Paper 1 Flashcards
What is the risk of failed termination?
1:100
What is the risk at MTOP or STOP of blood loss > 500ml?
1:1000
What is the risk of uterine perforation at STOP?
4:1000
What is the risk of damage to the cervical os at STOP?
1:100
In GTN, what FIGO score is given for mets in different places?
0: lung
1: spleen, kidney
2: gut
4: liver, brain
What fertility treatment can be offered to women undergoing pelvic radiotherapy?
- Laparoscopic ovarian suspension
- Ovarian biopsy, cryopreservation, re-implantation into ovarian cortex
With raised prolactin (> 360) but confirmed ovulatory cycles, at what prolactin level is bromocriptine needed?
1000
What biomarkers are tested for in suspicion of germ cell tumour?
AFP
LDH
HCG
What is the accepted cumulative dose of ionising radiation in pregnancy?
50 mGy
Under what conditions is FFP stored?
-30C, defrost thoroughly before giving
In PPH, what PT & APTT level requires correction with FFP?
> 1.5
What is the impact on pregnancy of pulmonary TB, diagnosed late?
Increased risk of:
PET
Acute respiratory failure
Preterm labour
What is the mechanism of action of cyproterone acetate?
Progestogen
What action should be taken for premenopausal ovarian lesions suspicious for malignancy?
Refer to gynae oncologist (over imaging)
What complications are associated with raised inhibin A?
- Preterm delivery
- Pre-eclampsia
- Low birthweight
- Intrauterine death
What neonatal outcomes should trigger incident reports?
- Term NICU admission
- Stillbirth > 500g
- APGAR < 7 at 5 mins
- EBL > 1500ml
What are the maternal causes of polyhydramnios?
- Uncontrolled diabetes
- Rh & blood group isoimmunisation
- Medications eg lithium
What are the fetal causes of polyhydramnios?
- GI eg exomphalos, gastroschisis
- Neuro eg anencephaly, spina bífida, hydrocephalus, cystic hygroma
- Cardiac
- Cleft palate
- Fetal goitre
What are the placental causes of polyhydramnios?
Tumours eg chorioangiomas
What is metropathia haemorrhagica & how should it be treated?
Anovulatory dysfunctional bleeding
With endometrial hyperplasia
Give progestogens
What are the benefits of HRT?
- Reduces bone loss
- Oestrogenises lower genital tract
- Reduces risk of colonic cancer
- Possibly prevents Alzheimer’s (conflicting data)
What is struma ovarii?
Type of dermoid cyst
With active thyroid tissue
10% cause hyperthyroidism
