passmed Flashcards
Management of placental abruption when the fetus is alive, <36 weeks and not showing signs of distress
admit and administer steroids
The most common explanation for short episodes (< 40 minutes) of decreased variability on CTG
foetus is asleep
if fasting glucose is over 7 in gestation what is the management
insulin
first line investigation for PID
vulvo/vaginal swabs to check for chlamydia/gonorrhoea
necrotic irregular mass in the upper vagina
cervical carcinoma
how long does a pregnancy test remain positive after a TOP
4 weeks
gold standard investigation for endometriosis
laparoscopy
treatment for urge urinary incontinence
1st) bladder retraining
2nd) antimuscarinics - oxybutynin (immediate release), tolterodine (immediate release) or darifenacin (once daily preparation)
3rd) mirabegron if worry about anti-cholinergic side effects
what is the only surgical treatment for adenomyosis
hysterectomy
what blood test should be done for every woman with heavy menstrual bleeding
full blood count
can PCOS present with primary amennorhoea
no only secondary
treatment for thrush in pregnant women
clotrimazole pessary
how does metformin improve fertility in PCOS
increases peripheral insulin sensitivity
what types of HPV cause genital warts
6 and 11
which types of HPV are more likely to cause cancer
16 and 18
incubation period of chlamydia
3-21 days
does genital herpes require partner notification
no
std test for heterosexual men
FIRST PASS urine sample
In patients infected with human immunodeficiency virus, the risk of opportunistic infections is greatly increased when their CD4 count falls below what level?
200
what is HAART combined of
A combination of 3 drugs from at least 2 different drug classes to which the virus is susceptible
what contraceptives are immediately effective
IUD
what contraceptives take 2 days to start working
POP
what contraceptives take 7 days to start working
COC, injection, implant, IUS
if a semen sample is abnormal when should a repeat test be done
3 months
first line investigation for someone who thinks they are infertile
day 21 progesterone or 7 days prior to their next expected period
Raised FSH/LH in primary amenorrhoea
turner’s syndrome
PID but with lesions on liver
Fitz-hugh-curtis
can BRCA1 cause ovarian cancer
yes
cause of secondary amenorrhoea in athletic women
hypothalamic hypogonadism
which contraceptive can cause a delay in fertility
progesterone only injectable (depot)
-can cause delay by 12 months
Cervical cancer screening: if two consecutive inadequate samples then?
colposcopy
uterus size greater than expected for gestational age and abnormally high serum hCG
complete hydratiform mole
