Reproduction - Liam Flashcards
Emergency contraception drug
Ulipristal acetate
Cancers combined pill increases risk of
Breast and cervical
4 main types of ovarian tumours
Surface derived tumours
Germ cell tumours
Sex cord-stromal tumours
Metastasis
Most common germ cell tumour
Dysgerminoma
Most common surface derived ovarian tumour
Serous cystadenoma - benign
Most common benign germ cell tumour of ovary
Mature teratoma
Monochorionic monoamniotic splits when
Between 8-12 days
Dichorionic diamniotic split when
0-4 days
Monochorionic diamniotic split when
4-8 days
Organism for pelvic inflammatory disease
Chlamydia trachomatis
Organism for mastitis
Staph aureus
Combined test for down results
Increased HCG
Decreased PAPP-A
Drug for hypertension during pregnancy
Labetalol
What part of breast do most cancers arise
Upper lateral
What common ovarian tumour
Serous epithelial
Normal type of epithjelium lining ectocervix
Stratified squamous non-keratinised epithelium
What drug causes folic acid deficiency
Phenytoin
Organism for neonatal sepsis
Group B streptococcal
First line drug for BPH
Alpha blocker - tamusolin
What drug is used in stress incontinence if pelvic floor exercises dont work
Duloxetine
What drug is used in urge incontinence if bladder retraining does work
Oxybutynin
What is inability to reduce foreskin called
Paraphimosis - possible complication of catheterisation
Most common prostate cancer histologically
Adenocarcinoma
What drug first line for renal colic
Diclofenac rectally
Most common histology for testicular cancer
Seminoma
Levels of glucose to diagnosis GDM
5.1mmol/L after fasting
10mmol/L at 1 hour
8.5mmol/L at 2 hours
What drug is used for abortion
Methotrexate
Grades of placental praevia
1 - in lower segment uterus
2 - reaching but not covering internal cervical OS
3 - partially covering internal cervical OS
4 - completely covering internal cervical OS
Pain reflief for someone in established labour screaming for pain relief
Entonox
CIN is diagnosed by?
Histology
What immunisation is used for primary prevention of cervical cancer
HPV 16 and 18 immunisation
Who get screened for breast cancer
Aged 50-70 unless genetic predispositiont then maybe earlier
What position should pregnant woman lie in
Left because in the supine position the pressure of the gravid uterus on the inferior vena cava causes a reduction in venous return to the heart with a possible 25% reduction in cardiac output
What does para 1+2 mean
3 previous pregnancies, 1 successful and 2 early losses
What emergency contraception should be used after 78 hours?
Emergency copper intrauterine device
What drug is used in infertility for ovarian stimulation
Clomiphene
Investigation confirms endometriosis
Diagnostic laparoscopy
Most probably cancer in someone 73 years old
Endometrial
FIGO staging for ovarian cancer
1 - confined to ovary
2 - inside pelvis out of ovary
3 - past pelvis but inside abdomen
4 - outside abdomen
Surface markers for germ cell tumour
Alpha fetoprotein
Human chorionic gonadotrophin
Treatment endometrial hyperplasia
Intrauterine system or continuous oral prgestogens ( medoxyprogesterone or levonrgestrel)
What strains of HPV cause genital warts
6 and 11
What system grades cervical intraepithelial neoplasia
- CIN
- 1 - 1/3 thickness of epithelial layer
- 2 - 2/3 epithelial layer
- 3 - full layer
Classification of perineal tears
1 - limited to labia minora
2 - perineal muscles
3 - anal sphincter
4 - rectal mucosa
Types of FGM
1 - clitoridectomy (clit)
2 - excision (clit and lab minora)
3 - infubulation (narrowing vaginal opening)
4 - other
What describes number of contraceptives per 100 woman of years of exposure
Pearl index
When is anti-D administered
– a rhesus-negative mother at 28-30 week’s gestation in a normal pregnancy
What antibiotic used if pregnant woman has group B streptococcus infection on vaginal swab
Intrapartum IV benzylpenicillin to mother
