O&G Passmed 2 Flashcards
Latest date to insert emergency IUD
5 days after likely OVULATION date
What is the mechanism of action of metformin in PCOS?
Increases peripheral insulin sensitivity which leads to complex changes in the HPG axis
Rx for menopause apart from HRT
SSRIs
Examples of muscarinic agonists
Tolterodine, Oxybutynin and solifenacin
Most common type of ovarian pathology associated with Meigs’ syndrome
Fibroma
Most common benign ovarian tumour in women under the age of 25 years
Teratroma
Most suitable contraception for 48YO, perimenopausal
IUS
most common side effect of progesterone only pill
Irregular bleeding
Sometimes referred to as chocolate cysts due to the external appearance
Endometriotic cyst
Most common ovarian cancer
Serous carcinoma
3cm simlpe cyst, asymptomatic young woman
Follicular cyst
Which oral antihyperglycaemic is safe when breastfeeding
Metformin
Which blood test is monitored in >90kg or <50g women on VTE treatment
Anti-Xa activity
What to do for women on COCP prior to surgery
Switch to progestogen only pill 4 weeks before operation
Medical management of miscarriage
Vaginal misoprostol (a prostaglandin) alone is the usual treatment for missed or incomplete miscarriage, however, oral misoprostol can alternatively be given if preferred by the patient
Commonest epithelial cell tumour
Serous cystadenoma
Features of vulval carcinoma
lump or ulcer on the labia majora
may be associated with itching, irritation