Bakr GP past papers notes (dragged).pdf

- Physiotherapy and vaginal pessary is the ideal answer Symptomatic cystocele is treated with pelvic floor muscle exercise and vaginal pessary If mild and not symptomatic then do not treat If stress incontinence try conservative then refer to surgery if it doesn’t work 27. PM woman w/ recurrent dy...

- Physiotherapy and vaginal pessary is the ideal answer Symptomatic cystocele is treated with pelvic floor muscle exercise and vaginal pessary If mild and not symptomatic then do not treat If stress incontinence try conservative then refer to surgery if it doesn’t work 27. PM woman w/ recurrent dysuria + vaginal dryness à topical estrogen – obs/gynae 28. Pregnant woman w/ white vaginal discharge after course of amoxicillin à topical antifungal; I think this is Bacterial vaginosis (treat w/ metronidazole esp in pregnancy bc there is high risk of preterm delivery) – obs/gynae / infections - Shouldn’t this be thrush since its white discharge and history of antibiotics? For that you give clotrimazole pessaries. - Bacterial vaginosis if “MALODROUS”, you give metronidazole - Answer is topical antifungal (clotrimazole pessaries), DON’T PICK ORAL FLUCANZOLE because patient is pregnant 29. Seizure in waiting room, airway cleared à diazepam/midazolam/loosen clothes/turn the patient into the recovery position/check glucose – neuro -