Emergency gynae

Question 1

What are Bartholin’s glands?

Where are they?

Answer 1

Glands that secrete lubricant during sex

Located behind labia minora

Question 2

What 2 bacteria are common causes of a Bartholin’s abscess

Answer 2

1. Staph

2. E Coli

Question 3

Most common site of an ectopic pregnancy

Answer 3

Ampulla of fallopian tube

Question 4

Risk factors for ectopic pregnancy

Answer 4

1. PID
2. Surgery (causing adhesions)
3. Copper IUD
4. Smoking (cilia stops moving)

Question 5

Type of pain that would occur with ectopic pregnancy

Answer 5

Initially colicky

then becomes constant

Question 6

What are signs of intraperitoneal blood loss in an ectopic pregnancy

Answer 6

1. Syncope

2. Shoulder tip pain

Question 7

How do hCG levels help to diagnose

• viable pregnancy
• ectopic pregnancy
• miscarriage

Answer 7

Viable pregnancy: level doubles in 48h

Ectopic: plateauing levels

Miscarriage: declining levels

Question 8

Medical management of ectopic pregnancy.

What should the hCG levels for this be?

Answer 8

1 off dose of methotrexate

hCG<3000