Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

3a 2023 > Passmed (WH) > Flashcards

Passmed (WH) Flashcards

1
Q

Guidelines for chicken pox exposure in pregnancy?

A

Exposed:
<20 wk, vzIG w/i 10days
>20 wk VzIG/acyclovir after 2 weeks

Developed:
<20 wk, acyclovir w/ caution
>20 wk - acyclovir w/i 24hr of rash (oral!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Definition of gestational hypertension vs pre-eclampsia?

A

GH: >140/90 after 20 weeks
PRe: Htn + symptoms (i.e. swelling) OR proteinurea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fasting glucose > 7mmol, first line managment?

A

Insulin (w/ or w/o metformin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Fasting glucose < 7mmol, managrment?

A

Start with diet & exercise offered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Managment of fibroids that are:
A) Large
B) Sub-fertility

A

Myomectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which cancer does combined HRT cause an increased risk of?

A

Breast cancer (oestrogen & progestogen)

Whereas remember COCP protects from ovarian & endometrial & inc B&C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How to remember different management for stress & urinary incontinence?

A

Stress: lower causes, PFMT, Duloxetine
Urge: avoid trigger, bladder training, anti-muscarinics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Marker of an ectopic vs missed?

A

Both would show empty uterus but ectopic would still have bHCG>1,500

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the different time limits for emergency contraception?

A

120 hours for ellaOne 72 for levonelle one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When should you do a saplingectomy instead of otomy?

A

If the other tube is still patent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When does smoking become part of UKMEC4?

A

If 35 yo + and 15 or more per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Acroynm for shoulder dystocia mx?

A

HelpERR H- call for help
E- evaluate for episiotomy
L- leg to McRoberts
P- supraPubic Pressure
E- enter: rotational manouevres
R- remove the posterior arm
R- roll pt to hands and knees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Primary Mx of ovarian Ca: Ca125 or TVU first?

A

CA125, after pelvic and abdominal exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Best anti-depressant for PPD?

A

Sertraline

Citalopram and duloxetine are present at higher levels in breast milk and so are less favourable compared with sertraline.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Risk factors for hypermesis?

A

Nulliparity, obesity, multiple parity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

First line meds for PP thyroiditis

A

Propanolol (Sx mx) not carbimazole

Since PP T just becomes hypothyroid so can make it worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

First investigation for reduced foetal movements? Past how many weeks is serious?

A

Hand-held Doppler. Past 28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Concern of old woman with lump on labia?

A

Vulval carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What to do if a 1 cocp pill is missed?

A

Take the latest asap even if means having to take 2 in one day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Side effects of the progesterone only pill?

A

irregular vaginal bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is dialation and curettage?

A

Dilation of the cervix and scrapping out the endometrial cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the reason why those with migraines cannot have the Pill

A

Since increased risk of ischemic stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

How to remember which is the medical treatment for urinary stress incontinence?

A

Duloxetine - if you’re stressed need to relaaax (SNRI)

n.b. desmopressin in enuresis, anti-muscarinic in OAB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the rule for followup of individuals who have been already treated for CIN ?

A

6 months

26
Q

How to remember the bishops score components?

A

Call PEDS for station:
Cervical position effacement, dilatiion, softness; foetal station

27
Q

Bishop score components are scored from 0-3, what is 2 score?

A

P: anterior E: 60-70% D: 3-4cm S: soft station, -1,0

28
Q

What does bishops score >8 mean?

A

Spontaneous labour soon

29
Q

Criteria for pre-eclampsia?

A

> 20 weeks, >140/90 & pain or proteinurea

30
Q

What drugs are contraindicated in pregnancy?

A
  • antibiotics: (ciprofloxacin, tetracycline, chloramphenicol, sulphonamides)
  • psychiatric drugs (lithium, benzos)
  • aspirin
  • carbimazole
  • methotrexate
  • sulfonylureas
  • cytotoxic drugs
  • amiodarone
31
Q

Women with risk factors of pre-eclampsia should take what from when?

A

75-150mg of aspirin from 12 weeks gestation

32
Q

For women at risk of gestational diabetes how should they be investigated?

A

OGTT after booking and at 24-28

33
Q

Moderate risk factors for pre-eclampsia? How many needed before you need to take aspirin?

A

first pregnancy
age 40 years or older
pregnancy interval of more than 10 years
body mass index (BMI) of 35 kg/m² or more at first visit
family history of pre-eclampsia
multiple pregnancy

2 or more

34
Q

COC missed pill guidelines

A

1 miss pill -> 2 next day
2+ miss pill -> 2 next day & barrier for 7

Wk 1 : take emergency pills
Wk 2 : no need emergency pills, just barrier 7 days
Wk 3 : no need emergency pills and omit pill free interval

35
Q

Tamoxifen is an SERM (selective oestrogen receptor modulator), how does it act in the body?

A

It blocks E receptors in the breast (prevent ca) and stimulates in the uterus & bones (preventing osteop’ but encouraging endometrial hyperplasia)

36
Q

Which contraceptives are effective the quickest?

A

Instant: IUD
2 days for POP

37
Q

What are some methods of surgical Mx of miscarriage?

A

Dilation & curettage, manual/electric vacuum aspiration

38
Q

Policy if only one pill missed (COCP)

A

Can just take the next pill

39
Q

Side effect of GNrH agonists?

A

Loss of bone mineral density

40
Q

In a lady with a 35 day cycle, what day would be best to measure her progesterone?

A

So working back from 35, (-14) is start of luteal phase, so half way through then (i.e. 28)

41
Q

Candidiasis treatment: not actually clotrimazole, what is it?

A

Oral fluconazole 150mg as a single dose first line

42
Q

What is the medication for suppressing a woman’s lactation?

A

Cabergoline (think of a pair of breasts like cabbages)

43
Q

Congenital rubella syndrome vs congenital cytomegalovirus?

A

Both might have low birth weight, seizures etc but rubella would classically have deafness & eye abnormalities

44
Q

Bishops score, score milestones?

A

< 5 means unlikley to start w/o induction. >=8 spontaneous gonna happen

45
Q

When is the HELPPER management used ?

A

In shoulder dystocia; help epistomy, legs in mcroberts, pressure suprapubic

46
Q

When can women start to use the COCP post-partum?

A

Either after 6 weeks (if breast feeding, or 3 if not)

47
Q

Chicken pox exposure brief guidelines?

A

Give VZ IG if needed <20 weeks; CP threat high: >20wk oral acyclovir, <20wk consider w/caution

48
Q

If a semen sample is abnormal, when does it need to be re-tested?

A

ideally 3 months later

49
Q

What is a long-term complication of vaginal antereo-posterior repair?

A

Vaginal vault prolapse. Prevents each side of the roof caving in but the top might droop in

50
Q

The 3 methods of emergency contraception and when they can be used?

A

Levonorgesterel, w/i 72hrs; Ulipristal w/i 120hrs. IUD (copper) w/i 5 days or w/i 5 days of likely ovulation

51
Q

How to remember the high risk factors for pre-eclampsia?

A

Hypertensive disease in pregnancy / chronic hypertension
SLE etc
Diabetes 1/2

52
Q

What is the preventative risk for women with at least 1 high risk factor for pre-eclampsia?

A

Aspirin 75-150mg from 12 weeks

53
Q

Which women need to take folate supplementation until 12th week?

A

Previous NTD; eplieptic/coeliac/diabetes; obese (BMI 30+)

54
Q

What is androgen insensitivity syndrome?

A

Where they have testes but these don’t develop properly due to insensitivity. But they still develop breasts (testosterone converted into oestrogen)

55
Q

What is the first line management for post-partum haemorrhage?

A

To compress the uterus (& catheritise)

For managing aTony,

Tissue, Tone, Trauma, Thrombin

56
Q

Which genital tract infections present with discharge?
How to differentiate?

A
  • BV (fishy white)
  • Trich (green/grey)
  • Candidiasis (cottage cheese)
57
Q

Summarise the antibiotics used for genital infections?

A

Bv - Metronidiazole
Trich - metronidiazole
Gonorrhoea - IM ceftriaxone (gram -)
Chalmydia - doxycycline /azithromycin

58
Q

When are we using mifepristone & misoprostol vs using methotrexate?

A

Methotrexate in ectopic. Other in termination

59
Q

When do you need to have stopped methotrexate?

A

6 months before doing (m&f)

I.e. methosexate

60
Q

Is candidiasis more acidic or alkali? Treatment normally vs pregnant?

A

More alkali. Oral fluconazole. Need clotrimazole pessary in pregnancy

61
Q

How to remember risk factors for hyperemesis?

A
  • Inc levels of B-HcG (twins/tropho’ d)
  • First time (nuliparity)
  • Obesity
  • Past Hx (family or personal)

n.b. smoking decreases B-HcG so actually lower rise of HG

3a 2023 (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions