OBGYN III 👘 Flashcards
Screening for BRCA patients
6 monthly ovarian US and CA125. And annual MRI of breast. Consider prophylactic removal at 40
Ovulatory bleed first line Mx
COCP
Who gets DEXA scan
Above 65
Who gets HRT in menopausal
Less than 60 and has symptoms of flushing, vag atrophy, mood issues
E vs E AND P for menopause
E only if no uterus
Is liver disease a CI for HRT
Yes,
First and second line medical therapy for endometriosis
COCP and GnRH ag/Levo IUD
Severe recurrent endometriosis, and patient doesn’t want more kids
Can do hysterectomy
Patient has the endometrial hyperplasia…. Bye did the biopsy, just plain hyperplasia, no atypia
Just do progesterone. Then after 6mo reassess, doing biopsy. If not improvement, then send to oncology
What is Yasmin
Drospirenone + ethinyl estradiol (Yaz; Yasmin)
Tx for premenstrual disorder
SSRI if severe
Dx of premenstrual syndrome
Clinical. Get patient to take a diary and make the connection
Endometrial stripe size limit
> 4mm. Don’t forget to apply this
Cyst rupture but not unstable or severe
Reassure and observe
Why ovarian tumour causes precocious puberty in woman
Granulosa
<45 with AUB. Failed COCP. Do what
Biopsy
Endometrial ablations and salpingograms allowed in unknown cause of AUB
No…. Could spread potential cancer
In pregnancy why do we see an increased risk of non-compliance to medications
Women are often scared the medications cause harm to the baby, so decrease them
What affect does neuraxial epidural anaesthesia do to 2nd stage
Increase is it
Main cause of protracted active phase of labour
Catholic pelvic disproportion
Is a platelet range of 100 to 150 okay in pregnancy
Yes
Bleeding when rupture of membranes, and fetal heart tones go. Blood pressures are all okay
Vasa previa
If postpartum (few days postpartum) you have a little bit of red vaginal discharge. Patient is stable. Do we have to worry
Normal lochia rubra
After salpingectomy for ectopic pregnancy, what injection shall I give
RhoGAM
If I have ectopic pregnancy and do salpingectomy, do I need methotrexate
No
Obvs gravidity is number of preg. What is parity
Number of live births beyond 20 weeks
Foods to avoid in preg
Fish with mercury, moderate caffeine only, undercooked meat and fish. Delicaneyby
We give folate, calcium, iron to patients!. But what extra for vegans
D and B12
Obvs give IV penciclin for GBS prophlx. If allergy? Or if risk of anaphylaxis
Ceph
Clinda or vanco resp
When to do the A test in preg
10-14 weeks. So do PAPPA and HCG and nuchal trans. Then do the quad screen not long after
When to do the gest DM screen if no risk factors
End of second trim or beginning of third
Obvs in first visit we test lots of infx. In high risks, what do we check again at end
Chlamydia gonorrhea hiv syphilis
High AFP can be seen on NTD or abdominal wall defect. Where else?
Twins, incorrect dating, fetal death, placental A
When does all the aneuploidy stuff start
10 weeks onward
SE if amniocentesis
PROM, chorioamn, hemorrhage
10-12 weeks gest, or 15-20 weeks gest. Which is CVS and which amnio
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