Gynae Flashcards
(30 cards)
What does the POP-Q system assess?
It stages female genitourinary prolapse
POP-Q stands for Pelvic Organ Prolapse Quantification system.
What does Stage 0 indicate in the POP-Q system?
No prolapse
This is the baseline stage where no signs of prolapse are present.
What characterizes Stage 1 in the POP-Q system?
More than 1 cm above the hymen
This indicates a mild form of prolapse.
What is the definition of Stage 2 in the POP-Q system?
Within 1 cm proximal or distal to the plane of the hymen
This stage shows a moderate level of prolapse.
Describe Stage 3 in the POP-Q system.
More than 1 cm below the plane of the hymen but protrudes no further than 2 cm less than the total length of the vagina
This stage indicates a more severe prolapse, but not complete eversion.
What does Stage 4 signify in the POP-Q system?
Complete eversion of the vagina
This is the most severe form of prolapse.
What is the first choice for hypertension in pregnancy?
Labetalol
Nifedipine and Methydopa also options
What antihypertensive meds should be avoided in pregnancy
ACEi/ARB, diuretics
Postnatally what meds are started for white women?
Enalapril
Poatnatally what BP med is started for black women?
Nifedipine
What medication needs to be stopped at least 2 days prior to delivery and not used in postnatal period because it is associated with depression
Methydopa
What is a heteroectopic pregnancy?
Intrauterine pregnancy + ectopic pregnancy
What is Ashermans syndrome?
Intrauterine adhesions +- cervical canal obstruction —> menstural abnormalities and infertility
What is the likely diagnoses in a women with amenorrhoea after a D+C and normal hormonal profile
Ashermans syndrome (diagnosis- hysteroscopy)
Post delivery when can a LNG-IUD be inserted
Either <48hours of delivery or after 4 weeks
Given the risk of ascending bacterial infection and uterine perforation
Who should be taking 5mg folic acid rather then 400mcg while pregnant?
Neural tube defect any history
Woman has coeliac disease (or other malabsorptive state), diabetes, sickle-cell anaemia or taking antiepileptic medication
There is a link between maternal potenent or very potent topical steroids and what
Low birth weight
What is the investigation of choice in ectopic pregnancy?
Transvaginal US
What day is ovulation in the cycle
14
What is the only contraception that is effective post ovulation
Copper coil
How does sulfasalazine effect the sperm
Can cause oligozoospermia
What is Azoospermia?
No sperm in ejaculate
Azoospermia is a condition where a man has no measurable sperm in his semen.
What defines Oligospermia?
Low sperm count (<15 million/mL)
Oligospermia indicates a lower than normal concentration of sperm in the ejaculate, which can affect fertility.
What is Asthenozoospermia?
Reduced sperm motility
Asthenozoospermia refers to the condition where sperm have decreased ability to move effectively.
