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Y5 O&G > EFA Session > Flashcards

EFA Session Flashcards

1
Q

what is the chance of a woman being haemophilia carrier if her father has it?

A

100%

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2
Q

inheritance pattern of haemophilia

A

X linked recessive

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3
Q

chance of carrier of haemophillia if healthy dad and mother is carrier

A

50% girls are carriers

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4
Q

chance of son having haemophilia if healthy dad and mother is carrier

A

50% boys have it

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5
Q

x linked recessive diseases

A

red green colour blindness
DMD
becker MD
haemophillia A / B
a-gammaglobulinaemia
ichythyosis

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6
Q

what structure is palpated to allow correct placement of pudendal nerve block

A

ishial spine

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7
Q

what else are ishial spines used to assess

A

engagement of head
pudendal nerve block placement

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8
Q

why shouldn’t ibuprofen be given to pregnant women

A

it will close the ductus arteriosus

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9
Q

woman comes in with high BP, proteinuria, epigastric pain, blurred vision and brisk reflexes. what medication should be given immediately?

A

MgSO4

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10
Q

what is loading dose of mgso4

A

4g

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11
Q

what is infusion dose of mgso4

A

1g/hr for 24hrs

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12
Q

woman in labour for 12hrs. 4cm dilated on arrival, now 8cm. cephalic presentation, normal CTG. what is her current status:
- normal labour
- failure to progress 1st SOL
- failure to progress 2nd SOL
- failure to progress 3rd SOL
- malpresentation

A

failure to progress in 1st stage of labour

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13
Q

what supplement can reduce recurrent risk of anencephaly

A

folic acid

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14
Q

when should folic acid be started

A

3 months pre conception

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15
Q

when should folic acid be stopped

A

after 1st trimester

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16
Q

low and high dose folic acid

A

low = 400ug
high = 5mg

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17
Q

iranian woman at ANC at 14/40
Hb normal
MCV low
ferritin normal
Dx?

A

beta thalasaaemia trait
(microcytosis)

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18
Q

iranian woman at ANC at 14/40
Hb normal
MCV low
ferritin normal
why is this not G6PD def?

A

women are only carriers of the disease, so she can’t have G6PD (x linked)

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19
Q

what is the commonest inherited abnormality of RBCs

A

G6PD def

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20
Q

nuchal translucency scan assesses the quantity of which fluid at the nape of the foetal neck?

A

lymph

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21
Q

what does increased nuchal translucency indicate

A

dilated lymphatic channels –> non specific sign of more generalised foetal abnormality

22
Q

what kind of test is nuchal translucency scan?

A

screening NOT diagnostic

23
Q

risk factors for preterm labour

A

IDIOPATHIC
prev preterm birth
multiple preg
infection
underweight / obese
current smoking
foetal abnormality
GDM
placenta praevia
iatrogenic - LLETZ, early due to PET/praevia

24
Q

36F at 36/40. BP 115/65, longitudinal cephalic lie. SFH 38cm. + proteinuria, nil ketones, blood, nitrites, leucocytes. Dx?

A

NORMAL pregnancy

25
Q

Dx of PET

A

140/90 and ++proteinuria
protein creatinine ratio

26
Q

normal SFH

A

gestational age +/- 2cm

27
Q

endometrial biopsy shows:
straight tubular glands with mitotic figures in epithelium and stroma. consistent with proliferative phase.
which day of 28 day cycle is this?

A

8 to 12

28
Q

which days is the proliferative days

A

4 to 14

29
Q

32F wants contraception to improve irregular periods and reduce Sx of premenstrual tension. non smoker, normal BMI. best contraception?

A

COCP

30
Q

which hormone improves irregular bleeding

A

oestrogen

31
Q

which hormone helps premenstrual Sx

A

oestrogen

32
Q

which cancer risk is increased with combined HRT

A

breast

33
Q

other risks of HRT

A

endometrial cancer
VTE
stroke / MI
breast (combined HRT)

34
Q

29F has intermittent vaginal bleeding after mirena coil inserted 6 weeks ago. Best Ix?

A

NONE - normal to bleed for up to 6 months after IUD

35
Q

cyst contains dirty fluid and fat, together with hair shafts and greasy material. Histological Dx?

A

mature cystic teratoma

36
Q

types of ovarian cyst

A

dermoid (teratoma)
functional (enlarged follicle)
endometrioma (blood in cyst)
benign cystadenoma (ovarian capsule)
PCOS

37
Q

woman with 2 children and 2 terminations after COCP didnt work. DNAd 2x previously. Uterine fibroids in bulky uterus. May want more children in future. Contraceptive?

A

Progesterone implant
- long lasting, reversible
- doesnt need regular attendance
- fine with fibroids etc

38
Q

which contraceptive method doesn’t work with fibroids

A

coil

39
Q

72F with painful grade 3 uterine prolapse. PMH COPD, IHD. 3 SVDs. BMI 46. Best Mx?

A

vaginal pessary

40
Q

72F with painful grade 3 uterine prolapse. PMH COPD, IHD. 3 SVDs. BMI 46. Why is repair / hysterectomy not appropriate?

A

Poor surgical candidate due to COPD, IHD

41
Q

38F at 10/40. Haemodynamically stable. Suprapubic tenderness, uterus palpable in abdomen. Cervical os open. Dx?

A

inevitable miscarriage

42
Q

when is inevitable miscarriage more likely

A

multiple preg eg IVF

43
Q

38F at 10/40. Haemodynamically stable. Suprapubic tenderness, uterus palpable in abdomen. Cervical os open. what is the relevance of palpable uterus?

A

too big for dates - multiple preg suspected

44
Q

can inevtiable miscarriages be stopped?

A

no - os is open

45
Q

Sx of missed miscarriages

A

NONE usually

46
Q

32F no periods for 6 months. Normal BMI. FSH high (30), LH high(20). Cofirmed 1 month later. Dx?

A

Premature ovarian failure

47
Q

why are LH and FSH high in POI

A

no negative feedback from oestrogen so high

48
Q

diagnostic level of FSH for POI

A

> 30 on 2 blood tests, taken 4-6 weeks apart

49
Q

37F 10/40. xs vomitting. SFH consistent with 16 weeks. High BP and HR. Dx?

A

Molar pregnancy

50
Q

what is complete mole

A

2 paternal genes
no maternal genes (empty ovum)
no foetus

51
Q

what is partial mole

A

3 sets of genes - 1 maternal, 2 paternal
non viable foetus

Y5 O&G (17 decks)

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