fertility

Question 1

what hormone is raised in gastroschisis

Answer 1

Maternal serum alpha-fetoprotein (AFP) is elevated in pregnancies with gastroschisis.

Question 1

subfertility define

Answer 1

is failure to conceive after regulated unprotected intercourse after 1 year of trying

Referral indicated after 1 year, or sooner if over 36yr or known reproductive problem such as PCOS or anovulation

Question 2

when is the best time to take FSH and LH when measuring fertility

Answer 2

1-5 days

Question 3

what does your TSH level need to be below

Answer 3

2.5

Question 4

what hormone looks at someone eggs stores

Answer 4

anti-mullerian hormone

prolactin of PCOS

Question 5

rf

Answer 5

Age of women
Previous pregs
Duration of infertility

Question 6

tx

Answer 6

Conservative – BMI smoke,
Medical – FHS LH and prolactin, chromosomal analysis
Surgical – varicocele repair, reversal of vasectomy , surgical sperm retrieval
assist reproduction techniques ART – IVF – indicated when very low sperm count or poor morphology, previous unsuccessful IVT , PIDG surgical sperm collection
IVF – stimulate the ovaries with clomiphene(ovulation induction treatment) timed with egg retrieval procedure. Sperm and eggs then mixed with ICSI. Tested to be positive 14 days later

Question 7

what is clomiphene used for

Answer 7

used to induce ovulation (egg production) in women who do not produce ova (eggs) but wish to become pregnant (infertility).

licence for 6 motnhs
adverse effects include multiple preg and ovarian carcinoma

Question 8

can endometriosis cause painful bowel openings

Answer 8

yes

Question 9

eligibility criteria

Answer 9

Eligibility criteria
Woman under 40
BMI 19.-29.9
Stopped smoking over 6 months
One parent dosent have treatment
Stable relationship
No previsou IVF
Chance of liver brith under 10% life MH
No history of sterilisation in either partner

Question 10

why are women given aspirin in preg

Answer 10

Recurrent miscarriage and high risk of developing pre eclampsia

Question 10

why are women given aspirin in preg

Answer 10

Recurrent miscarriage and high risk of developing pre eclampsia

Question 11

perinatal, neonatal and infant time periods

Answer 11

Perinatal – 22w – 1w post delivery
Neonatal period birth -28 days
Infant 1 month to 1 year

Question 11

perinatal, neonatal and infant time periods

Answer 11

Perinatal – 22w – 1w post delivery
Neonatal period birth -28 days
Infant 1 month to 1 year

Question 12

normal fetal HR

Answer 12

between 110 and 160 beats per minute.

Question 13

sphylis leads to osteogenesis what is tx

Answer 13

benzylpenicllin

Question 14

rubella - gregs triad

Answer 14

Greggs triad – congenital heart disease( PDA and pulmonary artery stenosis) , ocular abnormalities ( cataracts, glaucoma, pigmented retinopathy), sensori neural hearing loss

Question 15

what prostoglandin keeps the DA open

Answer 15

PGE1

Question 16

CMV features

Answer 16

Microcephaly
Cerebral atrophy and calcification
Large spleen
Chorioretinitis
sensioneural hearing loss
Blueberry muffin rash – rubella or
Thrombocytopenia
Jaundice

Question 17

Erethryma infectiosum – fifth disease – human parvorisu B19
Hydrops fetalis – excess flui d in chest and around the eart cauing ascites and pelural effusion

tx

Answer 17

serum IgM for virus up to 4 weeks after exposure