GOSH msut knows Flashcards
(121 cards)
1
Q
Painless bleeding in presence of bradycardia
A
Vasa praevia
2
Q
10 - 13+6 weeks?
A
Early scan to predict dates
3
Q
Booking scan (4321)
A
4 blood (FBC, rhesus, blood group, alloantibodies)
3 virus (hepB, HIV, syphilis)
2 UTI (dipstick, culture)
1 full physical examination (breast, BMI, BP)
4
Q
Large uterus for date?
A
Complete hydatidiform
5
Q
post cervical tx? When is next smear done?
A
6M later
- just note that its 12M after CIN1 detected and no tx done (should clear itself in 1 year)
6
Q
pH of ? in labour is considered normal?
A
> 7.2
acidotic if less => Deliverey
7
Q
Resp depression post MgSul in eclampsia?
A
Calcium Gluconate
Mg OD => Ca Gluc
8
Q
An ultrasound is indicated if lochia persists beyond
A
6 weeks
9
Q
postpartum thyroiditis treatment?
A
Propranolol
10
Q
years for cervical screening
A
25-49 = /3 years cervical // 50-64 = /5 years
11
Q
Supressing lactation drug?
A
Cabergoline
12
Q
High FSH?
A
Premature Ovarian Insuf
Turners
13
Q
When to start aspirin for prior pre-eclampsia prophylaxis?
A
12weeks → 75mg aspirin for the rest of pregnancy
14
Q
most common type of ovarian cancer?
A
Serous carcinoma
15
Q
Topical eflornithine?
A
Hirsutism PCOS
16
Q
Kleihauer test?
A
Foetal blood in mum
17
Q
Exomphalos
A
Bowel where lung is
18
Q
Does COCP increasae risk of ectropion
A
yes
19
Q
VEAL CHOP
A
- Variable decelerations ⇒ Cord compression
- Early Decelerations ⇒ Head Compression
- Accelerations⇒ OKAY!
- Late decelerations ⇒ Placental insufficiency
20
Q
Polyhydramnios increases risk of what type of bleed?
A
Abruption
21
Q
Most common site of ectopic pregnancy
A
Ampula
22
Q
Mittelschmerz 1st line
A
NSAIDS
23
Q
High LH - FSH ratio
A
PCOS
24
Q
High FSH - LH ratio
A
Premature Ovar + Turners
25
Is hyperflexia seen in Pre-eclampsia?
yes
26
-PPH 1st + 2nd line
fundus stimulation → Oxytocin
27
WHAT TO GIVE in
Most common cause of pyrexia in women post birth?
Endometritis
Clindamycin +Gent
28
Boggy uterus w/ pain + bleeding
Adenomyosis
29
How long + What is tx for metronidazole for STI
500mg BD 5 days
dont forget abstinence for 1 week
30
5 breast feeding drugs to avoid?
Tetracyclines
Benzo
Carbimazole
Gliclizide
Lithium
31
For suspected premature opvarian insuf. what should we measure?
FSH
32
1st line tocolytic in preterm labour?
Nifedipine oral
33
If in contact with chickenpox >20wks, what should we do?
Maternal AB then aciclovir if negative
34
Main complication of vasa praevia?
Foetal blood loss => death
35
ovarian hyper stim can be caused by what type of therapy?
IVF
36
What happens to weight in overian hyper stim as a complication of IVF?
weight gain rapid
37
Oesophageal atreasia can cause what complication in mothers?
Polyhydraminios
think that they cannot swallow it so they piss it out and it just stays there
38
Where do we do LA for instrumental delivery?
Pudendal nerve (S2-S4)
39
If b-HCG does not drop after evacuation of Hydatidiform mole, what should we suspect?
Choriocarcinoma
40
How do we manage CIN1?
50-60% of CIN 1 will spontaneously regress within 2 year so CONSERVATIVE managemnet + 6M repeat cytology
41
BCG that doubles over 48 hours?
Pregnancy success
42
Do we give Abx for GBS carrier for C-sec?
No -> only for vaginal deliveries
43
Denies insulin with gestational diabetes
Gliblenclamide (sulph)
44
Most common fibroid?
Intramural
45
Has HIV with booking scan what to start them on? (2)
(TED) tenofovir
disoproxil / emtricitabine
46
When placenta hasnt been delievered that leads to PPH?
Acreata
47
Transient bradycardia requires forceps?
Nope
48
Poly / oligo as a RF for breech?
Both RF
49
If the antibodies are positive for VCV do they need aciclovir?
No
50
Ergometrine CI in what BP?
Hypertension
51
Turners leads to what (gonadotrophic + gonadism)
Hypergonadotrophic hypogonadism
High FSH + LH with no ovarian response
52
Itchy purple rash vagina?
Lichen Planus (another PP)
53
Other than cyclizine, what is the other 1st line to give in hyperemesis gravidarum?
Oral Promethazine
54
Who cannot have ergometrine?
who cannot have carboprast
^^ both for medical Mx of PPH
Hypertension => Ergo CI
Carboprast => Asthma CI
55
Stress vs urge incontinence graph?
PVES + PABD => Spikey Stress
PVES + PABD =< flat oxybutynin
56
COCP after 50?
nah avoid switch them
57
18-21 week?
Anomaly scan
58
inducing withdrawal bleed on COCP for PCOS every?
3M
59
<4mm endo?
discharge
60
leucocytes without nitrites?
No UTI
61
do those with overactive bladder have involuntary peeing?
no
62
hand like a waiter?
Erb palsy => shoulder dystocia
63
does PCOS or anastrozole increase endometrial cancer risk?
PCOS (x3)
64
chandelier sign?
PID
65
ECV offered when for nulliparous + multiparous
Nulliparous => 36+
multiparous => 37+
66
when do we offer intrapartum ABx for GBs?
onset of labour
67
miscarriage above what week = anti-D
>12weeks
68
On any form of enzyme reducing drug (carbamazepine) what to give contraception?
IUD
69
What to give for polyhydramnios?
Indomethacin
70
pre-menopausal having symptoms of menopause what HRT?
Cyclical
71
experiencing any symptoms such as pain do we do expectant management for ectopic?
No -> methotrexate if pain for ectopic
72
definition of hyperemesis gravidarum?
<20wks vomiting
73
<25 with abnormal cervix?
colposcopy
74
when should gestational diabetic women give birth no later than?
40+6
75
umbolical cord prolapse assocaited with?
Polyhydramnios
76
Oligohydramnios associated with what hypoplasia?
Foetal pulmonary hypoplasia
77
increase of 60% HCG?
viable uterine pregnancy
78
latent stage analgesia?
Established labour analgesia?
diamorphine IM
Epidural
79
ventouse increases risk of?
PPH
80
endometriosis needs to be present for how long?
6M
81
haem cyst mx?
conservative + admission
82
how long Abx chorioamnio
10 days
83
VDRL + TPHA previous infection?
VDRL (active infection) => none
TPHA (IgG) => High
84
topimerate?
Why dont we typically give it
Prophylaxis of migraines
=> teratogenic
85
multiple pregnancy increaes risk of VTE?
yes
Low BMI DOES NOT inc. risk
86
if CIN when to see them again?
12M
87
most common type of vaginal cancer?
ARe they secondary or primary?
most common => SCC
Where they tend to be secondary (85%)
88
nulliparity RF for praevia?
no
89
adenomyolysis vs endo?
Adeno => Asymptomatic (no associated with subfertility) // can still lead to bleeding
90
corpus leuteum producing ... for stromal hypertrophy and increased blood supply?
progesterone
91
ovulation hormone/
LH
92
positive asymptomatic bacteriuria screening what to do next?
repeat culture and begin ABx guided
93
most common cause of polyhydramnios?
idiopathic
94
is 1st pregnancy a Rf for pre-eclampsia?
yes - think helen
(mod risk)
>35BMI / 40+ years old / multiple pregnancies
95
pregnancy interval of more than 10 years RF for pre-eclampsia? or is it sooner?
10+ years => RF
96
Screening for blood tests in pregnancy occurs when?
Booking + 28wk
97
1st line for heavy bleeding
IUS
98
vaginal PE2?
IOL
99
uterine leimyomas =>
Fibroids
=> non-tender on palpation
=> Adenomyosis tender on palpation
100
average ABPM measurement of > 135/85mmHg under 60?
Pharmacological tx
101
Ovarian hyperthecosis?
Think of this when PCOS is in post menopausal women
102
suppressed gonadotrophins (LH+FSH) with low oestradiol + normal thyroids
Annorexia
103
Placenta praevia risk factors (3)
multiparity
multiple pregnancy
Scars C sec uterine
104
Potter sequence
Bilateral Renal Agensis + pulmonary Hypoplasia + Oligohydramnios
105
when is pudendal given?
2nd stage labour
106
rash starts on the abdomen, spares the umbilicus, and may spread to the thighs or buttocks
PUPPP Polymorphic eruption of pregnancy
107
Raised LH + FSH + low oestridiol
Premature OS
108
Pre menopausal women presenting with abnormal vaginal bleeding should have a ...
Post menopausal women presenting with abnormal vaginal bleeding should have a ...
Chylam
enddometrial / cervical cancer work up (colposco)
109
Heart issues:
Foetal alcohol syndrome:
DiGeorge syndrome:
Turner syndrome:
Noonan syndrome:
Edward's syndrome:
Patau syndrome:
FAS => VSD
George => Aortic arch defects
Turner => biscuspid Aorta + coarc
Noonan => P.stenosis
Edwards => Septal
Patau => dextro
110
mx child vborn with hep B mother
vaccine to child immediately
0,5 Immunoglobulin within 12hrs
111
does T2DM increase risk of endometrial cancefr
yes + PCOS
112
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
>32 wks
Nifidipine
113
if they had gestational diabetes before what tests we doing
16wk + 24-28GOTT
RF doesnt warrant booking test OgTT
114
ondansetron risk in 1st trimester
cleft risk
115
monitoring LMWH pregnancy
peak anti-Xa activity
116
latent stage labour pain killer
IM diamorphine
117
syphilis tx in pen allergy
doxy
118
why co-amoxiclav avoided in pregnancy
NEC
119
endometritis abx choice
Co-amoxiclav
(if pen. allergic: clindamycin & metronidazole)
120
endometrial & cervical cancer staging
MRI
121
ovarian cancer staging
CT
