MLA Obs & Gynae

Question 1

What is atrophic vaginitis?

Answer 1

When the walls of the vagina become dry, thin, and inflamed due to lack of oestrogen

Symptoms: Painful intercourse, urinary frequency, dryness, soreness, irritation

Treatment: Lubricants or moisturisers, oestrogen replacement, regular sexual activity

Question 2

Which antibiotics are given for different STI’s?

Answer 2

BV: metronidazole
Chlamydia: Doxycycline
Gonorrhoea: Ceftriaxone
Syphilis: Doxycycline
Trichomoniasis: metronidazole

Question 3

What is the difference is presentation between chlamydia, syphilis, and gonorrhoea?

Answer 3

Chlamydia: white/watery discharge. Burning sensation when urinating

Gonorrhoea: Yellow/green discharge. Affects the rectum too

Syphilis: Chancre presents first. Secondary syphilis presents as rash over the body and flu-like symptoms

Question 4

What are the options for termination of pregnancy?

Answer 4

Early pregnancy: take mifepristone and then misoprostol 1-2 days later and it will pass vaginally

Surgical: vacuum or suction aspiration (up to 14 weeks) or dilation and evacuation (after 14 weeks)

Question 5

What is trichomonas vaginalis?

Answer 5

A protozoan STI

Presents as ‘strawberry cervix’
Men: urethral discharge/burning

Question 6

How is VTE managed during pregnancy?

Answer 6

LMWH (Enoxaparin) throughout the pregnancy and 6 weeks after or for 3 months all together

Dependent on the risk

Question 7

What are the TORCH diseases?

Answer 7

Diseases that causes congenital defects in the developing foetus

Toxoplasmosis
Other: syphilis, VZV, Zika virus
Rubella
CMV
Herpes simples