Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AKT > Gynae, uro, sexual > Flashcards

Gynae, uro, sexual Flashcards

1
Q

what class of medication is tamsulosin/doxazosin?

A

alpha blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what class of medication is finasteride?

A

5 alpha reductase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which cocp is no longer licensed for contraception?

A

dianette due to VTE risk
but can be used still for e.g. hirsutism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ullipristal acetate/EllaOne emergency contraception:
- mechanism
- timeframe to take
- contraindications

A
  • delay ovulation
  • 5 days after UPSI
  • ineffective if ovulation already occurred, not to take if asthma & taking steroids
  • delay breastfeeding by 7 days after taking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Levonorgestrel/Levonelle emergency contraception:
- mechanism
- timeframe to take
- contraindications

A
  • inhibit ovulation for next 5 days
  • 72 hrs after UPSI
  • if taking enzyme inducing meds/if BMI>26 need bigger dose
  • can continue breastfeeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the best emergency contraception?
- mechanism
- timeframe to take

A

copper coil
- inhibits ovulation - toxic to sperm/ova, inflammation of endometrium
- 5 days after UPSI or within 5 days after likely ovulation
- 0.1% failure rate, the only emergency contraception that works after ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Vaccinations while pregnant:
- covid, flu - when in gestation is it ok?
- pertussis - when in gestation?

A

covid and flu - any time during pregnancy
pertussis - 18-20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

According to the Civil Aviation Authority (CAA) what is the gestation at which most airlines no longer permit flying?

A

36 weeks for singleton pregnancy
32 for multiple gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How to treat hirsutism in pcos?

A

topical eflornithine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SSRI of choice for breastfeeding women?

A

sertraline
paroxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diagnosis of gestational diabetes - what is the threshold for fasting glucose? and for 2-hour glucose?

A

5.6 mmol/L for fasting
7.8 for 2-hour glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

list 2 possible complications of diabetes in pregnancy

A

polyhydramnios

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what level of progesterone at ovulation is indicative of it?

A

> 30mmol/l

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How long does it take for POP to become effective, if not taken on day 1 of period?

A

2 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How long does it take for COCP to become effective, if not taken on day 1 of period?

A

7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the most appropriate time to test for STIs after UPSI?

A

2-12 weeks

17
Q

64 y/o F, recurrent lower abdominal pain associated with urinary urgency and frequency + Hunner lesions on cystoscopy. Dx?

A

Interstitial cystitis

18
Q

1st, 2nd line treatments for chlamydia?

A
  1. doxycycline
  2. azithromycin or 1st line if pregnant
19
Q

how long to avoid sexual intercourse after treating chlamydia with azithromycin?

A

7 days

20
Q

You see a 21-year-old woman who is taking a combined contraceptive pill. She is worried because she went away for a weekend and has missed two pills. She is on the second week of her 21-day pill pack. Her last period was two weeks ago. She had unprotected sexual intercourse last night.

A

Take the most recent missed pill as soon as possible and continue the remaining pills at the usual time. Condoms should be used or sex avoided until pills have been taken for 7 consecutive days

21
Q

What is the ideal method to obtain sample to test for chlamydia for men & women?

A

women: endocervical swab
men: first catch urine

22
Q

what is the most type of hpv virus to cause genital warts?
what about cervical ca?

A

genital warts: hpv 6, 11
cervica ca: hpv 16, 18

23
Q

An 18-year-old woman is on day 14 of her cycle and has had unprotected intercourse two days previously. You prescribe single dose levonorgestrel 1500 microgram as emergency contraception and agree to restart her previous combined pill (ethinylestradiol 30 microgram/levonorgestrel 150 microgram) immediately.
For HOW MANY days should she take additional contraceptive precautions according to current guidance?

A

7 days
If quick starting combined hormonal contraception (except Qlaira) immediately after progestogen-only emergency contraception, condoms or avoidance of sex should be advised for seven days if the woman is day six or beyond in her cycle. No precautions are required between days 1–5.

24
Q

What to Rx for pt w acne & needs contraception? (Kill 2 birds w 1 stone)

A

Marvelon COCP, more oestrogenic than Microgynon
POP doesn’t work for acne

25
Q

how long after exposure should a negative HIV test be repeated to exclude HIV infection?

A

45 days

26
Q

COCP - perfect use and typical use failure rate?

A

Failure rate with perfect use is less than 1% & with typical use is 8%

27
Q

Contraindic to HPV vaccine?

A

pregnancy

28
Q

how long should the copper coil remain in situ after the final period of a menopausal women?

A

2 years
can be used up to age 55

29
Q

Abx for trichomonas?

A

metronidazole

30
Q

A 23-year-old woman phones at 11am for advice. She is taking the combined oral contraceptive (COC) pill Microgynon. She started her new pack of 21 tablets at the usual time and is now on day 6 of the new pack. However, she has forgotten yesterday’s pill. She last had unprotected sexual intercourse (UPSI) two days ago. She is normally a consistent pill taker and had been taking the COC as directed prior to the pill-free interval.

A

Take missed pill and today’s pill and continue packet
According to the Faculty of Sexual and Reproductive Healthcare (FSRH) guidelines, in this scenario, the recommendation is to take the missed pill as soon as possible and continue the remaining pills at the usual time. Emergency contraception is not required.

This only applies if the first pill in week 1 after the pill-free interval has been taken correctly and she has been consistent with taking the pills in the 7 days prior to the pill-free interval. If there is any doubt around this then emergency contraception may be considered especially if unprotected sexual intercourse has also occurred.

31
Q

how long after treatment should young patients under the age of 25 years be offered a repeat test for chlamydia infection

A

3 months

AKT (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions