firday 11th Flashcards by Emma Sutcliffe

first line treatment o open angle glaucome

if <24 mmHg then 360 laser trebeculoplasty

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what cancer can myelodysplastic syndrome progress into

AML

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ix for SAH

non contrast CT

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what hpv causes genital warts

6/11

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first line treatment for syphilis and gonorrhoea

what is given in each case if needle phobic

SYPH- IM Benpen
2- doxcyclin

GON- IM cef
2- cefixime+azithromycin

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a CD4+ count of what classes as AIDS

<200

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when shoudl you test someone for HIV post exposure

4 weeks after exposre

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multiple ring enhancing lesions on head scan in person with HIV

toxoplasmosis gondii

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what is kaposis sarcoma caused by

human herpes virus 8

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ziehls neelsen positive organism

mycobacterium and cryptosporidium

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if someone has multidermotomal herpes zoster what should you screen for

HIV

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when do you start HAART therapy in HIV

as soon as diagnosed

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how long after HIV exposure can PEP be given and for how long

up to 72 hrs continue for 4 weeks

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how long after last period should contraception be used

> 50 = 12 months
<50 = 24 months

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when is menopause diagnosed in clinic

type of HRT given peri and post meno

12 months after last period

peri - cyclical
post- continuous

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treatment of acute otitis media if needed

amoxicillen

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treatment of pneumocystis jiroveci

co-trimoxazole

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contraindications for HRT

current/past breast ca
OE sens cancer
undiagnosed vag/endo bleed

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what type of HRT shoudl women with hysterectomy or mirena be given

oestrogen only

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what type of HRT shoudl perimenopausal women without. amirena be given

cyclical HRT - daily oestrogen adn

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what type of HRT increases risk of VTE

oral not the patch

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what type of cancers does HRT increase risk of

ovarian and breast

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how long post partum is cervical smear delayed

3months

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most common type of cervical cancer

squamous cell carcinoma

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risk factors for cervical cancer

HPV 16,18,33 smoking HIV early first intercourse, many sexual partners high parity lower socioeconomic status COCP

Koilocytosis

HPV

CIN I, II, III

CIN I - basal third CIN II - middle third CIN III (carcinoma in situ ) - full thickness

halo cells

HPV

stagng system for cervical cancer

FIGO

CIN develops from what area of cervix

ectocervix adeno- endocervix

causes of vulval intraepithelial neoplasi

lichen scelrosis and HPV

treatment of vulvular SCC

vulvectomy adn lymphaadenectomy

treatment of lichen scelrosis

steroids and emollients

causes of menorrhagia

dysfunctional uterine bleeding: eg . anovulatory cycles uterine fibroids hypothyroidism intrauterine devices pelvic inflammatory disease bleeding disorders, e.g. von Willebrand disease

what is adenomyosis

endometrium breaks into myometrium

what is menorrhagia in the absense of roganic symtoms called

Dysfunctional uterine bleedign

first line treatment for heavy bleeding

IUS

investigation in fibroids

TVUS

mangement of primary dysmenorrhoea

NSAID - mefenamic acid IUS

causes of secondary dysmneoorhoa

endometriosis adenomyosis pelvic inflammatory disease intrauterine devices* fibroids

how to distinguish pain in primary vs secondary dysmenorrhoea

primary few hours before period seondary - few days before

treatment of endometrial hyperplasia

IUS hysterectoy if atypical

what criteria is used for PCOS

rotterdam

LH and FSH levels in PCOS

increased LH normla FSH

management of PCOS

optimise BMI hormonal contraception

tx of PCOS if trying

clomifene

prolonged heavy periods

adenomyosisi

bulky uterus

adenomyosis

what age is primary amenorrhoea defined

age 16

what is a krukenberg tumour

a gastric cancer thats metastesised to ovary - signet cells mucin producing

what size are benign ovarian tumours

<5cm

benign epithelial ovarian tumours

serous cystadenoma mucinous cystadenoma

four types of germ cells ovarian tumours - which are malignant

teratoma dysgerminoma yolk sac tumour choriocarcinoma all malignant except teratoma

what endometrial thickness makes malignancy unlikely

<4mm

what is endometrial hyperplasia histologically

increase in gland:stromal ratio

most common type of endometrial cancer

adenocarcinoma - endometroid type 1

microsatillite instability

lynch syndrome

most common ovarian cancer

serous adenocarcinoma

what tumour marker is increased in mucinous ovarian cancer

CEA

what do granulosa cell tumour produce

oestrogen

call-exner bodies

granulosa cell tumours

ovarian tumour increased AFP

yolk sac

varian tumour increased HCG

choriocarcinoma

what tumour markers would you do in ovarian cancer

Ca125 AFP CEA HCG

enlarged boggy uterus

adenomyosis

side effect of aromatase inhibitors -anastrozole

osteoporosis

firday 11th Flashcards

(66 cards)