Buzzwords Flashcards

1
Q

USS ‘snowstorm’ appearance

‘Frogspawn’ when expelled

A

Hydatidiform mole

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2
Q

Antepartum haemorrhage in patient with succenturiate lobe or velamentous insertion

A

Vasa praevia

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3
Q

Maternal blood + no fetal disease

A

Placenta praevia

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4
Q

Fetal blood + sudden dental distress

A

Vasa praevia

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5
Q

Doughy abdomen

A

Placenta accrete

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6
Q

Fetal distress and loss of engagement, previous C-section or surgery

A

Uterine rupture

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7
Q

Post-partum haemorrhage followed by pituitary failure

A

Sheehan syndrome

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8
Q

Strawberry cervix

A

Trichomonas vaginalis

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9
Q

Clue cells, high vaginal pH (>4.5)

A

Bacterial vaginosis

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10
Q

Prolapse + back pain

A

Uterine prolapse

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11
Q

Large tense uterus (woody abdomen), bleeding and pain

A

Placental abruption

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12
Q

What is the ‘station’ referring to, and what do positive and negative numbers mean?

A

The distance of the fetal head from the ischial spines
Positive - head superior to spines
Negative - head inferior to spines

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13
Q

What are the differences between male and female pelvises?

A

AP and transverse diameters of the female pelvis are larger than the male
Suprapubic angle and pubic arch are wider in the female
Pelvic cavity is shallowe in the female
Rounder shape in female
In female coccyx doesn’t curve

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14
Q

What is the difference in cervical position when more or less fertile?

A

Fertile - cervix is high in vagina, soft and open

Less fertile - cervix is low in vagina, firm and closed

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15
Q

What are the most fertile days in a 28 day cycle?

A

8-18

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16
Q

What is salpingoophrectomy?

A

Removal of both uterine times and ovaries

17
Q

What is salpingectomy?

A

Removal or one of the uterine tubes

18
Q

Where do the fibre at the end of the uterine tubes open into, and what implication does this have?

A

Peritoneal cavity

There is communication between genital tract and peritoneal cavity - so infection can pass between thee two areas

19
Q

Which diseases is partner notification not needed for?

A

Warts
Herpes
Vaginal thrush
Bacterial vaginosis

20
Q

What is the classification of breast FNA cytology?

A
C1 - unsatisfactory
C2 - benign
C3 - atypia, probs benign
C4 - suspicious of malignancy
C5 - malignnat
21
Q

What is the description of benign solid nodules in the breast?

A

Circumscribed

Wider than tall

22
Q

What is the description of malignant solid nodules in the breast?

A

Poorly circumscribed

Taller than wide

23
Q

What is the order stepwise hormone therapy is given in?

A

Aromatase inhibitor
Tamoxifen
Progesterones

24
Q

How is down syndrome screened for?

A

1st trimester - measure nuchal thickness (skin thickness behind neck) at 11-13 weeks
2nd trimester - blood sample at 15-20 weeks, assay of HCG and AFP
Non-invasive pre-natal testing - from 10 weeks
Specific diagnostic tests
- amniocentesis after 15 weeks, miscarriage 1%
- chorionic villus sampling after 12 weeks, miscarriage 2%

25
Q

What is spina bifida?

A

The vertebral arch of the spinal column is either incompletely formed or absent
Most common in lumbar region

26
Q

How is spina bifida diagnosed?

A

Raised maternal AFP at 16-18 weeks

18-20 weeks ultrasound scan

27
Q

What is the management for spina bifida?

A

Cover defect with sterile wet saline stressing

Repair defect with surgery in first days

28
Q

What is ancephaly?

A

Absence of a major portion of the brain, skull and scalp

29
Q

What is Prader-Willi syndrome?

A

Genetic disorder of hyponatraemia and developmental delay as an infant
Obesity, learning disability and behaviour problems in adolescence and adulthood

30
Q

When is jaundice of the newborn physiological and pathological?

A

First 24 hours - pathological

After 24 hours - physiological

31
Q

When does rhesus occur?

A

Rh negative women with a Rh positive baby

The mother must have been previously sensitised to Rh positive blood (so it must be second child)

32
Q

What is the presentation of rhesus disease?

A

Anaemia and jaundice in baby

33
Q

What is the prevention and treatment of rhesus disease?

A

Prevention - anti-D immunoglobulin injection for mother

Treatment - blood transfusion to baby if severe, phototherapy, IV immunoglobulin

34
Q

What are the indications for ventouse delivery?

A

Maternal exhaustion
Prolonged second stage of labour
Fetal distress in second stage, indicated by fetal heart off CTG
Maternal illness where bearing down or pushing would be risky - cardiac, BP, aneurysm, glaucoma

35
Q

What are the indications for forceps delivery

A

Maternal exhaustion
Prolonged second stage
Things that make pushing risky - cardiac, BP, aneurysm, glaucoma
Analgesic drug-related inhibition of maternal effort
Non-reassuring fetal heart tracing