Obs and gynae Flashcards
1
Q
When does placenta accreta usually present?
A
Delivery
2
Q
Endometriosis treatment
A
COC
POP
IUS
3
Q
Most common Bartholin’s cyst infector
A
Ecoli
4
Q
Placenta previa staging
A
2 - margin
4 - complete
5
Q
GBS treatment
A
Benzylpenicillin
6
Q
Chickenpox prophylaxis _________ after exposure
A
1-2 weeks
7
Q
What day is progesterone measured?
A
-7
(21 usually)
8
Q
What increases risk of endometritis?
A
Long labour
Rupture
Poo
9
Q
Prevention of cord compression
A
Hands and knees
10
Q
PID organisms
A
Chlamydia
Gonnorhoea
11
Q
Amniotic fluid embolism
A
Hypoxia
12
Q
🤮 treatment
A
Prochlorperazine
Cyclizine
Promethazine
13
Q
🤮 sign
A
ketonuria
14
Q
Combined test
A
Down syndrome test
weeks 10-13
15
Q
Quadruple test
A
Down syndrome test
weeks 15-22
16
Q
Quadruple test includes…
A
oestrogen and inhibin.
17
Q
Signs of ruptured ovarian cyst
A
Low bp
High hr
Clammy
Peritonism
18
Q
Tear staging
A
- skin
- muscles
- anus
- rectum
19
Q
Test to diagnose gestational diabetes
A
Glucose tolerance test
(24-28 weeks)
(soon if high risk)
20
Q
FSH is measured ____ weeks apart.
A
4-6
21
Q
When does placenta previa warrant admission?
A
Major
Symptomatic
From 34 weeks
22
Q
Twin to twin transfusion treatment
A
Lasers
23
Q
Hemolytic disease of the newborn presentation
A
jaundice
yellow amniotic fluid
hepatosplenomegaly
hydrops fetalis
24
Q
Preeclampsia tests
A
U&E
FBC
transaminases
bilirubin
25
Switch from lithium…
gradually.
26
Can atrophic vaginitis have discharge?
Yes
27
Ovarian hyper stimulation symptoms
breathlessness
ascites
vomiting
28
Asherman's syndrome
Scarring
29
Which cancer does PCOS increases risk of by 2-3x?
Endometrial
Ovarian
30
5 mg folic acid for BMI >
30
31
In a normal pregnancy, hBCG doubles in…
48 hours.
32
hCG in ectopic
Barely rises
33
Clammy and bleeding with tense uterus
Haemorrhages
34
Umbilical cord prolapse
Gush of fluid during labour
35
Itch
Ursodeoxycholic acid
36
Haemorrhage
Admit
37
COC is contraindicated by smoking within the last…
year.
38
First analgesia for labour
Diamorphine
39
Woody
Abruption
40
Ectopic pregnancy treatment
Methotrexate
(If βHCG < 5000 IU/l)
41
Ferrous sulphate side effect
Dark stool
42
COC can be started _________ after birth.
6 weeks
43
Polymorphic eruption of pregnancy
Itchy
Red
Papular
Abdomen
44
Smoking decreases risk of which cancer?
Endometrial
45
High dose folic acid
diabetes
thalassaemia trait
obese
coeliac
46
Glycosuria in pregnancy
Normal
47
Placenta ac/in/peccreta
A - attached
I - inside
P - past
48
Vulval cancer presentation
itchy ulcer
49
90% of vulval cancer is…
SCC
50
Oestrogen in Down’s syndrome
Low
51
CTG for __ mins
20
52
Inducing labour
sweep
PGE
rupture
53
Uterine hyper-stimulation is more than _ contractions in 10 minutes.
5
54
Contraindications to ECV
Oligohydramnios
Recent haemorrhage
55
COC _________ risk of cervical cancer.
increases
56
Start insulin at a fasting glucose of…
7.
57
First line for heavy bleeding (after tranexamic acid)
IUS
58
Primary dysmenorrhoea cause
None
59
Psammoma bodies
serous cystadenocarcinoma
papillary thyroid cancer
meningioma
mesothelioma
60
How do you differentiate an ectopic from a normal pregnancy?
US in EPU
bHCG
61
PID symptoms
fever
tachycardia
hypotension
62
Goserelin
GnRH analogue that prevents ovulation
63
Goserelin use
Stops bleeding in anaemia
64
Drug that causes ovarian hyperstimulation
Clomifine
65
Which weeks are antiD injection given?
28
34
66
HRT for women with regular periods
monthly
67
HRT for women with irregular periods
3 monthly
68
Smoking increases ectopic risk
69
Benpen allergy
Vanc
70
Uterine rupture treatment
Laparotomy
71
Twins are a risk factor for…
VTE.
72
What ruptures ovarian cysts?
Exercise
73
If preterm, transfer to
neonatal unit
74
Severe premenstrual syndrome treatment
SSRI
75
Treatment for asymptomatic bacteriuria in pregnancy
Oral antibiotics
76
Induce labour week…
41-42
77
Cervical screening HIV
Annual
78
CIN 1 treatment
repeat cytology in 6 months
79
Restitution
Rotation
80
When is salpingostomy performed?
Previous salpingectomy
81
Chorioamnionitis management
admission and delivery
blood cultures
broad IV antibiotics
82
Gestational hypertension starts at __ weeks.
20
83
Lichen sclerosis treatment
Clobetasol propionate
84
When is reduced variability worrying?
< 5bpm for over 40 minutes
85
Early GBS
within 48 hours
86
Late GBS
After 1 week
87
sinusoidal trace
bad
88
Germ cell tumours are more common…
age < 40.
89
Booking appointments are within __ weeks.
10d
90
In PCOS, LH is _____ and FSH is _____.
high
normal
91
clear discharge, bleeding
Vasa previa
92
IUS is first line for fibroids <_ cm.
3
93
Weight loss first if BMI > __
25
94
Effects of varicella zoster on the foetus
hypoplastic limbs
neurological impairment
95
After 3 pulls
C section
96
Breech increases the risk of…
umbilical cord prolapse
97
How is proteinuria in preeclampsia identified?
Urine protein:creatinine ratio (PCR)
98
Management for inevitable miscarriage
Expectant
99
Ectropion treatment
Cautery
100
Can chlamydia be cultured?
No
101
What reduces risk of preeclampsia?
Aspirin
102
Frank breech
Bum first
103
Category 1 C section
Emergency
104
Recipient twin risk
Hypervolaemia
105
Amyloidosis
Big kidneys
Big heart
106
Which HRT does not increase risk of VTE?
Transdermal
107
Serum bcg use
Monitoring pregnancy
108
Mifepristone
Kill
109
What is given for anaerobic cover in PID?
metronidazolee
110
Which condition increases risk of miscarriage complications?
Diabetes
110
Actim PROM
IGFBP-1
111
Fibroids in late pregnancy
Rapid growth and ischaemia
112
PCOS patients should induce a withdrawal bleed every…
3 months.
113
When is tocolysis used?
Premature membrane rupture but mum and baby are stable
114
Oesophageal atresia causes _________hydramnios.
poly
115
Viral infections cause _________hydramnios.
poly
116
Kleihauer test
Rhesus D
117
Calculating due date
+ 7 days
- 3 months
117
Triptan contraindications
Peripheral vascular disease
Angina
118
Tamoxifen risk
VTE
119
Amniotic fluid is important for ____ development.
lung
120
Dysuria in apendicitis
121
Dysuria in ovarian cancer
122
Fitz–Hugh–Curtis syndrome
Liver adhesion caused by PID
123
Urge
OAB + leak
124
Weight in ovarian hyper-stimulation
Increases due to fluid retention
125
Lamotrigine in pregnancy
Increase dose
5 mg folic acid
126
No vaginal delivery allowed after _________ C section.
vertical
127
Syntometrine
Oxytocin
128
Anomaly scan time
18-20 + 6 weeks
129
Androgen-insensitivity syndrome
XY but appears female
130
Chadwick's sign
Blue cervix
(pregnancy)
131
Chandelier sign
Pain on compressing the uterus
(PID)
132
Is BMI a criteria for PCOS?
No
133
Diabetes increases risk of ___________ cancer.
endometrial
134
Cord prolapse category
1
135
Accentuating McRobert’s Manoeuvre
Apply suprapubic pressure
136
Which rule calculates the due date at booking?
Naegele's Rule
137
Most *common* anomaly caused by valproate
Neural tube defects
138
Mittelschmerz
Mid-ovulatory cycle pain caused by follicle rupture
139
Molar pregnancy symptoms
Sickness
Loose stools
Hot flush
140
Screening requirements
Known history
Recognised early stage
141
Which other antibiotic can be used in PID?
ofloxacin
142
Insufficient hcg
Ectopic
143
First line for prolonged labour
Foreceps
144
Abnormal cervix with symptoms
Urgent referral
145
Risk factor for breech
Polyhydramnios
145
Contraindications to ergometrine
Hypertension
CVD
VD
145
Most common fibroid
Intramural
146
Normal variability
15 bpm
147
Hyperemesis gravidarum treatment
Saline
KCl
Cyclizine
No dextrose
147
Px+y
x - after 24 weeks
y - under 24 weeks
148
Tocolytic that improves ECV
Terbutaline
149
Drug given before all C sections
Omeprazole
150
Acute fatty liver of pregnancy treatment
Immediate delivery
150
Does radical tracheotomy impair fertility?
No
150
Lichen sclerosis treatment
Topical steroids
151
Early scans weeks
11
14
152
First line for menorrhagia
IUS
153
Rhesus antibody
IgG
153
colporrhaphy
strengthening the vaginal wall
154
Women with gestational diabetes should give birth no later than _____ weeks of gestation.
40+6
155
Both sphincters torn
3c
156
Can labour be induced in breech?
Ya 😐
157
What is taken up by abnormal cervical cells?
Acetic acid
158
Preeclampsia prevention
Low-dose aspirin
159
Avoid COCP in BMI >
35
160
Fibroid 💩
Constipation
161
ECV in placenta previa
Fine
161
How does hereditary haemochromatosis cause amenorrhoea?
Low LH
Low FSH
162
Best contraceptive in epilepsy
Injection
163
Mirena in infection
Leave in
164
Contraindication to COCP (colour)
Jaundice
165
Give _____ acyclovir in pregnancy.
more
166
Treating candida in pregnancy
Intravaginal
167
Recurrent thrush
Fluconzole x 3
168
HPV treatment in pregnancy
Cryotherapy
