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Finals passmed > Sexual health/gynae/obs > Flashcards

Sexual health/gynae/obs Flashcards

1
Q

What is the recommended duration of treatment for PEP?

A

4 weeks

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2
Q

What should women with hypothyroidism do with their levothyroxine dose if they become pregnant?

A

Increase levothyroxine by up to 50%

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3
Q

What is the management of placental abruption in <36 weeks?

A

Admit and administer steroids if foetus is okay
C-section if signs of foetal distress or maternal instability

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4
Q

What is the management of placental abruption in >36 weeks?

A

foetal distress - c-section immediately
no distress - deliver vaginally

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5
Q

What risk factor is most associated with testicular cancer?

A

Infertility (think of undescended testes being infertile)

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6
Q

What is used for the medical management of an ectopic pregnancy?

A

methotrexate

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7
Q

When would you do expectant management of an ectopic pregnancy?

A
  • <35mm
  • unruptured
  • asymptomatic
  • no foetal heartbeat
  • hCG <1,000
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8
Q

What is the management of genital warts?

A

Cryotherapy or podophyllum

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9
Q

How does the COCP prevent pregnancy?

A

Inhibits ovulation

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10
Q

How does the desogestrel pill prevent pregnancy?

A

Inhibits ovulation and thickens cervical mucus

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11
Q

How does the IUD work?

A

prevents endometrial proliferation and thickens cervical mucus

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12
Q

What is the management of vaginal candidiasis?

A

oral fluconazole 150mg
or 500mg clotrimazole pessary if not (e.g. in pregnancy)

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13
Q

What are the first line treatments of heavy menstrual bleeding?

A

mefenamic acid 500mg or tranexamic acid 1g if wanting to conceive
Mirena coil if not wanting to conceive

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14
Q

What is klinefelter’s syndrome?

A

XXY
male external genitalia, tall, small testes, gynaecomastia

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15
Q

What are the hormonal levels found in klinefelters?

A

High LH and FSH and low testosterone

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16
Q

What are the features of androgen insensitivity syndrome?

A

Genetically male with female external genitalia

17
Q

Which drugs reduce the efficacy of the COCP?

A

Carbemazepine, phenytoin, rifampicin, St John’s Wort, Alcohol, Smoking

18
Q

What is the management of someone with a primary herpes infection in their 3rd trimester?

A

Oral aciclovir 400mg TDS, until delivery, elective caesarian

19
Q

What is the management of a UTI in the first trimester?

A

7-day course of nitrofurantoin

20
Q

What is the management of a UTI in the third trimester?

A

7 day course of trimethoprim

21
Q

What type of hepatitis is common in pregnant women?

A

Hepatitis E

22
Q

If a smear is HPV positive but normal cytology when do you retest?

A

In 12 months, then 12 months again if the same, then refer for colposcopy

23
Q

Which STI causes painful ulcers?

A

Herpes Simplex Virus

24
Q

Which STI causes painless ulcers?

A

Syphilis

25
Q

How often is routine screening for cervical cancer?

A

Every 5 years

26
Q

What is the management of BV?

A

Metronidazole
- if not, topical clindamycin

27
Q

Which infection has clue cells on microscopy?

A

Bacterial vaginosis

28
Q

What is the main side effect of the injectable contraceptive?

A

weight gain

29
Q

Which factors indicate an organic cause of erectile dysfunction?

A

gradual onset of symptoms, lack of tumescence, normal libido

30
Q

What investigations should you do for erectile dysfunction?

A

CV risk, free testosterone in morning (if low measure again plus FSH, LH and prolactin)

31
Q

What is the management of erectile dysfunction?

A
  • PDE-5 inhibitors (sildenafil)
  • vacuum erection devices
  • stop cycling
32
Q

What are the different categories of C section?

A
  • cat 1 - immediate threat to life of mum or baby (within 30 mins)
  • cat 2 - maternal or foetal compromise (within 75 mins)
  • cat 3 - delivery required, but mum and baby stable
  • cat 4 - elective
33
Q

Name a GnRH agonist

A

Goserelin - causes gynaecomastia

Finals passmed (23 decks)

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