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4th year written > GOSH > Flashcards

GOSH Flashcards

1
Q

drug RF for placental abruption

A

cocaine

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2
Q

urge incontinence med in elderly

A

mirabegron

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3
Q

PPROM raises risk of

A

chorioamniotitis

maternal pyrexia, maternal tachycardia, and fetal tachycardia

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4
Q

cases that should be referred to gynae

A

2ry dysmenorrhoea

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5
Q

mx child born to mother with hepB

A

first dose of hepatitis B vaccine soon after birth

0.5 millilitres of hepatitis B immunoglobulin within 12 hours of birth

second dose of hepatitis B vaccine at 1-2 months and at 6 months.

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6
Q

during delivery, oxytocin & prostoglandin are contraindicated in

A

foetal distress

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7
Q

methyldopa is contraindicated in

A

depression

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8
Q

common complication of hepatic

A

Fitz-Hugh-Curtis syndrome: RUQ pain following PID

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9
Q

Medical conditions that are risk factors for endometrial cancer include

A

T2DM // PCOS

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10
Q

Indomethacin at … weeks gestation is associated with the closure of ductus arteriosus and oligohydramnios. … is the agent of choice in this scenario and will typically be used to delay labour for 48 hours

A

> 32

Nifedipine

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11
Q

avoid this food in pregnancy

A

cooked liver - ++++vitA (ik lol)

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12
Q

most common side effects of POP

A

irregular bleeding –> breast tenderness

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13
Q

OGTT timing in BMI>30 or 1st relative DM

A

24-28

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14
Q

can i breastfeed my baby with hepatitis B?

A

yes

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15
Q

reduced foetal movements mx if >=28w

A

doppler –> USS
once heart beat is detected –> CTG 20mins

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16
Q

no need for contraception in post menopausal women if

A

> 2year if <50
1year if >50

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17
Q

incontinence:
- urinary dye studies used for
- urodynamic studies used for

A
  • continuous dribbling, poor obstetric services, fistula suspected
  • diagnostic uncertainty/plans for surgery
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18
Q

foetal pole at … weeks
foetal heart activity at … weeks
TV scan reveals IUP when bHCG exceeds

A

6
6-7
1500

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19
Q

retroplacental haemorrhage & apical placenta ==

A

placental abruption

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20
Q

ondansetron risk in 1st trimester

A

small increased risk of cleft palate/lip

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21
Q

layers cut through in c-sec

A

Superficial fascia
Deep fascia
Anterior rectus sheath
Rectus abdominis muscle (not cut, rather pushed laterally following incision of the linea alba)
Transversalis fascia
Extraperitoneal connective tissue
Peritoneum
Uterus

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22
Q

why is COCP CI in migraine w/ aura

A

+++ stroke

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23
Q

are 2ry care investigations required in vaginal bleeding/spotting within 3m of starting POP

A

No, so long as a pregnancy and sexually transmitted infections are excluded, there is an up-to-date smear and there are no symptoms suggesting another underlying disease

24
Q

pregnant with HIV advice to ALL

A

formula feed

25
Q

if taking rifampicin, what changes to POP regimen?

A

barrier methods during and for four weeks after cessation of treatment

26
Q

when and what is used to monitor LMWH activity if given to pregnant women

A

peak anti-Xa activity

extremes of body weight (less than 50 kg and 90 kg or more) // with other complicating factors (for example, with renal impairment or recurrent VTE)

27
Q

what is used to monitor unfractionated heparin activity

A

APTT

28
Q

An ultrasound is indicated if lochia persists beyond

A

6 weeks

29
Q

investigations if ovarian cancer suspected

A

serum CA-125, αFP and βHCG

30
Q

functional hypothalamic amenorrhoea typically occurs secondary to causes of

A

low adipose tissue, such as anorexia or excessive exercise (low BMI)

31
Q

persistent unresolved vulva/cervical lumps –>

A

2WW

32
Q

timing of SSRIs for PMS

A

continuously or during the luteal phase

33
Q

first line treatment for primary dysmenorrhoea

A

NSAIDS eg mefenamic acid

34
Q

IUS effect on bleeding pattern

A

initially irregular –> light menses

35
Q

latent stage labour pain killer

A

IM diamorphine

36
Q

ovarian cyst vs ovarian torsion. more common?

A

cyst rupture more common

(pain could alleviate in cyst)

37
Q

in PCOS refer to fertility when?

A

2 yrs UPSI

38
Q

the most likely cause for abnormal vaginal bleeding in an adolescent

A

anovulatory bleed

39
Q

Local anaesthetic infusion into the spinal canal for c-sec called

A

saddle block

40
Q

smoking in pregnancy can cause

A

foetal lung issues // growth restrictions // stillbirth/miscarriage

41
Q

syphilis tx in pen allergy

A

doxycycline

42
Q

pruritic vaginitis, strawberry spots on the cervix, as well as a copious, frothy, malodorous discharge

A

TV

43
Q

emergency contraception given in case an earlier UPSI in the same cycle could have resulted in implantation

A

EllaOne

44
Q

what to use in preggos who don’t want insulin

A

Glibenclamide

45
Q

GDM delivery options

A

GD + normal grown fetus - IOL (first line) at 38 weeks or c-section (if has indications)

GD + baby >95th centile (macrosomia) - IOL (first line) early at 34-37 weeks or offer elective c-section (at 38 weeks)

No GD + suspected macrosomia - Wait and watch (first line) and do not use IOL because most mothers with macrosomia deliver normally and successfully anyway

46
Q

why co-amoxiclav avoided in pregnancy

A

NEC in baby

47
Q

why no tetracyclines in pregnancy

A

neonatal tooth discolouration

48
Q

chorioamnionitis abx choice

A

cefuroxime –> metronidazole

49
Q

endometritis abx choice

A

co-amoxiclav (if pen. allergic: clindamycin & metronidazole)

50
Q

foetal measurements used to calculate estimated foetal weight

A

HC (head circumference)
AC (abdominal circumference)
GL (femur length)

51
Q

what test is done fro candida & BV

A

HVS

52
Q

endometrial & cervical cancer staging

A

MRI

53
Q

ovarian cancer staging

A

CT

54
Q

common tx ovarian cancer

A

neoadjuvant chemo + interval debulking surgery

55
Q

cervical cancer diagnosis

A

cone biopsy

4th year written (5 decks)

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