questios Flashcards
Down’s syndrome: quadruple test result
↓ AFP
↓ oestriol
↑ hCG
↑ inhibin A
ovarian torsion on US
whirlpool
menorrhagia/dysmenorrhoea + bulky uterus
fibroids
young female, +ve HCG, abdo pain
ectopic pregnancy
abdo distension, SOB
ovarian tumour
meig’s syndrome
benign ovarian adenoma + ascites + pleural effusion
COCP + increased discharge
ectropion
contact bleeding/dyspareunia
cervical cancer
itchy white, curd like discharge
candida
fishy, watery discharge, clue cells on microscopy
BV
gram positive diplococci, kidney bean shaped
gonorrhoea
spirochates on dark ground microscopy, painless ulcer
syphilis
first line antiemetics in pregnancy
Promethazine and cyclizine
most common bacterial cause of lactational mastitis
staphylococcus aureus
how long does the puerperium last
6 weeks
primary PPH time cut off
before 24 hours
what is tested for at newborn screening
maple syrup urine disease
sickle cell disorder
congenital hypothyroidism
homocystinuria
phenylketonuria
CF
postmenopausal bleeding… until proven otherwise?
endometrial cancer
what age group is invited to attended routine cervical screening
25-65
gynae malignancy associated with tamoxifen use
endometrial cancer
what does the pelvic diaphragm contain
the pelvic floor muscles
what is the most internal layer of the pelvic floor
the pelvic diaphragm
how is the fertile window determined
20 days subtracted from the shortest cycle length
last fertile day is calculated by subtracting 10 days from the longest cycle length
what is a partial mole
a non viable fertilised egg consisting of 2 sets of paternal genes and one set of maternal genes
acute management of severe HG
IV fluids and IV cyclizine
management of a molar pregnancy
surgical evacuation of uterus under anaesthetic
endocrine features in obstructive male factor infertility
normal LH normal FSH normal testosterone
on what day does embryo transfer take place in IVF
day 5
what are the endocrine features of PCOS
high LH
high free androgens
premature ovarian failure is an example of what kind of infertility
anovulatory- ovarian
first line investigation for history of PID presenting with infertility
laparoscopy to investigation tubal patency
first line investigation in pregnant woman presenting with suspected PE
CXR and ECG
(then CTPA, then V/Q scan)
