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Obs and Gynae > Revision > Flashcards

Revision Flashcards

1
Q

Strong association of with endometriosis of the ovary

Association with Lynch syndrome

A

Endometrioid and clear cell carcinoma

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2
Q

May produce oestrogen causing uterine bleeding

A

Fibroma/thecoma

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3
Q

May secrete oestrogen, may cause precocious puberty/post menopausal bleeding

A

Granulosa cell tumour

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4
Q

May cause thyrotoxicosis

A

Dermoid cysts (as it contains mature tissue, it may contain thyroid tissue!)

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5
Q

May produce androgens, which may cause hirsutism/virilisation

A

Thecal tumour

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6
Q

CEA may be elevated in which type of tumour

A

Mucinoid tumour

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7
Q

Tumour markers in mucinoid tumours

A

May have raised CEA and CA19-9

May have normal CA125

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8
Q

Malignant germ cells may produce which hormones?

A

HCG/AFP

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9
Q

Dysgerminoma

A

LDH
Beta HCG
PLAP

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10
Q

Seminoma

A

Beta HCG

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11
Q

Choriocarcinoma

A

Beta HCG

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12
Q

Yolk sac

A

AFP

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13
Q

Embryonal

A

AFP and beta HCG

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14
Q

Stromal tumours (granulosa cell/sertoli-leydig/ fibroma)

A

Estradiol

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15
Q

What do you need for a diagnosis of labour?

A

Cervical dilatation
Regular uterine contractions
Descent of presenting part

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16
Q

Treatment of obstetric cholestasis (bile <40 and bile >40)

A 
<40 = colestyramine and hydroxyzine
>40 = urseodeoxycholic acid
17
Q

May be presenting feature of testicular cancer in young men

A

Hydrocele

18
Q

May be presenting feature of renal carcinoma

A

Varicocele

19
Q

What stimulates the granulosa cells to produce oestrogen?

A

LH

20
Q

Treatment for puerperal pyrexia?

A

Clindamycin and gentamicin

21
Q

Caused by a defective decidua basalis

A

Placenta accreta

22
Q

Reflexes in placental abruption

A

Hyperreflexia

23
Q

Fetal anomalies which can cause polyhydramnios

A

Duodenal atresia

Anencephaly

24
Q

Fetal abnormalities which can cause oligohydramnios

A

Fetal urinary tract problems - e.g. renal agenesis (Potter’s) and GU obstruction

25
Q

Biggest risk factor for chorioamnionitis?

A

Premature rupture of membranes

26
Q

Treatment for hyperemesis gravidarum?

A

Promethazine

27
Q

Causes of folic acid deficiency?

A

Phenytoin
Methotrexate
Pregnancy
Alcohol excess

28
Q

How much vitamin D should pregnant ladies take?

A

10 micrograms per day

29
Q

When is the fetus palpable at the xiphoid sternum?

A

36 weeks

30
Q

When is the fetus palpable at the umbilicus?

A

20 weeks

31
Q

Sertoli-leydig tumours are associated with what syndrome?

A

Peutz-Jegher syndrome

32
Q

This type of tumour contains Call-Exner bodies

A

Granulosa cell tumour

33
Q

This type of tumour is associated with Turner’s syndrome

A

Dysgerminoma

34
Q

Mucin secreting ring cell adenocarcinoma

A

Krukenberg tumour

35
Q

Strawberry cervix

A

Trachimonas vaginalis

36
Q

Coffee bean nuclei

A

Brenner tumour

37
Q

COC redcues risk of which type of cancer?

A

Ovarian

Obs and Gynae (8 decks)

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