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Medicine👩🏼‍⚕️🩺 > Obs And Gynae🧚🏼‍♀️ > Flashcards

Obs And Gynae🧚🏼‍♀️ Flashcards

1
Q

Why are GnRH agonists used preoperatively for uterine fibroids?

A

Reduce the size and vascularity of the fibroids

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2
Q

What agonists are used preoperatively for symptomatic uterine fibroids?

A

GnRH agonists

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3
Q

Dose of folic acid for BMI > 30

A

5mg

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4
Q

How soon should BMI>30 women start folic acid before pregnancy?

A

1 month before conception

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5
Q

How to confirm absence of sperm after vasectomy?

A

Semen analysis

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6
Q

When can the copper IUD be used for emergency contraception?

A

5 days after unprotected sex
Within 5 days of earliest expected ovulation

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7
Q

When is levonorgestrel effective emergency contraceptive?

A

Within 72 hours

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8
Q

At what BP should antihypertensives be started in gestational hypertension?

A

140/90

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9
Q

What is target BP for gestational hypertension?

A

< 135/85

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10
Q

Important side effect of methyldopa if continued post partum

A

Increased risk of depression

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11
Q

First line management in gestational diabetes?

A

Metformin

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12
Q

Positive side effect of COCP?

A

Potential improvement in skin

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13
Q

Suitable contraception for those with history of mild acne?

A

COCP

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14
Q

First line management for atrophic vaginitis

A

Topical oestrogen

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15
Q

When are Hb levels checked in pregnancy?

A

At booking, and 28 weeks

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16
Q

Smear test follow up for HPV positive, negative cytology smear

A

Repeat in 12 months

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17
Q

Gestational diabetes management when glucose >7

A

Immediate insulin

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18
Q

What does HELLP stand for

A

Haemolysis, elevated liver, low platelets

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19
Q

Risk factors for ovarian cancer (4)

A

Obesity
Nulliparity
Family history
Older Age

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20
Q

Protective factors against ovarian cancer (2)

A

Long term COCP use
Breastfeeding

21
Q

When do we screen for gestational diabetes?

A

24-28 weeks

22
Q

Misoprostol MOA

A

PGE analogue, causing uterine contractions and cervical softening

23
Q

1st line treatment for PID

A

IM ceftriaxone 1g
Oral doxycycline 100mg BD AND
Oral metronidazole 400mg BD for 14 days

24
Q

POP MOA

A

Thickening of cervical mucus

25
Q

GnRH agonists cause which deficiency?

A

Oestrogen deficiency

26
Q

Primary MOA of COCP

A

Suppression of ovulation through inhibiting gonadotropin release from HPO axis

27
Q

Most common cause of PPH?

A

Uterine atony

28
Q

1st line management of uterine atony

A

IV oxytocin

29
Q

1st line management of uterine atony

A

IV oxytocin

30
Q

Most likely cause of PPH in women with previous c sections?

A

Placenta accreta

31
Q

Target Hb for pregnant women with iron deficiency in 3rd trimester

A

> 105 g/L

32
Q

Immediate priority when there’s umbilical cord prolapse

A

Manually elevate presenting part

33
Q

Effective non-hormonal treatment for vasomotor menopausal symptoms

A

SSRIs e.g. citalopram

34
Q

How long after last ever period should women >50 use contraception for?

A

12 months

35
Q

What cancer needs to be ruled out with postmenopausal bleeding?

A

Endometrial

36
Q

Primary mechanism of progesterone-only injectable?

A

Inhibits ovulation

37
Q

First line investigation for fibroids

A

TVUS

38
Q

How long should you avoid breastfeeding for after taking LNG as emergency contraception?

A

8 hours

39
Q

What to do if the POP is more than 12 hours late?

A

Take missed pill immediately, additional contraception for next 2 days

40
Q

Initial investigation for DVT in pregnancy

A

Compression duplex US

41
Q

Common side effect of the progesterone only injection?

A

Irregular bleeding
Weight gain

42
Q

When can COCP be started after giving birth?

A

21 days after

43
Q

Glucose result diagnosing gestational diabetes

A

Fasting >5.6

44
Q

Absolute contraindication to COCP

A

Uncontrolled hypertension
<6 weeks post partum
Previous VTE

45
Q

Protective factor against ovarian cancer

A

Breastfeeding

46
Q

Factor that increases risk of cervical cancer

A

Early age at first sexual intercourse

47
Q

No. of days required for the progesterone-only injection to be effective

A

7

48
Q

Differentiate between vasa praevia and placenta praevia

A

Vasa praevia - happens after membrane rupture

Medicine👩🏼‍⚕️🩺 (16 decks)

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