Women's Health Flashcards
(35 cards)
What is Meig’s syndrome triad?
Benign ovarian tumour
Ascites
Pleural effusion
Which drugs should be avoided in breastfeeding?
The following drugs should be avoided: antibiotics: ciprofloxacin, tetracycline, chloramphenicol, sulphonamides psychiatric drugs: lithium, benzodiazepines aspirin carbimazole methotrexate sulfonylureas cytotoxic drugs amiodarone
Criteria for hyperemesis gravidarum
5% pre-pregnancy weight loss
dehydration
electrolyte imbalance
Management of hyperemesis gravidarum
(1st line) Antihistamines - promethazine
(2nd line) Ondansetron and metoclopramide
How would vasa praevia present?
painless vaginal bleeding + include fetal bradycardia and membrane rupture
Symptoms of vaginal candidiasis & treatment
‘Cottage cheese’, non-offensive discharge
itch, dyspareunia, dysuria
Tx:
- Local: clotrimazole pessary
- Oral: itraconazole
What is endometrial hyperplasia associated with? (e.g. what increases its risk factors)
Endometrial hyperplasia is associated with;
Taking oestrogen unopposed by progesterone Obesity Late menopause Early menarche Aged over 35-years-old Being a current smoker Nulliparity Tamoxifen
what do you give a pregnant woman with high blood pressure + PMH of asthma?
Nifedipine
HRT: unopposed oestrogen increases risk of…
endometrial cancer
If a patient is at moderate risk of pre-eclampsia - from when does she need to commence what medication
Asprin 75mg OD from 12 weeks gestation until birth
What anti-epileptic have the smaller effects on the developing fetus?
Lamotrigine, carbamazepine and levetiracetam
Causes of an increased nuchal translucency include:
Down’s syndrome
congenital heart defects
abdominal wall defects
Patients with continuous dribbling incontinence after prolonged labour should be suspected for having…
vesicovaginal fistula
Do urinary dye study to ix this
First dose of anti-D prophylaxis to rhesus neg women is given at week…
28
Target blood pressure in woman with pre-eclamspia is
NICE recommends that blood pressure is targeted at systolic < 150 mmHg and diastolic 80-100 mmHg.
What type of ovarian tumour is associated with Meig’s syndrome?
Fibroma
In preterm prelabour rupture of membranes, antenatal corticosteroids should be administered to reduce the risk of respiratory distress syndrome - which steroid should be given?
Dexamethasone
pregnant women with pre-existing diabetes can be treated with
metformin, either alone or in combination with insulin
Women between the ages of 50-64 years have smears every…
5 years
What is the classic uterus positioning in endometrosis
Fixed, retroverted uterus
How do you define PPH?
Postpartum haemorrhage is defined as blood loss of 500 ml or more within 24 hours of the birth of a baby
Risk factors for cervical cancer
smoking human immunodeficiency virus early first intercourse, many sexual partners high parity lower socioeconomic status combined oral contraceptive pill*
Babies born to hep B serology positive woman should be given…
Hep B vaccine & 0.5ml of HBIG within 12 hours of birth with a further hep vaccine at 1-2 months and a further vaccine at 6 months
Risk factor for endometrial cancer
obesity nulliparity early menarche late menopause unopposed oestrogen. The addition of a progestogen to oestrogen reduces this risk (e.g. In HRT). The BNF states that the additional risk is eliminated if a progestogen is given continuously diabetes mellitus tamoxifen polycystic ovarian syndrome hereditary non-polyposis colorectal carcinoma
More oestrogen -> more endometrial lining and more cancerous
Therefore early and late menopause means more oestrogen
Nulliparity means more oestrogen (PREGNANCY REDUCES OESTROGEN)
(COCP & smoking is protective)
