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Flashcards in 7 Deck (22)
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1
Q

define lactogenesis 1

A

breast development and colostrum production from 16 weeks gestation onwards

2
Q

what is oxytocin, what influences its levels

A

hormone responsible for milk delivery

acts on muscle cells in pulsatile action

levels higher when baby near

stress can temporarily delay

3
Q

what is this clinical presentation suggestive of:

- persistent burning/ aching @ vulvar area

A

vulvodynia

4
Q

what is prolactin, what influences its levels

A

hormone responsible for milk production

responsive to touch and stimulation

levels higher at night

5
Q

define frequent menstrual cycle

A

<24 days

6
Q

fetal complications in pre-eclampsia

A
  • impaired placental perfusion
  • fetal distress
  • prematurity
  • increased PN mortality
7
Q

what is Pteronophobia

A

fear of being tickled by feathers

8
Q

organism responsible for erythrasma

A

corynebacterium minutissimum

9
Q

posthitis

A

infection of foreskin

10
Q

balantitis

A

infection of glands penis

11
Q

describe lichen planus

A

non-infective itchy rash which can be associated with swelling

12
Q

what could this be a presentation of?

purplish, itchy, flat bumps that develop over several weeks

A

lichen planus

13
Q

describe placenta praevia

A

all or part of placenta implants in lower uterine segment

14
Q

main causes of primary post partum haemorrhage

A

4Ts:

  • tone
  • trauma
  • tissue
  • thrombin
15
Q

unique attributes of breast feeding

A
  • immunoglobulins
  • viral fragments
  • white cells
  • enzymes
  • oligosaccharides
  • bifidus factor
  • hormones
  • anti-inflammatory nucleotides
16
Q

investigations for pelvic organ prolapse

A
  • examination
  • USS
  • MRI
  • urodynamics
  • renal USS
17
Q

pregnancy hormones with anti-insulin action

A
  • cortisol
  • progesterone
  • human placental lactogen
  • human chorionic gonadotrophin
18
Q

clinical criteria for diagnosing pre-eclampsia

A
  • severe hypertension + >3 of:
  • proteinuria
  • clonus/ brisk reflexes
  • papillodema
  • epigastric tenderness
  • reduced urine output
  • convulsions
19
Q

purpose of third trimester assessment

A
  • primarily to ensure foetal well being

- no USS

20
Q

what can be used to assess risk of neural tube defect

A

alpha-feto-protein

> 2 = abnormal

21
Q

circumstances in which you would consider natural delivery for breech presentation

A
  • first baby born head first
22
Q

management chlamydia

A

1 day doxycycline

1 day azithromycin