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4 Child health and O&G > 2 > Flashcards

2 Flashcards

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1
Q

decreased FSH

A

atresia of non dominant follicles

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2
Q

ovulation

A

LH surge 36 hours prior

dominant follicle ruptures relating oocyte

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3
Q

luteolysis

A

14 post ovulation

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4
Q

what maintains the corpus leutum

A

HCG form placenta

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5
Q

how long does fetes depend on maternal thyroid hormones and why

A

until own hormones at 12 weeks

for brain and CNS development

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6
Q

when is karytotyping of both parents done

A

recurrent miscarriage - 3 or more consecutive

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7
Q

Labetalol

A

alpha and beta blocker

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8
Q

nifedipine

A

CCB

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9
Q

hydrazine

A

vasodilator

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10
Q

methylopa

A

centrally acting alpha agonist

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11
Q

why is magnesium sulphate given in eclampsia

antagonist for it

A

anti hypertensive by reducing calcium uptake and an anti convulsants
calcium gluconate

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12
Q

android pelvis

A

male

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13
Q

to suppress labour

A

tocolysis like atosibin/terbutaline/indomethacin

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14
Q

syphilis screening
then which tests are done
which go negative after treatment in few months

A

IgG and IgM ELISA

IgM ELISA - recent untreated infection
TPPA - if they’ve ever had an infection
VDRL - active infection

IgM and VDRL

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15
Q

what is at risk during forceps delivery and why

A

facial nerve

mastoid process not yet fully formed

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16
Q

Erbs palsy symptoms/signs

A

pronated forearm
absent biceps reflex
absent MORO reflex on ipsilateral side

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17
Q

what is PAPPA produced by

in downs

A

placental syncyiotrophoblasts

low

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18
Q

bHCG produced form

downs

A

synciotrophoblasts

high

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19
Q

AFP produced form where
downs
MP

A

liver and yolk sac
low
high

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20
Q

inhibit A produced by

downs

A

placenta

high

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21
Q

unconjugated bilirubin uE3 produced by

downs

A

placental and fatal adrenals

down

22
Q

how can ovarian reserve be assessed

A

astral follicle count

AMH

23
Q

mennorhagia

A

prolonged and increased flow

24
Q

mettorhagia

A

regular inter menstrual bleeding

25
Q

polymennorhoea

A

<21 day intervals

26
Q

polymenorrhagia

A

increased bleeding and frequent cycles

27
Q

menomattorrhoagia

A

prolonged menses and inter menstrual bleeding

28
Q

amen

A

absence of >6 months

29
Q

oligo

A

menses at interval of >35 dats

30
Q

normla vaginal flora has what and why

A

lactobacillus pp which produces lactic acid/hydrogen peroxide

suppress growth of other bacteria

31
Q

what is used for a test of cure in gohhonea

A

culture

32
Q

required history before endometrial biopsy

A 
age
date of LMP and length of cycle 
pattern of bleeding 
hormones 
recent pregnancy
33
Q

viral shedding HSV

A

more in HSV2

34
Q

where is CD4

A

T helper lymphocytes mainly
dendritic/langerhans
macrophages
microglial cells

35
Q

day 1
day 3-5
day 5-8
what happens then

A

fertilisation in ampulla of fallopian tube
blastocysts transported into uterus
blastocysts attaches to lining of uterus
inner cells develop into embryo and outer cells (trophoblastic) burrow into uterine wall and become placenta

36
Q

when are placenta and fatal heart functional by

A

week 5

37
Q

bohr effect

A

fetal Hb can carry more oxygen in low Pco2 than in high PCO2

38
Q

oestrogen

progesterne

A

growth of ductile system

development of lobule-alveolar system

39
Q

oestrogen and prog inhibit what

A

milk production so levels drop at birth

40
Q

prolactin

suckling

A

stimulates milk production steady rise form 15->birth

increase in oxytocin - milk let down reflex

41
Q

what gives rise to the urogenital tract

A

mesoderm

42
Q

funds at 12 weeks

20 week

A

pubic symphasis

umbilicus

43
Q

what is a mammogram

A

low dose XR designed to specifically maximise contrast between breast tissues whilst minimising radiation dose

44
Q

breast screening

A

50-70

3 yearly

45
Q

breast cancer mets

A

lung, liver, bone, brain, skin

46
Q

MRI screening of high risk groups

A

previous irradiation
BRACA1/2/TP53
personal history of breast cancer

47
Q

ix for fibroid

A

MRI for precise location

48
Q

dermoid cysts can have what

A

thyroid tissue - hyperthyroid

49
Q

meig’s syndrome

A

benin fibroma
pleural effusion
ascites

50
Q

endometriod carcinaom

A

5% or less solid growth
6-50%
>50%

51
Q

why does the transformation zone change

A

physiological response to menarche, pregnancy, menopause

4 Child health and O&G (7 decks)

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