gynaecology Flashcards
gold standard investigation for endometriosis
laparoscopy
what contraception is preferred in a patient who has hypertension
intrauterine system - mirena coil
hydratidiform mole presentation
large for date uterus
severely elevated bhCG
hydratidiform mole presentation
large for date uterus
severely elevated bhCG
medication that can be given for management of ectopic pregnancy
methotrexate
post menopausal bleeding is what till proven otherwise
endometrial cancer
hyperemesis gravidarum with diplopia and ataxia is suggestive of
wernickes encephalopathy
- give thiamine (vitamin B1)
- vitamin B and C (pabrinex)
unopposed oestrogen is a risk factor for
endometrial cancer
management of stress incontinence
duloxetine
management of urge incontinence
oxybutynin
what is meigs syndrome
benign ovarian tumour
ascites
pleural effusion
what can cystocele lead to
stress incontinence
procedure done for cystocele
anterior colporrhaphy
mid cyclical ovulatory pain is likely to be
mittelschmerz
HPV screens for patients with HIV are how regularly
annually
bulky uterus in young female is likely to be
fibroids
risk factor for cervical cancer
HPV
1st line investigation for infertility in women
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
most common site for vulval cancer
labia majora
management of lichen scleorsis
topical dermovate
ectopic pregnancy in what location is most associated with increased risk of rupture
isthmus
how long is routine HPV call
repeat smear every 5 years
enlarged boggy uterus
adenomyosis
definitive treatment for adenomyosis
hysteroscopy
management of women with severe pre-menstrual symptoms
SSRI
management of vasomotor symptoms in menopause
fluoxetine
citalopram
venlaflaxine
what HRT increases risk of endometrial cancer
oestrogen only HRT - unopposed oestrogen
management of mild premenstrual symptoms
COCP
young women taking COCP and has post coital bleeding what is most common
cervical ectropion
what ovarian tumour is associated with endometrial hyperplasia
granulosa cell tumours
1st line non hormonal treatment for menorrhagia
tranexamic acid
after termination how long can pregnancy test be positive for
4 weeks
urge incontinence in elderly what is best treatment
mirabegron
what do germ cell tumours secrete
AFP and beta HCG
who is more likely to get germ cell tumours
younger women
who is more likely to get epithelial cell tumours
older women
management of fibroids >3cm
myomectomy
what is a risk factor for ectopic pregnancy
endometriosis
pelvic inflammatory disease
potential side effect of ovulation induction
ovarian hyperstimulation syndrome
HRT adding a progesterone increases risk of
breast cancer
investigation of choice for ectopic pregnancy
transvaginal ultrasound
risk factors for premature ovarian failure
- FH
- exposure to chemotherapy/radiation
- autoimmune disease
ovarian torsion what is seen on ultrasound
whirlpool sign
person urinating more frequently and suffer and intense need to urinate
overactive bladder syndrome
cervical motion tenderness is a specific sing for
PID
management of PID
orał doxycycline + orał metronidazole + IM ceftriaxone
management of symptomatic Bartholin cyst
marsupialisation
what benign ovarian tumour is associated with Meigs syndrome
fibroma
when is ectopic pregnancy managed surgically
> 35mm in size of B-hCG >5000 should be managed surgically
management of recurrent vaginal candidiasis
oral fluconazole
management of thrush in pregnancy
clotrimazole pessary
how does ovarian cancer initially spread
local invasion
what HRT is safest for VTE risk
transdermal HRT
management of overactive bladder
bladder re-training exercise
management of vaginal vault prolapse
sacrocolpoplexy
what does combined HRT reduce the risk of
osteoporosis
most common type of ovarian cyst
follicular cyst
most common type of ovarian cancer
serous carcinoma
what contraception works the quickest
progesterone only pill
