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medicine > Obs And gynae > Flashcards

Obs And gynae Flashcards

1
Q

When tonuse folic acid up until in pregs

A

12 weeks

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2
Q

How many days post partum do you not need emergency contraception for?

A

21 days

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3
Q

Heart failure guidelines
1st
2nd
3rd

A

1st Ace + b blocker
2nd aldosterone antag, angio 2 receptor blocker, hydralazine
3rd digoxin

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4
Q

Risks for gestational diabetes

A

High bmi
Prev big baby
Known diabetes
Fam hx

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5
Q

Diagnostic thresholds for fasting and oral glucose tests

A

Fasting > 5.6

Ogtt > 7.8

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6
Q

What to do if diabetic and on metflrmjn pre pregnancy

A

Stop metformin

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7
Q

How else should diabetics be managed during pregnancy

A

Start aspirin at 12 weeks for pre eclampsia risk

Detailed anomaly scan at 20 weeks

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8
Q

How does body temp change in ovulation

A

Rises after ovulation

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9
Q

Order of menstrual cycle

A

Menstruation 1-4
Follicular phase 5-13
Ovulation 14
Luteal phase 15-28

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10
Q

Treat conjunctivitis in pregnancy?

A

Topical fusidic acid

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11
Q

Times for contraception to be ready

A

Immediately- IUD
2 days- pop
7 days- cocp, implant, IUS

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12
Q

Cause of shock in late pregnancy

A

Placental abruption

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13
Q

Features of hellp

A

Haemolysis
Elevated liver enzymes
Low platelets

Right upper quadrant pain

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14
Q

Features of a threatened miscarriage

A

Painless bleeding

Closed cervical os

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15
Q

Features of inevitable miscarriage

A

Open cervical os
Heavy bleeding
Pain

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16
Q

Risk factors of miscarriage

A

Low beta HCH
Low progesterone
Heavy bleeding
Early gestational age

17
Q

Risks of a molar pregnancy

A

2-3% develop choriocarcinoma

18
Q

If patient can’t have IUS for heavy bleeding, what is next line

A

NSAIDS

Tranexamic acid

19
Q

Which anti epileptics are safe to use when breast feeding

A

All but barbiturates

Need to take 5mg folic acid pre and during pregnancy

medicine (14 decks)

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