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Flashcards in O&G Deck (39):
1

Blood-stained watery discharge from nipples with no malignancy risk = ?

Intraductal papilloma

2

1st line treatment for...

1. Stress Incontinence

2. Urge Incontinence

1. Pelvic floor training / exercises

2. Bladder retraining

3

Where in the fallopian tube does fertilization most often occur?

AMPULLA of fallopian tube

4

Gestational Diabetes Mellitus (GDM)

1. Fasting plasma venous glucose of greater than?

2. 2-hour plasma venous glucose of greater than?

1. > or equal to 5.1

2. > or equal to 8.5

5

Strawberry cervix / punctate haemorrhages

Trichomonas Vaginalis

Foul smelling green discharge often present. Treat with Metronidazole

6

Carbimazole or Carbamazepine is contraindicated whilst breast-feeding?

Carbimazole

You'd be an azole (asshole) to take carbimazole whilst brestfeeding

7

Definitive Down's diagnostic test between 11 - 14 weeks (not Harmony)

Chorionic villus sampling (CVS)

Note: Rhesus D-ve women must be given Anti D

8

Definitive Down's diagnostic test from 15 weeks

Amniocentesis

Note: Rhesus D-ve women must be given Anti D

9

Combined test

1. When is it offered?

2. What does it consist of?

3. What does it test for?

1. Available from 11 - 14 weeks

2. Ultrasound: nuchal translucency.
Bloods: PAPP-A + B-hCG


3. Tests for Downs, Edwards and Pataus

10

Serum triple test

1. When is it offered?

2. What does it consist of?

3. What does it test for?

1. Available from 14 - 20 weeks

2. Bloods - AFP, B-hCG + oestriol

3. Downs + spina bifida
(high B-hCG + low oestriol / AFP = Downs risk)

11

Quadruple test

1. When is it offered?

2. What does it consist of?

3. What does it test for?

1. Available from 15-22 weeks

2. Triple test (AFP, hCG, oestriol) + Inhibin A

3. Chromosomal abnormalities + spina bifida

12

A surge in which hormone stimulates ovulation?

Luteinizing hormone (LH)

Peaks 18 hours prior to ovulation

13

Pelvic pain in late third trimester. Pain is worse when walking and can radiate to the perineum or upper thighs

Symphysis pubis dysfunction

14

Antibiotic if used in pregnancy is associated with necrotizing colitis

Co-amoxiclav (augmentin)

15

Serum test of which hormone will aid a clinical diagnosis of menopause?

FSH
(low)

16

When is Anti-D offered during preganancy and to which women?

Rhesus -ve women AFTER 12 weeks

500iu at 28 and 34 weeks

(Also given whenever there may have been maternal/fetal blood mixing, i.e. trauma, amniocentesis etc)

17

Antibiotic used as prophylaxis when PROM occurs

Erythromycin

18

Which measurement is the most reliable indicator of gestational age before
14 weeks?

Crown-Rump length

19

Which measurement is the most reliable indicator of gestational age after
14 weeks?

Biparietal diameter (fetus becomes flexed at this point so crown-rump is no longer accurate)

20

Treatment of magnesium sulphate overdose

IV Calcium gluconate

21

Which hormone promotes proliferation of glandular and stromal elements
of the endometrium?

Oestradiol

22

Vaginal discharge - flagellated protozoan

Trichomonas vaginalis

Treat with metronidazole

23

How to treat pre-eclampsia in a woman with asthma (i.e. labetalol contraindication)

Nifedipine

24

Gold standard test for tubal patency (in a woman being investigated for infertility)

Laparoscopy and dye

25

What type of twins develop Twin-to-twin transfusion syndrome?

Monozygotic monochorionic diamniotic

Occurs in up to 35% of monochorionic pregnancies

15% perinatal mortality

26

Most common cause of PPH

Atonic uterus

Management includes - Bladder emptying, uterine massage followed medically by

Bolus of IV ergometrine
+ oxytocin infusion

27

When is a B-lynch brace suture used?

Surgical management of atonic uterus following PPH

28

How long should folic acid be taken for post conception?

12 weeks

29

When is the ultrasound anomaly scan carried out?

20 weeks

30

How many weeks is ECV offered at?

36 for primeps
36 for multips

31

At what Hb level should iron supplementation be offered

11g/dl

32

Term for the beginning of breast development

Thelarche

33

Most common congenital cause of amenorrhea

Turner's syndrome

34

What defines the growth of pubic hair?

Adrenarche

35

Given to reduce the size of fibroids before myomectomy

GnRH agonists

36

Precocious puberty is treated medically with...

GnRH agonists

37

Quantitive definition of menorrhagia

Blood loss exceeding 80mL

38

Where squamous epithelium has formed by metaplasia over endocervical cells

Nabothian follicles

39

Rokitansky protuberance

Ovarian teratoma / dermoid cyst