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Clinical skills > Repro questions > Flashcards

Repro questions Flashcards

1
Q

What additional categories are there in a gynae history?

A 
Sexual history
Obstetric history
Others:
LMP (first day of last period)
Cycle (how many days did you bleed for, days from day 1 to day 1)
Contraception/sexual activity
Last smear
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2
Q

What specific conditions need to be asked about in a gynae history?

A

Menoorhagia
Prolapse
Pelvic pain
Early pregnancy bleeding

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3
Q

How do you enquire into menorrhagia?

A 
Do they use tampons/pads at same time?
Do they need to take time off work
Any flooding
Clots
Waking up at night?
Weight of tampon/pad?
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4
Q

How do you enquire into prolapse?

A

What/where?

Sexually active? (changes management - even ask in elderly)

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5
Q

What are the types of prolapse?

A

Cystocele
Rectocele
Procedenture (uterus/vagina falling out)
“Something coming down” = scd

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6
Q

How do you enquire into pelvic pain?

A 
Does it happen with period (probably heavy period)
After period (endometriosis)
Outwith cycle (probably unrelated)
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7
Q

What contraceptions increase risk of ectopic pregnancy?

A

Progesterone only pill

Copper coil

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8
Q

What examinations are included in a gynae exam?

A 
General
Abdominal - do first!
Intimate
Per vaginal
Speculum
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9
Q

What do you look for in a vaginal exam?

A 
Position of uterus (anteverted/retroverted?)
Size of uterus
Mobility of uterus - should not be fixed
Adnexal masses
Tenderness/cervical excitation
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10
Q

What is parity?

A

Number of previous pregnancies
Any pregnancy delivered after 24 wks in parity
Any pregnancy before is a plus

Counts abortions
Eg 3 pregnancies, 2 miscarriages before 20 wks, one child born 9 months
1 +2

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11
Q

How do you enquire into a past obstertric history?

A 
All previous pregnancies + outcomes
Date
Type of delivery
Weight/sex of baby
Any problems?
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12
Q

What is the obstetric examination?

A

General exam - includes BP
Abdominal examination
Family history
Urinalysis - protein (preeclampsia)

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13
Q

What is pertinent in a obstetric history?

A

Parity
Gynae history
Obestetric history
FH/SH (other children)

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14
Q

Where do you listen to the foetal heart rate?

A

Over anterior shoulder

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15
Q

What is the normal range of foetal heart rrate?

A

110-160

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16
Q

How do you measure fundal height?

A

Palpate fundus with 2 hands
Secure tape measure from top of fundus to symphysis pubis
Should b 1cm/week gestation

17
Q

How do you present a pregnant abdomen?

A 
Distenstion
Fundal height - is it keeping with gestation
Lie of baby
Presentation (cephalic/breech)
Head is /5 palable
Foetal heart rate
18
Q

What is cervical excitation?

A

Pain on movement of cervix

Clinical skills (5 decks)

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