Women's Health Flashcards
Give 2 treatments for dysmenorrhea
- NSAIDS
2. combined oral contraceptive OR Mirena coil (progestrone only)
What is the triad of preeclampsia?
HTN
Proteinuria
Odema
Give 5 high risk factors for preeclampsia that you should offer prophylactic aspirin for if any present
- Preexisting HTN
- Previous HTN in pregnancy
- Diabetes
- Autoimmune conidtion
- CKD
Give the clinical triad for placental abruption
- Constant, severe abdo pain
- Uterine ridgidity
- Per-vaginal bleeding
For what period should folic acid be taken?
1m preconception to 13w
What dose folic acid should non high risk women take?
0.4mg daily
What does folic acid should high risk women take and give 4 features that would classify as high risk?
5mg daily
- BMI >30
- Previous neural tube defect (in self, partner, child or fx)
- on antiepileptic drugs
- Diabetes
Give 4 situtions where IV intrapartum antibiotic prophylaxis for group B streptococci regardless of colonisation proven or not
- Previous sibling GBS infection
- Preterm
- Maternal pyrexia
- Prolonged rupture of membranes (PROM)
What targeted treatment can be given for HER2 positive breast cancer?
Herceptin (trastuzumab)
What hormonal treatment can be given for ER positive breast cancer for pre and post menopausal women respectively?
Pre menopausal = tamoxifen
Post menopausal = aromatase inhibitors (letrozole/ anastrozole)
How should nodes be managed in breast cancer in no palpable lymphadenopathy?
- Assess nodes w USS
2. If suspcious nodes detected, do sentinal lymph node biopsey in primary surgury
How should nodes be managed in breast cancer if lymphadenopathy is papable?`
axillary node clearence in primary surgury
What drug is used in medical management of ectopic pregnancy?
Methotrexate (IM single dose)
Give 4 indications for surgical mx of ectopic (as opposed to conservative or medical)
Pain
Visible heart beat
hCG >5000 u/l
Adnexal mass >35mm
What are the four causes of post-partum heamhorrage?
Tone (uterine atony)
Tissue (retained placenta)
Trauma (eg perineal tear)
Thrombin (clotting disorders)
Give 5 drugs that can be used in the medical management of post partum heamhorrage
Oxytocin Ergometrine Carboprost Misoprostol Tramexamic acid
What are the three main causes of antepartum heamhorrage?
- Placenta praevia
- Placental abruption
- Vasa praevia
What is the drug of choice for thromoprophylaxis in pregnancy?
LMWH
Warfarin and DOACs should be avoided
before how many weeks gestation are antenatal corticosteroids offered if preterm labour?
Before 35w
before how many weeks gestation is IV magnesium sulphate offered if preterm labour?
Before 34w
What tocolytic agent is used in externa cephalic version?
Terbutaline
What are the 3 missed pill rules for COC?
- IF one pilled missed, just take the next as soon as possible. nof furthur action
- If 2 pills missed in first week after the week off, emergency contraception and 7d condoms
- If 2 missed after first week after week off, use condoms for 7 days and start next pack without break if this 7 day period falls over pill free days
What is the tumor marker for ovarian cancer?
ca125
What is the triad of meig’s syndrome?
Benigh ovarian cyst
ascites
Pleural effusion
