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Obs + Gynae > Gynaecology > Flashcards

Gynaecology Flashcards

1
Q

What is the first line of treatment for menorrhagia?

A

Mirena coil

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2
Q

What treatment is appropriate for fibroids if the patient wishes to maintain fertility?

A

Myomectomy

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3
Q

What is the first line treatment for dysmenorrhoea?

A

Mefenamic acid [NSAID]

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4
Q

What is your first differential diagnosis in Post-menstrual bleeding?

(menopausal women)

A

Endometrial Adencarcinoma

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5
Q

What is the likely diagnosis of a patient with abdominal pain that has recently started clomiphene?

A

Ovarian Hyperstimulation Syndrome

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6
Q

Where is an ectopic pregnancy most likely to be found?

A

Ampulla of fallopian tube

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7
Q

What is a useful ovulation test?

A

Test progesterone on Day 21

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8
Q

What is first line treatment for premenstrual syndrome?

A

COCP

If severe GnRH analogues

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9
Q

What are the common symptoms of endometriosis?

A

Pelvic pain
Dysmenorrhea
Dyspareunia
Passing blood - haematuria

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10
Q

What are the appropriate investigations for suspected endometriosis?

A

Pelvic

Laparoscopy

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11
Q

What are the treatment options for endometriosis?

A

NSAIDs -> COCP -> GnRH

Surgical: adhesiolysis (lap)

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12
Q

What is Adenomyosis?

A

Endometrial tissue in the myometrium

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13
Q

What are the symptoms of adenomyosis?

A

Dysmenorrhoea
Menorrhagia
Dyspareunia

Enlarged and tender uterus

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14
Q

What investigations for adenomyosis?

A

Transvaginal US

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15
Q

What is first line treatment for adenomyosis?

A

Mirena coil // COCP

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16
Q

How does Ovarian Torsion present?

A

Sudden, severe, unilateral pain

Localised tenderness, possible palpable mass

17
Q

What investigations for suspected Ovarian Torsion?

A

Pelvic US - Whirlpool sign

18
Q

What structural cause can make a person most susceptible to ovarian torsion?

A

Long infundibulopelvic ligament

19
Q

What treatment options are there for Atrophic Vaginitis?

A

Estriol

20
Q

What is prophylactic procedure is important in Androgen Insensitivity Syndrome?

A

Orchidectomy (removal of testicals)

Increased risk of testicular cancer
Testicals may also presents as recurring inguinal hernias in childhood.

21
Q

What are the indications for a myomectomy?

A

Large fibroids causing problems with fertility is the person hopes to conceive in the future.

22
Q

What is medication is used during a medical abortion?

A

Mifepristone followed by misoprostol (prostaglandin)

23
Q

Which marker is most associated with ovarian cancer?

A

CA 125

24
Q

What hormone test is useful to diagnose premature ovarian failure/menopause?

A

FSH (raised)

Obs + Gynae (6 decks)

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