O&G PassMed Flashcards
(13 cards)
Preterm rupture of labour - what do you give for fetal neuroprotection? [1]
MgS
You give MgS for fetal neuroprotection because of pre-term prelabour rupture of membranes.
What should you monitor for in the mother? [2]
Resp rate and reflexes
What causes an increased risk of breast cancer in HRT? [1]
Progesterone ProBREASTerone
- but if have a uterus, give combined oestroren and progesterone otherwise get increased risk of endometrial cancer
You perform McRoberts manoeuvre.
It isn’t working.
What next could you do? [1]
Add suprapubic pressure to abdomen
If a patient is at term and has a low Bishop score - what is next procedure? [1]
Membrane sweep
What is the only suitable solution for large fibroid? [1]
Myomectomy
A patient has a molar pregnancy.
What blood tests would support this? [3]
High bHCG
High T4
Low TSH
bHCG and T4 have similar structures
Which type of contraception has delayed return to fertility? [1]
Depo injection
- Stops fertility for 12 weeks
What is the medical mx of ectopic pregnancy? [1]
MTX
What Edinburgh score would indicate post-partum depression? [1]
> 13
What week gestation would you worry about not hearing a heartbeat? [1]
What’s the next investigation of choice? [1]
After 28 weeks
- Urgent US
This woman has symptoms of menopause - hot flushes, night sweats, reduced concentration and vulvovaginal symptoms. She would therefore benefit from a trial of hormone replacement therapy. Since she has had her uterus removed, is it is most appropriate to prescribe her which type of HRT? [1]
This woman has symptoms of menopause - hot flushes, night sweats, reduced concentration and vulvovaginal symptoms. She would therefore benefit from a trial of hormone replacement therapy. Since she has had her uterus removed, is it is most appropriate to prescribe her a continuous oestrogen-only regime. Topical oestrogen pessaries will help with the patient’s dyspareunia.
