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Semester 6 > Women's Health > Flashcards

Women's Health Flashcards

0
Q

Primary invaders for PID

A

Niesseria gonorrhoeae
Chlamydia trachomatis
Anaerobes (gardnerella vaginalis, mycoplasma hominis)

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1
Q

PID uncommon in ..

A

Pregnancy

Post menopausal women

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2
Q

Secondary invaders?

A

Normal vag flora

Anaerobes
Gram neg organisms

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3
Q

Differentials for acute PID

A

Ectopic preg
Appendicitis
UTI
Complications of ovarian cyst

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4
Q

PID complicated by perihepatitis

A

Fitz-Hugh-Curtis syndrome

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5
Q

System used to classify PID

A

Gainesville

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6
Q

Look at stages of PID

A

Actually look mike

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7
Q

Indications for hospital admission for PID

A 
Suspected stage 3 or higher
Pyrexia
Nausea or vomiting
Failure of drugs
Local or general peritoneal infection
HIV 
Uncertain diagnosis
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8
Q

Oral antibiotics given for PID

A

Cefixime
Doxycycline
Metronidazole

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9
Q

IV antibiotics for PID

A

Ampicillin
Gentamysin
Metronidazole

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10
Q

Most common complaint in gynae

A

AUB

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11
Q

Early menopause

A

40-48

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12
Q

Objective menorrhagia (HMB) is

A

> 80ml per cycle

60% get anaemia

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13
Q

AUB is caused by…

A

Polyps, adenomyosis, leiomyomas, malignancy, coagulopathy, ovulatory dysfunction, endometrial disorders, iatrogenic, not classified

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14
Q

Mechanisms regulation endometrial haemostasis

A

Deficiencies in vasoconstrictors - endothelin 1, prostaglandin f2 alpha
Increase in vasodilators - prostaglandin e2, prostacyclin
Excessive lysis of endometrial clot - excess plasminogen

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15
Q

Iatrogenic causes of AUB

A

Break throu bleeding

MIRENA

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16
Q

Patients requiring endometrial sampling

A 
Over 40 with irregular bleeding
Pt with risk factors for Ca
    - prolonged chronic a ovulation
     - fam hx
     - obese
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17
Q

Normal endometrial thickness

A

5mm

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18
Q

When give medical management for AUB

A

No structural or histological abnormalities

Fibroid less than 3cm which do not cause distortion

19
Q

Name anti fibrinolytic drugs

A

Tranexamic acid(cyclocapron)

20
Q

Name NSAID used for AUB

A

Mefanamic acid(ponstan)

21
Q

When is endometrial ablation indicated

A

HMB with uterus less than 10 weeks size

Fibroids less 3cm and no desired fertility

22
Q

When is UAE, myomectomy or hytsterectomy indicated

A

HMB with fibroids over 3cm

23
Q

Who needs hysteroscopy

A 
Chronic irregular bleeding
Peri menopausal with AUB
Ultrasound suggest fibroid
ET over 5mm
Ongoing bleeding and ET less 5 mm
24
Q

A TOP can be done upon request in first … Weeks

A

12

25
Q

TOP between 13 and 20 weeks needs..

A

Med practitioner who thinks
Will pose risk to mum’s/fetus physical/mental health
Resulted from rape
Significantly effect SES

26
Q

TOP after 20 weeks needs

A

2 medical practitioners who think
Threat to women’s life
Severe malformation of fetus

27
Q

Up to when can medical abortion be done?

A

9 weeks

Preferably less than 7

28
Q

Medical TOP mechanism

A

Inhibit progesterone

Stimulate mayo metrical contractions

29
Q

Medical TOP regimen

A

Mifepristone with misoprostol

30
Q

Complications of med TOP

A

Heavy vag bleeding
Incomplete abortion
Endometritis / uterine sepsis
Failed med TOP

31
Q

Methods of TOP in second trimester

A

Dilatation and evacuation

Labour induction

32
Q

Treatment of ectopic

A

Methotrexate

33
Q

Four common causes of postmenopausal bleeding seen on scan

A 
Atrophy
Polyps
Endometrial hyperplasia 
Endometrial Ca
50% pathology not found
34
Q

Most common pelvic mass?

A

Leiomyomas (fibroids)

35
Q

Most common cystic mass found in ovary

A

Follicular cyst

36
Q

Types of functional/physiological cysts

A

Follicular cysts - failure of follicle to rupture
Corpus luteum cysts- hemorrhage into corpus luteum, acute pain (mimic tubal preg)
Theca lutein cysts - overstimulation of overies by hCG

37
Q

Look at figo staging of cervical Ca

A

Look at treatment of different stages

38
Q

Strawberry cervix, frothy green-yellow discharge

A

Trichomonas

39
Q

Risk factors for candida

A 
Menstruation
Preg
DM
Antibiotic
Obesity
Oral contraception
Immunosuppression
40
Q

Candida symptoms and signs

A

Lumpy, cheesy, white
Vulva red/purple
When wiped causes bleeding

41
Q

Grey white vag discharge, fishy smell, clue cells

A

Gardnerella (bacterial vaginosis)

42
Q

Chronic concerns in post meno women

A

Heart disease
Osteoporosis
Alzheimer’s
Breast cancer

43
Q

When is it best to start HRT

A

Within 6 years of menopause

Before age 60

44
Q

HRT decreases risk of

A

CHD
osteoporosis
(Breast cancer = dependent on when it is started)

Semester 6 (9 decks)

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