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Obs and Gynae > Placement > Flashcards

Placement Flashcards

1
Q

What are complications of gestational diabetes?

A

Macrosomia, neonatal death, birth injury, still birth

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2
Q

What does the T sign on USS indicate?

A

Monochorionic twins

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3
Q

What does the lambda sign on USS indicate?

A

Dichorionic twins

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4
Q

What are TOPS and TAPS?

A

TOPS - unequal fluid between twins

TAPS - unequal blood flow between twins

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5
Q

If sertraline is taken in pregnancy, how long should baby be monitored after birth?

A

6-12hrs

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6
Q

What is the guidance for rhesus factor in pregnancy?

A

If a Rh -ve mother delivers a Rh +ve child a leak of fetal red blood cells may occur

Give anti-D if next baby +ve but mother -ve as anti-D IgG antibodies may have formed in mother

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7
Q

What are risks in obese pregnancy?

A

Pre-eclampsia
Diabetes
Macrosomia
VTE
PPH

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8
Q

What investigations are done for immediately for suspected miscarriage?

A

FBC
Speculum
Group and Save
USS
Beta HCG

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9
Q

What are the different management options for incomplete miscarriage?

A

Conservative
Medical - misoprostol (opens cervix and induces contractions)
Surgical extraction (suction)

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10
Q

What are management options for ectopic pregnancy?

A

IM methotrexate
Salpingectomy (tubal removal)
Salpingostomy (preserve tube)

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11
Q

What is treatment for PID?

A

IV ceftriaxone/ doxycyline/ metronidazole

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12
Q

What is a complete molar pregnancy?

A

Egg has no genetic material
Sperm’s chromosomes double (like a mirror image)

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13
Q

What is partial molar pregnancy?

A

Sperm’s chromosomes double (like a mirror image) and fertilise normal egg = 3 sets of chromosome

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14
Q

What is presentation of molar pregnancy?

A

Vaginal bleeding
Large uterus
Pelvic pain
Grape-like cysts
High HCG levels
Morning sickness

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15
Q

What is treatment of molar pregnancy?

A

Termination

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16
Q

What is asymmetrical FGR?

A

Diverted blood flow to preserve vital organs e.g. heart, brain

17
Q

What is symmetrical FGR?

A

Whole body small

18
Q

How is FGR monitored?

A

Doppler USS of umbilical artery - monitor blood flow
Growth restriction biometry
Amniotic fluid index

19
Q

What is haematocrit?

A

Proportion of RBC - finger prick test (estimates Hb in 30secs)

20
Q

What are maternal factors for FGR?

A

Smoking
Pre-eclampsia
Diabetes
Asthma
Auto-immune e.g. SLE

21
Q

What are fetal factors for FGR?

A

Congenital infection
Chromosomal abnormalities

Obs and Gynae (26 decks)

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