Pass Med Gynae Flashcards
What is the mechanism of action of Metformin in PCOS
Increases perioheral insulin sensitivity
What can be given to reduce the size of the fibroid is before surgery
GnRH agonist eg leuprolide
Treat grichomonas vaginalis with
Oral metronidazole
What is the first initial investigation in diagnosing endometrial cancer
US transvaginal to measure thickness
When do you prescribe cyclical and when do you prescribe continuous HRt
Cyclical if LMP was less than one year ago
Continuous if they have taken cyclical for a year, it has been one year since LMP or it has been two years since LMP but they had a menopause before age 40
Post menopausal ovarian mass
Refer urgently
Treat uterine fibroids that are causing difficulty with fertility
Myomextomy
What ovarian cyst ruptures to cause pseudomyxoma peritonei
Mucinois cystadenoma
Which is the most common epithelial cell tumour
Serious cystadenoma
Presence of foetal HR in an ectopic is an indication for
Surgical management
Continuous dribbling in continence after prolonged labour
Suspected vesicovaginal fistulae and fo urinary dye studies
Pregnant women who are <6 weeks gestation and present with vaginal bleeding and no pain can be managed
Expectantly
In patients with urinary incontinence make sure to rule out
UTI and diabetes
How often are woman aged 25-49 screened for cervical cancer
Every 3 years
How often are women screened aged 50-64
Every 5 years
If a cycle is 35 days when would you do a progesterone level
7 days earlier day 28
What is recommended for treatment of women diagnosed with endometrial hyperplasia
Total hysterectomy with bilateral salpingo ophrectony
If a patient has 3 inadequate smears in a row what do you do
Refer to colposcopy
What is licences for the use of the progesterone component for HrT for 4 years
Mirena coil
What is the treatment for vaginal vault prolapse following hysterectomy
Sacrocolpoppexy
What can be used for menopausal women suffering from vasomotor symptoms I
SSRI like fluoxetine
Most common ovarian cancer
Serous carcinoma
The most common ovarian cancer
Serious carcinoma
Definitive treatment for adenomyosis
Hysterectomy
What is the gold standard for diagnosis of endometriosis
Laparoscopy
What type do ovarian pathology is associated with meigs syndrome
Fibroma
Most common benign ovarian tumour in women under 25
Dermoid cyst
Most common cause of ovarian enlargement in women of reproductive age
Follicular cyst
What is the diagnostic criteria for hyperemesis
5% pre pregnancy weight loss
Dehydration
Electrolyte imbalance
Diagnose adenomyosis
MRI pelvis
How often are HIV positive women screened for cervical cancer r
Get a cervical cytology anuallu
When in uterine fibroids can you treat menorrhagia with an IUD
If less than 3 cm
