AAFP OB/GYN Flashcards

0
Q

Most common pharmacologic cause of galactorrhea?

Other causes

A

Oral contraceptive

Metoclopramide, methyldopa, coding/morphine, SSRIs/tricyclics/dopamine receptor blockers

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1
Q

Adolescent complaining of dysmenorrhea consisting of heavy periods for seven days with no spotting in between. Appropriate next step?

A

Naproxen during periods

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2
Q

Most accurate estimate of gestational age in first trimester? Second trimester? Third trimester?

A
#Crown rump length
#Biparietal diameter and femur length
#Biparietal diameter, femur length, abdominal circumference
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3
Q

Position to allow for visualization of child’s vagina and cervix without instrumentation?

A

Knee-chest position

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4
Q

Drug to decrease size of ovarian cysts?

A

OCP

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5
Q

Patient should remove contraceptive diaphragm within? Why?

A

24 hours; associated with toxic shock syndrome

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6
Q

Atypical cervical squamous cells divided into what categories?

A
#Atypical squamous cells of unknown significance
#Atypical squamous cells – cannot exclude HSIL
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7
Q

Most reliable clinical symptoms of uterine rupture?

A

Fetal distress

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8
Q

Pt presents with ASCUS - management?

A
#Immediate colposcopy
#Reflex DNA testing for oncogenic HPV test
#Repeat cytology at 4-6 months (if two repeat psychologies are negative, return to routine screenings)
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9
Q

Amsel criteria?

A

3/4 needed for BV

#pH over 4.5 (most sensitive)
#clue cells over 20% (most specific)
#Positive Whiff test
#Homogenous discharge
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10
Q

Advice to give every patient on flagyl?

A

May cause disulfiram reaction with alcohol

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11
Q

Recommended treatment for intravaginal genital warts in pregnant women?

A

Cryotherapy with liquid nitrogen or trichloroacetic acid

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12
Q

Pt most likely to get pregnant if she has sex when?

A

One day prior to ovulation

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13
Q

When to screen for GBS in pregnant patient?

A

35-37 weeks gestation

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14
Q

Management for patient with PID and TOA?

A
#Hospitalization
#Cefoxitin IV + doxycycline
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15
Q

Delayed puberty defined as?

A
# no secondary sexual characteristics by age 13
#No menarche by age 16
#No menarche five years after pubertal development
16
Q

Most common cause of atypical glandular cells of undetermined significance (AGUS)?

17
Q

Treatment for endometriosis?

18
Q

Typical treatment for primary dysmenorrhea?

19
Q

Warts on vaginal mucosa itself – treatment?

A
#Trichloroacetic acid
#Interferons injection

(Podofilox and Podofilin not safe on mucosa)

20
Q

Painless bright red vaginal bleeding in pregnancy after 24 weeks?

A

Placenta previa

21
Q

Brisk vaginal bleeding and uterine tenderness in pregnant patient – likely diagnosis?

A

placenta abruption

22
Q

When does a diaphragm need to be refitted? How long should it remain in place after intercourse?

A

Weight gain over 15 pounds, pregnancy, pelvic surgery

6-24 hours

23
Q

Menstruating patient presents with thin-walled, simple cyst less than 8 cm – management?

A

Recheck in 2 to 3 months with ultrasound for resolution

24
Effect of conjugated estrogen on breast cancer risk?
Increases
25
Fetal macrosomia – indication for induction or cesarean section?
NO!
26
Vulvar cancer under age 50 associated with? Over age 50?
HPV Lichen sclerosis
27
Most accurate test (if positive) to determine whether patient will have preterm birth?
Vaginal Fetal fibronectin
28
Plan B emergency contraception consists of?
Levonogestrel taken 12 hours apart
29
Possible downside for epidural anesthesia during L&D?
``` #Longer labor; #more instrument assisted deliveries; #more fourth degree lacerations ```
30
Differential for Metrorrhagia?
``` #Cervical disease #IUD problem #Endometritis #Polyps #Submucous myoma #Endometrial hyperplasia #Cancer ```