obs and gynae Flashcards
who does amniocentesis?
pernatologist (speically trained obstertrician)
who repairs 2nd degree tears
midwife
who does the post-natal baby checks
GP
nullparous women, diabetic , known endometrial biopsy thickening
what is it
suspicions of endometrial cancer
or hyperplasia
women with previous breast cancer taking tamoxifen for 5 years
suspicions of endometrial cancer
or hyperplasia
after severe dyskariotic smear
Refer for colposcopy
after mild dyskariotic smear
ideally should be referred for colposcopy but still acceptbale to suggest a repeat test in 6 months
what to do if colposcopy shows ulcerated malignant/ type lesion with discharge
LLETZ
large loop excision biopsy of transformational zone
prevention of pre-eclampsia
aspirin
labetalol
nifedipine
hydralazine
treatment of pre-eclampsia with seizure
magnesium sulphate
IVF: woman okay, . man is fit and well
test for male factor infertility
woman who had TAH BSO (total abo hysterectomy) vage 45 with hot flushes and night sweats
ostrogen HRT
woman aged 39 who had TAH BSO for endometriosis .
what type of HRT
sequential
31 year old smoker, wants contraception that must be oral, previous arterial disease
POP
someone with persistent vag bleeding in mid 50’s and intermenstrual bleeding
refer to gynae
in men, LH stimulates what?
testosterone
corpus luteum secretes what?
progetserone
what stores sperm
epidydmis
man has hypopituitary and bitemporal hemianopia
non functioning adenoma
bets investigation for checking uterine pathology?
hysteroscopy/ USS
patient has galactorrhoea
prolactin producing tumour
in lanour, if baby had HR of 50, what do you do?
emergency C-section
woman not dilating in labour
give oxytocin
pregnant lady is large for dates with sore abdomen
uterine fibroid due to red degeneration
lady has delivered but is still bleeding heavily
give syntometrine for PPH
treatment for pregnant lady with hypertension and proteinuira
labetalol
what is pre-term labour
24-36+6
post dates?
42+
history of PID, ectopic pregnancy and fears injections, what contraception
POP
emergency contraception >5 days posts ex, dat 16 of cycle
copper coil
deep dysparenenia and fixed retroverted uterus
endometriosis
BMI 38, irregular periods
PCOS
heavy bleeding and lots of discharge
PID
post coital bleeding and intermenstrual bleeding
what test?
cervical smear
patient has increased endometrial thickness
what test?
endometrial biopsy
patient suspected menopause
what bloods can you check?
LH and FSH (elevated)
woman has type 2 diabetes and is on tamoxife, what could she get?
endometrial cancer
woman has DUS
best treatment?
tranexamic acid
woman has bilateral lymphoedema, not hot or swollen, chest and abdo exam are normal, what test should be done?
pelvic USS
STI- flagellae under miscroscope
trachmonas
STI- gram neg diploccoi
gonorrhoea
STI- sore ulcers on labia
herpes simplex virus
51 year old with hot flushes, night sweats, 18 months since last period
what is it and what does she need
menopause
continuous combined HRT
40 ish woman still having periods, but mood swings and hot flushes, what HRT does she need?
oral oestrogen and mirena
she needs combined
younger woman still having irregular periods
squential (cyclical) combined HRT
treatment of vault prolapse
sacrospinous fixation
best treatment for urethrocele (prolape of urethra into vag), no other medical problems
pelvic floor exercises
bets pill for PCOS
dianette ( combined pill)
28 year old female,no periods for 2 years, otherwise well but raised GNRH
primary ovarian failure
girl has herpes on lip
swab for viral PCR
antepartum haemorrhage, tense uterus, not foetal herat beat
placental abruption
transverse lie
placental praevia
haematuria in preg
accreta?
contraception for fat smoker-
POP
