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Year 4 things I forgot > GOSH > Flashcards

GOSH Flashcards

1
Q

5 reasons for a cat 1 LSCS

A

suspected uterine rupture
major placental abruption
cord prolapse
fetal hypoxia or persistent fetal bradycardia

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2
Q

How do urea and creatine levels change in pregnancy

A

Both decrease

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3
Q

First line management for endometriosis

A

NSAIDS
i.e not COOP
(always blood catches me out)

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4
Q

After NSAIDS what is first line option in endometriosis

A

COCP

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5
Q

Most common eye condition in babies born under 32 weeks

A

retinopathy of prematurity

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6
Q

2 causes of a raised AFP

A

Abdominal wall defect

Neural tube defect

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7
Q

How does down syndrome affect AFP levels

A

Decreased

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8
Q

Which tests are part of combined screening and what results would suggest T21

A

beta hCG - (high = downs)
PAPPA - (low = downs)

Nuchual

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9
Q

When can the combined screening test be performed

A

11-14 weeks

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10
Q

What does the quadruple test include

A

Inhibin-A

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11
Q

What does the triple test include and when is it done

A

Beta hCG - high is bad
AFP - low is bad
Serum oestrogen - low is bad

14-20 weeks

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12
Q

What is hb cut off to treat iron deficiency anaemia in post partum women

A

100

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13
Q

What should transgender people assigned male at birth use as contraception

A

CONDOMS

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14
Q

If a women is high risk for pre-eclampsia, what should they take and when

A

Aspirin

12 weeks until birth

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15
Q

5 reasons why women would deffo get aspirin from 12 weeks

A 
CKD
Previous pre-eclampsia
Autoimmune
T1DM T2DM
Current HTN
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16
Q

6 moderate pre-eclampsia risk factors

A 
FH of pre-e
First pregnancy
Gap of more than 10 years between pregnancy
Multiple pregnancy
BMI >35
Age over 40
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17
Q

3 causes of increased nuchal thickness

A

Downs
Abdominal wall defect
Congenital heart defect

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18
Q

Where is an ectopic most common and where is most dangerous

A

Danger danger isthmus

Common common ampulla

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19
Q

What is Cabergoline used for

A

Suppressing lactation

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20
Q

When can cu-iud be inserted

A

Which ever is later from:

5 days after UPSI
5 days after likely ovulation date

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21
Q

Hormones raised in PCOS and LH:FSH ratio

A

LH high
FSH high

LH:FSH (LH high)

Insulin high
Testosterone high

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22
Q

Where in the body is the issue in Kallaman syndrome

A

Hypothalamus so GNRH, FSH and LH are all low

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23
Q

Would you do any investigations for post partum thyroiditis

A

TFTs

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24
Q

Medical management of a miscarriage in the UK

A

Misoprostol alone

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24
Q

Medical management of a miscarriage in the UK

A

Misoprostol alone

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25
Q

If a women has had GDM in previous pregnancy, when will she be offered an OGTT

A

at booking and the normal 24-28 weeks

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26
Q

How long does POP take until effective

A

2 days

If in first 5 days, protected immediately

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27
Q

How long does injection take till effective

A

7 days

Protected immediately if first 5 days of cycle

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28
Q

How long does IUS take to be effective

A

7 days

Protected immediately if first 7 days of cycle (this is unique everything else is 5 except copper)

29
Q

How long does implant take to work

A

7 days

Protected immediately if first 5 days of cycle

30
Q

You fit a women with a coil. She is happy and goes home. What does the Dr do next?

A

Shit question but follow up in 3-6 weeks to check threads

31
Q

How does COCP work

A

Inhibits ovulation

32
Q

How does the implant work

A

Inhibits ovulation

33
Q

Other than the copper coils, which contraceptive primary method of working is not inhibiting ovulation

A

POP

Thickens cervical mucus

34
Q

Why should liver be avoided in pregnancy

A

High levels of vitamin A

35
Q

From what day post partum do women need contraception

A

21

36
Q

At what week should mum be referred for not feeling fetal movements

A

24 weeks

37
Q

When in pregnancy would you give MMR

A

You do not as MMR is a live vaccine.

Can have rubella seperate

38
Q

4 defects associated with rubella infection in pregnancy

A

Congenital cataracts, deafness, LD and heart disease (PDA and P stenosis)

39
Q

Which nerve may be blocked in labour when planning an instrument delivery

A

Pudendal

40
Q

How to stage endometrial cancer

A

MRI

41
Q

What medication do mothers of twins need

A

5mg FA
Vit D
75mg Aspirin probably
(OGTT at 28)

42
Q

When giving maternal steroids, when is maximal effect

A

7 days after

43
Q

What is the most common painful genital ulcer

A

Herpes

Herpes hurts

44
Q

Most common painless genital ulcer

A

Syphilus

Herpes hurts

45
Q

Women with PCOS wants to get pregnant what should you perform

A

OGTT before conception

46
Q

What swab would you use and where in BV

A

Clinical diagnosis but if needed
Charcoal swab -> look under microscope for clue cells

High or low vaginal swab

47
Q

What does vaginal candida infection discharge smell of?

A

It doesn’t! Think creamy white

48
Q

Young women is treated with canister cream, what advice must you give

A

Condoms may be less effective for 5 days after use

49
Q

Where should trichomoniasis swabs be taken from

A

Charcoal swab taken from posterior fornix of vagina

50
Q

Low lying placenta at 20/52 scan management

A

Rescan at 34 weeks.
Scan every 2 weeks till 37/38
Elective LSCS at 38 weeks

51
Q

Does aspirin reduce risk of VTE in pregnancy

A

No

52
Q

RF for VTE in pregnancy

A

Previous oestrogen related VTE

Thrombophillia

53
Q

Implications of LMWH in delivery

A

Cannot have regional anaesthetic for 12 hours if prophylaxis, 24 if therapeutic

54
Q

What dose of LMWH do you prescribe in pregnancy

A

Current weight

Therapeutic vs prophylaxis

55
Q

How fast should first stage of labour take place

A

Latent: 0-3: 0.5cm per hour
Active 3-7: 1 cm every 1-2 hours
Transition 7-10: 1 cm every 1-2 hours

56
Q

How long is a normal second stage

A

2 hours in nulliparous

1 houe in multiparous

57
Q

In HMB in a 45F when coil, TXA and mefanamic acid, COCP, POP does not work: what can you do?

A

Endometrial ablation

58
Q

Other than big 3, complications in hysterectomy

A

VTE
Return to theatre
Injury to bladder
Prolapse

59
Q

Blood test to rule out ectopic

A

BHCG over 48 hours

Should rise by greater than 66%

60
Q

Why may a women have signs of hyperthyroidism in early pregnancy

A

Molar pregnancy - very high bHCG

61
Q

When taking a ? Molar pregnancy history, what symptoms would it be important to ask about

A 
Rapidly growing uterus
Hyperthyroid
Bleeding
Excessive morning sickness
USS showing snow storm appearance
62
Q

How to manage molar pregnancy

A

Evacuation of uterus
Then bHCG levels monitored closely
Register with trophoblastic tumour centre

63
Q

Difference between third degree tears

A

A: less than 50% of external anal syphincter
B: more than 50% of external anal sphincter
C: internal anal sphincter

64
Q

How many days for COCP to work

A

First 5 days straight away

After that 7 days

65
Q

How long does implant last

A

Three years

66
Q

Which emergency contraception cannot be used if a women is already on a POP

A

Ulpristal

Cannot be used with other hormonal contraception 5 days before or after

67
Q

Proctitis and lymphitis in MSM -> dx

A

Lympogranuloma venereum

68
Q

When should no fetal movements felt be referred to FM

A

24 weeks

69
Q

Reversal agent of MgSo4

A

Calcium gluconate

70
Q

What is caused by parvovirus B19

A

Slapped cheek syndrome

Year 4 things I forgot (7 decks)

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