pass med questions obgyn Flashcards
If a woman has an inadequate smear test result in what timeframe should they have a repeat smear?
repeat the test in 3 months
- inadequate means that the cells weren’t able to be visualised properly, no evidence that the transformation zone was properly sampled
what is a smear test detecting
smear tests are done on a HPV first system.
If there is evidenced of HPV, then only after is a cytological exam performed
if there are two consecutive inadequate smear samples then what is the next step?
carry out a colposcopy
what are two common causes for hyperemesis gravidarium
this is usually due to high levels of BhcG, the body isn’t used to this hormone.
If it is a twin pregnancy or a molar pregnancy.
which medication is often used to treat hyperemesis gravidarium
prochlormethazine
why would you avoid using metoclopramide in HG
avoid using it for more than 5 days as it can cause acute dystonia
what is the treatment for thrush in non-pregnant women
single dose of oral - fluconazole
which part of the fallopian tube is an ectopic pregnancy more likely to rupture
isthmus as it is the most narrow part of the fallopian tube
how would you manage a pregnant woman who is <6 weeks pregnant and presents with vaginal bleeding but no pain
- monitor expectantly and repeat pregnancy test in 7 days
*if negative then this confirms a miscarriage - if the test is positive or the symptoms continue to worsen then this is a urgent referral to EPAU
if someone presents with premature ovarian insufficiency and they present with a raised FSH then what’s the next step
repeat a FSH test in 4-6 weeks and it should remain raised
what is cervical excitation and when is it seen
- cervical excitation is also known as cervical motion tenderness, this when there is pain in the cervix when it is being moved in a pelvic exam
- it is often seen in PID and ectopic pregnancy
what is the timeframe of a threatened miscarriage?
painless vaginal bleeding before 24 weeks
cervical os is closed
