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MSRA 25 > OBS / GYNAE > Flashcards

OBS / GYNAE Flashcards

1
Q

Turner Syndrome Investigation?

A

Karyotyping
[45 XO]

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2
Q

Primary Dysmenorrhoea Management?

A

1) NSAID or COCP
2) Both

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3
Q

Menorrhagia Management?

A

1) Mirena Coil [Levonorgestrel Releasing Intrauterine System - LNG IUS]
2) Trial TXA / Mefenamic Acid / COCP

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4
Q

Endometriosis Investigation?

A

Laparoscopy
[Chocolate Cysts]

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5
Q

Urgency Incontinence Management?

A

1) Bladder Training Programme
2) Oxybutynin
3) Mirabegron

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6
Q

Stress Incontinence Management?

A

1) Pelvic Floor Exercises
2) Surgery
3) Duloxetine [Surgery Contraindicated]

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7
Q

Hormone Replacement Therapy + No Uterus?

A

Oestrogen Only HRT

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8
Q

Hormone Replacement Therapy + LMP < 1 Year [With Uterus]?

A

Sequential Combined HRT

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9
Q

Hormone Replacement Therapy + LMP > 1 Year [With Uterus]?

A

Continuous Combined HRT

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10
Q

Hormone Replacement Therapy + Genitourinary Symptoms?

A

Low Dose Vaginal Oestrogen

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11
Q

Tubal Patency Test + No Comorbidities?

A

Hysterosalpingography

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12
Q

Tubal Patency Test + PID / Endometriosis?

A

Diagnositic Laparoscopy with Dye

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13
Q

Ashermans Syndrome Investigation?

A

Hysteroscopy

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14
Q

Bartholins Cyst Management?

A

Marsupialisation

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15
Q

Pregnancy + Bunch Of Grapes @ US?

A

Molar Pregnancy

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16
Q

Labour Induction + Bishops < 7?

A

Dinoprostone [Prostaglandin E2]

17
Q

Ovarian Cancer Investigation?

A

Ca 125

[>35 = Urgent US Abdo Pelvis]

18
Q

Primary Amenorrhoea + Short + Web Neck + Wide Spaced Nipples?

A

Turner Syndrome

[Complication = Coarctation of Aorta]

19
Q

Hirsutism + Acne + Obesity + Impaired Fertility?

A

Polycystic Ovarian Syndrome
[PCOS]

20
Q

Polycystic Ovarian Syndrome Investigation + Management?

A

Investigations
Bloods = Increased LH:FSH Ratio
Imaging = US Pelvis

Management
Hirsutism / Acne = COCP
Infertility = Weight Loss + Clomifene

21
Q

Abdo Cramp Pre Period + 6 Months Post Menarche?

A

Primary Dysmenorrhoea

22
Q

Secondary Dysmenorrhoea + Chronic Pelvic Pain + Subfertility?

A

Endometriosis
[Endometrial Tissue Outside of Uterus]

23
Q

Pelvic Leiomyoma on US?

A

Fibroids

24
Q

Urinary Urgency + Incontinence?

A

Urgency Incontinence

25
Q

Urinary Incontinence with Raised Abdominal Pressure?

A

Stress Incontinence

26
Q

Infertility Investigations?

A

1 Year Failure to Conceive [UPSI 3x Week]
[6 Months if > 35]

Mid Luteal Phase Progesterone [21 of 28 Day Cycle]

MSRA 25 (18 decks)

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