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OB-gyn > 03-08 U-world > Flashcards

03-08 U-world Flashcards

1
Q

eval for postmenopausal bleeding

A

TVUS or endometrial bx (endo thickness of 4+mm on TVUS still needs bx)

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2
Q

rapid onset breast erythema + dimpling

A

inflammatory breast carcinoma

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3
Q

RUQ pain in HELLP syndrome

A

liver swelling/distension of hepatic capsule

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4
Q

pts w/ PCOS have inc risk of ___ cancer

A

endometrial - due to estrogens unopposed by progesterone

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5
Q

adnexal mass w/ lack of doppler flow

A

ovarian torsion - prompt laparoscopy indicated

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6
Q

RUQ pain, hypoglycemia, leukocytosis, hyperbili, inc LFTs (only2-3x nml), thrombocytopenia

A

acute fatty liver of pregnancy (due to abnml maternal-fetal fatty acid metabolism) -> manage w/ immediate delivery

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7
Q

malodorous off-white vaginal discharge

A

BV: pH >4.5, clue cells, tx w/ metronidazole or clinda

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8
Q

carboprost tromethamine (hemabate) contraindications

A

asthma (PG F2a analog)

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9
Q

methylergonovine (methergine) contraindications

A

HTN (b/c potent vasoconstrictor)

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10
Q

mammary paget dz assoc w/ ___

A

adenocarcinoma

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11
Q

unilateral bloody nipple discharge

A

breast papilloma

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12
Q

condylomata lata vs acuminata

A 
lata = syphilis (smooth)
acuminata = genital warts (verrucous)
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13
Q

next steps for pts w/ dec fetal movement

A

NST -> BPP if NST is nonreactive

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14
Q

tx for CT w/ negative GC

A

azithromycin

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15
Q

tx for GC w/ neg CT

A

ceftriaxone + azithromycin

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16
Q

active phase arrest definition

A

no cervical change for >4 hrs despite adequate contractions -> move to C/S

17
Q

dysmenorrhea + deep dyspareunia

A

endometriosis

18
Q

fertility tx for pt w/ PCOS

A

weight loss -> letrozole (aromatase inhibitor) vs clomiphene citrate (SERM)

19
Q

management of uterine tachysystole

A

dc the oxytocin

20
Q

abd pain, vaginal bleeding + loss of fetal station

A

uterine rupture

21
Q

tx for pregnant pt w/ oophorectomy prior to 10 wks

A

supplement progesterone

22
Q

tx for placenta previa

A

c-section at 36-37 weeks

23
Q

magnesium excretion

A

renal

24
Q

vulvovaginal atrophy vs lichen sclerosus

A

lichen sclerosus can involve the perianal region

25
Q

BP med for severe maternal HTN, w/ bradycardia

A

IV hydral or nifedipine PO

26
Q

pathophys of neonatal thyrotoxicosis

A

transplacental passage of maternal TSH-R Abs -> bind to baby + cause XS thyroid hormone release

tx w/ methimazole + B-blocker

27
Q

hyperandrogenism after puberty + elevated 17-OHP

A

nonclassical CAH (partial def in 21-hydroxylase)

28
Q

unilocular adnexal mass w/ homogenous low level echoes

A

chocolate cyst

OB-gyn (6 decks)

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