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Fail forward > Obstetrics and gynaecology > Flashcards

Obstetrics and gynaecology Flashcards

1
Q

suspicious or confirmed preeclampsia bloods

A

FBC, U+E, LFT and coag screen for baseline in case HELLP

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2
Q

stress incont

A

duloxetine

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3
Q

urge incont

A

oxybutynin

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4
Q

routine smear recall

A

3 years for 25-49 years old and 5 years for 50-64 years old

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5
Q

uti when preg

A

Nitro for 7 days even if no symptoms

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6
Q

other cause of high ca125

A

endometriosis

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7
Q

PPH

A

syntocinon then ergometrine

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8
Q

blood stained nipple discharge young

A

intraductal papilloma

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9
Q

green nipple discharge and lump and nipple retraction

A

duct ectasia

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10
Q

drug post or pre meno ER pos

A

Tamoxifen for ER+ pre or peri menopause and anastrazole if post menopause

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11
Q

pregnancy drug that can’t be given

A

statin

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12
Q

PE in pregnancy

A

LMWH

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13
Q

stages of labour

A

1st: 4-10cm usually (1-3cm per h)
2nd: 10cm-delivery (up to 2h in prim)
4rd: placental

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14
Q

physiological changes in labour

A

-increase oestrogen
-decreased diastolic BP
-increased CO
-RAAS so total blood volume increase
-tidal volume and minute ventilation increases
-resp alkalosis
-thromboembolic risk increases
-dilutional anaemia

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15
Q

rod concetraception cover

A

days 1-5 fine
otherwise 7 day condoms

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16
Q

contraindications to COCP

A

BP over 140/90
smoke >15 day
migraine aura
breast cancer

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17
Q

levonelle

A

within 3 days
can start pill asap

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18
Q

ella one

A

within 5 days
can’t be given if contraception taken within 7 days

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19
Q

emergency IUD

A

up to 5 days after sex or 5 days within date of ovulation

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20
Q

TOP law

A

up to 24w for any reason then after 24w for risk to mothers life or foetal abnormalities

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21
Q

medical TOP

A

(((oral mifepristone))) then PV misoprostol

22
Q

HBsAg

A

active or chronic infection

23
Q

HBeAg

A

high infectivity

24
Q

HBcAb

A

past or current infection, IgM 2-6m IgG is chronic

25
Q

HBsAb

A

vaccination or past infection

26
Q

HBV DNA

A

viral load count

27
Q

cervical screening

A

25-64 years HPV every 5 or every 1 if pos but cytology good

28
Q

Klienfelter’s syndrome

A

high FSH and LH but low testosterone = hypergonadotrophic hypogonadism

29
Q

over 30 new lump could be fibroadenoma

A

urgent because over 30

30
Q

contraception causing weight gain

A

depo

31
Q

wheelchair user wants contraception

A

no COCP due to risk of clots

32
Q

Bishop score < or equal to 6

A

labour is unlikely to start without induction so give vaginal prostaglandin/oral misoprostol

33
Q

Bishop score > 6 but less than 8

A

amniotomy and IV oxytocin

34
Q

how to confirm ovulation

A

take serum progesterone level 7 days before next expected period (day 21 if typical cycle)

35
Q

LGV stages

A

primary: painless ulcer
secondary: lymphadenitis
tertiary: proctitis and proctocolitis

36
Q

test for deafness in baby with mother who is deaf

A

routine neonatal screening plus brainstem evoked response test

37
Q

management of PPH

A

1- rub uterus and catheterise
2- oxytocin, ergometrine, carboprost, miso then TXA
3- intrauterine balloon tamponade, artery ligation etc

38
Q

first line for induction of labour

A

vaginal prostaglandins
second line oxytocin infusion

39
Q

breast screening

A

50-70 every 3y mammogram

40
Q

imaging breast different ages

A

mammogram over 35y, US younger

41
Q

vaccinations in pregnancy

A

pertussis and influenza

42
Q

placenta praevia investigation

A

TVUS

43
Q

regular test Down’s syndrome

A

-11-13+6 weeks
-nuchal translucency and serum bhcg and pregnancy-associated plasma protein A
-high HCG, low PAPP-A and thickened nuchal translucency

44
Q

woman books later Down’s syndrome test

A

-quadruple test between 15 and 20 weeks
-AFP, unconjugated oestriol, HCG and inhibin A
-low AFP, low oestriol, high BHCG and high inhibin A

45
Q

if higher chance from Down’s screening what next

A

NIPT or CVS/amniocentesis

46
Q

PROM reducing RDS

A

dexamethasone

47
Q

IUS effective for how long

A

5 years

48
Q

gestational diabetes fasting glucose >=7

A

insulin immediately
(under 7 do lifestyle measures and then metformin if not better in 1-2 weeks)

49
Q

emergency contraception

A

-levonelle 72 hours (stop ovulation and inhibit implant)
-ellaone 120 hours (inhibits ovulation)
-copper IUD 5 days

50
Q

pill cancer risks

A

increases risk of breast and cervical
protective against ovarian and endometrial

51
Q

women at risk of preeclampsia management

A

aspirin from 12 weeks until birth

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