O&G Flashcards
medication that causes overflow incontinence
anti-cholinergics
medication for people who don’t ovulate but want kids
clomifene citrate
which STI does not stain with GM stain
chlamydia
types of HPV
6 & 11- warts
16 & 18- cancer
epithelial ovarian cancer
- serous
- mucinous
- endometroid
- serous = epithelium of fallopian tube
- mucinous = epithelium of endocervix
- endometroid = epithelium of uterus
size of fibroid that prevents IUDs/ needs surgery
> 3cm
hormone that reduces contractility of the uterus
progesterone
pre-eclampsia treatment
labetalol
if asthmatic - nifedipine
what is given if early delivery is indicated
24-35 weeks - steroids
less than 32 weeks - magnesium sulphate
prolonged labour
stage 1 - >2cm on 4h
stage 2:
nulliparous >3h + analgesia/ 2h
multiparous >2h + analgesia/ 1h
DR C BRAVADO
DR - define risk
C - contractions
BRA - baseline rate
V - variability
A - accelerations
D - decelerations
O - overall
fetal rubella
cataract
cardiac abnormalities
deafness
treatment of neonatal sepsis
IV benzylpenicillin + gent
management of cord prolapse
knees to chest
reduce cord
tocolytics then C section
treatment of PPH
rub fundus
IV oxytocin
balloon tamponade
boggy uterus =
adenomyosis
how long does contraception take to provide coverage
IUD - immediatly
POP - 2 days
COCP & IUS - 7 days
treatment of miss vs incomplete misscarriage
missed - both ms
incomplete - just misoprosol
duct papilloma vs duct ectasia
papilloma = bloody discharge
ectasia = green discharge
indications for increased folic acid in pregnancy
NTD/ family history of NTDs
in anti-epileptics
BMI ≥30
diabetic, sickle, thalasseamia
how many weeks should you investigate no fetal movements
24
treatment of gestational diabetes
(first glucose >7 straight to insulin)
metformin 2 weeks
short acting insulin (not long)
PE treatment in pregnancy
LMWH (not DOAC)
induction of labour according to bishops score
< 8 let it happen naturally
< 6 prostaglandins
> 6 amiotomy
GBS prophylaxis
benzypenicillin
treatment of hyperemisis gravidum
promethazine 1st line
PCOS hormone levels
increased LH:FSH ratio
increased testosterone
decreased sex hormone binding globulin
how long should lochia last
no more than 6 weeks postpartum
how long after birth is contraception not required
up to 21 days
when can an IUD or IUS be inserted after birth
2 days or 4 weeks
how long after birth can POP and COCP be started
POP immediately
COCP 6 weeks if breastfeeding
phimosis
foreskin doesn’t retract - only treat 2 years+
normal blood changes in pregnancy
decreased creatinine
increased ALT
cyst rupture vs torsion
rupture - sudden pain during sex
torsion - slow onset
measuring for IUGR
abdominal circumferance
uterine rupture
vaginal birth after a C section
cervical screening program
25 - 64 every 5 years
how long is post exposure given
(within 72hrs)
for a month
treatment of antiphospholipid syndrome
prophylaxis - asprin
1 confirmed VTE - warfarin
herpes 1 vs 2
1 - oral
2 - genital
(1 type of mouth 2 types of genitals)
increased neck translucency
downs
congenital heart problems
examples of tocolytics - suppress contractions
magnesium sulphate
nifedipine
indomethacin
treatment of hirstuism in PCOS
COCP
eflornithine cream
contraception contraindicated in impaired cardiac function (including AF)
COCP
only contraception you can get in active breast cancer
IUC (copper)
contraception contraindicaated in chlamydia and gonorrhoea
IUS/D
UKMEC 2 in under 20s
IUD/S
contraception contraindicated in complications of diabetes
COCP (UKMEC 3)
symptoms of vesicovaginal fistula
continuous incontinance
UTIs
urgancy/ frequency
HPV associated with anal cancer
16
side effect of tamoxifen
increased risk of endometrial cancer
what is aneamia in pregnancy
<110 1st trimester
<105 2nd & 3rd trimester
<100 post
LH»_space;» FSH (2:1)
PCOS
LH & FSH increased
POI
prolactinoma hormone results
prolactin»_space;»>
FSH ↓
LH ↓
oestradiol ↓
FSH > LH
anorexia
congenital adrenal hyperplasia incl hormone levels
almost everything normal
increased testosterone
primary ameanorhoea + raised FSH & LH
turners
