemochromatosis cause amenorrhoea?

A

Low LH
Low FSH

162
Q

Best contraceptive in epilepsy

A

Injection

163
Q

Mirena in infection

A

Leave in

164
Q

Contraindication to COCP (colour)

A

Jaundice

165
Q

Give _____ acyclovir in pregnancy.

A

more

166
Q

Treating candida in pregnancy

A

Intravaginal

167
Q

Recurrent thrush

A

Fluconzole x 3

168
Q

HPV treatment in pregnancy

A

Cryotherapy