Pass Test Gynae Flashcards
Symptoms similar to PCOS in a post menopausal woman
Ovarian stromal hyperthecosis
What is the diagnostic criteria for PCOS?
Oligomenorehoea or amenorrhoea
Clinical signs or biochemical signs of hyperandrogenism
US evidence including at least 12 follicles in one ovary varying from 2-9mm and an ovarian volume >10mls
Most common type of vulval cancer
SCC
Ovarian pain refers to which region of the abdo
Peri umbilical
What is mittelschmerz
Pain from ovulation occurring as mid cycle pain
Delayed puberty and inability to smell
Kallmans syndrome
What do NICE recommend for treatment of a gonococcal PID
Ceftriaxone IM one off 500mg and then 14 days 400mg metronidazole twice daily and 100mg doxycycline orally twice daily
Which form of HRT should a woman go on if they have had a hysterectomy and have a BMI over 30
Prescribe an oestrogen patch
Give a differential to PCOS
Late onset 21 hydrocylase deficiency
Treat hirsuitism
Eflornithine
Treat hirsuitism and acne
OCP and cyproterone acetate
Treat irregular menses in PCOS
Metformin clomifene
In PCOS treat and androgenic symptoms that are treatment resistant
Spironactone or finasteride
PCOS patients have a high risk of developing what
T2DM
Drug used in stress incontinence
Duloxetine
First line for vulvodynia seen in fibromyalgia
Amitryptyline
What is cyclical HRT
Have oestriadiol one tablet daily for a 3 month period with norethisterone on the last 14 days - given to women needing HRT who are still having periods
When can women change from cyclical to continuous HRt
Completed a year on cyclical or has established menopause (stopped periods completely)
What is FSH testosterone and LH like in pregnancy
FSH low
LH high
Normal testosterone
What is FSH testosterone and LH like in PCOS
Low FSH
High LH
High testosterone and insulin resistance
What is FSH and LH like in turners
High FSH
High LH
Primary ovarian failure
What is FSH and LH like inanorexia
Low to both
Functional amennorhoea
What is FSH and LH like in hyperprolactinaemia
Low FSH low LH high prolactin
Premenstrual syndrome occurs in what phase of the cycle
Luteal phase
Menorrhagia secondary to fibroids treat with
Tranexamix acid
Acute onset lower abdo pain which resolved within 6 hours of admission
Could it be a ruptured ovarian cyst
HRt and at risk of clottin
Transdermal form (patches)
Combined oestrogen and progesterone like HRT increases your risk of what cancer
Breast cance r
What is endometriosis of the uterine musculature called
Adenomyosis (only clinical features are cyclical pain and an enlarged uterus)
What is haematometra
What you get with an imperforate hymen if they have been menstratinh for a while
