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Exam Revision > Repro 6 > Flashcards

Repro 6 Flashcards

1
Q

what does the ductus arteriosus become

A

ligamentum arteriosus

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2
Q

what does the ductus venosus become

A

ligamentum teres

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3
Q

what reflexes help a baby feed

A

rooting + suck reflex

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4
Q

most common cause for variable CTG decelerations

A

cord compression

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5
Q

can endometriosis raise CA125

A

YES!!

it can raise it, look at the symptoms- are they of endometriosis or of ovarian cancer?

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6
Q

essential parts of antenatal exam from 24 weeks gestation

A

symphysis-fundal hight
urinalysis
BP

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7
Q

screening tests for Down syndrome v diagnostic

A

nuchal thickness is a screening test

chorionic villus sampling/amniocentisis is diagnostic

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8
Q

which nodes does endometrial cancer metastasis to

A

para-aortic

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9
Q

which nodes does invasive cervical cancer metastasis to

A

pelvic lymph nodes

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10
Q

which nodes do ovarian cancers metastasis to

A

para aortic

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11
Q

what autoimmune condition affecting cortisol production can cause early menopause

A

Addisons disease

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12
Q

what is gravity

A

how many times a woman has been pregnant

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13
Q

what is parity

A

how many times a woman has given birth

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14
Q

diagnostic investigation of endometrial cancer

A

hysteroscopy + dilatation and curettage

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15
Q

4th degree prolapse

A

complete prolapse of uterus, vagina + cervix

- can cause cervical ulceration

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16
Q

In inducing labour, what is used if bishop score is <6

A

Vaginal prostaglandin + reassess in 6 hours

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17
Q

when is artificial membrane rupture performed

A

when a woman is in active labour and her waters have not broken

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18
Q

what is used to induce labour if prostaglandins fail + woman still not in active labour

A

artificial membrane rupture + syntocinon

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19
Q

what drugs are used to induce ovulation in IVF

A

clomiphene citrate

human menopausal gonadotrophin

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20
Q

what is dysmenorrhea

A

pain before onset of period

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21
Q

treatment of dysmenorrhea

A

combined oral contraceptive

mefenamic acid if contraceptive contra-indicated

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22
Q

normal endometrial histology

A

pseudostratified columnar with tubular glands

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23
Q

investigation given to women with a risk factor for diabetes

A

oral glucose tolerance test 24-28 weeks

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24
Q

treatment of stage 1 cervical cancer (confined to cervix)

A

local excision

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25
Q

treatment of stage 2 cervical cancer

A

radical hysterectomy + pelvic lymphadenectomy

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26
Q

treatment of stage 3 cervical cancer (spread to pelvic wall/lower vagina)

A

radiotherapy

27
Q

what does low PAPP-A suggest

A

Down syndrome

28
Q

where does lymph from testes drain

A

para-aortic nodes

29
Q

where does lymph from scrotum drain

A

inguinal nodes

30
Q

How are CIN 2 and 3 treated

A

large loop excision of the transformation zone

31
Q

what is the cancer treatment for:

  • endometrial cancer
  • ovarian cancer
A

endometrial - radiotherapy

ovarian - chemotherapy

32
Q

presentation of vulval/vaginal carcinoma

A

elderly ladies
itching, bleeding
inguinal lymphadenopathy

33
Q

what do all pregnant women with no risk factors receive

A

400 micrograms folic acid + 10 micrograms vitamin D

34
Q

what do pregnant women with epilepsy/diabetes get

A

5mg folic acid + 10 micrograms Vit D

35
Q

Tx of menorrhagia while awaiting investigation results

A

if painful – NSAIDS

if not painful – tranexamic acid

36
Q

management of premature membrane rupture

A

admission
oral erythromycin 10 days – high risk of sepsis
steroids to promote surfactant production

37
Q

Tx group B strep

A

benzylpenicillin

38
Q

what antibiotics decrease efficacy of POP

A

rifampicin

e.g. ones that induce cytochrome P450 system

39
Q

what is lochia

A

vaginal discharge containing blood, mucus, uterine tissue present for up to 6 weeks after brith

40
Q

presentation of lochia

A

initially fresh blood, undergoes colour changes, stops

  • advise + reassure mothers
  • tell them to come back if begins to smell/increase/doesn’t stop
41
Q

when should you stop the COC before surgery and when can you start it again?

A

Stop 4 weeks before surgery

Re-start 2 weeks after surgery

42
Q

what is red degeneration

A

complication of fibroids

  • bleeding into the tumour
  • common in pregnancy
43
Q

how often should HIV positive women get a smear test:

A

once a year

44
Q

what is active management

A

reduces risk of post partum haemorrhage

  • utertonic drugs
  • deferred clamping + cord cutting
  • controlled cord traction
45
Q

what drug is given in active management and when

A

10 units Oxytocin IM after delivery of anterior shoulder

46
Q

what is raised in obstetric cholestasis

A

BILE ACIDS

47
Q

symptoms of obstetric cholestasis

A

Itch - no rash

48
Q

investigation of obstetric cholestasis

A

LFTs

49
Q

treatment of thrush in pregnancy

A

clotrimazole pregnancy

- cannot give oral fluconazole due to its association with birth defects

50
Q

Step wise tx of PPH due to uterine atony

A
  1. bimanual uterine compression
  2. IV oxytocin / ergometrine
  3. IM carboprost
  4. intramyometrial carboprost
  5. rectal mesoprostolol
  6. balloon tamponade
51
Q

until how long after delivery is the COC contraindicated

A

contraindicated until 6 weeks post partum

52
Q

1st line over dates

A

membrane sweep

53
Q

if membrane sweep fails, what is given

A

prostaglandins

54
Q

when are forceps used

A 
head must be fully engaged
membranes ruptured 
cervix dilatated 
no excessive moulding 
bladder empty 
uterus contracting
55
Q

what are rotational forceps

A

moves baby to right position

does not need if in occipitoanterior position

56
Q

what is McRoberts manoeuvre

A

intervention in shoulder dystocia

- aims to increase mobility at sacroiliac joints

57
Q

after 24 weeks, how much do you expect fundal height to increase by

A

1cm per week

- more than this indicates macrosomia / unknown multiple pregnancy

58
Q

presentation of ovarian torsion

A

Usually sudden onset unilateral lower abdominal pain. Onset may coincide with exercise.
Nausea and vomiting are common
Unilateral, tender adnexal mass on examination

59
Q

Chorioamnionitis

A

uterine tenderness and foul-smelling discharge

60
Q

how long after UPSI can
- levonelle
- ellaone
be given

A

levonella = 72 hours

Ella one = 120 hours

61
Q

how long before women begin to ovulate post delivery

A

28 days

will need contraception form day 21 as sperm can survive for up to 7 days

62
Q

tx migraines in pregnancy

A

paracetamol 1g is first-line

aspirin 300mg or ibuprofen 400mg can be used second-line in the first and second trimester

63
Q

1st line spasticity treatment in MS

A

baclofen or gabapentin

Exam Revision (32 decks)

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