Repro 3 Flashcards

1
Q

most common site of ectopic pregnancy

A

Fallopian tube

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2
Q

presentation of ectopic pregnancy

A

pain
bleeding
shoulder tip pain
peritonism + guarding

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3
Q

diagnostic of ectopic pregnancy

A

laparoscopy

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4
Q

HCG in ectopic pregnancy

A

will not increase in 48 hours (normal pregnancies double over 48 hours)

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5
Q

what hormone does HCG mimic

A

TSH

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6
Q

medical management of ectopic pregnancy

A

methotrexate IM

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7
Q

severe vomiting, vaginal bleeding, very high HCG

A

mole

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8
Q

light, brownish bleeding 10 days after ovulation

A

implantation bleeding

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9
Q

chorionic hematoma

A

pooling of blood between endometrium and the embryo

-resolves spontaneously

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10
Q

snow storm on USS

A

molar pregnancy

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11
Q

severe bleed + tense, tender abdomen

A

placental abruption

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12
Q

fetal distress + bleed after rupture of membranes

A

vasa praevia

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13
Q

how is placenta praevia diagnosed

A

USS

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14
Q

Biggest risk factor for placenta praevia

A

C- section

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15
Q

severe vaginal bleeding after birth + no expulsion of placenta

A

placenta accreta

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16
Q

tx of placenta accreta

A

hysterectomy

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17
Q

small, brownish bleeding post intercourse

A

cervical erosion

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18
Q

drug given to delay labour

A

tocolysis

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19
Q

role of betamethasone

A

given to promote fatal lung surfactant production

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20
Q

what drug is contraindicated in breast feeding + may cause discolouration of infants teeth

A

tetracycline

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21
Q

pre-eclampsia

A

pregnancy induced hypertension, proteinuria, oedema

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22
Q

nephrotic syndrome

A

proteinuria, low albumin, oedema

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23
Q

nephritic syndrome

A

hypertension + RBC casts in the urine

24
Q

key questions to ask a pregnant lady

A
nausea + vomiting
abdo pain 
vaginal bleeding - colour/clots/painful 
dysuria/urinary frequency 
fatigue - anaemia ?
headache
visual changes
systemic - fever/malaise
25
Q

HELLP syndrome

A

severe pre-eclampsia characterised by haemolysis, elevated liver enzymes and low platelets

26
Q

1st line hypertension in pregnancy

A

labetolol

27
Q

2nd line hypertension in pregnancy

A

methyldopa (alpha agonist)

28
Q

3rd line hypertension in pregnancy

A

nifedipine (calcium channel blocker)

29
Q

who is labetolol contraindicated in

A

asthmatics

30
Q

what is eclampsia

A

tonic clonic seizures with features of pre-eclampsia

31
Q

who is eclampsia most common in

A

teenagers

32
Q

Tx of eclampsia

A

antihypertensives - IV Labetolol/ hydralazine

prevent seizures- IV magnesium sulphate

33
Q

dose of magnesium sulphate in eclampsia

A

4g IV over 5 mins

34
Q

what condition is methyldopa contraindicated in

A

depression

35
Q

cure of pre-eclamspia

A

DELIVERY!!

most babies delivered within 2 weeks of diagnosis

36
Q

drug given to high risk women to prevent pre eclampsia

A

75 mg aspirin

37
Q

pre eclampsia’s effect on serum uric acid, urea, potassium + creatine

A

INCREASES them

38
Q

what BP in pregnancy requires treatment

A

150/100

39
Q

1st line Ix for suspected DVT

A

duplex USS

40
Q

risk of hypoglycaemia to the foetus

A

cerebral palsy

41
Q

tx DVT

A

heparin

42
Q

is warfarin safe in breast feeding?

A

YES!!

used after pregnancy but not during

43
Q

hyperthyroidism medication 1st trimester

A

PTU

44
Q

hyperthyroidism medication 2nd + 3rd trimester

A

carbimazole

45
Q

anti-epileptic that reduces efficacy of COC

A

phenytoin, carbamazepine

46
Q

antiepileptic associated with orofacial defects

A

phenytoin

47
Q

which anti epileptic drugs induce hepatic enzymes

A

phenytoin

carbamazepine

48
Q

what is given to pregnant women taking phenytoin / carbamazepine

A

Vit K from 34-36 weeks

49
Q

anti epileptic associated with cardiac defects

A

sodium valproate

phenytoin

50
Q

what is given to babies with an epileptic mother

A

1 mg IM Vit K

51
Q

what does macrosomia put the foetus at risk of

A

shoulder dystocia

52
Q

indications for continuous CTG monitoring in labour

A

prematurity
decelerations
IUGR
oxytocinon use

53
Q

where do contractions begin + synchronise from

A

fundus

both Ostia

54
Q

normal position of feotus in labour

A

occipital anterior with head engaging occipital transverse

55
Q

normal position of fetus in womb

A

longitudinal lie
cephalic
vertex is the presenting part

56
Q

hormone that initiates + sustains contractions

A

oxytocin