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Womens health > Pass Medicine practice MCQ info > Flashcards

Pass Medicine practice MCQ info Flashcards

1
Q

what is hellp syndrome associate with

what is it a sign of

A

pre eclampsia

- sign of elevate liver enzymes

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2
Q

what are the cancer risk of the COCP

A

The COCP increases the risk of breast and cervical cancer but decreases the risk of ovarian and endometrial cancer

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3
Q

2 Complications associated with a transverse lie:

A

pre-term rupture of the membranes

cord prolapse

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4
Q

cervical cytology result that reports mild (low-grade) dyskaryosis

what is the follow up if HPV found and if not found

A
  1. lab results for HPV
  2. referred to colposcopy if HPV found

if not found, returned to routine screening

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5
Q

what hormone is used to test for ovulation

A

Day 21 progesterone

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6
Q

what is erbs palsy?

A

damage to brachial plexus during delivery

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7
Q

what movement cant baby with erbs palsy do?

A

Abduct the arm from the shoulder.
Rotate the arm externally from the shoulder.
Supinate the forearm.
This results in the classic ‘porter’s tip’ or ‘waiter’s tip’ appearance

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8
Q

sign of erbs palsy

A

arm flexed medially

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9
Q

maternal RF for erbs palsy 3

A
  • macrosomnia -> BIG fetus from maternal diabetes
  • increased BMI
  • gestational diabetes
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10
Q

what is shoulder dystocia

A
  • obstructed labour whereby after the delivery of the head, the shoulders fail to deliver
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11
Q

Roles of E&P in HRT

A

E for symptomatic relief

P to protect against E adverse effects

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12
Q

HCG

A

detected on the 8th-day post-fertilisation
secreted by the chorion and maintains the corpus luteum’s secretion of oestrogen and progesterone until the placenta takes over this role

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13
Q

oestrogren in pregnancy and labour

A

stimulates the growth of the myometrium needed for strong uterine musculature during labour.

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14
Q

sign for molar pregnancy

A

large-for-dates uterus

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15
Q

Fitz-Hugh-Curtis syndrome (adhesions of liver to peritoneum) is associated with what?

A

pelvic inflammatory disease

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16
Q

first drug of choice for hypertension in pregnant woman

A

Labetalol

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17
Q

what 2 drugs should you not give for hypertension in pregnant woman

A

Ramipril and candesartan

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18
Q

when to start pregnant woman on LMWH

A

with 3 risk factors should be started on LMWH from 28 weeks – 6 weeks postnatal.

With > 3 RFs should begin LMWH immediately – 6 weeks postnatal
Risk factors for thromboprophylaxis include:
Age > 35
Body mass index > 30
Parity > 3
Smoker
Gross varicose veins
Current pre-eclampsia
Immobility
Family history of unprovoked VTE
Low risk thrombophilia
Multiple pregnancy
IVF pregnancy
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19
Q

bloating and cramps in over 50 year old woman…what to suspect?

A

raise suspicion of ovarian cancer.

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20
Q

what to test in over 50 with abdo pain and bloating

A

CA-125

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21
Q

most common cause of secondary ammenhorea

A

dysfunction of the hypothalamic-pituitary-ovarian (HPO) axis

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22
Q

what is a choriocarcinoma

A

cancer the grows in woman’s womb

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23
Q

first cause of primary ammenhorrea

A

late onset of puberty is responsible

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24
Q

features of turners

A

short stature

webbed neck

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25
Q

when can you test for gestational diabetes?

A

28 weeks

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26
Q

how do you test for gestational diabetes?

A

OGTT

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27
Q

what can gestational diabetes cause? 6

A 
macrosomia, 
polyhydramnios, 
shoulder dystocia, 
congenital heart abnormalities,
 neural tube defects and
 neonatal hypoglycaemia.
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28
Q

what is chronic pelvic pain, deep dyspareunia, dysuria, and odorous green vaginal discharge a sign of?

A

gonorrhea

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29
Q

most common cause of PPH

A

uterine atony >500 ml

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30
Q

how long does it take for POP to be effective?

A

48 hours

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31
Q

what should blood test for menopause show?

A

high FSH and LH

low oestrogen

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32
Q

what is rhesus disease associated with?

A

hydrops fetalis

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33
Q

reason for anemia in pregnancy

A

increase in plasma volume disproportionate to the increase in haemoglobin –> diluted

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34
Q

quantitative pregnancy test looks for what hormone?

A

HcG

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35
Q

how to avoid HIV transmission from mother to baby - 3

A
  1. retroantiviral
  2. c section
  3. no breast feeding
36
Q

what manoeuvre helps with shoulder dystocia

A

McRoberts’ manoeuvre

37
Q

what is Vasa praevia

A

when the blood vessels of the fetus cross or run near to the internal opening of the uterus, beneath the baby

38
Q

vasa praevia signs

A

fresh PV bleeding immediately following membrane rupture, and fetal heart rate abnormalities.

39
Q

at risk of preeclampsia if

A

hypertensive disease during previous pregnancies
chronic kidney disease
autoimmune disorders such as SLE or antiphospholipid syndrome
type 1 or 2 diabetes mellitus

40
Q

BP in pregnancy

A

blood pressure usually falls in the first trimester (particularly the diastolic), and continues to fall until 20-24 weeks
after this time the blood pressure usually increases to pre-pregnancy levels by term

41
Q

what do you use to stop hypertension from developing in pregnany woman

A

aspirin

42
Q

dexamethason

A

gives to reduce resp distress in infants after PROM

43
Q

lochia

A

vaginal discharge containing blood mucous and uterine tissue which may continue for 6 weeks after childbirth.

44
Q

cottage cheese discharge

A

thrush

45
Q

bacterial vaginosis

A

grey white discharge

46
Q

mesenteric ischemia symptoms

A

severe, central and worse after eating, with associated diarrhoea

47
Q

dysphagia that has always had an issue with solids and liquids is what

A

achlasia

48
Q

when should the baby change position?

A

30 weeks

49
Q

what does raised AFP levels mean?

A

Omphalocele

fetal abdominal wall defect

50
Q

what AB to give GBS +ve mother

A

penicillin

51
Q

placental abruption RF

A

high maternal age
multibirths
trauma

52
Q

placenta abrupriton symptoms

A

continuous abdominal pain
shock
the uterus may be in spasm and feel firm or ‘woody’
the fetus may be hard to feel
the fetal heart may be hard to auscultate

53
Q

Chorioamnionitis

A

women with preterm-PROM with a triad of maternal pyrexia, maternal tachycardia, and fetal tachycardia
uterine tenderness
foul discharge

54
Q

what can cause CTG deaceleration variability?

A

cord compression

55
Q

target BP for preggo women

A

< 150 / 80-100 mmHg.

56
Q

when is a preggo woman hypertensive?

A

after 20 weeks

57
Q

downs test results

A

Low alpha fetoprotein (AFP)
Low oestriol
High human chorionic gonadotrophin beta-subunit (-HCG)
Low pregnancy-associated plasma protein A (PAPP-A)
Thickened nuchal translucency

58
Q

when to screen for downs? combined test

A

11-13 weeks

59
Q

triple test

A

16 weeks

60
Q

vasa praevia

A

rupture of membranes followed by painless vaginal bleeding and fetal bradycardia

61
Q

most common place for ectopic pregnancy?

A

ampulla

62
Q

common cause of secondary amenorrhoea in atheltic woman

A

hypothalamic hypogonadism

63
Q

whirpool sign on USS can mean…?

A

ovarian torsion

64
Q

mild suprapubic pain at 10 weeks gestation

A

misccariage

65
Q

Cervical excitation

A

PID

ectopic pregnancy

66
Q

post menopoausal bleeding think…

A

endometrial cance

67
Q

endometrial cancer RF

A

obesity
nulliparity
early menarche
late menopause

68
Q

Sheehan’s syndrome is ?

A

postpartum hypopituitarism

69
Q

fibroid treatment

A

tranexamic acid, NSAIDs or progesterones as they are used in menorrhagia, but surgery is usually required for troublesome fibroids.

70
Q

Meigs’ syndrome

A

acites
pleural effusion
ovarian tumour - fibroids

71
Q

Premature ovarian failure

A

no periods for a year
preceded by irregular menstrual cycles.
hot flushes, vaginal dryness, vaginal atrophy, sleep disturbance, and irritability.

72
Q

PCOS has

A

oligomenhhoria

73
Q

smear when pregnant

A

don’t

wait until 12 weeks after birth

74
Q

stress incontinence

A

do pelvic floor muscle retraining

75
Q

ovarian torsion

A

common in women of reproductive age
illiac fossa pain
N&V

76
Q

pre menopausal cyst

A

<5, repeate USS in 8-12 weeks

77
Q

post menopausal cysts

A

suspcisous

refer to gynae

78
Q

PCOS and IVF can cause

A

ovarian hyperstimulation

79
Q

ovarian cancer signs

A 
Abdominal distension/bloating
    Feeling full (early satiety) or loss of appetite
    Pelvic or abdominal pain.
    Increased urinary urgency or frequency
80
Q

inevitable misscarriage

A

heavy bleeding

clots

81
Q

GnRH

A

reduces uterus size before surgery

82
Q

pregnant women comes into contact with chicken pox

A

if never had it

immunize up to 10 days after exposure

83
Q

meds you cant have when breast feeding

A 
antibiotics: ciprofloxacin, tetracycline, chloramphenicol, sulphonamides
    psychiatric drugs: lithium, benzodiazepines
    aspirin
    carbimazole
    methotrexate
    sulphonylureas
    cytotoxic drugs
    amiodarone
84
Q

bishops score

A

a score of < 5 indicates that labour is unlikely to start without induction
a score of > 9 indicates that labour will most likely commence spontaneously

85
Q

ovarian cancer RF

A

HRT
obesity
early menarche

Womens health (2 decks)

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