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Passmed Wrong Qs Notes > Obs + gynae > Flashcards

Obs + gynae Flashcards

1
Q

What is a side effect of magnesium sulphate toxicity?

A

loss of deep tendon reflexes (1st symptom), respiratory depression, and cardiac arrest

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2
Q

What is the most common cause of postmenopausal bleeding?

A

Vaginal atrophy

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3
Q

What disease causes post-coital bleeding in pre-menopausal?

A

Cervical cancer

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4
Q

What is the most common cause of puritis vulvae (itching)?

A

Contact dermatitis

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5
Q

What is given for stress incontinence?

A

Duloxetine

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6
Q

What is given for urge incontinence?

A

Oxybutynin

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7
Q

What does COCP protect you against?

A

ovarian and endometrial cancer

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8
Q

What does COCP increase the risk of?

A

breast and cervical cancer

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9
Q

When can expectant management of an ectopic pregnancy be performed?

A

1) An unruptured embryo
2) <35mm in size
3) Have no heartbeat
4) Be asymptomatic
5) Have a B-hCG level of <1,000IU/L and declining

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10
Q

What are the symptoms of uterine fibroids?

A

Menorrhagia, anaemia, bulk-related symptoms e.g. bloating/urinary frequency

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11
Q

What is Ovarian hyperstimulation syndrome caused by?

A

Side effect of ovulation induction/ IVF

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12
Q

What are symptoms of Ovarian hyperstimulation syndrome ?

A

ascites, low blood pressure and tachycardia

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13
Q

What is lochia?

A

Bleeding that presents for the first 2 weeks following giving birth (vaginal or C-section birth).

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14
Q

How to treat lochia?

A

Reassure and discharge unless red flags:
- bad smell
- increase in blood loss/ is not stopping
- abnormal stats/ NEWs

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15
Q

What is given for severe nausea and vomiting in pregnancy?

A
  • 1st line is Metoclopramide
  • 2nd line is Ondansetron
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16
Q

What do you give for hirsutism and acne for PCOS?

A

COCP

17
Q

What do you give for oligomenorrhoea for PCOS?

A

Levonorgestrel-releasing intrauterine system

18
Q

A women suffered from an eclamptic seizure and was given magnesium sulfate. When do you stop the magnesium sulphate?

A

Magnesium treatment should continue for 24 hours after delivery or after last seizure (whatever comes last)

19
Q

What is the initial management of a pregnant woman who reports reduced fetal movements?

A

handheld Doppler should be used to confirm fetal heartbeat as a first step

20
Q

What is the gold standard investigation for endometriosis?

A

Laparoscopic visualisation of the pelvis

21
Q

At what age can you NOT consent for sexual intercource?

A

younger than 13 (so 12 and below)

22
Q

What are symptoms of cocaine abuse in pregnant women?

A
  • placental abruption which causes hyperreflexia
  • dilated pupils
23
Q

What are symptoms of heroin abuse in pregnant women?

A
  • does NOT cause placental abruption
  • pinpoint pupils
24
Q

What can cause placental abruption?

A
  • Cocaine abuse
  • pre-eclampsia
  • HELLP syndrome
25
Q

What bacterial will ause neonatal sepsis after prolonged premature rupture of membranes (PROM)?

A

Group B Streptococcus

26
Q

When can’t Ulipristal be used?

A

in severe asthmatics

27
Q

What are the C-section categories?

A
  1. immediate threat to the life of the mother or baby. Must be done in 30 min
  2. maternal or fetal compromise which is not immediately life-threatening. Must be dine in 75 min
  3. delivery is required, but mother and baby are stable
  4. elective caesarean
28
Q

If you have a bishop score </= 6, what should be used to induce labour?

A

vaginal prostaglandins or oral misoprostol

mechanical methods such as a balloon catheter can be considered if the woman is at higher risk of hyperstimulation or has had a previous caesarean

29
Q

If you have a bishop score 7 or 8, what should be used to induce labour?

A

amniotomy and an intravenous oxytocin infusion

30
Q

What bishop score indicates that labour will unlikely start without induction?

A

<5

31
Q

What bishop score indicates that labour will be likely spontaneous?

A

> /= 8

32
Q

When can you not give the COCP in breastfeeding women?

A

<6 weeks postpartum

33
Q

When can a external cephalic version (ECV) be attempted?

A

36 weeks for primiparous women, and at 37 weeks for multiparous women

34
Q

Can nearly all anti-epileptics be given to breast feeding women?

A

Yes

35
Q

What are the blood results of a molar pregnancy?

A

Hugh beta hCG, low TSH, high thyroxine

36
Q

What is given first line for hyperemesis gravidarum?

A

0.9% saline with potassium

37
Q

When is lifestyle changes gone in gestational diabetes?

A

Fasting plasma glucose <7

38
Q

When is insulin +/- metformin given in gestationa, diabetes?

A

Fasting glucose >7

Passmed Wrong Qs Notes (20 decks)

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