Reproduction - Liam Flashcards

1
Q

Emergency contraception drug

A

Ulipristal acetate

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2
Q

Cancers combined pill increases risk of

A

Breast and cervical

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3
Q

4 main types of ovarian tumours

A

Surface derived tumours

Germ cell tumours

Sex cord-stromal tumours

Metastasis

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4
Q

Most common germ cell tumour

A

Dysgerminoma

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5
Q

Most common surface derived ovarian tumour

A

Serous cystadenoma - benign

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6
Q

Most common benign germ cell tumour of ovary

A

Mature teratoma

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7
Q

Monochorionic monoamniotic splits when

A

Between 8-12 days

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8
Q

Dichorionic diamniotic split when

A

0-4 days

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9
Q

Monochorionic diamniotic split when

A

4-8 days

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10
Q

Organism for pelvic inflammatory disease

A

Chlamydia trachomatis

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11
Q

Organism for mastitis

A

Staph aureus

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12
Q

Combined test for down results

A

Increased HCG

Decreased PAPP-A

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13
Q

Drug for hypertension during pregnancy

A

Labetalol

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14
Q

What part of breast do most cancers arise

A

Upper lateral

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15
Q

What common ovarian tumour

A

Serous epithelial

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16
Q

Normal type of epithjelium lining ectocervix

A

Stratified squamous non-keratinised epithelium

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17
Q

What drug causes folic acid deficiency

A

Phenytoin

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18
Q

Organism for neonatal sepsis

A

Group B streptococcal

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19
Q

First line drug for BPH

A

Alpha blocker - tamusolin

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20
Q

What drug is used in stress incontinence if pelvic floor exercises dont work

A

Duloxetine

21
Q

What drug is used in urge incontinence if bladder retraining does work

A

Oxybutynin

22
Q

What is inability to reduce foreskin called

A

Paraphimosis - possible complication of catheterisation

23
Q

Most common prostate cancer histologically

A

Adenocarcinoma

24
Q

What drug first line for renal colic

A

Diclofenac rectally

25
Q

Most common histology for testicular cancer

A

Seminoma

26
Q

Levels of glucose to diagnosis GDM

A

5.1mmol/L after fasting

10mmol/L at 1 hour

8.5mmol/L at 2 hours

27
Q

What drug is used for abortion

A

Methotrexate

28
Q

Grades of placental praevia

A

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

29
Q

Pain reflief for someone in established labour screaming for pain relief

A

Entonox

30
Q

CIN is diagnosed by?

A

Histology

31
Q

What immunisation is used for primary prevention of cervical cancer

A

HPV 16 and 18 immunisation

32
Q

Who get screened for breast cancer

A

Aged 50-70 unless genetic predispositiont then maybe earlier

33
Q

What position should pregnant woman lie in

A

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

34
Q

What does para 1+2 mean

A

3 previous pregnancies, 1 successful and 2 early losses

35
Q

What emergency contraception should be used after 78 hours?

A

Emergency copper intrauterine device

36
Q

What drug is used in infertility for ovarian stimulation

A

Clomiphene

37
Q

Investigation confirms endometriosis

A

Diagnostic laparoscopy

38
Q

Most probably cancer in someone 73 years old

A

Endometrial

39
Q

FIGO staging for ovarian cancer

A

1 - confined to ovary

2 - inside pelvis out of ovary

3 - past pelvis but inside abdomen

4 - outside abdomen

40
Q

Surface markers for germ cell tumour

A

Alpha fetoprotein

Human chorionic gonadotrophin

41
Q

Treatment endometrial hyperplasia

A

Intrauterine system or continuous oral prgestogens ( medoxyprogesterone or levonrgestrel)

42
Q

What strains of HPV cause genital warts

A

6 and 11

43
Q

What system grades cervical intraepithelial neoplasia

A
  • CIN
    • 1 - 1/3 thickness of epithelial layer
    • 2 - 2/3 epithelial layer
    • 3 - full layer
44
Q

Classification of perineal tears

A

1 - limited to labia minora

2 - perineal muscles

3 - anal sphincter

4 - rectal mucosa

45
Q

Types of FGM

A

1 - clitoridectomy (clit)

2 - excision (clit and lab minora)

3 - infubulation (narrowing vaginal opening)

4 - other

46
Q

What describes number of contraceptives per 100 woman of years of exposure

A

Pearl index

47
Q

When is anti-D administered

A

– a rhesus-negative mother at 28-30 week’s gestation in a normal pregnancy

48
Q

What antibiotic used if pregnant woman has group B streptococcus infection on vaginal swab

A

Intrapartum IV benzylpenicillin to mother