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My panic deck > Repro > Flashcards

Repro Flashcards

1
Q

Infertility

A 
Have sex 2-3 a week
Don't do ovulation kits
Alcohol <4 units/day
Decrease smoking
BMI <30
Don't keep testes too hot (avoid tight fitting underwear and saunas)
Avoid exposure to chemicals
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2
Q

Candida

A

Topical clotrimazole

Oral fluconazole

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3
Q

Bacterial vaginosis

A

Metronidazole
OR
Clindamycin cream

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4
Q

Clamydia

A

Doxycycline 100mg 7 days

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5
Q

Gonorrhoea

A

IM ceftriaxone

2nd line cefixime 400mg oral

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6
Q

LGV

A

Doxycycline ( 3 week course)

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7
Q

Acute bacterial prostatitis

A

Ciprofloxacin 28 days

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8
Q

Syphillis

A

Penicillin
If early- 2.4 MU x 1
If late- 2.4 MU x3

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9
Q

Genital herpes

A

Acyclovir
Lidocaine
Salien bathing

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10
Q

Genital warts

A

Podophyllin(Warticon) - Cytotoxic
Imiquoid-Immune modifier
Cryotherapy
Electrocautery

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11
Q

Trichomonas vaginalis

A

Oral metronidazole

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12
Q

Pubic lice

A

Mathalion lotion

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13
Q

HIV

A

HAART

  • Tenofovir ( NRTI)
  • Emtricitabine (NRTI)
  • Efavirenz (NNRTI)
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14
Q

Pneumocystis pneumonia

A

High dose co-trimoxazole (+/- steroid)

Prophylaxis- Low dose co-trimoxazole

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15
Q

Kaposi’s sarcoma

A

HAART
Local therapies
Systemic chemo

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16
Q

Cervical cancer

A

Serology every 3 years (rather than yearly)

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17
Q

Baby blues

A

Support and reassurance

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18
Q

Postnatal depression

A

Mild-moderate –> Self-help, counselling

Moderate-Severe –> Psychotherapy, Antidepression

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19
Q

Puerperal psychosis

A 
Emergency 
Admission to specialised mother-baby unit
Antidepressants
Antipsychotics
Mood stabilizers
ECT
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20
Q

Antidepressants when pregnant or breastfeeding

A

Sertraline

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21
Q

Benzos in pregnancy/breastfeeding

A

AVOID

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22
Q

Antipsychotics in the baby times

A

Typicals e.g. Haloperidol

Watch for sedation/lethargy when breastfeeding

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23
Q

Sodium valproate in pregnancy and breastfeeding

A

AVOID in pregnancy

GRAND in breastfeeding

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24
Q

Medical TOP

A

Oral Mifepristone 200mg

24-48h later oral/vaginal Misoprostol

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25
Q

Pre-existing hypertension and pregnancy

A

Labetalol, Methyldopa

Nifedipine–> If mother has severe asthma, uncontrolled by oral steroids

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26
Q

Risk of PET

A

75mg aspirin

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27
Q

When do you admit for PET

A

BP >170/110 or >140/90 with ++ proteinuria

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28
Q

Eclampsia

A

Vasodilatory - IV labetalol, hydralazine
Magnesium sulfate

If repeated seizure then diazepam 10mg

Manage 3rd stage with oxytocin

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29
Q

Magnesium sulphate toxicity

A

Calcium gluconate

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30
Q

Asthma

A

SABA
Inhaled Steroids
LABA
Consider leukotriene or inhaled steroids

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31
Q

NSAIDs in RA

A

In 1st/2nd

NOT IN 3rd

32
Q

aPL

A

From conception with aspirin 75mg
Heparin from when fetal heart identified
Postpartum heparin or warfarin

33
Q

Epilepsy

A

Antiepileptics

Folic acid 5mg

34
Q

Profuse bleeding

A

Ergometrine 0.5mg IM

35
Q

Ectopic preganancy

A

Laproscopy

Methotrexate IM as a single dose

36
Q

Symptomatic placenta praaevia or a LLP for 48h

37
Q

Vasa praevia

A

Steroids from 32wks
Consider inpatient management if risk of preterm birth (32-34wks)
Elective c-section before labour

38
Q

Ruptured vasa praevia

A

Emergency c-section delivery

neonatal resus

39
Q

Active management of third stage

A

Use oxytocin drugs + controlled cord traction

Prophylactic management of syntometrine 1ml or oxytocin 10 units

40
Q

Epidural

A

Levobupivacaine +- Opiate

41
Q

Fetal distress

A 
Change maternal position
IV fluids
Stop syntocinon
Scalp stimulation
Consider tocolysis-Terbutaline
42
Q

Pregestational diabetes

A

38wks delivery

Avoid getting pregnant if HBA1c is 86mmol or more

43
Q

PPHN

A 
Ventilation
Oxygen
NO
Sedation
Inotropes
ECLS
44
Q

Jaundice

A

Phototherapy (Blue light, 420-470nm)

Adequate hydration

45
Q

Nacrotizing enterocolitis

A

Stop oral feeding
Barrier nurse
Culture faeces
Cefotaxime + Vancomycin

46
Q

Haemorrhagic disease of the newborn

47
Q

Menopause-conservative

A

Diet, Wt loss, exercise, lifestyle, caffeine

48
Q

Menopause- w/o uterus

A

Oestrogen alone

49
Q

Menopause- w uterus

A

Oestrogen and progesterone

50
Q

Non-HRT treatment for menopause

51
Q

Vaginal atrophy

A

Vaginal oestrogen

52
Q

Conservative Incontinence

A

Caffeine, alcohol, fluid, wt loss
SUI- Stop smoking
OAB- Reduce alcohol and caffeine
Pelvic floor exercised and bladder retraining

53
Q

Stress incontinence drugs

A

Oxybutynin (antimuscarinic)

54
Q

Overactive bladder drugs

A

Mirabegron (B3 agonist)

55
Q

nocturne in incontinence

A

+ Desmopressin

56
Q

Pelvic floor dysfunction

A 
Healthy BMI
Avoid constipation
Smoking cessation
Avoid heavy lifting
Caffeine reduction gradually
Drink plenty
Never go to the toilet "just in case"
57
Q

Fibroadenoma

A

Diagnose
Reassure
Exercise (better to do open)

58
Q

Mastalgia

A

Evening primrose oil
Tamoxifen
Topical NSAIDs

59
Q

Cysts

60
Q

Breast abscess

A

Aspiration using LA

61
Q

Duct ectasia

A

Treat acute infections
Exclude maliganancy
Stop smoking

62
Q

Nonpeurperal mastitis

A

Augmentin or Cephalexin for 7 days

63
Q

Periductal mastitis

A

Co-amoxiclav

64
Q

Galactocele

65
Q

Mondor’s disease

A

Usually resolves spontaneously in 8-12wks

66
Q

Phyllodes tumour

A

Excised with wise (1cm), clear, surgical margins, and carefully followed up

67
Q

Breast cancer impalpable

A

Wire inserted and take mammographs

68
Q

Metastatic breast cancer

A

Bevacizumab

69
Q

Hot flushes with Tamoxifen/AI

70
Q

Suspected ovarian carcinoma

A

Open surgery (laparotomy)

71
Q

Benign ovary thing

A

Laparascopically

72
Q

Ovarian tumours

A

Surgery and chemotherapy

If epithelial then use CARBOPLATIN

73
Q

Cervical cancer

A

Surgery

  • LLETZ up to 1A1
  • Cone biopsy up to 1A2
  • Trachelectomy up to 2B

Radiotherapy and Chemotherapy

74
Q

Cervical polyps

A

Young women- avulsed

Older women- Avulsion + TVS +- hysteroscopy

75
Q

Endometrial cancer

A

TAH with BSO and peritoneal washings

Radio + Chemo

76
Q

Leimyoma

A

Traditionally hysterectomy

UAE, Hysterscopic resection

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