O&G

Question 1

Management of PPH

Answer 1

IV syntocinon (oxytocin) 10 units or IV ergometrine 500 micrograms
IM carboprost
intrauterine balloon tamponade if uterine atony is the only or main cause of haemorrhage

B-Lynch suture, ligation of the uterine arteries or internal iliac arteries

Question 2

UTI pregnancy

Answer 2

nitrofurantoin (should be avoided near term), amoxicillin or cefalexin
trimethoprim is avoided in the first trimester - folate antagonist.
Ciprofloxacin is contraindicated throughout pregnancy

Question 3

Chlamydia testing partnerss

Answer 3

Men - symptoms - 4 weeks before symptoms
- asymp - 6 months
Women - 6 months

Question 4

Chlamydia test women resolution pregnant

Answer 4

6 weeks

Question 5

Amenorrhoea age to investigate

Answer 5

13 - no secondary sexual characteristics

15 -

Question 6

Letrozole

Answer 6

aromatase inhibitor

First line PCOS ovulation

Question 7

CI to HRT

Answer 7

Current / past breast cancer
Any oestrogen-sensitive cancer
Undiagnosed vaginal bleeding
Untreated endometrial hyperplasia

Question 8

Risks of HRT

Answer 8

Breast cancer
VTE
Cancer

Question 9

RFs for endometrial ca

Answer 9

Oestrogen anything - early menarche, no pregrancies,

Question 10

COCP on cancer

Answer 10

Breast - increases

Endometrial - decreases

Question 11

Vasomotor symptoms non HRT

Answer 11

SSRI first

Then clondeine