3A Gynae > passmed i got wrong > Flashcards

passmed i got wrong Flashcards

(58 cards)

Study These Flashcards
1
Q

Which combination of maternal and fetal Rh statuses would pose a risk of Rhesus disease?

A

RH negative mother and RH positive baby

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2
Q

how does prolactinoma present

A

with amenorrhoea through inhibiting the secretion of GnRH which in turn results in low levels of oestrogen

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3
Q

RF for ectopic

A

anything that could slow the passage of a fertilised egg.
- endometriosis
- PID
- chlamidya

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4
Q

What is the position of the ureter in relation to the surrounding blood vessels?

A

Ureter passes underneath uterine artery

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5
Q

what does HRT increase risk of?

A

thrombotic events, such as stroke.

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6
Q

how to differentiate pre eclampsia and HELLP syndrome

A

HELLP has jaundice

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7
Q

complication of molar pregnancy

A

choriocarcinoma

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8
Q

major risk factor for ovarian cancer

A

Never having been pregnant (nulliparity)§

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9
Q

what does HELLP mean

A

haemolysis (H), elevated liver enzymes (EL) and low platelets (LP)

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10
Q

what does yolk sac tumour show on histology

A

Schiller-Duval bodies

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11
Q

mc cause of primary ammenorhea

A

turners syndrome

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12
Q

risk factor for shoulder dystocia

A

Foetal macrosomia

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13
Q

what is the role of lactoferrin?

A

promotes rapid absorption of iron

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14
Q

features that indicate a molar pregnancy

A

excessive vomiting (hyperemesis gravidarum) and a uterus that is large for dates in early pregnancy.

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15
Q

Which deficiency is most commonly responsible for neural tube defects?

A

folic acid

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16
Q

Tx of pre eclampsia

A

labetalol

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17
Q

phsyiological changes in pregnancy

A

increased ventilation rates
rbc volume increases
plasma volume increases

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18
Q

mechanism of action of letrozole

A

reduces peripheral oestrogen synthesis

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19
Q

how to treat post menopausal women with eostrogen receptor positive breats cancer

A

aromatase inhibitor, such as letrozole or anastrozole

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20
Q

risk factors for hyperemesis gravidarium

A

trophoblastic disease, multiple pregnancies, molar pregnancy and previous hyperemesis.

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21
Q

what is the primary hormone responsible for endometrial proliferation during the follicular phase.

A

oestradiol

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22
Q

in multiple pregancny what does Division between days 4 and 8 after fertilization mean

A

results in monozygotic twins with diamniotic, monochorionic placentation.

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23
Q

in multiple pregancny what does Division between days 8 and 12 after fertilization mean

A

results in monozygotic twins with monoamniotic, monochorionic placentation. It does not result in dizygotic twins.§

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24
Q

what is prolonged neonatal jaundice assosciated with

Study These Flashcards
A

breastfeeding

25
what is smoking a protective factor for
endometrial cancer
26
mc type of ovarian cancer
Epithelial ovarian cancer
27
What is the normal type of epithelium lining the ectocervix?
stratified squamous non-keratinized epithelium
28
What is the cause of the end of the menstrual cycle?
As the ovaries get older they have a reduced level of available and viable ovarian follicles and subsequently a reduced response to FSH and LH.
29
describe threatened miscarriage
when the fetus is alive but bleeding has occurred. The uterus is the size expected from the dates given and the cervical os is closed.
30
risk factor for perineal tears
primigravida
31
which ectopic pregnancy has increased rupture risk
Ectopic pregnancy localised to the isthmus increases the risk of rupture
32
The most common organism causing mastitis
staph aureus
33
biopsy findings of a serous cystadenocarcinoma
Psammoma bodies
34
where are fibroids causing difficulty conceving likely to be
submucosal
35
Most common site of ectopic pregnancy
ampulla of fallopian tube
36
disadvantage of breast milk
inadequate levels of vitamin k
37
What is the mechanism leading to anaemia during pregnancy?
an increase in plasma volume disproportionate to the increase in haemoglobin, causing an overall decrease in haemoglobin concentration.
38
management of mastitis in breastfeeding women
continue breastfeeding and use simple analgesia and warm compresses
39
travel advice for uncomplicated, multiple pregnant women
women with uncomplicated, multiple pregnancies should avoid travel by air once >32 weeks
40
what is The most common type of epithelial cell tumour
Serous cystadenoma
41
what ovarian cyst May contain skin appendages, hair and teeth
Dermoid cyst (teratoma)
42
what cyst, If ruptures may cause pseudomyxoma peritonei
Mucinous cystadenoma
43
what is protective for ovarian cancer
breast feeding
44
when should a PID patiwnt be admitted
if they have fever above 38
45
how long must u have pelvic pain for endomtriosis diagnosis
must be cyclical or continuous for over six months.
46
what to do In cases with a pregnancy of unknown location
obtain a baseline and repeat beta hCG in 48hrs
47
Which investigation results indicate that the patient has previously been treated for syphilis?
VRDL negative, TPHA positive
48
what infection causes Neonatal meningoencephalitis
group b strep
49
does erectile dysfunction cause retrogradee ejaculation
no as it does not affect the internal urethral sphincter.
50
how does implant work
inhibition of ovulation
51
most common se of progesterone only pill
vaginal bleeding - continue for at lest 3m
52
best contraception for breasr feeding mom
progesterone only pill
53
best contraception in patients taking enzyme-inducers eg rifampacin
The Depo-Provera injection
54
what to do for For babies who are born to mothers who are hepatitis B surface antigen positive, or are known to be high risk of hepatitis B
Hep B vaccine and 0.5 millilitres of HBIG within 12 hours of birth with a further hepatitis vaccine at 1-2 months and a further vaccine at 6 months
55
what can be done to improve mcroberts manouvere
suprapubic pressure
56
tx of thrush in pregnancy
clotrimazole pessary
57
tx of vaginal vault prolapse
sacrocolpoplexy
58
first line ssri for PMS
fluoxetine
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