Gynaecology UK Medical PG Flashcards - Medical Study Cards
Master Gynaecology with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Gynaecology Flashcard Deck - 10 Cards
Flashcard 91: What is the initial investigation for ectopic pregnancy?
_____
Answer: Urine pregnancy test
Extra: Diagnostic algorithm for Ectopic Pregnancy:
1. **Initial/Best screening test:** Urine Pregnancy Test (UPT). If negative, ectopic is highly unlikely.
2. **Next step/Investigation of choice:** Transvaginal Ultrasound (TVS).
3. **Gold standard:** Laparoscopy (usually reserved for treatment or hemodynamically unstable patients).
4. **Bio-chemical marker:** Serial serum beta-hCG (failure to double in 48 hours).
Flashcard 92:
What is the treatment for menorrhagia in uterine fibroids if contraception is undesired?
_____
Answer: NSAIDs + tranexamic acid
Flashcard 93: What is the buzzword for cervical cancer?
_____
Answer: Postcoital bleeding
Flashcard 94: What are the non-hormonal pharmacotherapy options for vasomotor symptoms in menopause?\n_____
Answer: SSRI, SNRI, Gabapentin, or Clonidine
Extra: Hormone Replacement Therapy (HRT) is the most effective treatment for vasomotor symptoms but is contraindicated in patients with a history of breast cancer, thromboembolism, or active liver disease. Non-hormonal options like Paroxetine (SSRI) or Venlafaxine (SNRI) are preferred in these cases.
Flashcard 95: The incidence of uterine fibroids increases with _____ and fibroids tend to shrink post-menopause
Answer: age
Flashcard 96: What is the most common presenting symptom in endometriosis?
Answer: Chronic pelvic pain / Secondary Dysmenorrhea
Extra: While dysmenorrhea is the most common specific symptom, chronic pelvic pain is the most frequent general presenting complaint. Infertility is another major presentation (found in ~30-50% of cases).
Flashcard 97:
Uterine fibroids are _____ smooth muscle tumours of the uterus that are most commonly located in the myometrium
Answer: benign
Flashcard 98:
Cervical cancer may present with _____ and abnormal appearance of the cervix upon examination
Answer: abnormal vaginal bleeding or discharge
Flashcard 99:
How is menopause diagnosed?
_____
Answer: Clinically, FSH measurement is not recommended by NICE in healthy woman > 45 years
Flashcard 100:
_____ is a chronic gynaecological condition characterised by the presence of endometrial-like tissue outside the uterus
Answer: Endometriosis
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