13 Flashcards

1
Q

congenital heart diseases associated with congenital rubella syndrome

A

patent ductus arteriosus

pulmonary artery stenosis

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2
Q

shoulder dystocia management

A
  • discourage pushing
  • call for help
  • MacRoberts manoeuvre
  • suprapubic pressure
  • cleidotomy
  • symphysiotomy
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3
Q

pregnancy hormones with anti-insulin action

A
  • cortisol
  • human chorionic gonadotrophin
  • prednisone
  • human placental lactogen
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4
Q

describe key physiological changes required for foetal expulsion

A
  • softening of cervix
  • myocetrial tone changes to enable coordinated contractions
  • progesterone decreases
  • oxytocin + prostaglandins increase
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5
Q

medical management of endometriosis

A
  • COC
  • POP
  • mirena
  • dept provera
  • GnRH analogues
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6
Q

erythrasma

A

superficial skin infection causing brown, scaly skin patches

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7
Q

management of lichen sclerosis

A

prescription steroid cream

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8
Q

describe cephlopelvic disproportion

A

foetal head in correct position for labour but too large to negotiate maternal pelvis

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9
Q

what is assessed to determine progress of labour

A
  • cervical effacement
  • cervical dilation
  • foetal head engagement
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10
Q

clinical types of placental abruption

A
  • revealed
  • concealed
  • mixed
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11
Q

management of pre-term labour

A
  • monitoring
  • steroids
  • transfer to unit with NICU
  • aim for vaginal delivery
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12
Q

describe the use of combined hormonal contraception in ring form

A
  • lasts for 3 weeks

- can be removed for 3/24

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13
Q

when can levongestrel pill be taken as emergency contraception

A

<72 hours

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14
Q

vaginal symptoms pelvic organ prolapse

A
  • difficulty/ pain having intercourse
  • palpable mass
  • feeling of pressure
  • heaviness
  • difficulty inserting tampon
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15
Q

management of infertility

A
  • weight loss/ gain
  • investigations
  • comifene
  • gonadotrophin
  • IVF
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16
Q

presentation of fat necrosis on mammography

A

histiocytes with foamy cytoplasm

lipid filled cysts

fibrosis, calcifications, eggshell

17
Q

describe complete miscarriage

A
  • closed cervix
  • bleeding stopped
  • all productions of conception expelled
18
Q

medical management of endometriosis

A
  • COC
  • POP
  • mirena coil
  • dept provera
  • GnRH analogues
19
Q

define severe chronic hypotension

A

> 110/ >160

20
Q

active management third stage of labour

A

oxytocin

surgery

21
Q

a 100 year old tortoise named Diego single handily saved his species by fathering over 800 offspring

A

oooooooooft

22
Q

main causes of primary post partum haemorrhage

A

4Ts

  • tone
  • thrombin
  • trauma
  • tissue