Obs and gynae Flashcards
When does placenta accreta usually present?
Delivery
Endometriosis treatment
COC
POP
IUS
Most common Bartholin’s cyst infector
Ecoli
Placenta previa staging
2 - margin
4 - complete
GBS treatment
Benzylpenicillin
Chickenpox prophylaxis _________ after exposure
1-2 weeks
What day is progesterone measured?
-7
(21 usually)
What increases risk of endometritis?
Long labour
Rupture
Poo
Prevention of cord compression
Hands and knees
PID organisms
Chlamydia
Gonnorhoea
Amniotic fluid embolism
Hypoxia
🤮 treatment
Prochlorperazine
Cyclizine
Promethazine
🤮 sign
ketonuria
Combined test
Down syndrome test
weeks 10-13
Quadruple test
Down syndrome test
weeks 15-22
Quadruple test includes…
oestrogen and inhibin.
Signs of ruptured ovarian cyst
Low bp
High hr
Clammy
Peritonism
Tear staging
- skin
- muscles
- anus
- rectum
Test to diagnose gestational diabetes
Glucose tolerance test
(24-28 weeks)
(soon if high risk)
FSH is measured ____ weeks apart.
4-6
When does placenta previa warrant admission?
Major
Symptomatic
From 34 weeks
Twin to twin transfusion treatment
Lasers
Hemolytic disease of the newborn presentation
jaundice
yellow amniotic fluid
hepatosplenomegaly
hydrops fetalis
Preeclampsia tests
U&E
FBC
transaminases
bilirubin
Switch from lithium…
gradually.
Can atrophic vaginitis have discharge?
Yes
Ovarian hyper stimulation symptoms
breathlessness
ascites
vomiting
Asherman’s syndrome
Scarring
Which cancer does PCOS increases risk of by 2-3x?
Endometrial
Ovarian
5 mg folic acid for BMI >
30
In a normal pregnancy, hBCG doubles in…
48 hours.
hCG in ectopic
Barely rises
Clammy and bleeding with tense uterus
Haemorrhages
Umbilical cord prolapse
Gush of fluid during labour
Itch
Ursodeoxycholic acid
Haemorrhage
Admit
COC is contraindicated by smoking within the last…
year.
First analgesia for labour
Diamorphine
Woody
Abruption
Ectopic pregnancy treatment
Methotrexate
(If βHCG < 5000 IU/l)
Ferrous sulphate side effect
Dark stool
COC can be started _________ after birth.
6 weeks
Polymorphic eruption of pregnancy
Itchy
Red
Papular
Abdomen
Smoking decreases risk of which cancer?
Endometrial
High dose folic acid
diabetes
thalassaemia trait
obese
coeliac
Glycosuria in pregnancy
Normal
Placenta ac/in/peccreta
A - attached
I - inside
P - past
Vulval cancer presentation
itchy ulcer
90% of vulval cancer is…
SCC
Oestrogen in Down’s syndrome
Low
CTG for __ mins
20
Inducing labour
sweep
PGE
rupture
Uterine hyper-stimulation is more than _ contractions in 10 minutes.
5
Contraindications to ECV
Oligohydramnios
Recent haemorrhage
COC _________ risk of cervical cancer.
increases
Start insulin at a fasting glucose of…
7.
First line for heavy bleeding (after tranexamic acid)
IUS
Primary dysmenorrhoea cause
None
Psammoma bodies
serous cystadenocarcinoma
papillary thyroid cancer
meningioma
mesothelioma
How do you differentiate an ectopic from a normal pregnancy?
US in EPU
bHCG
PID symptoms
fever
tachycardia
hypotension
Goserelin
GnRH analogue that prevents ovulation
Goserelin use
Stops bleeding in anaemia
Drug that causes ovarian hyperstimulation
Clomifine
Which weeks are antiD injection given?
28
34
HRT for women with regular periods
monthly
HRT for women with irregular periods
3 monthly
Smoking increases ectopic risk
Benpen allergy
Vanc
Uterine rupture treatment
Laparotomy