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REPRODUCTION and sexual health > miscellaneous > Flashcards

miscellaneous Flashcards

1
Q

how many couples on average suffer from infertility

A

15%

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2
Q

on bimanual palpation you can assess..?

A 
size
shape
motility
position
cervical motion tenderness
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3
Q

anteriorly bounded by pubic symphysis, laterally by iliopectinal lines and posteriorly by sacral promitory

A

pelvic inlet

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4
Q

bounded anteriorly by pubic arch, laterally by ischial tuberosites and coccyx posterioly

A

pelvic outlet

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5
Q

when is the LH surge

A

24-36 hours before ovulation

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6
Q

a couple where the man has had a vasectomy 3 years ago…what do to?

A

surgical sperm retrieval and ICSI

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7
Q

oligoasthenospermia

A

low count and mobility

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8
Q

teratoasthenospermia

A

low mobility and abnormal forms

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9
Q

a couple with 5 year history of unexplained infertility

A

IVF

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10
Q

what is the most effective method of emergecny contraception

A

copper coil

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11
Q

is vasectomty reversal carried out by NHS?

A

not anymore

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12
Q

most important risk factor or gender bases violence

A

being female

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13
Q

what % of gay /lesbian suffer from mental health issues

A

40%

65% for transgender

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14
Q

what contraception confers best efficacy in an otherwise fit and healthy 24 year old

A

the implant

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15
Q

what does the procedure of a vasectomy need?

A

division of vas deferens plus fascial interpositon

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16
Q

can HIV testing be done on a saliva sample

A

yes

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17
Q

does a HIV test have any effect on a persons insurance companies

A

no

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18
Q

what is the preferred test for chlamyidia in an aymptomatic female?

A

first pass urine for NAAT

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19
Q

what is given to reduce the risk of developing pre-eclampsia?

A

low dose aspirin

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20
Q

what is used to predict induction of labour?

A

Bishop’s score

score of 5 or less means its less likely to start without induction

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21
Q

what is the first step if there is chickenpox exposure in pregnancy?

A

check antibodies

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22
Q

intense itch
no rash
jaundice
increased bilirubin

A

cholestasis of pregnancy

23
Q

1st degree perianal tear

A

in vag mucosa only

24
Q

2nd degree perianal tear

A

into subcutaneous tissue

25
Q

3rd degree perianal tear

A

extends into external anal sphincter

26
Q

4th degree perianal tear

A

laceration through anal sphincter and into rectal mucosa

27
Q

what is involved in the down syndrome combined test

A

USS for nuchal translucency

Bloods for beta- human chorionic gonadotrophin

28
Q

from when can you see meconium in the liquor

A

From 32 weeks onwards

if earlier this could be a sign of fetal distress

29
Q

what is adequate uterine activity?

A

4 contractions in 10mins

30
Q

why is folic acid good in pregnany?

A

prevents neural tube defects

31
Q

how much folic acid should a pregnant woman take?

A

400mcg a day from trying to conceive until 12 weeks into pregnancy

may need higher dose 5mg if diabetic, epileptic, previous history of neural tub defect or previous preg with other defect

32
Q

first line for high BP on pregnancy?

A

labetalol

33
Q

what can you give for heart burn in pregnancy

A

antacids and aliginates

34
Q

visceral afferent fibres to T11-L2 carry pain from where?

A

uterus

35
Q

landmark for pudenal nerve block

A

ischial spine

36
Q

what muscle contributes to the pelvic diaphragm

A

levator ani

37
Q

what are the ischio-anal fossaw normally filled with

A

fat

38
Q

what is the second stage of labour

A

begins with full dilation of cervix and ends with complete delivery of baby

39
Q

what is the length of time it takes for tissues to return tp normal state following child birth?

A

6 weeks

40
Q

painless recurrent bleeds in 3rd trimester

A

placenta previa

41
Q

what are all these associated with?

dysplastic kidneys
ventricular septal defect
micrognathia and smooth philtrum
microcephaly

A

fetal alcohol spectrum disorder

42
Q

what is the normal blood loss in labour

A

500ml

43
Q

following labour, what are the classic signs to indicate placental separation?

A

uterus contracts and hardens and rises
increase length of umbilical cord is visible at intoitus
gush of blood appears
feeling of fullness in vagina

44
Q

sudden abo pain in 3rd trimester
codl to touch
bleeding (in most cases)
tender uterus

A

placental abruption

45
Q

what is amniotic fluid embolism?

A

when fetal cells/ amniotic fluid enters mothers blood stream and stimulates a reaction

chills, shivering, sweating, anxiety, cough, cyanosis, tachypnoea, hypotension, bronchospasm

46
Q

name some drugs to be avoided in breast feeding?

A 
lithium
benzos
aspirin
amiodarone
cirpofloxacin, tetracycliine
carbimazole
sulphonylureas
47
Q

ascending bacterial infection of fluid/ membrane/placenta

life threatening to mother and baby

A

chorioamnionitis

48
Q

true or false

in pregnancy, the volume of drug distribution is increased by changes in plasma volume and fat stores

A

true

49
Q

sudden need to pee with difficulty deferring and potentially associated incontinence

A

overactive bladder

50
Q

name some risk factors for pelvic girdle pain in pregnancy

A

increased BMI before pregnancy
history of low back pain/ pelvic trauma
hard physical job/ poor work ergonomics
PAP in last pregnancy

51
Q

neccessary to oxygenate the fetal venous return using the night ventricle

A

ductus arteriosus

52
Q

fluid in the fetal lung before birth is mostly made by..?

A

The fetal lung

53
Q

what is screened for in new borns

A

hypothyroidism
congenital dislocation of the hip
hearing loss
PKU

REPRODUCTION and sexual health (30 decks)

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