obs and Gynae Flashcards
hypertension in previous pregnancy management
aspirin 75mg OD from 12 weeks until birth.
other high risk groups include: chronic kidney disease
autoimmune disorders such as SLE or antiphospholipid syndrome
type 1 or 2 diabetes mellitus
what should normal blood pressure in pregnancy do up to 20-24 weeks?
fall. after this time it rises back up to pre-pregnancy level by term
hypertension in pregnancy is defined as:
above 140 systolic above 90 diastolic
or an increase above the baseline of 30 systolic or 15 diastolic
define pre-eclampsia
pregnancy induced hypertension associated with proteinuria. (0.3g in 24 hours)
what seperates pregnancy induced hypertension from pre-existing?
occurs after 20 weeks
what is this and treatment?
Offensive, yellow/green, frothy discharge
Vulvovaginitis
Strawberry cervix
trichomonas vaginalis
oral metronidazole bro
A 19 year-old woman attends her GP for a repeat prescription of her combined oral contraceptive pill (COCP). Since starting it, she has been suffering from severe left sided headaches with changes in her vision before the headache begins. Clinical examination is normal. What is the most appropriate step in her management?
change to progesterone only pill cos keeping on the combined inc risk of stroke
A well 35-year-old female attends the GP practice with her partner as she is struggling to become pregnant. They have been trying for a year with regular sexual intercourse. What is the most appropriate first line investigation?
Day 21 progesterone
A 24-year-old woman presents to the emergency department with a 1 day history of nausea and severe constant pain localised since onset to the left iliac fossa. She had vomited once but has no other symptoms. She has a 28 day menstrual cycle, her last menstrual period started 7 days ago. She is sexually active and has always used condoms for contraception. There is no vaginal bleeding. What is the most likely diagnosis?
ovarian torsion
Most common type of ovarian pathology associated with Meigs’ syndrome
fibroma
The most common cause of ovarian enlargement in women of a reproductive age
follicular cyst
cyst with intraperitoneal bleeding
luteal cyst
HPV strains responsible for most cancers
16, 18, 33
Rokitansky’s protuberance?
teratoma lump
Premature ovarian failure is defined as the onset of menopausal symptoms and elevated gonadotrophin levels before the age of
40
