quesmed gynae Flashcards
post menopause when is contraception needed
if under 50 for 2 yrs
if over 50 1 yr
how long post hysterectomy is wound healing
6-8 weeks
what is an anterocele
prolapse of the small bowel into the vagina
1st line mx for menorrhagia
mirena IUS
when in a womens life will fibroids be most symptomatic
before menopause
if cervical smear is HPV positive with normal cytology when is next smear done
12 months
repeat until HPV negative
what cell type is ovarian cancer usually
epithelial
how to differentiate ruptured ovarian cyst from torsion
ruptured cyst will have haemodynamic instability and maybe some peritoneal signs
CIN I, II and III mx
I can be left alone
II and III LLETZ should be done
2 missed pills in week 3 of cycle
take missed pill, use condoms for 7 days, start next pack immediately without pill free interval
what abx are given for PID
IM ceftriaxone
14 days doxy and metronidazole
what is the name of the sign for cervical excitation
chandelier
what type of ovarian tumor is most common in young women
germ cell
von willebrand disease mx
desmopressin
first line ix for endmetriosis
TVUS
for how long do you need to delay a cervical smear after birth/top/miscarriage
3 months
how is cervical ectropion managed
conservatively
when are cervical smears every 3 years vs every 5 yrs
3 yrs= 25-49
5 yrs= 50-64
what does progesterone in HRT increase risk of
breast cancer
how is thrush managed
single dose fluconazole
sex hormone binding globulin level in PCOS
normal to low
2 missed pills rule
women are protected if they have had 7 days off 7 days on
- take yesterdays missed pill and todays (2 pills today)
- if in week one emergency contraception needed
if in week 2 no emergency contraception needed if 7 days were taken
if in week 3 omit the pill free interval
how is bleeding on the progesterone implant managed
3 months of COCP
what oral contraceptive is preferred if someone is concerned about weight gain
POP
