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1. AKT > Obstetrics > Flashcards

Obstetrics Flashcards

1
Q

what age to refer for infertility

A

1y if under 36
earlier referral if gynae issues or women older

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2
Q

androgen insensitivity syndrome genetics

A

AR 46XY
born female - no varies or uterus

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3
Q

primary amenorrhea with boobs or not with boobs

A

with boobs 15
no boobs 13

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4
Q

meohrrhage treatment

A

mirena
TXA/NSAIDs/COPC/POP
refer

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5
Q

size if fibroids

A

over 3cm then refer

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6
Q

primary dysmorhhoea treatment

A

NSAID
COCP

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7
Q

secondary dysmenorrhea causes

A

endometriosis
fibroids
IUD
PID

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8
Q

endometriosis treatment

A

NSAIDS, paracetamol
COCP/POP
refer if trying to conceive

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9
Q

PCOS diagnosis

A

hypergonadism
infrequent/no periods
polycystic ovaries >12 follicles 2-9mm, or ovarian volumes >10cm

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10
Q

ovarian cancer risk factors

A

brca1/2 early menarche late menopause no pregnancy

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11
Q

smears

A

25-49 3 yearly
50-64 5 yearly

24-64 5 yearly in scotland

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12
Q

HPV cervical cancer

A

16 and 18

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13
Q

endometrial hyperplasia

A

persistent oestrogen - obese, tamoxifen, PCOS, DM, nill parity

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14
Q

what age do you refer for PMB

A

over 55

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15
Q

RF for ectropion

A

preg, COCP

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16
Q

PID treatment

A

oflaxacin and metro or
IM left and doxy and metro

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17
Q

anti d to be given when

A

28 and 34 weeks

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18
Q

downs 11-13+6

A

nuchal thickness and high HCG and low PAPPA

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19
Q

4-20 w bloods
HCG
AFP
inhibin A
unconjug bilirubin

A

high HCG
low AFP
high inhibin A
low unconjuc bilirubin

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20
Q

prem correction

A

1year for 32-36w
2y for <32w

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21
Q

prem age

A

24-26 w

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22
Q

post dates

A

<42w

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23
Q

OGTT done when
fasting
2h

A

24-28w
5.6
7.8

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24
Q

treatment for GDM

A

metformin, insulin
if fasting >7 insulin

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25
Q

cholescystasis treatment

A

USDCA
induce at 37w

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26
Q

anaemia first trim
2/3rd trim

A

<11
<10.5

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27
Q

HTN normal BP in first trip and then from 20w

A

falls then rises at 20-24w

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28
Q

diagnosis for HTN in preg

A

140/90 or SBP 30 and DBP 15 from booking

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29
Q

preg induced HTN diagnosed when

A

20 weeks

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30
Q

risk factors 2 for PET

A

first preg
40yo
10y between pregnancies
BMI >35
FH
MP

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31
Q

risk factors 1 for PET

A

HTN in preg preg
CKD
AI dx
DM
HTN

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32
Q

treatment for PET risks

A

aspirin from 12w gestation

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33
Q

HELLP

A

haemolysis
elevated liver enzymes
low PLT

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34
Q

HIV vag delivery when
babies score

A

<50 at 36w
>50 then 3x ART and if <50 zidovudine

35
Q

USS snowstorm

A

molar pregnancy

36
Q

APH when

A

> 24w

37
Q

placenta preview is what

A

implanted in lower uterine segment
painless bleeding

38
Q

placenta accrete is what

A

invades myometrium
c section before is risk

39
Q

vasa praevia

A

bleeding from fatal vessels

40
Q

causes of PPH

A

tone
trauma
tissue
trombin

41
Q

treatment for PPH

A

uterine massage
IV syntocin
ergometrine - not in HTN/DM

42
Q

baby blues when
rx

A

d3-d10
self lim

43
Q

post natal rep when
treatment

A

2-6w PN
counselling
sertraline, paroxetine, amitryp/noratryp

44
Q

puerperal psychosis

A

2-3w PN

45
Q

sore cracked nipples treatment

A

positioning
express milk

46
Q

engorgement

A

express before feeds
warm bath

47
Q

mastitis

A

simple analgesia
fluclox

48
Q

raynauds

A

intermittent pain
heat packs, no caffeine, no smoking

49
Q

thrush BF

A

miconazole cream
<4m nystatin
>4m miconazole gel

50
Q

POF age
FSH done when

A

<40
4-6w apart >40

51
Q

when to stop contraception

A

55

52
Q

cyclical HRT when

A

<12m since last period or under 54

53
Q

continuous HRT when

A

> 12m since last period of >54

54
Q

S/E of HRT

A

VTE
breast cancer
stroke
CHD
endom cancer

55
Q

when to refer for bleeding on HRT

A

post 6m bleeding on HRT

56
Q

follow up for HRTn

A

3 monthly then annually

57
Q

GU syndrome for menopause

A

low dose vaginal oestrogen
moisturisers and lubricant

58
Q

non HRT treatment

A

fluoxetine
citalopram
venlafaxine
clonidine

59
Q

emergency contraception - levonorgestrel
when can you take
dose and for BMI >26 / 70kg

A

within 72 hours
1.5mg
3mg

can be used more than once in a cycle

60
Q

ella one when can you take
dose
BF

A

120 hours
30mg
delay by 1 weeks

protection 5 days

61
Q

IUD when can you insert

A

5 days
or 5 days after ovulation

62
Q

TOP when

A

23+6 in UK

63
Q

when to give anti D in TOP

A

post 10w

64
Q

DEPO how does it work
how long does it take to work
how often

A

inhibits ovulation
7 days
13 weeks

65
Q

when to use depo

A

day 5 of cycle

66
Q

side effects of depo

A

weight gain
osteoporosis
irregular bleeding
delay in fertility returning by 12 m

67
Q

CI to depo

A

breast cancer

68
Q

IUS when to put in
how long to abstain
when PP

A

7 days of period
7 days abstain
48 hours or over 4 weeks

69
Q

how long can you have IUS for endometrial protection for HRT

A

4 years

70
Q

IU=D when is it effective

A

immediately effective

71
Q

implant hormone ?
how does it work
when to put it in
abstain

A

progesterone
prevent ovulation
5 day
7 days

72
Q

side effects of implant

A

irregular bleeding
headache
nausea
breast pain

73
Q

CI to implant

A

IHD/ stroke
vag bleeding
liver disease
breast cancer

74
Q

COCP when to start
abstain

A

d5
7 days

75
Q

COCP risks

A

VTE
stroke
HI
breast cancer
cervical cancer

76
Q

1 missed pill
2 missed pills and abstain
d1-d7
15-21

A

take
take last and 7 days
EC
miss pill free weeks

77
Q

CI to COCP

A

> 35 and smoker
BMI > 35
migraine
epileptic

78
Q

POP side effect

A

irregular periods

79
Q

when to start POP
how long to abstain

A

d1-d5
2 days

80
Q

history of GDM and second pregnancy when to do OGTT

A

ASAP and at 24-28w

81
Q

what form of contraception can people with gastric sleeve/bypass NOT have

A

oral contraceptives

82
Q

how many days after giving birth is contraception not needed

A

21 days

83
Q

rate of failure of female sterilisation

A

1 in 200

1. AKT (27 decks)

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