GYNAE Flashcards Preview

GOSH > GYNAE > Flashcards

Flashcards in GYNAE Deck (36):
1

where do LHRH and FSHRH come from?

hypothalamus

2

where to LH and FSH come from ?

ant pituitary

3

which day do progesterone levels peak?

21

4

average amount of blood loss in period

30-40ml

5

management of abnormal uterine bleeding no pathology

1. IUS
2. TXA, mefanamic acid (during menses only) or COCP
3. noresthisterone days 5-26 of cycle or implant/depot
4. surgery - ablation, hysterectomy, myomectomy etc

6

management of dysmenorrhoea (primary)

NSAIDs eg ibuprofen, mefanamic acid, naproxen (+/- patacetomol)
COCP for 3-6 trial
hot water bottle
TENS
stop smoking

7

risk factors for endometrial cancer

PCOS, obesity, FHx (breast, ovary, colon), DM, nulliarity, late menopause/early menarche, unopposed oestrogen, pelvic irradiation hx, tamoxifen, HTN

8

definition of amenorrhoea

not started by 16 yrs

9

definition of oligomenorrhoea

occurs every 36 days-6 months

10

which criteria is used to diagnoise PCOS

rotterdam consensus criteria

11

imaging signs of PCOS (2)

>12 follicles OR
increased ovarian volume

12

if 17-hydroxyprogesterone is raised what is this indicative of? (amenorrhoea)

congenital adrenal hyperplasia

13

diagnosis of menopause

12 months of amenorrhoea

14

mean age of menopause

51

15

4 things menopause increases risk of

CVD
stroke
osteoporosis
atrophic changes in vagina or bladder

16

when do you do an FSH blood test to diagnose menopause (3)

>45yrs with atypical symptoms
40-45 with menopausal symptoms
<40 yrs if suspect premature menopause

17

age of premature ovarian insufficiency

<40yrs

18

how to diagnose premature menopause

menopausal symptoms + 2x elevated FSH taken 4-6 weeks apart

19

what is anti-mullerian hormone testing

see how many eggs have left

20

how long after menopause are you still fertile

2yrs after LMP if <50 and 1 yr if >50

21

3 common places for endometriosis in pelvis

uterosacral ligaments, pouch of douglas, on or behind ovaries

22

what are chocolate cysts

endometriosis

23

2 protective factors for endometriosis

muliparity, OCP

24

management of PID when low risk of gonorrhoea

ofloxacin + metro PO for 14 days

25

management of PID when high risk gonorrhoea or acutely unwell

IV cef + doxy THEN PO doxy + metro

26

threatened miscarriage

bleeding but foetus still alive. os closed. only 25% will miscarry. little/no pain

27

inevitable miscarriage

heavy bleeding + clots + pain, os open

28

incomplete miscarriage

os open. products of conception partially expelled

29

complete miscarriage

all foetal tissue has been passed form confirmed intrauterine pregnancy. cervical os closed

30

missed miscarriage

foetus is dead but retained.
uterus smaller than expected for dates and os closed
hx of threatened miscarriage

31

septic miscarriage

endometriosis

32

signs of ectopic

abdo pain and tenderness, cervical excitation. blood loss is less heavy and darker than miscarriage

33

ectopic: indications for methotrexate injection

no significant pain, unruptured ectopic with adnexal mass <35mm and no visible heartbeat, no IU preg seen on TVS, serum hcg <1500 IU

34

management of ectopic

ABCDE
either medical (methotrexate) or sugical (laprascopic salpingectomy unless other infertility RFs)

35

what is a complete molar pregnancy?

all genetic material comes from father. no foetal tissue

36

what is a partial molar pregnancy?

1 oocyte fertilised by 2 sperm, triploid. foetal tissue or blood cells present