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Obs and Gynae > Obs and gynae > Flashcards

Obs and gynae Flashcards

1
Q

3 antidepressants that can be used in pregnancy

A

sertraline
fluoxetine
amitriptyline

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2
Q

Anembryonic miscarriage definition

A

gestational sac empty

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3
Q

Incomplete mistcarriage definition

A

Retained products of conception

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4
Q

Inx of choice for ectopic pregnancy

A

Monitor hcg
if 63% in 48hrs then IUP
If less than 63% rise in 48hrs then ectopic

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5
Q

Patient presents with open OS and vaginal bleeding. What type of miscarriage is this

A

Inevitable miscarriage

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6
Q

4 Risks and 4 protective factors for endometrial cancer

A 
Risks
- Early onset Mences 
- Few children 
- obesity 
- PCOS
Protective 
- COCP
- Merina coil 
- Pregnancies
- Cigarrete smoking
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7
Q

Vaginal bleeding and closed OS. What kind of misscarriage is this

A

Threatened miscarriage

Fetal heartbeat may be present

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8
Q

Uterus empty and OS is closed, possible hx of vaginal bleed. What kind of miscarriage

A

Completed miscarriage

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9
Q

Golden symptoms + 2 others for endometrial cancer

A

POST MENOPAUSAL BLEEDING
Intermenstrual bleeding
Post coital bleeding

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10
Q

2 inx for cervical cancer

A

Colposcopy + acetic acid/iodine stain

Large Loop Excision of the transitional zone (LLETZ)

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11
Q

hp viruses that cause cancer

A

16 and 18

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12
Q

All hp viruses in the vaccine

A

6, 11, 16, 18.

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13
Q

RF for endometrial cancer

A 
More periods
early fences/late menopause 
tamoxifen 
few pregnancies 
PCOC
oestrogen only pill
obesity
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14
Q

Patient presents with chronic menorrhagia and dysmenorrhea. Possible diagnosis, inx and mx

A

Fibroids/polyps
Hysterectomy
Mirena coil is first line

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15
Q

What is vasa previa

A

When umbilical vessels go over the internal OS before the baby.

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16
Q

Risk of having vase previa

A

Membrane rupture leads to fatal blood loss

17
Q

Vasa previa management

A

corticosteroids at 32 weeks

planned c section at 34-36 weeks

18
Q

Common cause of big postpartum haemorrhage

A

Placenta accrete

19
Q

RF for placental abruption

A

Early pregnancy bleeding
twins
fatal growth restriction
Cocaine

20
Q

Management of Placenta praevia (if diagnosed on USS)

A

Delivery at 36-37 weeks

Prednisolone at 34 and 35+6 weeks

21
Q

Causes for pruitis, fatigue and dark urine in pregnancy

A

Obstetric cholestasis

Caused by raised oestrogen and progesterone

22
Q

Causes of primary PPH

A

Atony (most common)
Trauma
Coagulopathy

23
Q

Mx of obstetric cholestasis

A

LFTs and Bile acids

Ursodeoxycholic acid

24
Q

Management of fibroids

A

<3cm - merina coil or cocp + NSAIDs/tranexamic acid
Endometrial ablation
myomectomy to preserve fertility

25
Q

Down syndrome screening results

A

Increased BHCG
Decreased PAPPA
nuchal translucency >6mm
decreased serum estriol

26
Q

Management of urinary incontinence (urge)

A

Bladder training
Anti-cholenergic (oxybutin, tolterodine)
Oxybutin ci in elderly (falls risk)

27
Q

HELLP syndrome

A

Cause = pre-eclampsia
Haemolysis
Elevated Liver enzymes
Low Platelets

28
Q

Mx for syphilis

A

Antibody serology for T. Pallidum
RPP and VDBL testing
IM benzylpenicillin STAT

29
Q

Big No No’s for COCP

A 
0/6 weeks pregnant 
0-6 months breast feeding 
BP >140/90 (3) BP >160/100 (4)
CVD/stroke 
VTE hx. fhx or hx of thrombophilia 
Major surgery 
Migraine with aura 
Current breast cancer
30
Q

Most common sight for ectopic pregnancy

A

Ampulla of fallopian tube

31
Q

Which contraceptive is associated with increase in weight gain

A

Depot progesterone (depo-provera)

32
Q

How long will a pregnancy test stay + post termination

A

4 weeks
Is + then advice to retest in one week
(+)ve > 4 weeks then likely retained products of conception or active trophoblast

33
Q

COCP mechanism of action

A

Inhibits ovulation

34
Q

Risks associated with COCP

A 
Breast and cervical cancer
breast tenderness 
Headache and hypertension 
VTE
MI/Stroke
Dysmenorrhoea in first 3/12

Obs and Gynae (2 decks)

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