3 Flashcards

1
Q

if pregnant and not had MMR

non immune mothers

A

stay away from people who might have rubella

offer vaccine post fatally

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2
Q

check if pregnant women are immunised to chicken pox
if negative
rx

A

varicella IgG
not immune
VZ immunoglobulin

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3
Q

androgen insensitivity classic presentation

A

primary amen

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4
Q

turners

A

45XO

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5
Q

kallmans

A

x linked recessive

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6
Q

cord prolapse is what

if left untreated

A

umbilical cord descending ahead of the presenting part of the fetus
if left untreated - compression of the cord or cord spasm

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7
Q

treatment of cord prolapse

A

presenting part of the foetus can be pushed back into uterus
tocolytics like terbutaline can be used to reduce cord compression
patient advised to go on all fours
immediate cs

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8
Q

occipital posterior management

A

may spontaneously go to OA
augmentation is process is slow
keillans forceps
women experience earlier push

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9
Q

hypermedia gravidarumdiagnosis

A

5% pre preg weight loss
dehydration
electrolyte imbalance

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10
Q

ectopic pregnancy but presence of fatal heart

A

surgical management as high risk of rupture

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11
Q

vassal praevia

A

ROM followed by bleeding

fetal brady

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12
Q

sudden collapse after ROM

A

amniotic fluid embolism

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13
Q

what can occur after dilatation and curretage

what does this do

ix

A

asherman’s syndrome (intra uterine adhesion)

prevents endometrium responding to oestrogen as it normally would
secondary amen

hysteroscopy

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14
Q

commonest cx of myomectomy

A

adhesions

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15
Q

vulval carcinoma

A

commonly ulcerated

can present on labium majora

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16
Q

downs is assoc with

A

hypothyroid more than hyper

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17
Q

PROM

A

10 days of erythromycin

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18
Q

to diagnose adenomysosi

A

MRI

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19
Q

baby transverse lie

A

external cephalic rotation if amniotic sac hasnt ruptured

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20
Q

Mgsulphate for how long

A

24 hours after delivery or last seizure

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21
Q

chorioamnocentesis

A

preterm PROM
maternal pyrexia
maternal tachy
fetal tachy

22
Q

endometrial cancer treatment for trial elderly not fit for surgery

A

progesterone treatment

23
Q

rokitasys protuberance

A

teratoma - dermoid

24
Q

prolonged deceleration

A

lasts over 3 mins

25
Q

in a 28 day cycle when is ovulation

A

14

26
Q

fetal brady

A

<100 for 3 mins or more

27
Q

adnexal or ovarian torsion presents how
often assoc with
if not surgically corrected

A

severe colicky pain
nausea and vom
pain can become more constant - ovary becomes necrotic and pyrexia will develop

28
Q

smokers and COC

migraine and aura and COC

A

MI

stroke

29
Q

what is the pearl index

A

the number of pregnancies that occur if used by 100 women in a year

30
Q

ix for HIV

A

ELISA and western blot assay for AB and P24 antigen test

31
Q

terbutaline dose

A

250mcg

32
Q

menopause ix

A

8 weeks apart

33
Q

mineral first line for

A

mennorhagia

fibroids

34
Q

placenta accretta

pacretta

A

myometrium

serosa

35
Q

anterior fontanella ossifies

posterior fontanella

A

9-18m

3m

36
Q

GORD in pregnancy treatment

A

maalox/gavascon

37
Q

TAH and BSO and endometriosis HRT

A

combined

38
Q

acne and wants contraception

A

diannete

39
Q

white patches on vagina wall

A

candida

40
Q

contraception for PCOS

A

diannete

41
Q

threatened miscarriage how many miscarry

A

25%

42
Q

drug at the birth of the anterior shoulder

A

syntocin

43
Q

40 periods and menopause sympt

A

oral oestrogen and mirena

44
Q

vault prolapse surgery

A

sacrospinatous fixation

45
Q

transverse lie

A

Placenta praevia

46
Q

LH stimulate

A

testosterone

47
Q

CL produced

A

progesterone

48
Q

what stores sperm

A

epidermis

49
Q

treatment ofr polyp

A

steroids

50
Q

imperforate hymen can lead to what

A

endometriosis - retrograde menstruation