Repro Flashcards

(47 cards)

1
Q

how many days after ovulation does the next menses begin

A

14

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2
Q

LH surge is how many hour before ovulation

A

24-36 hours

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3
Q

what is the role of FSH

A

follicle development

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4
Q

increase of oestrogen levels cause

A

LH to be released from the pituitary

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5
Q

LH stimulates what

A

ovulation.

progesterone + oestrogen production from corpus lute

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6
Q

oestrogens role in the breast

A

stimulates lactiferous ductal growth

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7
Q

oxytocins role in the breast

A

stimulates myoepithelial contraction

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8
Q

what is the placenta made from

A

trophoblast and decidual tissue

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9
Q

what hormone decreases maternal insulin sensitivity

A

HCS

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10
Q

what can you measure to determine foetal health

A

estradiol

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11
Q

seizure in eclampsia treatment

A

IV magnesium sulphate

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12
Q

respiratory changes in pregnancy

A

decreased capacity, decreased CO2

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13
Q

CVS changes in pregnancy

A

increased heart contractility, increased SV, diastolic BP reduced, decreased venous return

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14
Q

renal changes in pregnancy

A

increased eGFR, increased plasma flow

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15
Q

blood changes in pregnancy

A

increased calcium need, increased plasma volume, increased need for iron

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16
Q

failure to progress nulliparous woman in each stage

A
  1. less than 2cm in 4h,
  2. 2h (no ep) 3h (ep)
  3. delivery within 10 mins, over 1 hour give oxytocin
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17
Q

failure to progress parous woman

A
  1. 2cm in 4h
  2. 1h (no ep) 2h (ep)
  3. within 10 mins, over 1 hour give help
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18
Q

foetal blood sampling; pH 7.20-7.25, any actions taken?

A

this is borderline, repeat in 30 mins

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19
Q

foetal blood sampling; pH <7.20, any actions taken?

A

this is abnormal, deliver baby

20
Q

HTN in pregnancy

A

labetalol, methyldopa, nifedipine

21
Q

VTE in pregnancy

22
Q

hypothyroidism

A

levothyroxine

23
Q

hyperthyroidism

24
Q

asthma

25
epilepsy
continue epilepsy meds and give extra folic acid
26
Depo injection
give up to day 5, every 13 weeks
27
IUD
1st 7 days of cycle, can give immediately after TOP
28
IUS
1st 7 days of cycle
29
implant
1st 5 days of cycle, immediately after COP/Depo
30
combined contraceptives contraindicated in
migraine with aura, breast cancer, increased BMI, smokers, HTN, diabetics and over 35s
31
emergency contraception methods and cut offs
levonelle (72), ellaone (120), IUD (120)
32
diagnosis of syphillus
PCR, serological antibodies, dark ground microscopy
33
treatment of syphillis
benzathine penicillin
34
HER2 breast cancer
trastuzumab
35
ER+ breast cancer
hormonal agents
36
premenopausal endometrial cancer suspicion
lining >16mm
37
post menopausal endometrial cancer suspicion
lining >4mm
38
most common cervical cancer
squamous
39
staging of cervical cancer 0-1B
``` 0= CIN 1a1 = 3x7mm 1a2 = 5-7mm 1b = confined to the cervix ```
40
staging of cervical cancer 2-4
2- adjacent organs involved 3- pelvic wall involvement 4- distant metastases, rectum or bladder involvement
41
diagnosis of ovarian cancer
CA125, CT for staging
42
staging of ovarian cancer
1. ovaries a= 1 ovary, b= both, c=in and around the ovaries 2 pelvis 3 abdomen 4 outside abdomen
43
grade 1 perineal tear
vaginal mucosa
44
grade 2 perineal tear
subcutaneous tissues
45
grade 3 perineal tear
external anal sphincter
46
grade 4 perineal tear
external anal sphincter and rectal mucosa
47
day 5 screening includes
hypothyroid, PKU, CF, haemoglobinopathies and MCAD