Gynae VIVAs Flashcards

1
Q

RFs for ectopic pregnancy

A

maternal age
smoking
IUD
endometriosis
PID
TOP
previous Hx

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2
Q

absolute CIs of COCP

A

migraine w. aura
breastfeeding <6 wks post partum
active breast cancer

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3
Q

common SEs of sex hormones

A

progestogenic:
depression
PMS
bleeding
acne
weight gain

oestrogen:
headache
nausea
breast tenderness

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4
Q

risks assoc. w. IUD/S

A

ectopic
pain
perforation
expulsion
infection
PID

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5
Q

forms of sterilisation

A

female:
Filshie clips
transcervical sterilisation
hysterectomy

male:
vasectomy

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6
Q

define FGM

A

partial/total removal of external genitalia +/- injury to genital organs for cultural/religious/non-therapeutic reasons

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7
Q

types of FGM

A

1: clitoris
2: clitoris + partial/total removal of labia
3: infibulation (stitching)
4: other

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8
Q

countries where FGM is common

A

Nigeria
Eritrea
Somalia

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9
Q

causes of PV bleeding

A

cancer
fibroids
endometriosis
PID
cervical ectropion

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10
Q

types of endometrial cancer

A

mucinous
serous
secretory
endometrioid
clear cell

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11
Q

RFs for endometrial cancer

A

obesity
nulliparity
early menarche/late menopause
unopposed oestrogen
DM
PCOS
HNPCC
tamoxifen

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12
Q

frequency of cervical cancer screening

A

25-49: every 3 years
50-64: every 5 years

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13
Q

what is a uterine fibroid

A

benign smooth muscle tumour - leiomyoma

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14
Q

types of fibroids

A

submucosal
intramural
subserosal

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15
Q

how common are fibroids

A

1 in 3 women will develop at some point in their life

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16
Q

endometriosis vs fibroids

A

endometriosis: dysmenorrhoea
dyspareunia
pain w. bowel movements
intermenstrual/post-coital bleeding

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17
Q

causes of dysmenorrhoea

A

endometriosis
adenomyosis
PID
fibroids

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18
Q

how can fibroids affect pregnancy

A

abnormal lie
red degeneration

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19
Q

risks of HRT

A

VTE
stroke
CHD
breast + ovarian cancer

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20
Q

types of HRT

A

combined
oral/transdermal
cyclic/continuous

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21
Q

CIs for HRT

A

pregnancy
undxed abnormal PV bleeding
active breast/endometrial cancer
active thromboembolic disease
acute liver disease

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22
Q

which cancers in females have national screening programmes

A

breast and cervical

23
Q

define miscarriage

A

spontaneous end of pregnancy before 24 weeks

24
Q

threatened miscarriage vs missed miscarriage

A

no foetal heartbeat in missed

25
Q

causes of recurrent miscarriage

A

antiphospholipid syndrome
clotting disorders
anatomical defects

26
Q

define ectopic pregnancy

A

implantation outside uterine cavity

27
Q

define complete mole

A

empty egg fertilised by 1/2 sperm that duplicates

no foetal matter

28
Q

define partial mole

A

normal egg fertilised by 2 sperm

foetal matter

29
Q

most dangerous complication of partial mole

A

choriocarcinoma

30
Q

what can be given to ripen cervix before suction + curettage

A

prostaglandins

31
Q

incidence of molar pregnancy

A

1 in 600

32
Q

dxic criteria for PCOS

A

2/3 of:
amenorrhoea/oligomenorrhoea
hyperandrogenism
polycystic ovaries (≥12)

33
Q

causes of secondary amenorrhoea

A

Sheehan’s
Asherman’s
low BMI
cervical stenosis
lactational
pregnancy

34
Q

define secondary amennorhea

A

absence of menstruation for >6months in absence of pregnancy in women who have previously menstruated

35
Q

PCOS complications

A

infertility
DM
CVD

36
Q

PID complications

A

infertility
ectopic pregnancy
sepsis
Fitz-Hugh-Curtis syndrome

37
Q

high vaginal swab vs endocervical swab

A

endocervical: chlamydia, gonorrhoea
high vaginal: anaerobes

38
Q

MC cause of abnormal vaginal discharge

A

bacterial vaginosis

39
Q

copper IUD SEs

A

expulsion
infection
heavy painful bleeding

40
Q

how long does the copper IUD last

A

5 or 10 years

41
Q

blood tests for suspected antiphospholipid syndrome

A

lupus anticoagulant
anticardiolipin
2 +ive results 12 weeks apart required

42
Q

defince subfertility

A

failure to conceive after 12 months of regular UPSI

43
Q

causes of subfertility

A

idiopathic
male factor
PCOS
endometriosis
adhesions
surgery/chemo
blocked tubes

44
Q

causes of premature ovarian failure

A

idiopathic
autoimmune disease
chemo/radio/surgery

45
Q

how does the number of eggs change with age

A

birth: 1million
puberty: 300,000
300-400 ovulated

46
Q

causative organism of thrush

A

candida albicans

47
Q

RFs for thrush

A

abx
immunocompromised
diabetes
pregnancy

48
Q

characteristic speculum finding for trichomonas

A

strawberry cervix

49
Q

RFs for vaginal prolapse

A

obesity
chronic cough
chronic constipation
connective tissue disorders

50
Q

complex of muscles that makes up bulk of perineum

A

levator ani

51
Q

components of levator ani

A

puborectalis
pubococcygeus
ileococcygeus

52
Q

categories of uterine prolapse

A

1: upper half of vagina
2: lower half of vagina
3: protrudes out of Introits
4: complete inversion

53
Q
A