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year 4 onlines miscellaneous > obs and gynae > Flashcards

obs and gynae Flashcards

1
Q

who does amniocentesis?

A

pernatologist (speically trained obstertrician)

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2
Q

who repairs 2nd degree tears

A

midwife

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3
Q

who does the post-natal baby checks

A

GP

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4
Q

nullparous women, diabetic , known endometrial biopsy thickening

what is it

A

suspicions of endometrial cancer

or hyperplasia

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5
Q

women with previous breast cancer taking tamoxifen for 5 years

A

suspicions of endometrial cancer

or hyperplasia

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6
Q

after severe dyskariotic smear

A

Refer for colposcopy

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7
Q

after mild dyskariotic smear

A

ideally should be referred for colposcopy but still acceptbale to suggest a repeat test in 6 months

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8
Q

what to do if colposcopy shows ulcerated malignant/ type lesion with discharge

A

LLETZ

large loop excision biopsy of transformational zone

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9
Q

prevention of pre-eclampsia

A

aspirin
labetalol
nifedipine
hydralazine

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10
Q

treatment of pre-eclampsia with seizure

A

magnesium sulphate

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11
Q

IVF: woman okay, . man is fit and well

A

test for male factor infertility

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12
Q

woman who had TAH BSO (total abo hysterectomy) vage 45 with hot flushes and night sweats

A

ostrogen HRT

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13
Q

woman aged 39 who had TAH BSO for endometriosis .

what type of HRT

A

sequential

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14
Q

31 year old smoker, wants contraception that must be oral, previous arterial disease

A

POP

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15
Q

someone with persistent vag bleeding in mid 50’s and intermenstrual bleeding

A

refer to gynae

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16
Q

in men, LH stimulates what?

A

testosterone

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17
Q

corpus luteum secretes what?

A

progetserone

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18
Q

what stores sperm

A

epidydmis

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19
Q

man has hypopituitary and bitemporal hemianopia

A

non functioning adenoma

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20
Q

bets investigation for checking uterine pathology?

A

hysteroscopy/ USS

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21
Q

patient has galactorrhoea

A

prolactin producing tumour

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22
Q

in lanour, if baby had HR of 50, what do you do?

A

emergency C-section

23
Q

woman not dilating in labour

A

give oxytocin

24
Q

pregnant lady is large for dates with sore abdomen

A

uterine fibroid due to red degeneration

25
Q

lady has delivered but is still bleeding heavily

A

give syntometrine for PPH

26
Q

treatment for pregnant lady with hypertension and proteinuira

A

labetalol

27
Q

what is pre-term labour

A

24-36+6

28
Q

post dates?

A

42+

29
Q

history of PID, ectopic pregnancy and fears injections, what contraception

A

POP

30
Q

emergency contraception >5 days posts ex, dat 16 of cycle

A

copper coil

31
Q

deep dysparenenia and fixed retroverted uterus

A

endometriosis

32
Q

BMI 38, irregular periods

A

PCOS

33
Q

heavy bleeding and lots of discharge

A

PID

34
Q

post coital bleeding and intermenstrual bleeding

what test?

A

cervical smear

35
Q

patient has increased endometrial thickness

what test?

A

endometrial biopsy

36
Q

patient suspected menopause

what bloods can you check?

A

LH and FSH (elevated)

37
Q

woman has type 2 diabetes and is on tamoxife, what could she get?

A

endometrial cancer

38
Q

woman has DUS

best treatment?

A

tranexamic acid

39
Q

woman has bilateral lymphoedema, not hot or swollen, chest and abdo exam are normal, what test should be done?

A

pelvic USS

40
Q

STI- flagellae under miscroscope

A

trachmonas

41
Q

STI- gram neg diploccoi

A

gonorrhoea

42
Q

STI- sore ulcers on labia

A

herpes simplex virus

43
Q

51 year old with hot flushes, night sweats, 18 months since last period

what is it and what does she need

A

menopause

continuous combined HRT

44
Q

40 ish woman still having periods, but mood swings and hot flushes, what HRT does she need?

A

oral oestrogen and mirena

she needs combined

45
Q

younger woman still having irregular periods

A

squential (cyclical) combined HRT

46
Q

treatment of vault prolapse

A

sacrospinous fixation

47
Q

best treatment for urethrocele (prolape of urethra into vag), no other medical problems

A

pelvic floor exercises

48
Q

bets pill for PCOS

A

dianette ( combined pill)

49
Q

28 year old female,no periods for 2 years, otherwise well but raised GNRH

A

primary ovarian failure

50
Q

girl has herpes on lip

A

swab for viral PCR

51
Q

antepartum haemorrhage, tense uterus, not foetal herat beat

A

placental abruption

52
Q

transverse lie

A

placental praevia

53
Q

haematuria in preg

A

accreta?

54
Q

contraception for fat smoker-

A

POP

year 4 onlines miscellaneous (18 decks)

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