Obs and gynae Flashcards
(37 cards)
Which vaccines are offered to all pregnant women?
Influenza and pertussis
What investigation is required after a medically managed miscarriage?
pregnancy test after 3 weeks
What’s the management of hyperemesis gravidarum?
fluid resuscitation with 0.9% saline +/- IV pabrinex to avoid Wernicke’s encephalopathy
Side effect of anostrozole (Aromatase inhibitors)
Osteoporosis
If low-lying placenta is found at the 20-week scan, when do we re-scan?
At 32 weeks to assess
Symptom triad of vasa praevia
Rupture of membranes followed by painless vaginal bleeding and fetal bradycardia
Risk factor for surfactant deficient lung disease in the newborn?
Maternal diabetes mellitus
Which medication is used to manage gestational hypertension in asthmatics?
Nifedipine
What is seen on bloods in premature ovarian failure?
High FSH, High LH, low oestrodiol
How long should women take HRT for in premature ovarian failure?
Until, at least, the age of 50
Which medication is used in PCOS to treat infertility?
Clomifene
What is seen on USS in ovarian torsion?
Whirlpool sign
What is seen on USS in fibroids?
Hypoechoic masses
When should external cephalic version offered in breech lie?
36 weeks
Female modifiable risk factors for infertility
- Previous or current STI
- Obesity
- Low body weight
- Smoking
- Stress
- Exposure to occupational or environmental hazards
- NSAID use
- Chemotherapy
- Antidepressants
- Antipsychotics
- Marijuana or cocaine use
Why does ovarian hyperstimulation syndrome lead to SOB?
1) Hyperstimulated ovaries release vasoactive mediators
2) Increased capillary permeability causes fluid shift from intravascular compartment to third space compartments
3) SOB due to pleural effusion
Which SSRIs can be used in breastfeeding women
Sertraline or paroxetine ONLY
Thrush treatment (vaginal candiadasis) in non-pregnant women
One dose of oral fluconazole
Thrush treatment (vaginal candiadasis) in pregnant women
clotrimazole 500 mg intravaginal pessary as a single dose
Where does ovarian cancer typically metastasise to?
Para-aortic lymph nodes
Pre-eclampsia symptoms
Headache, blurred vision, N+V, brisk reflexes, oedema, epigastric pain
Pre-eclampsia risk factors
Increased maternal age, nulliparity
Urine dipstick result in pre-eclampsia
Proteinuria
Which patient group is labetolol contraindicated in for pre-eclampsia?
Asthmatics
