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Laughing Your Way > Adolescent/Gynecology > Flashcards

Adolescent/Gynecology Flashcards

1
Q

Inability to maintain healthy body weight

A

Anorexia nervosa

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2
Q

Diagnostic criteria for anorexia nervosa

A

1) distorted body perception
2) restriction of energy intake
3) intense fear of gaining weigh

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3
Q

Highest fatality rate of any mental health disorder

A

Anorexia nervosa

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4
Q

Binge eating with Compensatory mechanism

A

Bulimia nervosa

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5
Q

Binge eating without compensatory mechanism

A

Binge eating disorder

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6
Q

When parental consent is not required

A

Life threatening emergencies
Medical care during pregnancy
Treatment for STI
Treatment for substance abuse
Emancipated minor

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7
Q

Onset of menses

A

2 years after thelarche
After peak height velocity
SMR stage 3 or 4

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8
Q

White odorless mucous discharge that precedes menarche by 3-6 mo

Treatment

A

Physiologic leukorrhea

No intervention

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9
Q

First Pap smear

A

21 yo

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10
Q

Lack of menses by age 15
Or 3 years following breast development

A

Primary amenorrhea

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11
Q

3 mo amenorrhea after onset of menses

A

Secondary amenorrhea

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12
Q

Amenorrhea
DUB
obesity
Hirsutism
Acne
Elevated testosterone levels

Management

A

Polycystic ovary disease (PCOS)

Diet/exercise
Low androgen OCP
Spironolactone
Metformin for obese

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13
Q

Female athletic triad

A

Amenorrhea
Osteoporosis
Disordered breathing

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14
Q

Management for female athletic triad

A

Increase caloric intake
Reduction in training intensity
Calcium supplements
Smoking cessation

NOT OCPs

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15
Q

Etiology of primary dysmenorrhea

Management

A

Prostaglandins produced during ovulation cycle

NSAIDs

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16
Q

Management for labial adhesions with Dysuria or secondary bacterial infection

A

Estrogen cream

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17
Q

Full sexual maturity
No menarche
Cyclical abdominal pain
Abdominal mass
Bluish bulging hymen

A

Imperforate hymen

18
Q

Abdominal pain
No palpable midline mass

A

Turbo-ovarian abscess

19
Q

Vaginal irritation
Pain
Pruritus
Dysuria

A

Vulvovaginitis

20
Q

Non sexually transmitted causes of vulvovaginitis

A

Enterobius vermiculariS
GAS
Staph
Candida

21
Q

sexually transmitted causes of vulvovaginitis

A

Gonorrhea
Chlamydia
Trichomonas
HSV

22
Q

Milk curd discharge
Itchy

Management

A

Candida vaginitis

Topical clotrimazole

23
Q

Malodorous
Fishy
Amine odor
“Whiff test”
Clue cells

Management

A

Bacterial vaginosis

(Gardenella vaginalis, ureaplasma, mycoplasma hominis)

Metronidazole

24
Q

Diagnostic criteria for bacterial vaginosis

A

Copious grey-white vaginal discharge
Vaginal pH > 4.5
Clue cells
Fish odor on KOH

25
Q

Flat papular warts
Pedunculated
Sexual contact

Management

A

Condyloma acuminata
(HPV)

Chemical cauterization
(Podophyllin or podofilox)

26
Q

Diagnostic evaluation for HSV

A

Viral culture

27
Q

Red crusted suprapubic macules
Blue-gray dots (maculae cerulae)
Slow/sluggish

Management

A

Pediculosis pubis (pubic lice)

Permethrin

28
Q

Most prevalent no viral STD in US teens

A

Trichomonas vaginalis

29
Q

Burning. Itching
Abnormal vaginal odor
Dyspareunia
Flagellated organisms
Frothy yellow discharge
Strawberry cervix

Management

A

Trichomonas vaginalis

Flagyl
Abstinence until both partners are treated
Repeat test 3mo later

30
Q

Most common reportable STD

A

Chlamydia trachomatis

31
Q

Treatment for chlamydia

A

Doxycycline x 7 days
Or
Azithromycin 1g x 1

32
Q

Lower abdominal pain
Shuffling gait
Cervical motion tenderness

A

Pelvic inflammatory disease

33
Q

Most appropriate STI screening for asymptomatic sexually active person

A

Urine PCR Chlamydia and gonorrhea
Serum HIV and syphilis

34
Q

Treatment for gonorrhea STI

A

ceftriaxone IM x 1

<150 kg: 500mg
>150 kg: 1g

35
Q

RUQ pain
Sexually active

A

Fitz-high Curtis syndrome
(Perihepatitis)

36
Q

Unilateral abdominal discomfort
Fluid filled ovarian cyst

Management

A

Ovarian cyst

<6cm: f/u US
>6cm or Sx: laparoscopic cyst aspiration

37
Q

Sudden lower abdominal pain
Radiates to back, side, groin/leg
N/V

A

Ovarian torsion

38
Q

Definition of abnormal uterine bleeding

A

Occurs in cycles < 20 days or > 45 days apart
Lasts > 7 days
Large amount of blood loss per episode
(>80mL or > 10 saturated pads/tampons per day)

39
Q

Disulfiram-like reaction

A

Alcohol + metronidazole

40
Q

Large LAD in groin
“Groove” sign

Management

A

Lymphogranuloma venereum
(Chlamydia trachomatis)

Doxycycline 100mg PO BID x 3 wks

41
Q

Pituitary infarction (necrosis)
Postpartum hemorrhage/shock
Hypopituitarism

A

Sheehan Syndrome

(Postpartum hypopituitarism)

Laughing Your Way (34 decks)

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