Obstetrics Flashcards

1
Q

What does increased alpha feto protein indicate

A
  • neural tube defects (meningocele, myelomeningocele and anencephaly)
  • abdominal wall defects (omphalocele, gastroschisis)
  • multiple pregnancy
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2
Q

What does decreased alpha feto protein indicate

A

Down’s syndrome
Trisomy 18
Maternal diabetes

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3
Q

What is Sheehan’s syndrome

A

Hypopituitarism caused by ischaemic necrosis due to blood loss and hypovolaemic shock

Can cause: agalactorrhoea
Amenorrhoea
Hypothyroidism
Hypoadrenalism

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4
Q

What is ashermans syndrome

A

Intrauterine adhesions may occur following dilation and curettage
Can prevent the endometrium responding to oestrogen as it normally would

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5
Q

What is the treatment for vaginal vault proplapse

A

Sacrocolpoplexy

  • suspends the vaginal apex to the sacral promontory
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6
Q

Presentation of Turner’s syndrome

A

Primary amenorrhoea
Raised FSH and LH

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7
Q

When should the 2 doses of anti D prophylaxis be given to rhesus negative women

A

28 weeks
34 weeks

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8
Q

What should be given to women at high risk of pre eclampsia

A

Low dose aspirin at 12-14 weeks

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9
Q

What is placenta accreta

A

When the placenta is attached to the myometrium and increases risk of PPH

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10
Q

What should be done if someone with pre eclampsia presents with seizures

A

Deliver baby
Give MgSO4 for 24h after delivery / last seizure

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11
Q

Location of ectopic that increases risk of rupture

A

Isthmus

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12
Q

What can help to reduce BP in induced labour

A

Epidural anaesthesia

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13
Q

What are the test results that suggest Down’s syndrome

A

Thickened nuchal translucency, increased B-HCG, reduced PAPP-A

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