Bobs And Vagene

Question 1

Raised yellow cysts on vulva, dx? Pathology?

Answer 1

Fox fordyce

Keratin plugged glands

Question 2

Small red outgrowths at urethra, dx? Pathology in kids vs adults

Answer 2

Urethral caruncles

Kids: prolapsed urethral epithelium
Adults: contraction of hypo-estrogenic vagina

Question 3

Red TENDER vulvar dots, dx? Tx?

Answer 3

Vulvar vestibulitis

Tx: hormones, steroids

Question 4

Progression of stages of vaginal cancer

Answer 4

Vagene ➡️ subvagene tissue ➡️ pelvic side wall ➡️ bladder/rectum

Question 5

WHO genitalia mutilation class 1

Answer 5

Partial clit/prepuce

Question 6

WHO genitalia mutilation class 2

Answer 6

Partial/total clit + minora

Question 7

WHO genitalia mutilation class 3

Answer 7

Narrowing vaginal opening

Question 8

WHO genitalia mutilation class 4

Answer 8

Anything else

Question 9

Atrophic vaginitis, cause? Tx?

Answer 9

Cause =⬇️ estrogen
Tx = topical estrogen
Oral estrogen is recurrent

Question 10

Histo of lichen schlerosis, tx?

Answer 10

⬇️ rete ridges

Tx = clobetasol

Question 11

Histo of lichen simplex chronicus, tx?

Answer 11

⬆️ rete ridges

Tx = steroids

Question 12

Decubitus ulcers causes (2)

Answer 12

1 chronic pressure

2 moist skin (in continence)

Question 13

Most common epithelial location for fibroid/leiomyoma

Answer 13

Intramural (myometrium)

Question 14

Tx for ovarian surface epithelial tumors, how about in older women?

Answer 14

Unilateral oophorectomy + APPENDECTOMY

older women: b/l salpingo-oophorectomy + hysterectomy

Question 15

1 risk factor for ovarian torsion

Answer 15

> 5cm ovarian mass

Question 16

How often do women with HMB change their pad?

Answer 16

Every 1-2 hours, esp if they bleed for more than a week

Question 17

Most common cause of primary amennorhea in women with normal secondary characteristics

Answer 17

Mullerian agenesis

Question 18

Bleeding 🩸 > 80cc can cause …

Answer 18

Anemia

Question 19

Progesterone challenge: if they bleed after withdrawal (+ test), then it is

Answer 19

PCOS

Question 20

Progesterone challenge: if they DONT bleed after withdrawal (- test), then it is

Answer 20

Structural (cus the blood can’t come out)

Question 21

BI-RADS mammography score 1

Answer 21

No mass

Question 22

BI-RADS mammography score 2

Answer 22

Benign mass

Question 23

BI-RADS mammography score 4

Answer 23

Sus

Question 24

BI-RADS mammography score 5

Answer 24

> 95% chance malignant

Question 25

BI-RADS mammography score 6

Answer 25

PROVEN malignant

Question 26

Grab em right by the

Answer 26

Bro don’t do that

Question 27

Method for testing breast lesions for <40 vs >40

Answer 27

<40 = ultrasonography >40 = mammography (MAMAography for the MAMAs)

Question 28

BRCA carriers should get breast lesions screened by...

Answer 28

MRI

Question 29

Cyclic mastalgia defn, tx?

Answer 29

Breast pain during luteal ➡️ right before menses Danazol

Question 30

Who gets tested for cystic fibrosis?

Answer 30

ALL PREGNANT PATIENTS

Question 31

Teratogenic effect of thalidomide?

Answer 31

Limb defects (tha-LIMB-domide)

Question 32

Anti anxiety of choice during pregnancy

Answer 32

Fluoxetine

Question 33

When do you give Rho-GAM? 2 points

Answer 33

28 weeks | Within 72 hours of delivery

Question 34

VEAL CHOP

Answer 34

Variable decelerations = cord compression Early decelerations = head compression Accel = okay late deceleration = placental insuff

Question 35

Braxton Hicks

Answer 35

Irregular contractions WITHOUT cerival changes

Question 36

Pelvic shapes good for birth

Answer 36

Gynecoid | Anthropod

Question 37

Only approved med to induce labor?

Answer 37

Pitocin

Question 38

Dividing septum in dizygotic twins

Answer 38

Thick amnion-chorion separation

Question 39

Dividing septum in monozygotic twins

Answer 39

Thin dividing membrane

Question 40

What if the first twin is coming out in breech?

Answer 40

C section

Question 41

Most common type of anastomoses , tx?

Answer 41

Arterial-arterial Photocoagulation

Question 42

Most common cause of first trimester abortions (2)

Answer 42

Turner | Trisomy 16

Question 43

Threatened vs inevitable abortion

Answer 43

``` Threatened = vaginal bleeding Inevitable = vaginal bleeding + dilated cervix (that mans coming out no matter what) ```

Question 44

Incomplete vs complete abortion

Answer 44

Incomplete = passage of SOME products of conception Do a D&C Complete = passage of ALL products of conception

Question 45

Missed abortion px

Answer 45

Asymptomatic

Question 46

Septic abortion

Answer 46

Fever, tenderness, retained and infected products of conception

Question 47

Blighted ovum definition

Answer 47

Just makes a placenta, no embryo

Question 48

Definition of recurrent abortions

Answer 48

>3 in a row

Question 49

Most common cause of mater al death in 1st TM

Answer 49

Ectopic pregnancy

Question 50

Pregnant bitch with blurry vision might have

Answer 50

Pre eclampsia

Question 51

Management of pre eclampsia <37 weeks

Answer 51

Monitor

Question 52

Management of pre eclampsia >37 weeks

Answer 52

Induce labor

Question 53

Mild vs severe pre eclampsia: what are the bp’s and symptoms?

Answer 53

Mild: 140-160, asymptomatic Severe: >160, symptomatic

Question 54

Management for severe pre eclampsia

Answer 54

Deliver >34 weeks

Question 55

Prevention of pre eclampsia in high risk patients?

Answer 55

Low dose aspirin

Question 56

Risk factors for pre eclampsia

Answer 56

Did you ever hear the tragedy of Darth Plagueis The Wise? I thought not. It’s not a story the Jedi would tell you. It’s a Sith legend. Darth Plagueis was a Dark Lord of the Sith, so powerful and so wise he could use the Force to influence the midichlorians to create life… He had such a knowledge of the dark side that he could even keep the ones he cared about from dying. The dark side of the Force is a pathway to many abilities some consider to be unnatural. He became so powerful… the only thing he was afraid of was losing his power, which eventually, of course, he did. Unfortunately, he taught his apprentice everything he knew, then his apprentice killed him in his sleep. Ironic. He could save others from death, but not himself.

Question 57

In both pre eclampsia and eclampsia, the method of delivery is...

Answer 57

Regular vagene delivery

Question 58

FIRST THING TO DO IN ECLAMPSIA

Answer 58

protect the fookin airway dawg mans are have a seizureaaz

Question 59

Method and timing of of delivery in placenta previa

Answer 59

36 week C section

Question 60

Most common cause of third trimester bleeding

Answer 60

Abruption

Question 61

Most common cause of DIC in pregnancy, and management

Answer 61

Abruption Steroids if <34 weeks

Question 62

What is couvelaine uterus , and cause?

Answer 62

Purple uterus because of abruption

Question 63

Most common cause of maternal death

Answer 63

Postpartum hemorrhage within 24 hours (“primary hemorrhage”)

Question 64

Post partum hemorrhage non pharm hemorrhage

Answer 64

Uterine massage

Question 65

Post partum hemorrhage pharm therapy - hormone?

Answer 65

Oxytocin, may cause hyPOTN

Question 66

Post partum hemorrhage pharm therapy - drug to avoid in HTN?

Answer 66

Methylgon

Question 67

Post partum hemorrhage pharm therapy - drug to avoid in asthmatics?

Answer 67

15methyl (hemabate) “She gets short of breath when sHE MAsturBATEs”

Question 68

Post partum hemorrhage pharm therapy - drug to avoid in hyPOTN?

Answer 68

Dinoprostone (PGF2 analog)

Question 69

What does inverted uterus look like

Answer 69

Fundus poking through vagene

Question 70

Management of inverted uterus causing post partum hemorrhage

Answer 70

Do NOT DELIVER PLACENTA until you fix the uterus

Question 71

Post partum (<48hiurs) fever with uterine tenderness, dx?

Answer 71

Purperal sepsis Do NOT even consider extra pelvic causes

Question 72

Persistent post partum fever despite abx treatment?

Answer 72

Septic pelvic thrombophlebitis

Question 73

Is HPV vaccine safe in pregnancy?

Answer 73

Fuck no

Question 74

Is HPV vaccine safe in breast feeding?

Answer 74

Yeeee

Question 75

Can people with an abnormal Pap smear get HPV vaccine?

Answer 75

Yeeee

Question 76

How many shots is full HPV vaccination?

Answer 76

3; 2nd and 2 months, 3rd at 6 months

Question 77

most common cause infant mortality

Answer 77

Preterm (20-37)

Question 78

Screening for pre term labor

Answer 78

Fetal fibronectin (released with uterine activity)

Question 79

Management of pre term labor if before 34 weeks

Answer 79

Begin tocolysis

Question 80

Go to drug for tocolysis

Answer 80

MgSO4

Question 81

MOA of MgSO4

Answer 81

Competes with Ca2+, prevents contractions

Question 82

Maternal and fetal side affects of MgSO4

Answer 82

Maternal: resp depression, heart conduction problems Fetal: ⬇️ APGAR

Question 83

Nifedipine is a ... (class). MOA?

Answer 83

Tocolytic for pre term labor CCB *may replace MgSO4 for go-to tocolytic*

Question 84

NSAID for tocolytic?

Answer 84

Indomethacin, inhibition of prostaglandins synth

Question 85

Most *commonly* used tocolytic

Answer 85

Indomethacin

Question 86

When do you give steroids for fetal lung maturity

Answer 86

24-34

Question 87

Definition of IUGR

Answer 87

Weight <10%ile

Question 88

Post term pregnancy definition and management

Answer 88

>38 weeks, induce labor at 42

Question 89

Definition of intrauterine demise

Answer 89

>20weeks Spontaneous labor usually within a couple weeks, if not, induce labor

Question 90

IUD absolute contradiction

Answer 90

Breast cancer

Question 91

IUD side effect

Answer 91

Ectopic pregnancy can occur

Question 92

What method of contraception is associated with highest risk for UTI

Answer 92

Diaphragm

Question 93

A cap is just a small version of a

Answer 93

Diaphragm