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Gynaecology Flashcards

1
Q

Type of ovarian growth most commonly associated with Meig’s syndrome

A

Fibroma

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2
Q

Commonest benign ovarian tumour <25y

A

Dermoid cyst/Teratoma

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3
Q

Most common cause of ovarian enlargement in women of a reproductive age

A

Follicular cyst

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4
Q

Management of mild PMS

A

Sleep, exercise, smoking, alcohol

Small carby meals

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5
Q

Management of moderate PMS

A

New-gen COCP (Yasmin)

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6
Q

Management of severe PMS

A

SSRI (continuous or luteal)

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7
Q

Stress incontinence - 1st line

A

Pelvic floor training >3m

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8
Q

Stress incontinence - 2nd line

A

Surgery

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9
Q

Stress incontinence - 2nd line (declined surgery)

A

Duloxetine

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10
Q

Duloxetine - type of drug

A

SNRI

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11
Q

Urge incontinence - 1st line

A

Bladder retraining >6wks

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12
Q

Urge incontinence - 2nd line

A

Antimuscarinic
(oxybutinin, tolterodine, darifenacin)

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13
Q

Urge incontinence - drug used in elderly

A

Mirabegron (beta-3 agonist)

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14
Q

Primary dysmenorrhoea - 1st line management

A

NSAID (ibuprofen/ mefenamic acid)

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15
Q

Primary dysmenorrhoea - 2nd line management

A

COCP

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16
Q

Causes of menorrhagia

A

Dysfunctional/idiopathic
Anovulatory cycles
Fibroids
Hypoythyroidism
Copper coil
PID
vWD

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17
Q

Mirabegron side effects

A

Severe HTN
Tachycardia

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18
Q

Menopausal >50y - contraception is needed until

A

Amenorrhoeic 12 months

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19
Q

Menopausal <50y - contraception is needed until

A

Amenorrhoeic 24 months

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20
Q

RF for Ovarian Ca

A

BRCA1/BRCA2

Early menarche
Late menopause
Nulliparity

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21
Q

Recurrent vaginal candidiasis

A

> =4 episodes/year

22
Q

Management of recurrent vaginal candidiasis

A

Fluconazole OD for 3 days,
then weekly for 6 months

23
Q

Risk factors for endometrial cancer

A

Obesity

Early menarche, late menopause, nulliparity)

Unopposed oestrogen

Diabetes

Tamoxifen

PCOS

HNPCC

24
Q

Associated with hyperemesis gravidarum

A

Multiple pregnancy
Trophoblastic disease
Hyperthyroidism
Nulliparity
Obesity

25
Menorrhagia (not requiring contraception) - 1st line management
Mefenamic acid 500mg TDS or Tranexamic acid 1g TDS
26
When should mefenamic acid/tranexamic acid be started for menorrhagia
First day of the period
27
Menorrhagia (requires contraception) - 1st line management
Mirena
28
Menorrhagia (requires contraception)- 2nd line management
COCP / long-acting progestogen
29
Menorrhagia - acute short-term management
Norethisterone 5mg TDS
30
Definition of primary amenorrhoea
No menstruation by age 15 or No menstruation or secondary sexual characteristics by age 13
31
2ww referral criteria for endometrial cancer - refer all:
>=55y + postmenopausal bleeding
32
Ovarian cyst seen on US - premenopausal woman
Repeat US in 8-12 weeks + Consider referral if persists
33
Ovarian cyst seen on US - postmenopausal woman
Refer to gynae
34
Factors protective against endometrial cancer
COCP Smoking
35
Causes of cervical ectropion
Elevated oestrogen levels: - Ovulatory phase - Pregnancy - COCP
36
Causes of secondary dysmenorrhoea
Endometriosis Adenomyosis PID Fibroids Copper coil
37
Non-hormonal management of hot flushes in menopause
SSRI/SNRI Clonidine Gabapentin CBT
38
1st line medications for vomiting in pregnancy
Antihistamine (cyclizine, promethazine) Phenothiazone (prochlorperazone, chlorpromazine) 'Xonvea' (doxylamine/pyridoxine)
39
2nd line medications for vomiting in pregnancy
Dopamine receptor antagonist (metoclopramide, domperidone) 5-HT3 receptor antagonist (ondansetron)
40
Most common ovarian cancer
Serous carcinoma
41
Smear test is offered 3-yearly to women aged
25-49
42
Smear test is offered 5-yearly to women aged
50-64
43
HRT: adding progestogen increases the risk of
Breast cancer VTE
44
HRT: adding progestogen decreases the risk of
Endometrial cancer
45
Hirsutism in PCOS - 1st line
COCP (third-generation or co-cyprindiol)
46
Hirsutism in PCOS - 2nd line or if COCP not appropriate
Topical eflornithine
47
Hirsutism in PCOS - 3rd line options (under specialist supervision)
Spironolactone Flutamide Finasteride
48
Cervical screening - 2nd repeat smear at 24 months is still hrHPV +ve (cytology normal)
Refer to colposcopy
49
Cervical screening - from routine recall - hrHP +ve, cytology normal
Repeat smear at 12 months
50
Cervical screening - hrHP +ve at routine smear. Repeat smear at 12 months: hrHP +ve, cytology normal
Further repeat smear in another 12 months
51
Cervical screening - hrHP +ve at routine smear. Repeat smear at 12 months: hrHP -ve
Return to routine recall
52
Cervical screening - hrHP +ve at routine smear and 12 month smear. Repeat smear at 24 months hrHP -ve
Return to routine recall

**Bank (74 decks)

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