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1
Q

Infertility

A 
Have sex 2-3 a week
Don't do ovulation kits
Alcohol <4 units/day
Decrease smoking
BMI <30
Don't keep testes too hot (avoid tight fitting underwear and saunas)
Avoid exposure to chemicals
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2
Q

Candida

A

Topical clotrimazole

Oral fluconazole

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3
Q

Bacterial vaginosis

A

Metronidazole
OR
Clindamycin cream

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4
Q

Clamydia

A

Doxycycline 100mg 7 days

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5
Q

Gonorrhoea

A

IM ceftriaxone

2nd line cefixime 400mg oral

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6
Q

LGV

A

Doxycycline ( 3 week course)

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7
Q

Acute bacterial prostatitis

A

Ciprofloxacin 28 days

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8
Q

Syphillis

A

Penicillin
If early- 2.4 MU x 1
If late- 2.4 MU x3

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9
Q

Genital herpes

A

Acyclovir
Lidocaine
Salien bathing

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10
Q

Genital warts

A

Podophyllin(Warticon) - Cytotoxic
Imiquoid-Immune modifier
Cryotherapy
Electrocautery

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11
Q

Trichomonas vaginalis

A

Oral metronidazole

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12
Q

Pubic lice

A

Mathalion lotion

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13
Q

HIV

A

HAART

  • Tenofovir ( NRTI)
  • Emtricitabine (NRTI)
  • Efavirenz (NNRTI)
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14
Q

Pneumocystis pneumonia

A

High dose co-trimoxazole (+/- steroid)

Prophylaxis- Low dose co-trimoxazole

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15
Q

Kaposi’s sarcoma

A

HAART
Local therapies
Systemic chemo

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16
Q

Cervical cancer

A

Serology every 3 years (rather than yearly)

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17
Q

Baby blues

A

Support and reassurance

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18
Q

Postnatal depression

A

Mild-moderate –> Self-help, counselling

Moderate-Severe –> Psychotherapy, Antidepression

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19
Q

Puerperal psychosis

A 
Emergency 
Admission to specialised mother-baby unit
Antidepressants
Antipsychotics
Mood stabilizers
ECT
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20
Q

Antidepressants when pregnant or breastfeeding

A

Sertraline

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21
Q

Benzos in pregnancy/breastfeeding

A

AVOID

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22
Q

Antipsychotics in the baby times

A

Typicals e.g. Haloperidol

Watch for sedation/lethargy when breastfeeding

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23
Q

Sodium valproate in pregnancy and breastfeeding

A

AVOID in pregnancy

GRAND in breastfeeding

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24
Q

Medical TOP

A

Oral Mifepristone 200mg

24-48h later oral/vaginal Misoprostol

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25
Pre-existing hypertension and pregnancy
Labetalol, Methyldopa | Nifedipine--> If mother has severe asthma, uncontrolled by oral steroids
26
Risk of PET
75mg aspirin
27
When do you admit for PET
BP >170/110 or >140/90 with ++ proteinuria
28
Eclampsia
Vasodilatory - IV labetalol, hydralazine Magnesium sulfate If repeated seizure then diazepam 10mg Manage 3rd stage with oxytocin
29
Magnesium sulphate toxicity
Calcium gluconate
30
Asthma
SABA Inhaled Steroids LABA Consider leukotriene or inhaled steroids
31
NSAIDs in RA
In 1st/2nd | NOT IN 3rd
32
aPL
From conception with aspirin 75mg Heparin from when fetal heart identified Postpartum heparin or warfarin
33
Epilepsy
Antiepileptics | Folic acid 5mg
34
Profuse bleeding
Ergometrine 0.5mg IM
35
Ectopic preganancy
Laproscopy Methotrexate IM as a single dose
36
Symptomatic placenta praaevia or a LLP for 48h
Tocolysis
37
Vasa praevia
Steroids from 32wks Consider inpatient management if risk of preterm birth (32-34wks) Elective c-section before labour
38
Ruptured vasa praevia
Emergency c-section delivery | neonatal resus
39
Active management of third stage
Use oxytocin drugs + controlled cord traction Prophylactic management of syntometrine 1ml or oxytocin 10 units
40
Epidural
Levobupivacaine +- Opiate
41
Fetal distress
``` Change maternal position IV fluids Stop syntocinon Scalp stimulation Consider tocolysis-Terbutaline ```
42
Pregestational diabetes
38wks delivery Avoid getting pregnant if HBA1c is 86mmol or more
43
PPHN
``` Ventilation Oxygen NO Sedation Inotropes ECLS ```
44
Jaundice
Phototherapy (Blue light, 420-470nm) | Adequate hydration
45
Nacrotizing enterocolitis
Stop oral feeding Barrier nurse Culture faeces Cefotaxime + Vancomycin
46
Haemorrhagic disease of the newborn
Vit K
47
Menopause-conservative
Diet, Wt loss, exercise, lifestyle, caffeine
48
Menopause- w/o uterus
Oestrogen alone
49
Menopause- w uterus
Oestrogen and progesterone
50
Non-HRT treatment for menopause
Clonidine
51
Vaginal atrophy
Vaginal oestrogen
52
Conservative Incontinence
Caffeine, alcohol, fluid, wt loss SUI- Stop smoking OAB- Reduce alcohol and caffeine Pelvic floor exercised and bladder retraining
53
Stress incontinence drugs
Oxybutynin (antimuscarinic)
54
Overactive bladder drugs
Mirabegron (B3 agonist)
55
nocturne in incontinence
+ Desmopressin
56
Pelvic floor dysfunction
``` Healthy BMI Avoid constipation Smoking cessation Avoid heavy lifting Caffeine reduction gradually Drink plenty Never go to the toilet "just in case" ```
57
Fibroadenoma
Diagnose Reassure Exercise (better to do open)
58
Mastalgia
Evening primrose oil Tamoxifen Topical NSAIDs
59
Cysts
FNA
60
Breast abscess
Aspiration using LA
61
Duct ectasia
Treat acute infections Exclude maliganancy Stop smoking
62
Nonpeurperal mastitis
Augmentin or Cephalexin for 7 days
63
Periductal mastitis
Co-amoxiclav
64
Galactocele
FNA
65
Mondor's disease
Usually resolves spontaneously in 8-12wks
66
Phyllodes tumour
Excised with wise (1cm), clear, surgical margins, and carefully followed up
67
Breast cancer impalpable
Wire inserted and take mammographs
68
Metastatic breast cancer
Bevacizumab
69
Hot flushes with Tamoxifen/AI
Clonidine
70
Suspected ovarian carcinoma
Open surgery (laparotomy)
71
Benign ovary thing
Laparascopically
72
Ovarian tumours
Surgery and chemotherapy | If epithelial then use CARBOPLATIN
73
Cervical cancer
Surgery - LLETZ up to 1A1 - Cone biopsy up to 1A2 - Trachelectomy up to 2B Radiotherapy and Chemotherapy
74
Cervical polyps
Young women- avulsed | Older women- Avulsion + TVS +- hysteroscopy
75
Endometrial cancer
TAH with BSO and peritoneal washings | Radio + Chemo
76
Leimyoma
Traditionally hysterectomy | UAE, Hysterscopic resection

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