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Exam Revision > Repro 4 > Flashcards

Repro 4 Flashcards

1
Q

management of meconium stained liquor in pregnancy

A

continuous CTG

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2
Q

what is IV syntocinon used for

A

helps delivery of retained placenta

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3
Q

when is a fetal blood sample taken

A

risk/suspicion of hypoxia

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4
Q

fetal blood pH <7.2 , management ?

A

ABNORMAL

emergency delivery

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5
Q

normal fetal blood pH

A

> 7.25

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6
Q

management of border line fetal pH (7.2-7.25)

A

repeat in 30 mins

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7
Q

what drug causes clef palate

A

phenytoin

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8
Q

antibiotics NOT SAFE in pregnancy

A

gentamicin

tetracyclics

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9
Q

effects of lithium

A

cardio defects

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10
Q

effects of methotrexate

A

skeletal defects

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11
Q

tx nausea + vomiting in pregnancy

A

cyclizine

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12
Q

Tx UTI

A

1st/2nd - nitrofurantoin/ cefalexin

3rd trimester- trimethoprim

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13
Q

what drug causes neonatal hypothyroidism while breast feeding

A

amiodarone

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14
Q

what drug suppresses lactation

A

bromocriptine

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15
Q

what antibiotic causes grey baby syndrome

A

chloramphenicol

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16
Q

target site for HIV

A

CD4 T cells

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17
Q

diagnostic investigation for pneumocystis pneumonia

A

bronchoalveolar lavage + immunofluorescence

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18
Q

organism that causes progressive multifocal leukoencephalopathy

A

JC virus

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19
Q

organism associated with kaposi’s sarcoma

A

human herpes virus 8

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20
Q

tx pneumocystis pneumonia

A

high dose co-trimoxazole + steroids

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21
Q

at what stage does the embryo implant in the uterus

A

blastocyst

day 5-10

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22
Q

through which vessel does the fetus receive oxygen rich blood

A

umbilical vein

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23
Q

through which vessel does oxygen depleted blood pass back from fetus to mother

A

uterine veins

24
Q

role of HCG

A

prevents degeneration of corpus luteum - stimulates progesterone production

25
Q

role of HCS

A

protein tissue formation, decreases insulin sensitivity in the mother so that more glucose is available for fetus

26
Q

what hormone is tested to see if a woman has ovulated

A

progesterone - produced by corpus luteum

27
Q

resp changes in pregnancy

A

increased RR + o2 consumption
increased tidal + minute volume
decreased residual volume + expiratory reserve

28
Q

cardiac changes in pregnancy

A

increased in CO, Increased HR
decreased BP due to decreased TPR
decreased CO in last 8 weeks due to compression of vena cava

29
Q

how does upright position affect GFR

A

decreased GFR

30
Q

how does supine position + lateral position affect GFR

A

increased GFR

31
Q

haematological changes in pregnancy

A

increased plasma volume
increased erythropoiesis
decreased Hb by dilution
increased iron requirement

32
Q

how many calories a day extra does a mother need

A

250-300

33
Q

extra protein + vitamin requirements in pregnancy

A

30g extra protein
300g iron
folic acid
Vit D3 + Vit B

34
Q

where is oxytocin made

A

posterior pituitary

35
Q

what are the only electrolytes that can cross the placenta

A

iron + calcium

36
Q

where is the fundus found at 12 weeks gestation

A

pubic symphysis

37
Q

where is the fundus at 20 weeks gestation

A

umbilicus

38
Q

where is the fundus at 36 weeks gestation

A

xiphoid process

39
Q

when is the booking visit

A

8-12 weeks gestation

40
Q

Down syndrome investigation in 1st trimester

A

nuchal thickness
hCG
PAPP-A (pregnancy associated plasma protein A)
11-13 weeks

41
Q

what specific tests can be done for Down syndrome and when it is performed

A

amniocentesis - after 15 weeks

chorionic villus sampling- after 12 weeks

42
Q

breast screening

A

50-70 years invited every 3 years

43
Q

cervical cancer screening

A

every 3 years 25-49

every 5 years 50-64

44
Q

genetic test used to detect trisomy

A

ACGH

45
Q

drug used in nocturia

A

desmopressin

46
Q

drug used for stress incontinence

A

duloxetine

47
Q

1st line OAB

A

oxybutynin

48
Q

how often do you change a pessary

A

6 months

49
Q

tense shiny abdomen

A

polyhydramnios

50
Q

normal weight of term baby

A

2.5-4 kg

51
Q

most common cause of bacterial septicaemia in neonates

A

group B strep

52
Q

what is sheehans syndrome

A

post partum hypopituitarism due to ischemia + necrosis caused by blood loss/shock during labour

53
Q

symptoms of sheehans syndrome

A 
amenorrhoea
weight gain
hair loss
feeling the cold
constipation
54
Q

degrees of perineal tears

A

1- superficial
2- muscle but no sphincter involvement
3- sphincter involvment
3 sphincter + mucosa involvement

55
Q

what is classed as loss of baseline variability on CTG

A

<5 beats/min

- indicates hypoxia

56
Q

what is indicated by

  • early deceleration
  • late deceleration
A

early - head compression

late- fetal distress

57
Q

effect of tamoxifen on endometrium

A

risk factor for endometrial hyperplasia

Exam Revision (32 decks)

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