Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction > Adolescent gynaecology > Flashcards

Adolescent gynaecology Flashcards

1
Q

What is Gillick competence?

A

Child <16 years can give/withhold consent if the doctor feels they understand what is involved
In certain situations, parents can overrule this

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

What is Fraser competence?

A

Contraceptive advice can be given o <16 if

  • mature enough to understand advice and implications of treatment
  • likely to begin/continue having sex with or without treatment
  • girl’s health would suffer without treatment/advice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is important in an adolescent gynaecologist history?

A 
Age of menarche
Cycle
PAin
Sexual activity
Contraception
Wight changes
Exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When is primary amenorrhoea investigated?

A

Normal secondary sexual characteristics= age 16

Absent secondary sexual characteristics= age 14

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

What are the causes of secondary amenorrhoea?

A

Weight
PCOS
Pregnancy
Fluctuating LH/oestrogen

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

How is PCOS diagnosed in adolescents?

A

US

Androgens

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

What is the treatment of PCOS in adolescents?

A

Weight reduction and lifestyle changes

OCP

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

What investigations are done with gynaecologist problems in adolescents?

A

FSH, LH, prolactin, TSH, testosterone, oestrogen
Pelvic US
Progesterone withdrawal bleed

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

How is puberty induced?

A

Gradual build up with oestrogen

Add progesterone once maximum height potential is reached

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

What are the common causes of bleeding disorders in adolescents?

A

Anovulation
Pregnancy complications
Leukaemia
Sexual abuse, bullying, trauma

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

What is the management of menorrhagia?

A

Reassure
Progesterone only pill, combined pill, Mirena
Tranexemic acid
Mefenamic acid

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

What is labial agglutination?

A

Adhesions of labia minor in midline

Can lead to retention of urine and vaginal secretions, can cause vulvovaginosis or UTI

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

What is the management of labial agglutination?

A

Improve hygiene
Lubrication of labia
Topical oestrogen
Surgical seperation- rare

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

When is physiological vaginal discharge common?

A

Infants up to 2 weeks due to maternal oestrogen

Pre-pubescent girls due to oestrogen from maturing ovaries

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

What are the causes of pathological discharge?

A

Infection
Haemolytic streptococcal vaginitis
Candidiasis
Foreign body

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

What are the investigations pathological discharge?

A

Culture
urinalysis
Review hygiene
Perianal exam for pinworms

Reproduction (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions