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.
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2
Q

Management of suspected ruptured ectopic pregnancy

A

ABCDE
Surgical referral
Pain relief

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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

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4
Q

Management of prolactinoma

A

Bromocriptine/cabergoline ( dopamine agonist )
Visual fields checked
Surgery indicated rarely

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5
Q

Which medications can cause hyperprolactinemia?

A

Dopamine antagonists:
Antipsychotics
Metoclopramide ( for IBS )

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