EFA O and G quiz answers Flashcards
Haemophilia - genetics?
X linked
Name some other x-linked diseases
redgreen colour blindness etc
Pudendal nerve block - what do you palpate?
Ilioinguinal nerve runs behind ischial spine, so palpate for ischial spine
Pudendal nerve supplies which three areas?
Clitorus
Perineum
Anus
Why do you give the pudendal nerve block?
Local anaesthetic for instrumental delivery
Ibuprofen in third trimester of pregnancy is contraindicated - why?
It can cause premature closure of ductus arteriosus
What is Reye’s syndrome?
Aspirin usage in children - brain defects, seizures
What is the one exception where you would give aspirin in children?
Kawasaki’s disease
Management of severe pre-eclampsia?
IV labetalol and IV magnesium sulphate
Most appropriate IMMEDIATE treatment for 160/110mg BP
Seizure prophylaxis - magnesium sulphate FIRST
then give the labetalol
How much do you dilate normally during labour?
Normally 0.5cm-1 per hour, therefore first labour should be around 8-10 hours
23yo, iranian pregnant women. Haemoglobin normal, MCV low, ferritin normal.
Beta thalassemia - microcytosis, common
(sickle cell would be picked up much earlier in life)
G6PD - genetics? Can it happen in females?
X-linked therefore unlikely in women
Sickle cell
Normocytic anaemia
Nuchal translucency fluid is what time of fluid?
Lymph fluid
When do we do the nuchal translucency scan?
10-14 weeks gestation
18yo woman, irregular uterine contractions at 29weeks. Stopped smoking at 6 weeks. VE shows effaced, shortened cervix. What’s caused her preterm labour? What causes pre-term labour? Is it smoking:
High blood pressure
Diabetes
Smoking or drug use - CURRENT smoking
Underweight or overweight before pregnancy
Stressful life events
Idiopathic (for her)
How does SFH correlate to gestational weeks? What is normal?
Gestational age in weeks +/- 3cm is normal
How many pluses of protein
Menstrual phase - day 1 to 4
Proliferative phase
4-14
Secretory phase
15-28???
Irregular bleeding, contraception and when you wouldn’t give it.
COCP - don’t give in high BMI or if smoking
You wouldn’t give progest
If smoking over 15 a day and is 35 years old, you cannnnoooott give
When is the risk of breast cancer with HRT seen? How would you tell a pt about this risk being minimal?
HRT use over 5 years
similar risk with alcohol or obesity
How often should you check the mirena coil/ius?
Every time you menstruate
Another name for mature cystic ovarian teratoma?
Ovarian dermoid cyst
Blood in cyst
Endometrioma
Capsule cysts
Benign cystadenoma
Issues with compliance. 2 ToP after COCP. Bulky fibroids. Family planning clinic. Which contraception?
Not barrier method
Not prog only pill as have to take every day
Copper coil useless for fibroids, IUS better
IUS ok for smaller fibroids, but she has large fibroids
IUS would need outpatient gynae appt, but she’s DNA-ed a few times and we’re in a family planning clinic. What can we offer right now?
PROG IMPLANT best option
Uterine prolapse - look up managements
Anterior repair
Sacrospinous fixation
Vaginal pessary (to keep bladder up and out of the way)
Look up cervical shock
Inevitable misscariage
Cervical os open, bleeding
Incomplete miscarriage
fetal contents
Threatened miscarriage
Some bleeidng but cervical OS closed
amenorrhoea for 6 months, FSH 30 on two scans
Under 40
Two FSH levels above 30, taken 4-6 weeks apart
37yo woman. 10 weeks. Excessive vomiting + increased fundal height. Temp 37.2, pulse 100bpm, BP 180/110mg.
MOLAR PREGNANCY
Hyperemesis gravidum doesn’t explain high blood pressure
We have to think about the
Molar pregnancy
ovum’s DNA ejected, sperm DNA doubles
Snowstorm appearance
Partial mole
2 sperms, 1 egg DNA
What is cervical shock?
Miscarriage contents stuck in cervix - causes vasovagal response:
-increased HR
-low BP
