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Third Year Exam > Repro > Flashcards

Repro Flashcards

1
Q

Intraductal papilloma presentation

A

bloody nipple discharge

palpable mass along lumen of duct

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2
Q

Define amenorrhoea

A

absence of menstruation in women of reproductive age

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3
Q

Define secondary amenorrhoea

A

Absence of menstruation >6 months in women with previously present menstrual cycles

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4
Q

Fibroadenoma presentation

A

young
firm, non-tender mass
rounded with smooth edges
highly mobile

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5
Q

PCOS management

A

lifestyle
COC/prog/IUS
screen for T2DM

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6
Q

Screening for ovarian cancer

A

Ca-125

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7
Q

Treatment of lichen conditions

A

topical steroids

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8
Q

Chlamydia antibiotics

A

doxy

/azithromycin

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9
Q

Lactating women mastitis antibiotic

A

fluclox

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10
Q

Fibroid management

A

asymptomatic - N/A
treat menorrhagia - mirena, TXA, COC
shrink fibroids - GNrH analogue (-relin)
mass effect - myomectomy/ablation/hysterectomy

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11
Q

Protective factors of endometrial cancer

A

COC + smoking

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12
Q

Breast cancer most common subtype

A

invasive ductal carcinoma

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13
Q

Atrophic vaginitis treatment

A

topical oestrogen

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14
Q

Fat necrosis presentation

A

following trauma

firm, round lump or hard, irregular lump

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15
Q

Herpes treatment

A

Antiviral (acyclovir)

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16
Q

Non-lactating women mastitis antibitoci

A

co-amox

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17
Q

Define menorrhagia

A

abnormally heavy menstrual periods

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18
Q

POP contraindications

A

previous cysts/ectopics

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19
Q

Investigations for fibroids

A

TV-USS
MRI
biopsy for differentials

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20
Q

Duct ectasia presentation

A

pain, acute episode inflammatory changes
bloody +/- purulent nipple discharge
nipple retraction and distortion
associated with smoking

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21
Q

PID antibiotics

A

olofaxin and metronidazole

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22
Q

Cervical cancer investigations

A

colposcopy - visualisation and biopsy

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23
Q

Endometrial cancer TV-USS findings

A

abnormal endometrial thickening

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24
Q

Cervical cancer type

A

usually squamous cell

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25
Q

Endometrial cancer dianosis

A

hysteroscopy with endometrial biospy

26
Q

Breast cancer most common histology

A

adenocarcinoma

27
Q

Gonorrhoea antibiotics

A

ceftriaxone/ceftiximine + azithromycin

28
Q

COC contraindications

A 
migraine
DVT/PE/stroke
liver disease 
>50
smokers 
hypertension 
BMI >35
29
Q

oestrogen receptor treatment

A

tamoxifen/nastrozol

30
Q

Define primary amenorrhoea

A

failure of menstrual periods by 15 despite normal growth and secondary sexual characteristics or
13 with no secondary sexual characteristics

31
Q

PCOS hormone findings

A 
increased LH
normal FSH
decreased oestrogen 
normal/high testosterone 
decreased SHBG
increased prolactin
32
Q

Endometriosis investigations

A

TV-USS is normal

diagnostic laparotomy

33
Q

Syphilus treatment

A

benzathine penicilin

34
Q

Dysfunction uterine bleeding treatment

A

mirena coil
COC
TXA
NSAIDs

35
Q

Endometriosis management

A

NSAIDS+/- paracetamol
COC, prog pill, GNRH agonist if bad
surgery if severe

36
Q

HER2 receptor treatment

A

transtuxumab

37
Q

Difference between lichen sclerosis and lichen planus

A

planus = painful

38
Q

Endometrial cancer treatment

A

localised - total AH with BSO
spread - surgery, radio, chemo

if not suitable for surgery (frail, elderly) - prog therapy

39
Q

Bacterial vaginosis treatment

A

oral metronidazole

40
Q

Pre-menstrual syndrome treatment

A

mild-mod: COC +/- CBT

sev: +SSRI

41
Q

HPV assoc with cervical cancer

A

16+18

42
Q

Ovarian cancer risk factors

A

older age
smoking
unopposed hormone exposure
BRCA1/2

43
Q

Vulval candidiasis treatment

A

topical/oral fluconazole

clotrimazole 1% cream

44
Q

Mastitis organism

A

most common s.aureus

45
Q

stress incontinence treatment

A

pelvic floor training
duloxetine
surgical

46
Q

urge incontinence treatment

A

bladder retraining

oxybutinin

47
Q

contraception used in breast cancer

A

IUD

48
Q

levonorgestrel time period

A

<72hrs

49
Q

ulipristal acetate time frame

A

<120 hours

50
Q

IUD time frame

A

<120 hours

51
Q

genital wart treatment

A

podophylin

52
Q

women with PE during pregnancy

A

LMWH

TED stocking

53
Q

down syndrome screening

A

16wks

aminocentisis with chromosomal analysis

54
Q

down syndrome findings

A

high HCG
low PAPP-A
neuchal thickness

55
Q

green frothy vaginal discharge

A

trichomonas vaginalis

metronidazole

56
Q

strawberry cervix

A

protozoal parasitic infection

metronidazole

57
Q

dyskaryosis management

A

morderline/mid: HPV test, + = colposcopy

severe: confirm colposcopy and biopsy

CN1: repeat in 6 months
CN2,3: loop excision then follow up

58
Q

huntingtons tested at what week of pregnancy

A

20 weeks

59
Q

imaging breast mass <40

A

US

60
Q

imaging breast mass >40

A

mammorgram

61
Q

antidepressant in pregnancy

A

fluoxetine

Third Year Exam (11 decks)

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