gynae last Flashcards

1
Q

2 things that are increased in downs

A

beta bcg and nuchal translucence

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2
Q

discussion about whooping cough vaccine

A

28 weeks

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3
Q

how does anti D work

A

removes the rhesus positive blood cells of the mother before antibodies are formed

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4
Q

monochorionic means

A

same placenta

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5
Q

chorionicty is determined by

A

US

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6
Q

what twins at are higher risk

A

monochorionic- due to risk of twin to twin sydnrome

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7
Q

monochorionic has what sign

A

T

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8
Q

mx of twin to twin transfusion syndrome

A

before 26 weeks- fetoscopic laser ablation
after 26 - amnioreduction/septostomy

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9
Q

twin deliveries

A

dicohorionic - 37-38
monochorionic - 36

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10
Q

triplets need to have

A

c section

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11
Q

bottom emerges frist in what

A

frank

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12
Q

term preg is considered between

A

37-42

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13
Q

prolonged pregnacny offered induction of labour at

A

41-42

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14
Q

what artery decreases its resistance in fetal hypoxia

A

middle cerebral so will show an increase in peak systolic volume in fetuses with anaemia
- umbillical artery increases its resistance

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15
Q

leading direct cause of maternal mortality

A

VTE

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16
Q

leading cause of death in women in first year post birth

A

suicide

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17
Q

still birth if after how many weeks

A

28

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18
Q

neonatal mortailty refers to death of baby within

A

first 28 days of life

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19
Q

difference between pregnancy induced hypertension and gestational hypertension

A

pregnancy induced - if below 20 weeks and gestational hypertension is after 20 weeks

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20
Q

steriod given for surfactant if gestation is below what and has pre eclampsia

A

34

21
Q

avoid pregnancy if hba1c is above

A

86

22
Q

gestational diabetes values

A

Fasting >=5.1 mmol/l
2 hour >=8.5 mmol/l

23
Q

drug that can especially casue pre term pre labour rupture of membranes

A

cocaine

24
Q

In premature pre rupture of membranes what can be seen

A

pooling of blood in posterior vaginal fornix

25
Q

common first chocie antibiotic for chioramnionitis

A

erythromycin

26
Q

what antibiotic should be avoided as it causes necrotising enterocolitis

A

co -amoxiclav

27
Q

first line tocolytic

A

nifedipien

28
Q

if antibodys are high suggesting fetal anemia in rhesus isoimmunisation what is done

A

middle cerebral artery peak velocity pressure

29
Q

late sign of fetal anaemia

A

hydrops fetalis

30
Q

in placental abruption, clinical shock that is out of proportion to the amount of visible blood could be

A

concealed placetnal abruption

31
Q

what uterus can be seen in placental abruption

A

Couvelaire - appears blue - as blood appears between muscle fibres and the uterus doesnt contract well increasing the risk of PPH

32
Q

CTG shows zigzag pattern

A

placental abruption

33
Q

what is this? artifical rupture of membranes followed by dark bleeding, fetal bradycardia and death

A

vasa praevia

34
Q

rf for vasa praevia

A

bilobed placenta or succenturiate lobes

35
Q

constant abdo pain

A

uterine rupture

36
Q

majority of women with CMV present as though got

A

glandualr fever

37
Q

with parovirus infection in pregn we are worried about

A

hydrops fetalis

38
Q

what si the rash like in parovirus

A

lacy rash

39
Q

what does parovirsu rash spare

A

feets and palms

40
Q

rubella associated with

A

polyarthritis and a facial vesicular rash

41
Q

symptoms of rubella in newborn

A

sensorineual hearing loss, patent ductus arteriosus and glucaoma or cataracts

42
Q

preg woman hs swollen leg and back pain

A

iliac vein thrombosis - consider MRI venography

43
Q

when start giving LWMH for VTE in peg

A

as soon as clinical suspcion as should not be witheld until diangosisi

44
Q

when do you give unfractionated heparin in preg

A

acute massive PE - collapsed shocked woman- due to its rapid onset of action

45
Q

midface hypoplasia and shortened limbs can be due to what drug

A

warfarin

46
Q

can you give heparin or warfarin breastfeeding

A

yes

47
Q

asymmetrical intra uterine growth restricton due to defects i

A

placenta - pre eclampsia, malnutriition and chronic hypoxia

48
Q
A