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4th year written > GOSH > Flashcards

GOSH Flashcards

(55 cards)

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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

Study These Flashcards
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

25
if taking rifampicin, what changes to POP regimen?
barrier methods during and for four weeks after cessation of treatment
26
when and what is used to monitor LMWH activity if given to pregnant women
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
what is used to monitor unfractionated heparin activity
APTT
28
An ultrasound is indicated if lochia persists beyond
6 weeks
29
investigations if ovarian cancer suspected
serum CA-125, αFP and βHCG
30
functional hypothalamic amenorrhoea typically occurs secondary to causes of
low adipose tissue, such as anorexia or excessive exercise (low BMI)
31
persistent unresolved vulva/cervical lumps -->
2WW
32
timing of SSRIs for PMS
continuously or during the luteal phase
33
first line treatment for primary dysmenorrhoea
NSAIDS eg mefenamic acid
34
IUS effect on bleeding pattern
initially irregular --> light menses
35
latent stage labour pain killer
IM diamorphine
36
ovarian cyst vs ovarian torsion. more common?
cyst rupture more common (pain could alleviate in cyst)
37
in PCOS refer to fertility when?
2 yrs UPSI
38
the most likely cause for abnormal vaginal bleeding in an adolescent
anovulatory bleed
39
Local anaesthetic infusion into the spinal canal for c-sec called
saddle block
40
smoking in pregnancy can cause
foetal lung issues // growth restrictions // stillbirth/miscarriage
41
syphilis tx in pen allergy
doxycycline
42
pruritic vaginitis, strawberry spots on the cervix, as well as a copious, frothy, malodorous discharge
TV
43
emergency contraception given in case an earlier UPSI in the same cycle could have resulted in implantation
EllaOne
44
what to use in preggos who don't want insulin
Glibenclamide
45
GDM delivery options
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
why co-amoxiclav avoided in pregnancy
NEC in baby
47
why no tetracyclines in pregnancy
neonatal tooth discolouration
48
chorioamnionitis abx choice
cefuroxime --> metronidazole
49
endometritis abx choice
co-amoxiclav (if pen. allergic: clindamycin & metronidazole)
50
foetal measurements used to calculate estimated foetal weight
HC (head circumference) AC (abdominal circumference) GL (femur length)
51
what test is done fro candida & BV
HVS
52
endometrial & cervical cancer staging
MRI
53
ovarian cancer staging
CT
54
common tx ovarian cancer
neoadjuvant chemo + interval debulking surgery
55
cervical cancer diagnosis
cone biopsy

4th year written (5 decks)

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