Obs and gynae Flashcards
What is CA15-3 a marker for?
Breast cancer
What CA-125 a marker for?
Ovarian cancer
What is the most common type of fibroid?
Intramural
When is the combined test for Down’s syndrome performed?
11-14 weeks
When is the triple test for Down’s syndrome performed?
14-20 weeks
What does the combined test for Down’s syndrome involve?
USS - nuchal translucency >6mm = higher risk
Beta-HCG - higher result = higher risk
PAPP-A - lower result = lower risk
What does the triple test for Down’s syndrome involve?
Maternal blood tests only:
Beta-HCG - higher result = higher risk
AFP - lower result = greater risk
Serum oestriol - lower result = greater risk
When is the quadruple test for Down’s syndrome performed?
14-20 weeks
What does oestrogen stimulate?
Breast tissue development
Growth and development of female sex organs at puberty
Blood vessel development in uterus
Development in endometrium
What does progesterone do?
Thickens and maintains endometrium
Thickens cervical mucous
Increases body temperature
What does the broad ligament connect?
Uterus, fallopian tubes and ovaries to the pelvic wall
What does the broad ligament contain?
Ovaries
Fallopian tubes
Round ligament
What doe the round ligament connect?
Uterine fundus to labia majora
Which uterine ligaments contain nothing?
Round ligament
Ovarian ligament
Uterosacral ligament
What does the cardinal ligament connect?
Cervix to lateral pelvic wall
What does the cardinal ligament contain?
Uterine vessels
What do the suspensory ligaments of the ovaries connect?
Ovaries to lateral pelvic wall
What do the suspensory ligaments of the ovaries contain?
Ovarian vessels
What does the ovarian ligament connect?
Ovaries to uterus
What does the uterosacral ligament connect?
Cervix/posterior vaginal dome to sacrum
When would you offer vaginal progesterone or cervical cerclage?
Women with a cervical length <25mm on vaginal USS between 16 and 24 wks
