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
Endometrial cancer dianosis
hysteroscopy with endometrial biospy
26
Breast cancer most common histology
adenocarcinoma
27
Gonorrhoea antibiotics
ceftriaxone/ceftiximine + azithromycin
28
COC contraindications
``` migraine DVT/PE/stroke liver disease >50 smokers hypertension BMI >35 ```
29
oestrogen receptor treatment
tamoxifen/nastrozol
30
Define primary amenorrhoea
failure of menstrual periods by 15 despite normal growth and secondary sexual characteristics or 13 with no secondary sexual characteristics
31
PCOS hormone findings
``` increased LH normal FSH decreased oestrogen normal/high testosterone decreased SHBG increased prolactin ```
32
Endometriosis investigations
TV-USS is normal | diagnostic laparotomy
33
Syphilus treatment
benzathine penicilin
34
Dysfunction uterine bleeding treatment
mirena coil COC TXA NSAIDs
35
Endometriosis management
NSAIDS+/- paracetamol COC, prog pill, GNRH agonist if bad surgery if severe
36
HER2 receptor treatment
transtuxumab
37
Difference between lichen sclerosis and lichen planus
planus = painful
38
Endometrial cancer treatment
localised - total AH with BSO spread - surgery, radio, chemo if not suitable for surgery (frail, elderly) - prog therapy
39
Bacterial vaginosis treatment
oral metronidazole
40
Pre-menstrual syndrome treatment
mild-mod: COC +/- CBT | sev: +SSRI
41
HPV assoc with cervical cancer
16+18
42
Ovarian cancer risk factors
older age smoking unopposed hormone exposure BRCA1/2
43
Vulval candidiasis treatment
topical/oral fluconazole | clotrimazole 1% cream
44
Mastitis organism
most common s.aureus
45
stress incontinence treatment
pelvic floor training duloxetine surgical
46
urge incontinence treatment
bladder retraining | oxybutinin
47
contraception used in breast cancer
IUD
48
levonorgestrel time period
<72hrs
49
ulipristal acetate time frame
<120 hours
50
IUD time frame
<120 hours
51
genital wart treatment
podophylin
52
women with PE during pregnancy
LMWH | TED stocking
53
down syndrome screening
16wks | aminocentisis with chromosomal analysis
54
down syndrome findings
high HCG low PAPP-A neuchal thickness
55
green frothy vaginal discharge
trichomonas vaginalis metronidazole
56
strawberry cervix
protozoal parasitic infection metronidazole
57
dyskaryosis management
morderline/mid: HPV test, + = colposcopy severe: confirm colposcopy and biopsy CN1: repeat in 6 months CN2,3: loop excision then follow up
58
huntingtons tested at what week of pregnancy
20 weeks
59
imaging breast mass <40
US
60
imaging breast mass >40
mammorgram
61
antidepressant in pregnancy
fluoxetine