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23 Cards in this Set
- Front
- Back
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What is the first line and second line treatment for PCOS?
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OCP, Metformin
E: Metformin is reserved for women with PCOS who want to conceive |
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Raised alkalline phosphatase is normal in the absence of signs/symptoms is normal in which groups?
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Pregnant women
Growing children E: Placenta secretes alkalline phosphatase |
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What sort of discharge does trichomonal infection present with?
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Frothy
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What is the treatment of post-partum mastitis?
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Penicllinase resistant penicillin
Explanation: The commonest organism is Staph aureus |
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What is the treatment of gonnococcal vaginitis?
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Ceftriaxone + azithromycin
E: Single dose of ceftriaxone and azithromycin |
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When do you need to resample the cervix during a Pap smear?
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If the smear does not have endocervical cells AND the patient is high risk.
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What is the immediate management of patients at term and have preeclampsia?
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IV Magnesium sulfate
Induction |
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What is the next step in management of a patient with decreased fetal movement and non-responsive nipple stimulation test?
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Biophysical profile
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How do you perform a CST?
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Check for response after nipple stimulation (NST) or oxytocin.
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When do you follow up for a normal Pap smear, a Pap smear which shows ASCUS and a pap smear which shows LGSIL?
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Normal: 1-3 years
ASCUS: 3-6 months, if still ASCUS, colposcopy LGSIL: 4-6 months; if non-compliant, consider colposcopy |
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What is the next step in management if HGSIL is discovered on Pap smear?
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Colposcopy with endocervical currettage and directed biopsy
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What is the next step in management: Pap smear is suggestive of CIS or if colposcopy is unsatisfactory or if endocervical biopsy is positive?
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Cone biopsy
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What is the next step in the management if there is a 2 step discrepancy between Pap smear and positive biopsy?
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Cone biopsy
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A pregnant woman presents with numerous erythematous, edematous, vesicular papules along the periumbilical striae distensae. What is the diagnosis?
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PUPP
Pruritic urticarial papules and plaques of pregnancy. |
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What is the treatment of Graves' disease in pregnant women?
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Propylthiouracil
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What are the two tests at the 28th week visit during a pregnancy?
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OGTT, Rh typing
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What is the management of a pregnant patient found to be Rh-?
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Rhogam
Explanation: All Rh- women should be given Rhogam. |
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Why should you check the blood type of all pregnant women who bleed?
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To assess for Rh status.
In women who are Rh-, Rhogam should be given within 72 hours of the bleed. |
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What is the commonest complication of LEEP?
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Postoperative bleeding
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What is the first step in the management of a patient aged over 35, presenting with an abnormal vaginal bleeding pattern?
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Pipelle endometrial biopsy
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How often do you measure hCG after methotrexate treatment for molar pregnancy?
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At day 4, day 7 and weekly until the B-hcg is negative. Treatment is considered to be successful if there is a 7% drop from day 4 to day 7.
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Can a woman who is Hepatitis B surface antigen positive breast feed?
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Yes
E: Breast feeding by Hep BsAg positive mothers does not increase the risk of infection. |
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What is the management of an infant born to a mother who is Hep B surface antigent positive?
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Hepatitis B vaccination
Hepatitis B immunoglobulin |
