adol/gyn Flashcards

1
Q

leading causes of death in teens

A

MVA
homicide
suicide

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2
Q

criteria for anorexia diagnosis

A

distorted body perception
weight 15% below expected
fear of gaining weight
absence of 3 menstrual cycles

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3
Q

some indications for anorexia admission

A

<75% IBW

body fat < 10%

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4
Q

when does menarche occur relative to thelarche

A

2 yrs after

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5
Q

SMR stage with menarche

A

3 or 4

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6
Q

decreased risk of what with OCPs

A
ovarian cysts
endometrial and ovarian cancer
colorectal cancer
osteoporosis
salpingitis
ectopic pregnancy
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7
Q

absolute contraindications for OCPs

A
migraine with aura/neuro changes
pregnancy
HTN
liver disease
breast cancer
hx of clot or thrombophilia
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8
Q

cutoff for primary amenorrhea

A

age 15 or 3 yrs after thelarche

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9
Q

PCOS lab findings

A

elevated androgen

LH:FSH > 2.5

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10
Q

labs in exercise induced amenorrhea

A

low estradiol

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11
Q

dysfunctional uterine bleeding in developing countries?

A

think TB

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12
Q

heavy menstrual bleeding without pain

A

think Chlamydia

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13
Q

when to treat labial adhesions

A

dysuria or secondary infection - tx estrogen cream

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14
Q

green vaginal discharge

A

gonorrhea or GABHS infection

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15
Q

flat pedunculated papular GU lesions, bleed with minor trauma

A

condyloma acuminata (HPV)

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16
Q

white gray papules that coalesce in genital area

A

condyloma lata (syphilis)

17
Q

causes of BV

A

gardnerella
ureaplasma
mycoplasma

18
Q

vaginal pH cutoff for BV

A

> 4.5

19
Q

frothy yellow vaginal discharge

A

trichomonas

20
Q

tx GC/CT

A

CTX x 1

azithro x 1 vs doxy x 14 days

21
Q

tx PID

A

CTX x 1

doxy x 14 days

22
Q

LFTs in Fitz Hugh Curtis

A

normal

23
Q

ovarian cyst cutoff for aspiration

A

> 6 cm

24
Q

vaginal bleeding with red doughnut shaped mass in GU area

A

urethral prolapse

tx sitz baths