Past Icas Flashcards

1
Q

What is the commonest uterine abnormality?

A

Septate

Can surgerical give a metroplasty to remove excess tissue

Miscarriage about 88%

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2
Q

Who gets fibriods?

A

Afrocarribean

Over half all women by 50 (assymptomatic),

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3
Q

How does congenital syphilis present at birth?

A

Sniffles

Later- triad

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4
Q

Inspiratory strider since birth?

A

Largynomalacia

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5
Q

Treating mild or severe allergic reaction?

A

Mild - antihistamines

Severe (facial swelling and difficulty breathing) - IM adrenaline

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6
Q

Risks for endometrial cancer?

A
Unopposed estrogen (SERM eg tamoxifen, Ostrogen only HRT)
Obesity 
More ovulation (Low parity, late menopause)

Smoking is protective

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7
Q

Downs features at birth?

A

Hypotonic
Facial abnormalities

Delayed milestones

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8
Q

First line treatment menorrhagia in sterilised women?

A

Tranexamic acid

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9
Q

Treatment for gastroenteritis?

A

Oral rehydration

Abx will not have effect in viral

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10
Q

Maternal age has what risks in pregnancy?

A

Hypertension,

Decreased fertility, miscarriage and stillbirth.

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11
Q

How to reduce mother to baby spread of HIV to 1%?

A

Antiretrovirals
C - sects
No breast feeding

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12
Q

What are the absolute contraindications for ECV?

A

Where c-sect is required eg placentia previa
Antepatrum haem in past 7days
Abnormal CTG
Majority uterine abnormality
Amniotic fluid abnormality (ROM, or oligo)

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13
Q

Treatment of woman with PE post parting?

A

IV unfractioned heparin is the preferred initial treatment in massive PE

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14
Q

What percentage of women with endometriosis are asymptomatic?

A

1/3

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15
Q

What is the definition of maternal mortality?

A

Death while pregnant or within 42 days of TOP, irrespective of duration of pregnancy or site, which is related to the pregnancy or its management. Not including accidental or incidental death.

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16
Q

Risk of suction TOP?

A

Cervical incompetence

17
Q

Diagnostic tests for ovarian cancer?

A

Ca125 over 35, warrants pelvic and abdominal US (see mass / fluid),
CT is the investigation of choice for Dx and staging