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4th Year Written > GOSH msut knows > Flashcards

GOSH msut knows Flashcards

1
Q

Painless bleeding in presence of bradycardia

A

Vasa praevia

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2
Q

10 - 13+6 weeks?

A

Early scan to predict dates

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3
Q

Booking scan (4321)

A

4 blood (FBC, rhesus, blood group, alloantibodies)

3 virus (hepB, HIV, syphilis)

2 UTI (dipstick, culture)

1 full physical examination (breast, BMI, BP)

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4
Q

Large uterus for date?

A

Complete hydatidiform

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5
Q

post cervical tx? When is next smear done?

A

6M later

  • just note that its 12M after CIN1 detected and no tx done (should clear itself in 1 year)
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6
Q

pH of ? in labour is considered normal?

A

> 7.2

acidotic if less => Deliverey

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7
Q

Resp depression post MgSul in eclampsia?

A

Calcium Gluconate

Mg OD => Ca Gluc

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8
Q

An ultrasound is indicated if lochia persists beyond

A

6 weeks

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9
Q

postpartum thyroiditis treatment?

A

Propranolol

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10
Q

years for cervical screening

A

25-49 = /3 years cervical // 50-64 = /5 years

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11
Q

Supressing lactation drug?

A

Cabergoline

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12
Q

High FSH?

A

Premature Ovarian Insuf
Turners

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13
Q

When to start aspirin for prior pre-eclampsia prophylaxis?

A

12weeks → 75mg aspirin for the rest of pregnancy

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14
Q

most common type of ovarian cancer?

A

Serous carcinoma

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15
Q

Topical eflornithine?

A

Hirsutism PCOS

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16
Q

Kleihauer test?

A

Foetal blood in mum

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17
Q

Exomphalos

A

Bowel where lung is

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18
Q

Does COCP increasae risk of ectropion

A

yes

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19
Q

VEAL CHOP

A
  • Variable decelerations ⇒ Cord compression
  • Early Decelerations ⇒ Head Compression
  • Accelerations⇒ OKAY!
  • Late decelerations ⇒ Placental insufficiency
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20
Q

Polyhydramnios increases risk of what type of bleed?

A

Abruption

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21
Q

Most common site of ectopic pregnancy

A

Ampula

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22
Q

Mittelschmerz 1st line

A

NSAIDS

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23
Q

High LH - FSH ratio

A

PCOS

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24
Q

High FSH - LH ratio

A

Premature Ovar + Turners

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25
Q

Is hyperflexia seen in Pre-eclampsia?

A

yes

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26
Q

-PPH 1st + 2nd line

A

fundus stimulation → Oxytocin

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27
Q

WHAT TO GIVE in

Most common cause of pyrexia in women post birth?

A

Endometritis

Clindamycin +Gent

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28
Q

Boggy uterus w/ pain + bleeding

A

Adenomyosis

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29
Q

How long + What is tx for metronidazole for STI

A

500mg BD 5 days

dont forget abstinence for 1 week

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30
Q

5 breast feeding drugs to avoid?

A

Tetracyclines
Benzo
Carbimazole
Gliclizide
Lithium

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31
Q

For suspected premature opvarian insuf. what should we measure?

A

FSH

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32
Q

1st line tocolytic in preterm labour?

A

Nifedipine oral

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33
Q

If in contact with chickenpox >20wks, what should we do?

A

Maternal AB then aciclovir if negative

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34
Q

Main complication of vasa praevia?

A

Foetal blood loss => death

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35
Q

ovarian hyper stim can be caused by what type of therapy?

A

IVF

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36
Q

What happens to weight in overian hyper stim as a complication of IVF?

A

weight gain rapid

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37
Q

Oesophageal atreasia can cause what complication in mothers?

A

Polyhydraminios

think that they cannot swallow it so they piss it out and it just stays there

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38
Q

Where do we do LA for instrumental delivery?

A

Pudendal nerve (S2-S4)

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39
Q

If b-HCG does not drop after evacuation of Hydatidiform mole, what should we suspect?

A

Choriocarcinoma

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40
Q

How do we manage CIN1?

A

50-60% of CIN 1 will spontaneously regress within 2 year so CONSERVATIVE managemnet + 6M repeat cytology

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41
Q

BCG that doubles over 48 hours?

A

Pregnancy success

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42
Q

Do we give Abx for GBS carrier for C-sec?

A

No -> only for vaginal deliveries

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43
Q

Denies insulin with gestational diabetes

A

Gliblenclamide (sulph)

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44
Q

Most common fibroid?

A

Intramural

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45
Q

Has HIV with booking scan what to start them on? (2)

A

(TED) tenofovir

disoproxil / emtricitabine

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46
Q

When placenta hasnt been delievered that leads to PPH?

A

Acreata

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47
Q

Transient bradycardia requires forceps?

A

Nope

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48
Q

Poly / oligo as a RF for breech?

A

Both RF

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49
Q

If the antibodies are positive for VCV do they need aciclovir?

A

No

50
Q

Ergometrine CI in what BP?

A

Hypertension

51
Q

Turners leads to what (gonadotrophic + gonadism)

A

Hypergonadotrophic hypogonadism

High FSH + LH with no ovarian response

52
Q

Itchy purple rash vagina?

A

Lichen Planus (another PP)

53
Q

Other than cyclizine, what is the other 1st line to give in hyperemesis gravidarum?

A

Oral Promethazine

54
Q

Who cannot have ergometrine?
who cannot have carboprast

^^ both for medical Mx of PPH

A

Hypertension => Ergo CI

Carboprast => Asthma CI

55
Q

Stress vs urge incontinence graph?

A

PVES + PABD => Spikey Stress

PVES + PABD =< flat oxybutynin

56
Q

COCP after 50?

A

nah avoid switch them

57
Q

18-21 week?

A

Anomaly scan

58
Q

inducing withdrawal bleed on COCP for PCOS every?

A

3M

59
Q

<4mm endo?

A

discharge

60
Q

leucocytes without nitrites?

A

No UTI

61
Q

do those with overactive bladder have involuntary peeing?

A

no

62
Q

hand like a waiter?

A

Erb palsy => shoulder dystocia

63
Q

does PCOS or anastrozole increase endometrial cancer risk?

A

PCOS (x3)

64
Q

chandelier sign?

A

PID

65
Q

ECV offered when for nulliparous + multiparous

A

Nulliparous => 36+
multiparous => 37+

66
Q

when do we offer intrapartum ABx for GBs?

A

onset of labour

67
Q

miscarriage above what week = anti-D

A

> 12weeks

68
Q

On any form of enzyme reducing drug (carbamazepine) what to give contraception?

A

IUD

69
Q

What to give for polyhydramnios?

A

Indomethacin

70
Q

pre-menopausal having symptoms of menopause what HRT?

A

Cyclical

71
Q

experiencing any symptoms such as pain do we do expectant management for ectopic?

A

No -> methotrexate if pain for ectopic

72
Q

definition of hyperemesis gravidarum?

A

<20wks vomiting

73
Q

<25 with abnormal cervix?

A

colposcopy

74
Q

when should gestational diabetic women give birth no later than?

A

40+6

75
Q

umbolical cord prolapse assocaited with?

A

Polyhydramnios

76
Q

Oligohydramnios associated with what hypoplasia?

A

Foetal pulmonary hypoplasia

77
Q

increase of 60% HCG?

A

viable uterine pregnancy

78
Q

latent stage analgesia?

Established labour analgesia?

A

diamorphine IM

Epidural

79
Q

ventouse increases risk of?

A

PPH

80
Q

endometriosis needs to be present for how long?

A

6M

81
Q

haem cyst mx?

A

conservative + admission

82
Q

how long Abx chorioamnio

A

10 days

83
Q

VDRL + TPHA previous infection?

A

VDRL (active infection) => none

TPHA (IgG) => High

84
Q

topimerate?

Why dont we typically give it

A

Prophylaxis of migraines

=> teratogenic

85
Q

multiple pregnancy increaes risk of VTE?

A

yes

Low BMI DOES NOT inc. risk

86
Q

if CIN when to see them again?

A

12M

87
Q

most common type of vaginal cancer?

ARe they secondary or primary?

A

most common => SCC

Where they tend to be secondary (85%)

88
Q

nulliparity RF for praevia?

A

no

89
Q

adenomyolysis vs endo?

A

Adeno => Asymptomatic (no associated with subfertility) // can still lead to bleeding

90
Q

corpus leuteum producing … for stromal hypertrophy and increased blood supply?

A

progesterone

91
Q

ovulation hormone/

A

LH

92
Q

positive asymptomatic bacteriuria screening what to do next?

A

repeat culture and begin ABx guided

93
Q

most common cause of polyhydramnios?

A

idiopathic

94
Q

is 1st pregnancy a Rf for pre-eclampsia?

A

yes - think helen

(mod risk)
>35BMI / 40+ years old / multiple pregnancies

95
Q

pregnancy interval of more than 10 years RF for pre-eclampsia? or is it sooner?

A

10+ years => RF

96
Q

Screening for blood tests in pregnancy occurs when?

A

Booking + 28wk

97
Q

1st line for heavy bleeding

A

IUS

98
Q

vaginal PE2?

A

IOL

99
Q

uterine leimyomas =>

A

Fibroids

=> non-tender on palpation
=> Adenomyosis tender on palpation

100
Q

average ABPM measurement of > 135/85mmHg under 60?

A

Pharmacological tx

101
Q

Ovarian hyperthecosis?

A

Think of this when PCOS is in post menopausal women

102
Q

suppressed gonadotrophins (LH+FSH) with low oestradiol + normal thyroids

A

Annorexia

103
Q

Placenta praevia risk factors (3)

A

multiparity
multiple pregnancy
Scars C sec uterine

104
Q

Potter sequence

A

Bilateral Renal Agensis + pulmonary Hypoplasia + Oligohydramnios

105
Q

when is pudendal given?

A

2nd stage labour

106
Q

rash starts on the abdomen, spares the umbilicus, and may spread to the thighs or buttocks

A

PUPPP Polymorphic eruption of pregnancy

107
Q

Raised LH + FSH + low oestridiol

A

Premature OS

108
Q

Pre menopausal women presenting with abnormal vaginal bleeding should have a …

Post menopausal women presenting with abnormal vaginal bleeding should have a …

A

Chylam

enddometrial / cervical cancer work up (colposco)

109
Q

Heart issues:

Foetal alcohol syndrome:
DiGeorge syndrome:
Turner syndrome:
Noonan syndrome:
Edward’s syndrome:
Patau syndrome:

A

FAS => VSD
George => Aortic arch defects
Turner => biscuspid Aorta + coarc

Noonan => P.stenosis
Edwards => Septal
Patau => dextro

110
Q

mx child vborn with hep B mother

A

vaccine to child immediately

0,5 Immunoglobulin within 12hrs

111
Q

does T2DM increase risk of endometrial cancefr

A

yes + PCOS

112
Q

Indomethacin at … weeks gestation is associated with the closure of ductus arteriosus and oligohydramnios. … is the agent of choice in this scenario and will typically be used to delay labour for 48 hours

A

> 32 wks

Nifidipine

113
Q

if they had gestational diabetes before what tests we doing

A

16wk + 24-28GOTT

RF doesnt warrant booking test OgTT

114
Q

ondansetron risk in 1st trimester

A

cleft risk

115
Q

monitoring LMWH pregnancy

A

peak anti-Xa activity

116
Q

latent stage labour pain killer

A

IM diamorphine

117
Q

syphilis tx in pen allergy

A

doxy

118
Q

why co-amoxiclav avoided in pregnancy

A

NEC

119
Q

endometritis abx choice

A

Co-amoxiclav
(if pen. allergic: clindamycin & metronidazole)

120
Q

endometrial & cervical cancer staging

A

MRI

121
Q

ovarian cancer staging

A

CT

4th Year Written (29 decks)

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