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Finals > Repro > Flashcards

Repro Flashcards

1
Q

how many days after ovulation does the next menses begin

A

14

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2
Q

LH surge is how many hour before ovulation

A

24-36 hours

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3
Q

what is the role of FSH

A

follicle development

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4
Q

increase of oestrogen levels cause

A

LH to be released from the pituitary

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5
Q

LH stimulates what

A

ovulation.

progesterone + oestrogen production from corpus lute

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6
Q

oestrogens role in the breast

A

stimulates lactiferous ductal growth

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7
Q

oxytocins role in the breast

A

stimulates myoepithelial contraction

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8
Q

what is the placenta made from

A

trophoblast and decidual tissue

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9
Q

what hormone decreases maternal insulin sensitivity

A

HCS

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10
Q

what can you measure to determine foetal health

A

estradiol

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11
Q

seizure in eclampsia treatment

A

IV magnesium sulphate

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12
Q

respiratory changes in pregnancy

A

decreased capacity, decreased CO2

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13
Q

CVS changes in pregnancy

A

increased heart contractility, increased SV, diastolic BP reduced, decreased venous return

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14
Q

renal changes in pregnancy

A

increased eGFR, increased plasma flow

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15
Q

blood changes in pregnancy

A

increased calcium need, increased plasma volume, increased need for iron

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16
Q

failure to progress nulliparous woman in each stage

A
  1. less than 2cm in 4h,
  2. 2h (no ep) 3h (ep)
  3. delivery within 10 mins, over 1 hour give oxytocin
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17
Q

failure to progress parous woman

A
  1. 2cm in 4h
  2. 1h (no ep) 2h (ep)
  3. within 10 mins, over 1 hour give help
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18
Q

foetal blood sampling; pH 7.20-7.25, any actions taken?

A

this is borderline, repeat in 30 mins

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19
Q

foetal blood sampling; pH <7.20, any actions taken?

A

this is abnormal, deliver baby

20
Q

HTN in pregnancy

A

labetalol, methyldopa, nifedipine

21
Q

VTE in pregnancy

A

heparin

22
Q

hypothyroidism

A

levothyroxine

23
Q

hyperthyroidism

A

carbimazole

24
Q

asthma

A

SABA + ICS

25
Q

epilepsy

A

continue epilepsy meds and give extra folic acid

26
Q

Depo injection

A

give up to day 5, every 13 weeks

27
Q

IUD

A

1st 7 days of cycle, can give immediately after TOP

28
Q

IUS

A

1st 7 days of cycle

29
Q

implant

A

1st 5 days of cycle, immediately after COP/Depo

30
Q

combined contraceptives contraindicated in

A

migraine with aura, breast cancer, increased BMI, smokers, HTN, diabetics and over 35s

31
Q

emergency contraception methods and cut offs

A

levonelle (72), ellaone (120), IUD (120)

32
Q

diagnosis of syphillus

A

PCR, serological antibodies, dark ground microscopy

33
Q

treatment of syphillis

A

benzathine penicillin

34
Q

HER2 breast cancer

A

trastuzumab

35
Q

ER+ breast cancer

A

hormonal agents

36
Q

premenopausal endometrial cancer suspicion

A

lining >16mm

37
Q

post menopausal endometrial cancer suspicion

A

lining >4mm

38
Q

most common cervical cancer

A

squamous

39
Q

staging of cervical cancer 0-1B

A 
0= CIN 
1a1 = 3x7mm 
1a2 = 5-7mm 
1b = confined to the cervix
40
Q

staging of cervical cancer 2-4

A

2- adjacent organs involved
3- pelvic wall involvement
4- distant metastases, rectum or bladder involvement

41
Q

diagnosis of ovarian cancer

A

CA125, CT for staging

42
Q

staging of ovarian cancer

A
  1. ovaries a= 1 ovary, b= both, c=in and around the ovaries
    2 pelvis
    3 abdomen
    4 outside abdomen
43
Q

grade 1 perineal tear

A

vaginal mucosa

44
Q

grade 2 perineal tear

A

subcutaneous tissues

45
Q

grade 3 perineal tear

A

external anal sphincter

46
Q

grade 4 perineal tear

A

external anal sphincter and rectal mucosa

47
Q

day 5 screening includes

A

hypothyroid, PKU, CF, haemoglobinopathies and MCAD

Finals (11 decks)

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