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4 MBCHB > REPRO 7 > Flashcards

REPRO 7 Flashcards

1
Q

causes for bleeding in early pregnancy

A 
molar pregnancy 
miscarriage 
implantation bleeding 
chorionic haematoma
cervical, vaginal 
ectopic
PR bleeding 
polyp
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2
Q

miscarriage os closed

os opened

A

threatened

inevitable

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3
Q

types of miscarriage

A

threatened, inevitable, complete/incomplete, silent (IUD)

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4
Q

treatment of miscarriage

A

if threatened - conservative

is others - medical/surgical

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5
Q

ectopic pregnancy where

A

tubes, ovary, peritoneum, liver, cervix, cs scar, PUL

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6
Q

symptoms of ruptured ectopic pregnancy

A 
collapse
pain > bleeding 
SOB
dizzy
shoulder tip pain 
peritonism - guarding and tender
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7
Q

ix for ectopic

A

FBC, group and save, HCG - double in 48 hours, cervical excitation

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8
Q

treatment of ectopic

A

surgery if rupture/collapse

other methotrexate

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9
Q

molar pregnancy what is it

A

gestational trophoblastic disease - overgrowth in placental tissue with chorionic villous swollen with fluid - grape like

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10
Q

complete molar pregnancy genetics

is there a risk

A

egg without maternal DNA YY/Y

2.5 % risk of choriocarcinoma

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11
Q

incomplete moral pregnancy genetics

is there a risk

A

haploid egg XYY may have fetus

no risk of cancer

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12
Q

symptoms of molar pregnancy

A

exaggerated pregnancy symptoms to due increased HCG. varied bleeding and passage of grape like tissue. large for dates. SOB

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13
Q

USS of molar pregnancy

A

snowstorm

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14
Q

treatment for molar

A

surgical

tissue for histology

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15
Q

implantation bleeding when
what does it look like
what can is be mistaken for

A

10days post ov
light browinish
occasionally mistaken for period

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16
Q

what is a chorionic haematoma

A

pooling of blood between endometrium and embryo due to separation - subchorionic

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17
Q

symptoms of chorionic haematoma

large

A

bleeding, cramps, threatened misc

infection, irritability, cramps, miscarriage

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18
Q

treatment of chorionic hamatoma

A

self limiting if small

large - reassure and survey

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19
Q

APH is when

A

bleeding >24 weeks

20
Q

causes of APH

A

placental abruption, placenta praaevia, vasa praevia, placenta accepta, uterine rupture, local causes
40% idiopathic

21
Q

commonest cause of APH

A

abruption

22
Q

risks for placental abruption

A

PET, htn, trauma, smoking, amphetamines (cocaine), medical, polyhydraminos, multiple pregnancy, preterm, PROM, abnormal placenta

23
Q

complication of PA

A

DIC

24
Q

uterine tender/wooden hard and difficult to feel fatal parts

A

PA

25
Q

abnormal CTG and fetal distress

A

PA, uterine rupture, VP

26
Q

treatment for PA

A

steroids, deliver, anti D?

27
Q

placental previa is what

A

placental partially or totally implanted in lower stein segment

28
Q

till when can placenta prevue be monitored

A

<37 w as can just move

29
Q

types of placenta preavia

A

major <=2cm from os or covering

minor >2cm from os

30
Q

painless recurrent bleeding in third trim

malposition

A

PP

31
Q

does PP have maternal pyrexia

A

no

32
Q

what should not be done in PP and why

A

vaginal exam

risk of haemorrhage

33
Q

treatment of PP

A

steroids. anti D. deliver <2cm at 38-39w

37-38 weeks if prior bleeding or suspected/confirmed accretta

34
Q

placenta accreta

symp

A

placenta invades myometrium

severe bleeding. PPH

35
Q

placental percetta

A

reached serosa

36
Q

treatment for accretta/percetta

A

CSEc at 37-38w

hysterecomty

37
Q

uterine rupture risk factors

A

prev c section

prev uterine rupture

38
Q

symp of uterine rupture

A

blood
obstructed labour
fetal distress/IUD

39
Q

treatment of uterine rupture

A

laparotomy/CS

40
Q

what is vasa praevia

A

bleeding from fetal vessels that cross or are in close proximity to internal cervical os umbilical arteries

41
Q

when can VP be dx

A

antenatally

42
Q

symp of VP

rx

A

fetal distress

CS

43
Q 
local causes of APH symptoms and signs 
volume of blood 
pain?
uterus?
fetal distress?
placenta placement?
A 
small vol of blood 
painless
uterien SNT
no
normal placenta placement
44
Q

any history of acute bleeding 23-32w

A

24h blood free then dc

45
Q

recurrent bleed >28w

A

min stay 72h

46
Q

any bleed >32w

A

min stay 72h

4 MBCHB (80 decks)

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