Incorrect Answers Flashcards
Which antibiotic should be avoided in chorioamnionitis?
Co-amoxiclav - associated with necrotising enterocolitis.
At what point in the post-partum period has the uterus normally returned to its non-pregnant size?
4 weeks
What is the most common type of fibroid?
Intramural
What is the Chandelier sign?
Cervical motion tenderness / cervical excitation.
Mefenamic vs tranexamic acid?
Mefenamic acid - anti-inflammatory, helps with period pain as well and menorrhagia.
Tranexamic acid - helps menorrhagia.
Staging system used for endometrial cancer?
FIGO - also used for ovarian cancer.
What is Fitz-Hugh-Curtis syndrome?
PID complication - liver capsule becomes inflamed, causing adhesions in the peritoneum.
Management of small fibroids?
(< 3cm)
- Mirena coil
- NSAIDs
- TXA
- COCP
First-line antibiotics for PID?
- IM ceftriaxone
- oral doxycycline
- oral metronidazole
Most common subtype of ovarian cancer in younger women?
Germ cell tumour
Cervical screening recommendation for HIV positive patients?
Annually
What is Asherman’s syndrome?
Intrauterine adhesions, commonly as a result of previous uterine surgery. Can lead to obstruction of the menstrual outflow tract, presenting as secondary amenorrhoea.
Levothyroxine dose in pregnancy?
Increase dose by 25 mcg as soon as pregnancy is confirmed, even if euthyroid.
Initial management of early pre-term labour?
- corticosteroids
- tocolytics
What is the Kleihauer test?
Used to quantity the dose of Rh-D antigen in maternal circulation - helps to guide the amount of anti-D required for a sensitising event.
How does congenital CMV present?
- hearing loss
- visual impairment
- learning disability
How does congenital varicella syndrome present?
- limb hypoplasia
- microcephaly
- skin scarring
When can the COCP vs POP be used post-partum?
COCP - after 3 weeks if not breastfeeding, after 6 weeks if breastfeeding.
POP - any time post-partum.
What are some absolute contraindications for ECV?
- C section already indicated
- antepartum haemorrhage within the last 7 days
- non-reassuring CTG
- major uterine abnormality
- placental abruption / placenta praevia
- ruptured membranes
- multiple pregnancy
Time interval for copper IUD after UPSI?
120 hours
Time interval for ullipristal acetate after UPSI?
120 hours
Time interval for levonorgestrel after UPSI?
72 hours
Side effects of copper IUD?
- cramping after insertion
- heavier periods
- more painful periods
- infection
- falling out
Which antibiotics are used for confirmed PPROM?
Erythromycin or clarithromycin.
When can expectant management be used for ectopic pregnancy?
- stable patient
- no heart beat
- bHCG < 1500
- minimal / low no symptoms
When can medical management be used for ectopic pregnancy?
- bHCG > 5000
- pregnancy > 35 mm
- stable patient
- no heart beat
Why are dextrose solutions avoided in hyperemesis gravidarum?
Risk of Wernicke’s encephalopathy.
What is the acceptable SFH range after 24 weeks of pregnancy?
cm = no. of weeks (+/- 2cm)
