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Womens health > Women's Health > Flashcards

Women's Health Flashcards

1
Q

Give 2 treatments for dysmenorrhea

A
  1. NSAIDS

2. combined oral contraceptive OR Mirena coil (progestrone only)

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2
Q

What is the triad of preeclampsia?

A

HTN
Proteinuria
Odema

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3
Q

Give 5 high risk factors for preeclampsia that you should offer prophylactic aspirin for if any present

A
  1. Preexisting HTN
  2. Previous HTN in pregnancy
  3. Diabetes
  4. Autoimmune conidtion
  5. CKD
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4
Q

Give the clinical triad for placental abruption

A
  1. Constant, severe abdo pain
  2. Uterine ridgidity
  3. Per-vaginal bleeding
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5
Q

For what period should folic acid be taken?

A

1m preconception to 13w

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6
Q

What dose folic acid should non high risk women take?

A

0.4mg daily

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7
Q

What does folic acid should high risk women take and give 4 features that would classify as high risk?

A

5mg daily

  1. BMI >30
  2. Previous neural tube defect (in self, partner, child or fx)
  3. on antiepileptic drugs
  4. Diabetes
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8
Q

Give 4 situtions where IV intrapartum antibiotic prophylaxis for group B streptococci regardless of colonisation proven or not

A
  1. Previous sibling GBS infection
  2. Preterm
  3. Maternal pyrexia
  4. Prolonged rupture of membranes (PROM)
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9
Q

What targeted treatment can be given for HER2 positive breast cancer?

A

Herceptin (trastuzumab)

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10
Q

What hormonal treatment can be given for ER positive breast cancer for pre and post menopausal women respectively?

A

Pre menopausal = tamoxifen

Post menopausal = aromatase inhibitors (letrozole/ anastrozole)

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11
Q

How should nodes be managed in breast cancer in no palpable lymphadenopathy?

A
  1. Assess nodes w USS

2. If suspcious nodes detected, do sentinal lymph node biopsey in primary surgury

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12
Q

How should nodes be managed in breast cancer if lymphadenopathy is papable?`

A

axillary node clearence in primary surgury

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13
Q

What drug is used in medical management of ectopic pregnancy?

A

Methotrexate (IM single dose)

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14
Q

Give 4 indications for surgical mx of ectopic (as opposed to conservative or medical)

A

Pain
Visible heart beat
hCG >5000 u/l
Adnexal mass >35mm

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15
Q

What are the four causes of post-partum heamhorrage?

A

Tone (uterine atony)
Tissue (retained placenta)
Trauma (eg perineal tear)
Thrombin (clotting disorders)

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16
Q

Give 5 drugs that can be used in the medical management of post partum heamhorrage

A 
Oxytocin
Ergometrine
Carboprost
Misoprostol
Tramexamic acid
17
Q

What are the three main causes of antepartum heamhorrage?

A
  1. Placenta praevia
  2. Placental abruption
  3. Vasa praevia
18
Q

What is the drug of choice for thromoprophylaxis in pregnancy?

A

LMWH

Warfarin and DOACs should be avoided

19
Q

before how many weeks gestation are antenatal corticosteroids offered if preterm labour?

A

Before 35w

20
Q

before how many weeks gestation is IV magnesium sulphate offered if preterm labour?

A

Before 34w

21
Q

What tocolytic agent is used in externa cephalic version?

A

Terbutaline

22
Q

What are the 3 missed pill rules for COC?

A
  1. IF one pilled missed, just take the next as soon as possible. nof furthur action
  2. If 2 pills missed in first week after the week off, emergency contraception and 7d condoms
  3. 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
23
Q

What is the tumor marker for ovarian cancer?

A

ca125

24
Q

What is the triad of meig’s syndrome?

A

Benigh ovarian cyst
ascites
Pleural effusion

25
Q

In what circumstances is a glc tolerence test for gestational diabetes carried out?

A 
If any of:
BMI>30
1st degree relative w diabetes
Previous GDM or macrosomic baby
High risk ethnicity (Carribean, south asian, middle eastern)
26
Q

How is a glc tolernce test for gestation diabetes carried out and what considtutes a positive result?

A

75g glc taken after fasting (ie before breakfast)

+ve if either fasting BM >5.6 or 2hr BM >7.8

27
Q

What investigations are used if reduced fetal movements are reported after 28w?

A

Use handheld dopplar to check heart beat
- if none detected, do USS
Once heart beat established, monitor w CTG for 20mins

28
Q

What are the hCG cut offs for medical mx, surgical mx or choice for ectopic prenancy?

A

Medical <1500
Choice 1500-5000
Surgical >5000

29
Q

Give the management options for endometriosis from 1st to 4th line

A

1st: NSAIDS
2nd: COCP or POP
3rd: GnRH agonists (Gosegrelin, leurporelin)
4th: Laproscopy

30
Q

Give the four criteria for 2ww breast cancer referal?

A

Any unexplained breast lump in over 30
Axilla lump in over 30
Unilateral nipple changes in over 50
Any skin changes

Womens health (1 decks)

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