O&g 5

Front 1

How long should lochia be red

Back 1

3 days, after which it should go yellow then white

Important to know as you need to identify secondary PPH

Front 2

Anaemia in pregnancy is Hb<

Back 2

Hb<11

Front 3

Which group of anaemic people must you not give iron INFUSION to

Back 3

Thalassemia

They have high iron levels

Front 4

How long do you give ABx for mastitis

Back 4

At least 10 days

Front 5

A hydrops baby causes what risk top the mother

Back 5

Severe pre-eclampsia!

Front 6

Without intervention, what percentage of babies get HIV from mum

Back 6

15%

Front 7

If HIV positive mum is on cotrimoxazole prophylaxis, what should you also give her in the beginning of pregnancy

Back 7

5mg folic acid

Front 8

If mum found to have HIV, which vaccinations are safe in pregnancy

Back 8

Hep.B

Pneumococcal

Influenza

Front 9

What drug can you give within 24h of birth in HIV+ve mother to suppress lactation

Back 9

Cabergoline!

Front 10

When are babies tested for HIV

Back 10

Day 1

6w

12w

18months

Front 11

How do you treat true hyperthyroidism in pregnancy

Back 11

Propylthiouracil

Front 12

What endocrine issue increases risk of craniosynostosis

Back 12

Hyperthyroidism

Front 13

If hypothyroid, what must you do in pregnancy

Back 13

Increase levothyroxine by 30%

Front 14

It's normal to be hyper or hypo- thyroid after giving birth?

Back 14

Hypo (you were hyper during pregnancy)

Check it's not causing PPDepression

Front 15

Itchy palms and soles in pregnancy

Back 15

Intrahepatic cholestasis of pregnancy

But need to exclude viral hepatitis ESPECIALLY HEPATITIS E!!!!!

Only 25% have increased bilirubin!

Front 16

Treatment of Intrahepatic cholestasis of pregnancy

Back 16

Vitamin K

Ursodeoxycholic acid

Will resolve within days of delivery

Front 17

If mum has Hep C, when will you do vaginal and when c section

Back 17

C section if coexistent HIV

Front 18

If mum had HCV, what do you check baby for and when

Back 18

HCV RNA at 2-3 months

(And 12 months)

(And anti-HCV at 18 months)

Front 19

If bacteruria treated in pregnancy, when must you test for cure

Back 19

At 1 week and 2 weeks post-treatment

Front 20

If pyelonephritis in pregnancy, how often must you test MSUs

Back 20

Every fortnight for the rest of the pregnancy

Front 21

Enzyme inducers in pregnancy (e.g. anti-epileptics) can cause...

Therefore you must give her... From 36 weeks

Back 21

Haemorrhagic disease of the newborn

Vitamin K from 36 weeks

Front 22

Even if epileptic mum on no meds, what is baby more at risk of getting as a malformation

Back 22

Cleft lip

Front 23

What SLE drugs can you have in pregnancy

Back 23

Azathioprine

Hydroxychloroquinolone

Front 24

What extra drug would mothers with SLE have prior to conception and THROUGHOUT pregnancy

Back 24

Aspirin!

Front 25

How do you diagnose antiphospholipid syndrome

Back 25

2 tests taken >8w apart

Lupus anticoagulant

Anticardiolipin antibodies

Front 26

Treatment of antiphospholipid syndrome

Back 26

Aspirin daily FROM CONCEPTION (unlike HTN in pregnancy when you give it from 12 weeks)

LMWH from 6 weeks (when foetal heart identified) til 34 weeks

And then again postpartum for 6 weeks I think

Front 27

What BP warrants admission in pregnancy

Back 27

160/110 or more

Front 28

What's wrong with V/Q scan on pregnancy

Back 28

Increases risk of childhood cancer!

Front 29

What's wrong with CTPA in pregnancy

Back 29

Increased risk of maternal breast cancer

Increased risk of neonatal hypothyroidism due to contrast medium

Front 30

You classically do the day 21 progesterone to see if someone's ovulated, but what day should it really be on

Back 30

7 days prior to next period

I.e. 7 days after ovulation

(Follicular phase can be variable in length but the luteal phase is always 14 days)

And you want it to be >30

Front 31

Which methods of contraception need condoms for the first SEVEN days

Back 31

COCP

IUS!

Implant

Depot

Front 32

Over what number is proteinuria high enough to be pre-eclampsia (g/24h)

Back 32

>0.3g/24h

Front 33

What does serum hCG need to be for you to do expectant management for ectopic pregnancy

Back 33

<200

Front 34

What does serum hCG need to be for you to do surgical management for ectopic pregnancy rather than medical management

Back 34

>1500

Front 35

What does the size of the pregnancy need to be for you to do medical management for ectopic pregnancy rather than surgical

Back 35

<35mm

(Could also do expectant management if hCG low

Front 36

What do you do if ectopic pregnancy, <35mm, <1500 hCG, no foetal heartbeat, painful

Back 36

Surgical management because of the pain!

Front 37

When is parvovirus infective

When is it worse to get it if pregnant

Back 37

Parvovirus B19 is infectious from up to 3 weeks before the rash develops. It is no longer infectious once the rash appears. The risk of transmission increases with gestational age.

Front 38

How can we reduce CMV in pregnancy

Back 38

Reduce exposure to toddler's urine

Front 39

Does reactivation or new infection of CMV in pregnancy hurt the baby

Back 39

New infection does

Front 40

What do you give if toxoplasmosis in pregnancy with non-affected foetus

Back 40

Spiramycin

Front 41

What do you give if toxoplasmosis in pregnancy with AFFECTED foetus (shown by amniocentesis results)

Back 41

Pyrimethamine and sulfadiazine and calcium folinate

Front 42

Ovarian pain tends to be felt in...

Back 42

The iliac fossa, radiating down the front of the thigh to the knee!

Front 43

When should you investigate primary amenorrhea

Back 43

If 15

Or 14 and no breast development

Front 44

What is primary dysmenorrhoea

How can you treat it?

Back 44

Pain without pathology

Mefanamic acid (an NSAID)

COCP

Front 45

What would you expect FSH to be in premature menopause

Back 45

>20

Front 46

What can cause hyperprolactinaemia

Back 46

Stress

Hypothyroidism

Prolactinomas

drugs (phenothiazine antipsychotics, domperidone, metoclopramide)

Front 47

How do you treat HPA malfunction

Back 47

Clomifene if mild

Gonadotrophin-releasing hormone if totally shut down

Front 48

How can you tell if HPA axis dysfunction is mild

Back 48

Endometrium will be shed after a progesterone challenge

Front 49

What types of cancer are people with PCOS at risk of

Back 49

Ovarian and endometrial

Front 50

What are the risks of clomifene

Back 50

Multiple pregnancy

Ovarian cancer

Ovarian hyperstimulation

Front 51

Why are women with PCOS on spirinolactone or finasteride.

What do you need to warn them about

Back 51

Hirsutism

They're both teratogenic