715 Flashcards
Age for cervical screening
25-69
Primary dysmenorrhoea tends to be limited to day X and Y of period
1 and 2
First line in alternative prescribing in menopause
Gabapentin 100 TDS
In cyclical MHT: how many days per month do you give progestogens?
10-14
Over how many cycles should you keep a PMS symptom diary?
2 cycles
what does BV do to the vaginal pH
increases
if there is an unsatisfactory smear sample, what is the time for repeat?
after 4-6 weeks, less than 3 months
when there is treatment smear abnormality, what is the depth aim
7mm
breast cancer risk increase or decrease with HRT
increase
osteoporosis fracture risk increase or decreas with HRT
decrease
bowel cancer risk increase or decrease with HRT
decrease
how much does gabapentin and SSRI decrease vasomotor sx
50%
how much does HRT decrease vasomotor stymptoms
75-88%
dose of urtogestgan when using as cyclical
10-14 days per month, 200mg nocte (used at night as s/e = sedation)
how do you diagnose premature ovarian failure
2x elevated FSH levels 4-6 weeks apart, FSH >40
how long does perimenopause last on average
4-8 years
risks associated with premature ovarian failure
increased risk of osteoporosis / CVD / cognitive impairment / parkinsons / decreased life expectancy
triggers for vasomotor hot flushes to consider avoiding in menopause
spicy food, alcohol, smoking
does oestrogen therapy alone increase breast cancer risk
no. the breast cancer risk is from progestogen
risks of oestrogen only HRT
VTE
stroke
gallbladder disease
side effects of progestogen therpay
mood cahnge
bloating
breast pain
headache
irregular bleeding is accepted as normal for up to X months of using combined HRT
6 monthd
what is the chance of fibroid recurrence in 10 years after myomectomy
27%
when is the use of preoperative GnRH analogue recommended pre fibroid surgery
preoperative anaemia or >18/40
treatment for contacts of chlamydia
azithromycin 1g stat
how long does HIV serology take to become positive
6 weeks
how long does syphilis serology take to become positive
12 weeks
how long for test of cure for sti in pregnancy
5 weeks post treatment
first line treatment for chlamydia
doxy 100mg po bd
how does lichen sclerosis most commonly present
itch
first line pharmaceutical treatment for PMS
Drospirenone containing COCs
timing of PMS
present in the luteal phase, abate as menses begins and then a symptom free week
treatment of a primary herpes outbreak
valaciclovir 500mg po bd 7/7
herpes suppression in pregnancy
valaciclovir 500mg po bd from 36/40 until birth
is contact tracing recommended for HSV
no
contraindications for carboprost
active PID
asthma
active cardiac / renal / hepatic / pulmonary disease
depth of lesions for diagnosis of deep endometriosis
5mm under the peritoneal surface
what is the first line hormonal management for proven or presumed endo
POPs or progestins
