Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PACES > O&G > Flashcards

O&G Flashcards

(53 cards)

Start Studying
1
Q

Advice if taking levonorgesterol or ulipristal as emergency contraception

A

If vomit in next 3 hours then need to come back and retake
Not 100% effective so need to take pregnancy test if next period over 7 days past expected date
Can affect menstrual cycle- irregular or early bleeding/ spotting
Ectopic risk so if get severe pain in abdo come to A and E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Symptoms to ask about in obstetrics history

A

Headache
Visual problems
Chest pain
SOB
Nausea and vomiting
Abdo pain
Reduced fetal movements
Urinary symptoms
Vaginal discharge or loss of fluid
Leg swelling
Pruritus
Fatigue, weight loss, fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What goes into history talking about the current pregnancy

A

Gestational age
Any scans or screening, what results?
Multiple gestation?
Folic acid?
Have you thought about planning the delivery?
Immunisations?
Have there been any comlpications/unwell?
How been coping?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What goes into asking about previous pregnancies

A

Gravidity and parity
Clarify what happened in those pregnancies
- if at term- age, weight, method of delivery, complications
Before term
- management used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What goes into gynae part of history in obs history

A

Cervical screening- last date and result
Previous gynae conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Questions about vaginal discharge

A

Colour
Amount
Consistency
Smell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Questions for dyspareunia

A

Location- deep or superficial
Duration
Character

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Contraception questions for history

A

What method
Is that what always have used
Plan for children in future

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Counselling for miscarriage

A

Medical gives control over but has side effects
Surgical has associated risks however symptoms go straightaway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Estimated delivery date formulation

A

(LMP-3 months)+1 year and 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is shoulder pain a side effect of laparascopy

A

Gas inserted into abdomen which can irritate the diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fever, tachycardia and fetal tachycardia after an episode of urinary incontinence and discharge

A

Chorioamnionitis
The discharge was waters breaking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Management plan for ovarian torsion

A

A-E
Pregnancy test
Bloods- G&S, clotting
TVUSS
Surgery referral (cystectomy, detorsion, oophorectomy)
Anti-emetics, analgesia, fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How break news about potential cancers

A

Say that plan is to refer for 2WW as what we want to rule out ovarian cancer
THEN PAUSE
Say that im not saying this is what it is, there are many other things it could be like etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Counselling on a miscarriage

A

Say that scan showed your baby has no heartbeat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Counselling for VBAC

A

Is a safe option the majority of the time however there is a slight risk of uterine rupture
If wish to proceed
- will be carried out in a consultant led unit
- will have elctronic tracing of baby throughout

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Investigations to do for contraception

A

Observations
BMI
STI screen if necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Advice if unprotected sex

A

Emergency contraception
STI check 3 weeks and also 3 months after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Adavantages and disadvantages of depo injection

A

Very effective
Do not need to remember to take

Return to fertility
Osteoporosis
Weight gain
Must use condoms as no STI protection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Adavantages and disadvantages of depo injection

A

Very effective
Do not need to remember to take

Ireegular bleeding
Spots and progesterone sx
Must use condoms as no STI protection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Adavantages and disadvantages of COCP

A

Effective
Side effects uncommon
Ease painful and heavy periods

Small risk of clots
Breast cancer risk
Have to remember to take everyday
Must use condoms as no STI protection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Adavantages and disadvantages of POP

Study These Flashcards
A

Much smaller chance of clots

Must take same time every day
Irregular bleeding
Acne etc
Must use condoms as no STI protection

23
Q

Secondary amenorrhoea differentials and questions

Study These Flashcards
A

Type 1- hypothalamic
- exercise
- stressed
- weight loss

Type 2- PCOS, thyroid, prolactin
- acne
- change in weight
- facial hair
- headache
- palpitations

Type 3- POI
- flushes
- dry vagina

24
Q

Investigations for amenorrhoea

Study These Flashcards
A

Bedside
- examination inc visual fields
- observations
- BMI
- pregnancy test
Bloods
- hormone screen
Imaging
- consider hysteroscopy if asherman syndrome

25
Differentials for dysmenorrhoea
Endometriosis PID Fibroids Copper coil Adenomyosis Primary dysmenorrhoea Cancer
26
Investigations for dysmenorrhoea
Bedisde - observations - BMI - speculum for swabs and abdominal examination Bloods - baseline Imaging - TVUSS
27
Abdo pain differentials
To rule out - ectopic - torsion Other - miscarriage - PID - cyst - ruptured cyst - cancer - mittelschmerz - period pain - bartholins
28
PV bleeding differentials
PID Breakthrough bleeding Slipped coil Miscarraige Ectopic Cancer Ectropion
29
PV bleeding investigations
Bedside - observations - speculum with swabs and abdo examination - pregnancy test Bloods - baseline Imaging - TVUSS
30
Abdo pain investigations
Bedisde - observations - examination- speculum including speculum - pregnancy test Bloods - baseline infection looking for Imaging - TVUSS
31
Urogynae differentials
STI/UTI Atrophic vaginitis Incontinence - stress - urge - functional from DM - overflow Prolapse Bladder cancer
32
Urogynae investigations
Bedside - BMI - Sims speculum if prolapse - urine dip and pregnancy test - speculum for swabs if indicated - bladder diary Bloods - HbA1c Imaging - urodynamics if indicated
33
Primary amenorrhoea differentials
No secondary characteristics - turners - hypothalamic including kallmans Secondary characteristics - mullerian agenesis - imperforate hymen - transverse septum - thyroid - prolactin - PCOS - CAH and cushings
34
Primary amenorrhoea investigations
Bedside - observations - head to toe examination - pregnancy test - karyotyping from saliva swab Bloods - hormone screen Imaging - TVUSS
35
Important things to answer in TOP history
Obstetric history Support at home- ask about partner ICE - why doing - anything particularly worrying about the process
36
Investigations for TOP
Bedside - observations - head to toe - pregnancy test Bloods - beta HCG - FBC - U&Es - group and save - clotting screen Imaging - TVUSS
37
Counselling for termination of pregnancy
Explain free under NHS and that all records are strictly confidential Explain that next step is to refer on to specialist clinic where will carry out an assessment of yourself and discuss the options Then at a later date you will have the procedure Are you aware of the methods used? 2 main methods - medical where give mifeprostone which stops pregnancy from continuing and then a second one a few days later which will cause the pregnancy tissue to be expelled - surgical where place a tube into womb and remove the pregnancy
38
Breathless differentials in pregnancy
PE Infection Pneumothorax Cardiac problems Anaemia Asthma
39
Questions for breathlessness in pregnancy
When breathless at Chest pain Haemoptysis Cough PE - rfx - leg pain - haemoptysis Anaemia
40
Rfx for VTE in pregnanc
Pregnancy - stasis - over 35 - procedures - pre-eclampsia Inherited - just say them Acquired - previous VTE - obesity - flight - cancer - sepsis
41
How manage heparin during labour
Speak to someone ASAP as soon as start contracting as need to stop heparin
42
Incidence of someone with HIV vertically transmitting to baby
No intervention- 30% Intervene - under 1%
43
Investigations if HIV identified in pregnancy
Bedside - observations - pregnant abdo exam - urine dip - swabs for STIs Bloods - baseline etc - viral load, CD4, genotype of foetus - syphyllis and hepatitis antibodies
44
Questions to ask in HIV in pregnancy history
Infection screen Previous history Travel Partners screen who have had sex with Support at home
45
Investigations for NVP
Bedside - observations - examination looking for signs of dehydration- sunken eyes, mucous membranes, CRT - abdo examination looking for causes of vomiting - neuro examination - pregnant abdo exam - urine dip - BMI Bloods - FBC, U&Es, LFTs, Beta HCG, TFTs Imaging - if not had booking do TVUSS to exclude molar
46
Management of HGV
Fluids Anti-emetics Thiamine LMWH
47
Investigations for reucrrent miscarriages
Karyotype parents Genetic analysis of tissue Bloods- diabetes, TFTs, APL screen TVUSS
48
Questions to ask in later pregnancy
Itching Headache Swelling Visual problems
49
Secondary post partum haemorrhage questions
How much have you been bleeding Light headed or short of breath Fever Pain Discharge Pregnancy history especially labour Sexually active Pain on urinating and stool
50
Investigations for secondary post partum haemorrhage
As actively bleeding A-E - sats and lung exam - c= BP, HR and ECG - able to converse - E= examine vagina with speculum and HVS Bloods - FBC, U&Es, LFTs, clotting screen, group and save - blood cultures Imaging - TVUSS to rule out retained products of conception
51
Counselling for SGA
As you know we have done the scan to check babys well which I can confirm they are doing, they have a strong heartbeat. Now one of the other things that we do is to check their size to see how they are growing and the scan today has shown that baby is a little bit smaller than we would expect for this number of weeks. So what does this mean? In some cases this is completely normal for some babies to be a bit smaller just like with us adults some of you r friends will be tall and some will be small. What does worry us a little bit is when baby is small because their growth has been restricted for some reason or another and as a result they are not able to reach their biggest potential size. This occurs in a number of scenarios, it can be due to infections, problems with baby itself or most of the time when baby isnt getting all the necessary nutrients and oxygen
52
Complications of SGA
Stillbirth NEC Imapired neurodevelopment Hypoglycaemia Later in life= metabolic syndrome
53
Investigations for SGA
Bedside - observations - pregnant abdo exam - urine dip - saliva karyotyping Bloods - screen infections Imaging - TVUSS - doppler

PACES (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions