Passmed 2 Flashcards

1
Q

what is the tumour marker for pancreatic cancer

A

CA 19-9

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2
Q

what is the tumour marker for bowel cancer

A

CEA

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3
Q

what is the tumour marker for liver cancer and germ cell tumours

A

AFP

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4
Q

how will premature ovarian failure present in bloods

A

Raised FSH/LH

low oestradiol

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5
Q

what may be used to control the hirsuitism and acne in PCOS

A

COCP
if contra/ineffective - topical eflornithine
spironolactone

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6
Q

what is the most likely location of an ectopic pregnancy

A

ampulla of the falopian tube

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7
Q

what are the risk factors for hyperemesis gravidarum

A
multiple pregnancies
trophoblastic disease
hyperthyroidism
nulliparity
obesity
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8
Q

what are the risk factors for placental abruption

A

multiparity, increased maternal age, maternal trauma

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9
Q

how long will the COCP take to be effective

A

if in first 5 days of cycle - immediate

otherwise 7 days

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10
Q

how long will it take for the POP to be effective

A

2 days

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11
Q

what is the first line treatment for menorrhagia

A

IUS - mirena

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12
Q

what are some causes of repeat candidiasis infection

A

diabetes, immunosupp, preg, steroid/antibiotic use

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13
Q

PPROM, maternal tachycardia + pyrexia, fetal tachycardia

A

chorioamnionitis

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14
Q

what are the considerations for contraception in epileptics

A

medications have enzyme inducing effects - dont use COCP or POP
Mirena - contraceptive + works for heavy periods

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15
Q

musty’, frothy, green vaginal discharge

pH >4.5

A

bac vag

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16
Q

treatment for bac vag

A

oral metronidazole

17
Q

offensive ‘musty’, frothy, green vaginal discharge

‘strawberry cervix’ - erythematous cervix with pinpoint areas of exudation.

A

Trichomoniasis

18
Q

Tx for trichomonoiasis

A

oral metronidazole

19
Q

Thin, purulent, and mildly odorous vaginal discharge. dysuria, intermenstrual bleeding and dyspareunia.
A swab shows a Gram-negative diplococcus.

A

Gonorrhoea

20
Q

Tx for gonorrhoea

A

IM ceftriaxone

21
Q

how long should metoclopramide be used for in pregnancy and why

A

not longer than 5 days - inc risk extrapyramidal side effects (eg resting tremor)

22
Q

older woman, labial lump, inguinal lymphadenopathy

maybe itching/irritation

A

vulval carcinoma