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Third Year Exam > Obstetrics > Flashcards

Obstetrics Flashcards

1
Q

rhesus incompatibility

A

Rh - mother

Rh + baby

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2
Q

suspected miscarriage

A

early pregnancy assessment unit

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3
Q

miscarriage management

A

watch and wait (7-14 days)
misoprostol
evacuation

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4
Q

anti-phospholipid syndrome prophylaxis

A

LMWH + aspirin

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5
Q

termination of pregnancy medical

A

mifepristone oral
(36-48hrs later)
misoprostol

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6
Q

termination of pregnancy surgical

A

< 7 weeks - manual vacuation
7-14wks - section/vacuum aspiration
15-24wks - dilation and evacuation

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7
Q

define molar pregnancy

A

imbalance in the number of chromosomes from mother and father

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8
Q

molar pregnancy presentation

A 
vaginal bleeding
nausea 
hyperemisis gravidarum 
large uterus 
thyrotoxicosis
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9
Q

molar pregnancy ultrasound presentation

A

snowstorm appearance

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10
Q

molar pregnancy managament

A

suction curettage

hysterectomy

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11
Q

ectopic pregnancy gold standard diagnostic

A

laparoscopy

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12
Q

ectopic minimal symptoms treatment

A

methotrexate

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13
Q

ectopic heam unstable management

A

salpingectomy

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14
Q

hyperemisis gravidarum management

A

fluid replacement
potassium chloride

cyclizine, metoclopramide, prochlorperazine
odansetronmay be used in severe cases
thiamine and folic acid
antacids

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15
Q

gestational diabetes treatment

A

lifestyle (1-2 weeks)

  1. metformin
  2. metformin + insulin
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16
Q

confirmation of polyhydramnios

A

US

17
Q

placental praevia diagnosis

A

TV-USS confirmation

18
Q

placental praevia management

A

admit
ABCDE
assess baby condition +/- steroids

consider delivery if uncomplicated between 36-37 weeks
c-section if covering os/<2cm
vaginal if >2cm and no malpresentation

19
Q

placental abruption management

A

admit
ABCDE
maternal/fetal compromise - emergency C-section
normal - amniotomy

20
Q

vasa praevia managament

A

steroids from 32 weeks

elective c-section 34-36 weeks

21
Q

pre-eclampsia management

A

labetalol (nifedipine if CO, methyldopa if both CO)

22
Q

HELP syndrome findings

A

haemolysis
increased liver enzymes
decreased platelets

23
Q

eclamptic seizure treatment

A

control BP - LIV labetolol

stop seizure - mag sulph

Third Year Exam (11 decks)

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