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finals > gynaecology > Flashcards

gynaecology Flashcards

1
Q

gold standard investigation for endometriosis

A

laparoscopy

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2
Q

what contraception is preferred in a patient who has hypertension

A

intrauterine system - mirena coil

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3
Q

hydratidiform mole presentation

A

large for date uterus
severely elevated bhCG

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3
Q

hydratidiform mole presentation

A

large for date uterus
severely elevated bhCG

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4
Q

medication that can be given for management of ectopic pregnancy

A

methotrexate

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5
Q

post menopausal bleeding is what till proven otherwise

A

endometrial cancer

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6
Q

hyperemesis gravidarum with diplopia and ataxia is suggestive of

A

wernickes encephalopathy
- give thiamine (vitamin B1)
- vitamin B and C (pabrinex)

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7
Q

unopposed oestrogen is a risk factor for

A

endometrial cancer

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8
Q

management of stress incontinence

A

duloxetine

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9
Q

management of urge incontinence

A

oxybutynin

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10
Q

what is meigs syndrome

A

benign ovarian tumour
ascites
pleural effusion

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11
Q

what can cystocele lead to

A

stress incontinence

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12
Q

procedure done for cystocele

A

anterior colporrhaphy

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13
Q

mid cyclical ovulatory pain is likely to be

A

mittelschmerz

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14
Q

HPV screens for patients with HIV are how regularly

A

annually

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15
Q

bulky uterus in young female is likely to be

A

fibroids

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16
Q

risk factor for cervical cancer

A

HPV

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17
Q

1st line investigation for infertility in women

A

serum progesterone 7 days prior to expected next period this should be day 21 of a 28 day cycle
progesterone on day 21 of cycle

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18
Q

most common site for vulval cancer

A

labia majora

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19
Q

management of lichen scleorsis

A

topical dermovate

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20
Q

ectopic pregnancy in what location is most associated with increased risk of rupture

A

isthmus

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21
Q

how long is routine HPV call

A

repeat smear every 5 years

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22
Q

enlarged boggy uterus

A

adenomyosis

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23
Q

definitive treatment for adenomyosis

A

hysteroscopy

24
Q

management of women with severe pre-menstrual symptoms

A

SSRI

25
Q

management of vasomotor symptoms in menopause

A

fluoxetine
citalopram
venlaflaxine

26
Q

what HRT increases risk of endometrial cancer

A

oestrogen only HRT - unopposed oestrogen

27
Q

management of mild premenstrual symptoms

A

COCP

28
Q

young women taking COCP and has post coital bleeding what is most common

A

cervical ectropion

29
Q

what ovarian tumour is associated with endometrial hyperplasia

A

granulosa cell tumours

30
Q

1st line non hormonal treatment for menorrhagia

A

tranexamic acid

31
Q

after termination how long can pregnancy test be positive for

A

4 weeks

32
Q

urge incontinence in elderly what is best treatment

A

mirabegron

33
Q

what do germ cell tumours secrete

A

AFP and beta HCG

34
Q

who is more likely to get germ cell tumours

A

younger women

35
Q

who is more likely to get epithelial cell tumours

A

older women

36
Q

management of fibroids >3cm

A

myomectomy

37
Q

what is a risk factor for ectopic pregnancy

A

endometriosis
pelvic inflammatory disease

38
Q

potential side effect of ovulation induction

A

ovarian hyperstimulation syndrome

39
Q

HRT adding a progesterone increases risk of

A

breast cancer

40
Q

investigation of choice for ectopic pregnancy

A

transvaginal ultrasound

41
Q

risk factors for premature ovarian failure

A
  • FH
  • exposure to chemotherapy/radiation
  • autoimmune disease
42
Q

ovarian torsion what is seen on ultrasound

A

whirlpool sign

43
Q

person urinating more frequently and suffer and intense need to urinate

A

overactive bladder syndrome

44
Q

cervical motion tenderness is a specific sing for

A

PID

45
Q

management of PID

A

orał doxycycline + orał metronidazole + IM ceftriaxone

46
Q

management of symptomatic Bartholin cyst

A

marsupialisation

47
Q

what benign ovarian tumour is associated with Meigs syndrome

A

fibroma

48
Q

when is ectopic pregnancy managed surgically

A

> 35mm in size of B-hCG >5000 should be managed surgically

49
Q

management of recurrent vaginal candidiasis

A

oral fluconazole

50
Q

management of thrush in pregnancy

A

clotrimazole pessary

51
Q

how does ovarian cancer initially spread

A

local invasion

52
Q

what HRT is safest for VTE risk

A

transdermal HRT

53
Q

management of overactive bladder

A

bladder re-training exercise

54
Q

management of vaginal vault prolapse

A

sacrocolpoplexy

55
Q

what does combined HRT reduce the risk of

A

osteoporosis

56
Q

most common type of ovarian cyst

A

follicular cyst

57
Q

most common type of ovarian cancer

A

serous carcinoma

58
Q

what contraception works the quickest

A

progesterone only pill

finals (25 decks)

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