Obs & Gynae Flashcards

(12 cards)

1
Q

What is the most common cause of ovarian cancer?

A

Serous carcinoma

90% of ovarian cancers are epithelial in origin

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2
Q

Which investigation provides the definitive diagnosis in suspected placenta praevia?

A

Abdominal ultrasound with colour flow doppler

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3
Q

A middle-aged woman presenting with creamy nipple discharge from multiple ducts and associated nipple inversion is likely to have…?

A

Duct ectasia

Common in the menopausal period due to breast involution as the ducts shorten and express insipated material

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4
Q

Clear nipple discharge originating from a single duct and containing small amounts blood is suggestive of…?

A

Intraductal papilloma

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5
Q

What is the mode of action of the progestogen-only pill (excluding desogestrel)?

A

Thickens cervical mucus

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6
Q

What is the mode of action of the injectable contraceptive (medroxyprogesterone acetate)?

A

Inhibits ovulation

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7
Q

What is the mode of action of the Mirena Coil (levonorgestrel)?

A

Prevents endometrial proliferation

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8
Q

What is the next step following a HPV negative cervical screening sample that shows borderline dyskaryosis?

A

Return to routine screening programme

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9
Q

When does the nuchal scan take place?

A

11-13+6 weeks

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10
Q

When would a pregnant woman have a urine culture to detect asymptomatic bacteriuria?

A

8-12 weeks - booking visit

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11
Q

What does the Woodscrew manoeuvre involve?

A

Putting the hand into the vagina and attempting to rotate the foetus 180 degrees

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12
Q

How should a uterine fibroid less than 3cm in size which is not distorting the uterine cavity be treated?

A

Medical treatment:
IUS
Tranexamic acid
COCP

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