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Obstetrics and gynaecology Flashcards

(51 cards)

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1
Q

suspicious or confirmed preeclampsia bloods

A

FBC, U+E, LFT and coag screen for baseline in case HELLP

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2
Q

stress incont

A

duloxetine

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3
Q

urge incont

A

oxybutynin

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4
Q

routine smear recall

A

3 years for 25-49 years old and 5 years for 50-64 years old

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5
Q

uti when preg

A

Nitro for 7 days even if no symptoms

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6
Q

other cause of high ca125

A

endometriosis

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7
Q

PPH

A

syntocinon then ergometrine

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8
Q

blood stained nipple discharge young

A

intraductal papilloma

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9
Q

green nipple discharge and lump and nipple retraction

A

duct ectasia

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10
Q

drug post or pre meno ER pos

A

Tamoxifen for ER+ pre or peri menopause and anastrazole if post menopause

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11
Q

pregnancy drug that can’t be given

A

statin

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12
Q

PE in pregnancy

A

LMWH

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13
Q

stages of labour

A

1st: 4-10cm usually (1-3cm per h)
2nd: 10cm-delivery (up to 2h in prim)
4rd: placental

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14
Q

physiological changes in labour

A

-increase oestrogen
-decreased diastolic BP
-increased CO
-RAAS so total blood volume increase
-tidal volume and minute ventilation increases
-resp alkalosis
-thromboembolic risk increases
-dilutional anaemia

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15
Q

rod concetraception cover

A

days 1-5 fine
otherwise 7 day condoms

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16
Q

contraindications to COCP

A

BP over 140/90
smoke >15 day
migraine aura
breast cancer

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17
Q

levonelle

A

within 3 days
can start pill asap

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18
Q

ella one

A

within 5 days
can’t be given if contraception taken within 7 days

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19
Q

emergency IUD

A

up to 5 days after sex or 5 days within date of ovulation

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20
Q

TOP law

A

up to 24w for any reason then after 24w for risk to mothers life or foetal abnormalities

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21
Q

medical TOP

Study These Flashcards
A

(((oral mifepristone))) then PV misoprostol

22
Q

HBsAg

Study These Flashcards
A

active or chronic infection

23
Q

HBeAg

Study These Flashcards
A

high infectivity

24
Q

HBcAb

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A

past or current infection, IgM 2-6m IgG is chronic

25
HBsAb
vaccination or past infection
26
HBV DNA
viral load count
27
cervical screening
25-64 years HPV every 5 or every 1 if pos but cytology good
28
Klienfelter's syndrome
high FSH and LH but low testosterone = hypergonadotrophic hypogonadism
29
over 30 new lump could be fibroadenoma
urgent because over 30
30
contraception causing weight gain
depo
31
wheelchair user wants contraception
no COCP due to risk of clots
32
Bishop score < or equal to 6
labour is unlikely to start without induction so give vaginal prostaglandin/oral misoprostol
33
Bishop score > 6 but less than 8
amniotomy and IV oxytocin
34
how to confirm ovulation
take serum progesterone level 7 days before next expected period (day 21 if typical cycle)
35
LGV stages
primary: painless ulcer secondary: lymphadenitis tertiary: proctitis and proctocolitis
36
test for deafness in baby with mother who is deaf
routine neonatal screening plus brainstem evoked response test
37
management of PPH
1- rub uterus and catheterise 2- oxytocin, ergometrine, carboprost, miso then TXA 3- intrauterine balloon tamponade, artery ligation etc
38
first line for induction of labour
vaginal prostaglandins second line oxytocin infusion
39
breast screening
50-70 every 3y mammogram
40
imaging breast different ages
mammogram over 35y, US younger
41
vaccinations in pregnancy
pertussis and influenza
42
placenta praevia investigation
TVUS
43
regular test Down's syndrome
-11-13+6 weeks -nuchal translucency and serum bhcg and pregnancy-associated plasma protein A -high HCG, low PAPP-A and thickened nuchal translucency
44
woman books later Down's syndrome test
-quadruple test between 15 and 20 weeks -AFP, unconjugated oestriol, HCG and inhibin A -low AFP, low oestriol, high BHCG and high inhibin A
45
if higher chance from Down's screening what next
NIPT or CVS/amniocentesis
46
PROM reducing RDS
dexamethasone
47
IUS effective for how long
5 years
48
gestational diabetes fasting glucose >=7
insulin immediately (under 7 do lifestyle measures and then metformin if not better in 1-2 weeks)
49
emergency contraception
-levonelle 72 hours (stop ovulation and inhibit implant) -ellaone 120 hours (inhibits ovulation) -copper IUD 5 days
50
pill cancer risks
increases risk of breast and cervical protective against ovarian and endometrial
51
women at risk of preeclampsia management
aspirin from 12 weeks until birth

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