40 - Gynecology Flashcards

1
Q

Ligament that allows anteversion of the uterus

A

Round ligament

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2
Q

Ligament that contains uterine vessels

A

Broad ligament

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3
Q

Ligament that contains ovarian artery, nerve and vein

A

Infundibular ligament

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4
Q

Ligament that holds cervix and vagina

A

Cardinal ligament

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5
Q

Pregnancy on US can be seen at _ weeks

A

6

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6
Q

Gestational sac seen with B-HCG of _

A

1500

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7
Q

Fetal pole seen with B-HCG of _

A

6000

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8
Q

Abortion type with 1st trimester bleeding, CLOSED os, positive sac on US, no heartbeat

A

Missed

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9
Q

Abortion type with 1st trimester bleeding, positive heartbeat

A

Threatened

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10
Q

Abortion type with tissue protruding through os

A

Incomplete

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11
Q

Most common site of ectopic pregnancy

A

Ampullary portion of fallopian tubes

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12
Q

Tx for stable ectopic pregnancy

A

Methotrexate

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13
Q

Tx for unstable ectopic pregnancy

A

Salpingectomy

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14
Q

Most common site of endometriosis

A

Ovaries

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15
Q

Tx for endometriosis

A

OCPs

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16
Q

Tx for PID

A

ceftriaxone

doxycycline

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17
Q

Vesicles with PID

A

HSV

18
Q

Condylomata with PID

A

HPV

19
Q

Positive dark field microscopy

A

Syphilis

20
Q

Rupture of graafian follicle, 14days after 1st day of menses, mistaken for appendicitis

A

Mittelschmerz

21
Q

Associated with clear cell CA of vagina

A

DES (diethylstibestrol)

22
Q

Associated with rhabdosarcoma of vagina

A

Botryoides

23
Q

Tx for most vaginal cancers

A

XRT

24
Q

Tx for vulvar cancer <2cm

A

WLE with ipsilateral inguinal node dissection

25
Q

Tx for vulvar cancer >2cm

A

Radical vulvectomy (b/l labia) with BILATERAL inguinal node dissection, postop XRT if <1cm margins

26
Q

Ovarian cancer with worst prognosis

A

Clear cell type

27
Q

Ovarian cancer stages 1-4

A

I - one or both ovaries only
II - Limited to pelvis
III - Throughout abdomen
IV - Distant metastases

28
Q

Most common site of ovarian cancer initial spread

A

Other ovary

29
Q

Tx for ovarian cancer (6)

A
Total abdominal hysterectomy
Bilateral oophorectomy
Chemo (Cisplatin, paclitaxel)
Pelvic/Aortic LN dissection
Omentectomy
Four quadrant washes
30
Q

Stomach cancer metastasize to ovary

A

Krukenberg tumor

31
Q

Pathology of Krukenberg tumor shows _

A

Signet ring cells

32
Q

Meige’s syndrome

A

Ovarian fibroma causing ascites and hydrothorax

33
Q

Most common malignant tumor in female genital tract

A

Endometrial cancer

34
Q

Cervical cancer goes to _ nodes 1st

A

Obturator

35
Q

Cervical cancer associated with _

A

HPV 16 and 18

36
Q

Tx of cervial cancer without basement membrane involvement (microscopic dz)

A

Cone biopsy

37
Q

Tx of stage I/IIa cervical cancer

A

Total abdominal hysterectomy

38
Q

Tx of >IIb cervical cancer

A

Chemo-XRT (Cisplatin and paclitaxel)

39
Q

Abnormal uterine bleeding <40yo likely due to and treatments (2)

A

Anovulation - Clomiphene citrate

Leiomyomas (fibroids) - GnRH agonist (leuprolide)

40
Q

Abnormal uterine bleeding >40yo likely due to and treatments

A

Cancer or menopause - Needs biopsy

41
Q

Most common vaginal tumor

A

Invasion from surrounding or distant structure

42
Q

Tx for hydatidiform mole

A

Chemo (methotrexate)