Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year2 Repro exam II > Amenorrhea and endometriosis/infertility > Flashcards

Amenorrhea and endometriosis/infertility Flashcards

1
Q

labs to order for primary amenorrhea

A 
serum pregnancy test
CBC
US
FSH/LH
E2
karyotype
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

whats telarche

A

onset of female breast development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is pubarche

A

appearance of sexual hair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is adrenarch

A

growth of axillary hair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is primary amenorrhea

A

failure to menstruate by age 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is secondary amenorrhea

A

absence of menstruation for 3 cycles> 6 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

common causes primary amenorrhea

A 
constitutional delay
45XO, 46XY
pituitary tumor
congenital adrenal hyperplasia
genital tract anomaly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

signs pituitary tumor

A

headaches, blurry vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dx steps primary amenorrhea

A 
height weight BP
evaluate secondary sexual characteristics
look for signs androgen excess
visual fields
chromosomes
FSH LH E2
androgens TSH and PRL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common causes secondary ammenorrhea

A 
stress
weight loss/gain
post pill and depo provera
PCOS
premature menopause or premature ovarian failure
hyperPRL
pituitary adenoma
drug induced
PREGNANCY
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is sheehans

A

post partum hemorrhage, infarct pituitary

stop menstruating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

uncommon causes secondary amenorrhea

A 
kallmans
sheehans
cushings
ashermans
thyroid disease
post encephalitis
androgen producing tumors
cervical stenosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

clincal evaluation for secondary amenorrhea

A

life events, weight exercise, pregnancy

visual fields, secondary sexual characteristics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

primary labs for secondary amenorrhea

A

FSH LH E2 TSH PRL
androgens
US
visual fields

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

secondary tests secondary amenorrhea

A

CT pituitary
DXM suppression
hydroxyPROG
hysteroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

labs for primary infertility

A

FSH LH Progesterone, semen analysis
HSG
diagnostic laparoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when is progesterone done

A

day 21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

hemosiderin laden macrophages in spots found on ligaments on uterus

A

endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

endometriosis

A

ectopic endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how to Dx endometriosis

A

laparoscopy +/- Bx

21
Q

Sx endometriosis

A

dysmenorrhea
dyspareunia
infertility

pre-menstrual staining
pain with defection during menstruation
intermenstrual pain
disordered cycles

22
Q

most important in Dx of endometriosis

A

careful Hx

23
Q

gold standard for endometriosis Dx

A

laparoscopy

24
Q

differenctial Dx for endometriosis

A

primary dysmenorrhea
IBS
ovulation pain
PID

25
Q

theories that cause endometrium

A

retrograde menstruation

peritoneal metaplasia

26
Q

predisposing factors endometriosis

A 
familial
disordered immunity
environmental toxins
recurrent ovulation
infertile partner
obstructed menstrual flow
27
Q

hwo to mange endometriosis

A

if pain use medical Rx
if infertility then surgery
no problem, don’t need to tx

28
Q

what type of medical Rx would you use in endometriosis

A

progestins: OCP, provera or norethisterone, mirena IUD

29
Q

benefits of laparoscopy with diathermy in endometriosis

A

dec pain

dec infertility

30
Q

what is infertility

A

12 mo of regular sex without contraception

31
Q

principal causes of infertility

A 
ovulation
sperm
tubal
cervical factor
endometriosis
32
Q

how to test ovulation

A

check body temperature- progesterone
check progesterone at day 21
LH surge in urine

33
Q

how to test if tubes are still open

A

hysterosalpingogram
laparoscopy with dye studies
(both can open tube up if mild obstructin)

34
Q

testing cervix

A

around day 12 or 13
sample mucous after intercourse
can also use this to look at sperm

35
Q

what is semen analysis

A 
48-72 hours
collect whole sample
examined 1-2 hours at room temp
look at count, motility and morphology
if abnormal- repeat.
36
Q

labs if suspec tmenopause

A 
CBC
FSH LH
TSH
Pregnancy
endometrial Bx and pap
37
Q

Tx for menopause with Sx

A

HRT

38
Q

perimenopause

A

time leading up to menopause, time when ocarian function and hormone production are declining

39
Q

premature menopause

A

before age 40

40
Q

menopause Sx

A 
vasomotor Sx
sleep changes
mood changes
UG Sx, dryness and atrophy
sexual well being, libido
skin changes
41
Q

decreased E can lead to

A

vasomotor Sx, urogenital disorders, CHD risk factors, skin changes
CV disease
bone loss/osteoporosis

42
Q

decreased P can cause

A

irregular periods

PMS

43
Q

decreased androgen Sx

A

decrease mood, energy
msucle weakness
dec libido
osteopenia

44
Q

what is better HT at time of menopause or after menopause

A

HT does not increase CHD if started within 5 years of onset

does increase risk CHD if initiated late

45
Q

when is risk of VTE with HT occur

A

1st year of use

46
Q

When should E be taken to prevent dementia of menopause

A

perimenopause or very onset menopause

47
Q

when do we give P as well as E for HRT

A

still have uterus because protects against uterine CA

48
Q

Tx for menopausal patients with mild vasomotor Sx

A

lifestyle changes
dietary isoflavones
black cohosh
Vit E

49
Q

Tx for mod-severe vasomotor Sx

A

HT “gold standard”
SSRIs and gabapentin
Progestogens

Year2 Repro exam II (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions