passmed Flashcards
what is the RMI prognosis index for ovarian cancer based on?
Risk malignancy index (RMI) prognosis in ovarian cancer is based on US findings, menopausal status and CA125 levels
what diabetes drug can you take when breastfeeding
metformin
if a cervical smear comes back hrHPV positive but cytology is normal what do you do
retest in 12 months
what antenatal blood test result indicates downs syndrome
↑ HCG, ↓ PAPP-A, thickened nuchal translucency
amenorrhoea, abdominal pain and vaginal bleeding in combination with shoulder tip
ruptured ectopic pregnancy
what hormone peaks on day 21 of the cycle
progesterone
bladder still palpable after urination?
retention with urinary overflow
treatment of a suspected PE in pregnancy
LMWH
This patient presents with first-trimester vaginal bleeding, with a dilated cervical os and an intrauterine sac that has no cardiac fetal activity
what type of miscarriage?
inevitable
treatment of an inevitable miscarriage in a haemodynamically unstable patient
dilation and curettage
how many months after your last menstrual period defines menopause
12 months
women who menopause under 50 require contraception for how long?
2 years after last period
(1 year for over 50s)
when can copper coil be inserted as emergency contraception
within 5 days after the first unprotected sexual intercourse in a cycle, or within 5 days of the earliest estimated date of ovulation, whichever is later
what is a potential complication of a women with PCOS undergoing IVF
ovarian hyperstimulation syndrome
what do you do if you miss one of you COCs
take the last pill even if it means taking two pills in one day and then continue taking pills daily, one each day
no additional contraceptive protection needed
if you miss a COC in first week (days 1-7) and have unprotected sex what should you do?
emergency contraception should be considered if she had unprotected sex in the pill-free interval or in week 1
if you miss a COC in week 2 (days 8-14) and have unprotected sex what should you do
after seven consecutive days of taking the COC there is no need for emergency contraception*
if you miss a COC in week 3 (days 15-21) and have unprotected sex what should you do?
she should finish the pills in her current pack and start a new pack the next day; thus omitting the pill free interval
firm woody uterus
placental abruption
when should women with uncomplicated pregnancies be offered induction
between 41 and 42 weeks
Planned vaginal birth after caesarean (VBAC) is contraindicated in what patients?
patients with previous vertical (classical) caesarean scars, previous episodes of uterine rupture and patients with other contraindications to vaginal birth (e.g. placenta praevia)
severe continuous abdo pain and vaginal bleeding
placental abruption
what manoeuvre for shoulder dystocia
mcroberts
what position for a cord prolapse
go on all fours
blood markers for down syndrome in a foetus
-beta HCG
-PAPP-A
what medication to suppress lactation
cabergoline
if a woman had a premature prelabour rupture of membranes what would be found on speculum exam
The presence of an odourless clear-white watery fluid in the posterior vaginal vault
screening tool for post partum depression
edinburgh scale
if a foetus is still in breech position at 36 weeks what should be done?
external cephalic version
-if this doesnt work then plan a c section
quadruple test result for edwards syndrome
↓ AFP
↓ oestriol
↓ hCG
↔ inhibin A
group B strep prophylaxis in pregnant women
benzylpenicillin
