O&G Flashcards
1
Q
Risk factors for ectopic pregnancy
A
Previous ectopic pregnancy. PID Fertility issues. Structural concerns. Contraceptive choice. Intrauterine device (IUD) and tubal ligation Smoking.
2
Q
Management of suspected ruptured ectopic pregnancy
A
ABCDE
Surgical referral
Pain relief
3
Q
Differential of secondary amenorrhoea
A
( 4 categories )
Hypothalamic - chronic illness, anorexia, excessive exercise, stress
Pituitary - hyperprolactinaemia, hypothyroid, breast-feeding
Ovarian - PCOS, premature ovarian failure, iatrogenic, progesterone contraception
Uterine - pregnancy
4
Q
Management of prolactinoma
A
Bromocriptine/cabergoline ( dopamine agonist )
Visual fields checked
Surgery indicated rarely
5
Q
Which medications can cause hyperprolactinemia?
A
Dopamine antagonists:
Antipsychotics
Metoclopramide ( for IBS )