Passmed 1 Flashcards
(53 cards)
Repair of perineal tears
1 - no repair needed
2 - on ward by midwife/dr
3/4 - in theatre under general by trained clinitian
What combination of results from her combined test indicate a higher chance of Down’s syndrome?
Thickened nuchal translucency, increased B-HCG, reduced PAPP-A
low AFP
What is used as GBS prophylaxis
benzylpenicillin
what is oligohdramnios
reduced amniotic fluid
causes of oligohydramnios
premature rupture of membranes fetal renal problems e.g. renal agenesis intrauterine growth restriction post-term gestation pre-eclampsia
What does a positive fetal fibronectin test indicate and how should it be managed
preterm labour
admit and give 2 doses IM steroids (lung maturation)
what maternal signs indicate TTTS
sudden increase in abdomen, breathlessness
when is AFP raised/lowered
raised in neural tube defects
lowered in downs
what is the cutoff used postpartum to determine if iron should be given
100g/L Hb
what sign would suggest erb’s palsy
adduction and internal rotation of the arm, with pronation of the forearm
(waiters tip)
What terminology is used to describe the head in relation to the ischial spine?
Station
what are the reference ranges for diagnosing gestational diabetes
‘5678’
fasting glucose is >= 5.6 mmol/L, or
2-hour glucose level of >= 7.8 mmol/L
what is the first drug given to manage major PPH
IV oxytocin
what is the first line antihypertensive in pre-eclamptic women with severe asthma
nifedipine
how will a hydratidiform mole present
Bleeding in first or early second trimester associated with exaggerated symptoms of pregnancy e.g. hyperemesis. The uterus may be large for dates
serum hCG is very high
how will an ectopic pregnancy present
6-8 weeks amenorrhoea with lower abdo pain and sometimes bleeding
shoulder tip pain
cervical excitation
How will a threatened miscarriage present
painless vaginal bleeding at 6-9 weeks
how will a missed/delayed miscarriage present
Light vaginal bleeding and symptoms of pregnancy disappear
how will vasa praevia present
Rupture of membranes followed immediately by vaginal bleeding. Fetal bradycardia is classically seen
how does a galactocele present
firm, non tender breast lump in women who have recently stopped breastfeeding
due to occlusion of lactoferrous duct
what are the SSRIs of choice for breastfeeding women
paroxetine
sertraline
Ectopic pregnancy in which location is most associated with an increase risk of rupture
isthmus
how long after delivery can the COCP be restarted (if no breastfeeding etc), and why
3 weeks, due to inc VTE risk
how will ovarian hyperstimulation syndrome present
ascites, vomiting, diarrhoea, high haematocrit
potential side effect of ovarian induction
