Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction SOH > TOP > Flashcards

TOP Flashcards

1
Q

TOP is a relatively safe/unsafe procedure?

A

Safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

TOP is the most commonly performed procedure in the UK. True or false?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

There is a link with TOP and social deprivation. True or false?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most common ground for termination?

A

Pregnancy has not exceeded its 24th week
Continuance of pregnancy would involve risk, greater than if pregnancy terminated, of injury to physical or mental health of pregnant woman.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What investigations must be carried out before continuing with TOP?

A

Ultrasound Scan
- to confirm pregnancy
- to determine gestation
Bloods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Should these patients be offered an STI test?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why should patients be offered prophylactic antibiotics?

A

Metronidazole.

To cover for chlamydia if either the STI test is +ve or if the result is not back yet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the legal limit for social TOP ?

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In NHS tayside, when is medical termination available until?

A

18 weeks + 6 days gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In NHS tayside, when is surgical termination available until?

A

Up to 12 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In Scotland, what is the latest gestation period you can terminate pregnancy?

A

20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If a patient who lives in Scotland is 22 weeks gestation and they want a TOP, what happens?

A

Refer to BPAS

Travel to London

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the legal limit for TOP of a foetal anomaly that is serious risk to life?

A

No limit - this can be done at any gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What year was the abortion act introduced?

A

1967

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Who must terminate a pregnancy?

A

Registered medical practitioner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When can an abortion take place?

A

If 2 registered medical practitioners are of the opinion that an abortion is justified

17
Q

Legal forms - Certificate A (HSA1) - who signs it

A

2 doctors sign this green form

They must have at least seen the patient

18
Q

Which certificate is used in case of an emergency abortion, where there is threat to life of woman?

A

Certificate B (HSA2)

19
Q

Who is required to sign Certificate B (HSA2)

A

1 doctor

Must be completed within 24 hours of emergency abortion

20
Q

What are the 5 domains of gillick competence?

A

Does the patient understand the information?
Must be acting in patients best interest
Must advise pt is best to tell a parent/guardian
If you withhold care, the pts physical and mental health is likely to suffer
If the pt is likely to continue to be at risk you should provide care

21
Q

What is conscientious objection

A

When doctors opt out of certain procedures because of personal beliefs/values

22
Q

Medical TOP - stage 1

A

200mg Oral Mifepristone

23
Q

Medical TOP - what is mifepristone

A

Anti-progesterone medication at a very high dose

Blocks progesterone, encouraging death

24
Q

Medical TOP - stage 2

A

Vaginal or buccal prostaglandin is administered 24-48 hrs after oral mifepristone (eg Misoprostol, gameprost)

25
Q

Medical TOP - what is the function of the prostaglandin used in stage 2

A

Used to soften cervix
Encourages uterine contractions
This is to expel the contents of the pregnancy

26
Q

Medical TOP - up to which gestation is there the option to complete stage 2 of the TOP at home?

A

Up to week 9

27
Q

Medical TOP - from 9 weeks onwards

A

Both stages must be completed in hospital

Repeated doses of stage 2 prostaglandins may be required

28
Q

What happens if Medical TOP fails?

A

Try surgical termination

29
Q

Surgical TOP - options

A

Cervical priming - with vaginal prostaglandin to soften cervix

Electrical vacuum aspiration
Manual vacuum aspiration
Dilation and evacuation

30
Q

Surgical TOP - electrical vacuum aspiration is done under local/general anaesthetic?

A

General

31
Q

Surgical TOP - what is the advantage of this over medical TOP

A

Long acting reversible contraceptives can be fitted at time of procedure

32
Q

Surgical TOP - when can manual vacuum aspiration be used up until?

A

9 weeks gestation

33
Q

Surgical TOP - manual vacuum aspiration is done under local/general anesthetic?

A

Local

34
Q

Surgical TOP - procedural risks

A 
Pain
Haemorrhage 
Infection
Incomplete/ failed procedure 
Cervical trauma
35
Q

After TOP has been carried out, what follow up investigations are required

A

Pregnancy test - 2-3 weeks post TOP

36
Q

What do you do if patient is rhesus -ve?

A

Give Anti-D within 72 hours

37
Q

Contraception

A

All methods should be available and initiated on site prior to discharge

38
Q

Why do you avoid giving depo injections with mifepristone?

A

Depo injections contain high dose progestogen
Mifepristone is an anti-progestogen
therefore, the depo injection may prevent the mifepristone from working

Reproduction SOH (50 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions