Women's Health Flashcards
Tx for stress incontinence?
duloxetine
2nd line mirabegron
bloods results in premature ovarian failure?
FSH and LH high
oestradial low
plan if ovarian cyst is <5mm?
repeat US in 8-12weeks
types of ovarian cysts?
follicular (common)
dermoid (torsion)
mucinous (pseudomyxoma peritonei)
serous (mimics ovarian Ca)
who cannot get HRT?
Breast cancer
oestrogen driven cancer
PV bleeding
endometrial thickness
criteria for menopause?
> 24mnths if <50
12 mnths if >50
criteria for surgical management of ectopic?
heartbeat
pain
>35mm
who gets just oestrogen HRT?
no uterus
Tx for PID?
IM cef
PO doxy and met
trichomas discharge vs BV?
trich - yellow green
BV - white thin
when does progesterone peak?
7 days before next period
what meds given in abortion?
mife then miso 48hrs later
when do pregnant women get VZV Igs?
7-14 days post exposure
when do pregnant women get treated for chicken pox?
> 20weeks
criteria for GDM?
fasting >5.6
2hr >7.8
medical Tx for PPH?
IV oxy
ergometrine
carboprost
drugs to avoid in breast feeding?
amiodarone
SU
MTX
carbimazole
aspirin
Lithium
Ciprofloxacin/tetracyclines/chloramphenicol
what test is done at 11-13 weeks for trisomy 21?
BHCg
PAPP-A
nuchal thickness
what test is done at 15-20 weeks for trisomy 21?
AFP
oestradial
HCG
Inhibin A
what is trisomy 18?
Edwards
what is trisomy 13?
Patau’s
when does the anomaly scan take place?
18-20 weeks
who gets anti D?
rhesus -ve
method of action of copper coil?
decreased sperm motility
when can copper coil be used as EC?
5 days post UPSI
method of action of COCP?
inhibit ovulation
method of action of POP?
thickens mucus
how long days POP take to work?
2 days
what cancers does COCP reducec/increase risk of?
Decrease ovarian and endo
increase breast and cervical
method of action of injection?
inhibits ovulation
thickens mucus
method of action of implant?
inhibits ovulation
thickens mucus
method of action of mirena?
thickens mucus
prevents endometrial proliferation
who cannot get the pill?
> 35ys and smoking 15cpd
how long are post partum women protected for?
21 days
when can breast feeding women start taking COCP?
6 weeks
action of Levonorgestrel?
inhibits ovulation
time to take Levonorgestrel?
72hrs
method of Ulipristal ?
inhibits ovulation
time to take Ulipristal?
120hrs
who cannot take Ulipristal ?
asthma
what is oligohydramnios?
<500mls
when to refer for infertility?
<35yrs 12 months
>35yrs 6 months
what is used for urge incontinence?
oybutynin
what can be used for vasomotor symptoms of menopause??
fluoxetine
Tx for premature ovarian failure?
COCP until 51yrs
Blood results in turners?
High FSH and LH
Tx for chlamydia?
doxy or azithro
what if fasting glucose >7 in pregnancy?
insulin
Tx for gonorrhoea?
IM cef
Ix for fetal sickle cell?
CVS
Ix for fetal hydrops?
cordocentesis
Ix for CMV?
amniocentesis
what can GBS in neonates?
meningitis
features of edwards?
rockerbottom feet
dysplastic heart valves
oesophageal atresia
drugs to avoid in pregnancy?
ACE/ARB
retinols
statins
warfarin
SU