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Bobs And Vagene > Bobs And Vagene > Flashcards

Bobs And Vagene Flashcards

1
Q

Raised yellow cysts on vulva, dx? Pathology?

A

Fox fordyce

Keratin plugged glands

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2
Q

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

A

Urethral caruncles

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

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3
Q

Red TENDER vulvar dots, dx? Tx?

A

Vulvar vestibulitis

Tx: hormones, steroids

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4
Q

Progression of stages of vaginal cancer

A

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

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5
Q

WHO genitalia mutilation class 1

A

Partial clit/prepuce

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6
Q

WHO genitalia mutilation class 2

A

Partial/total clit + minora

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7
Q

WHO genitalia mutilation class 3

A

Narrowing vaginal opening

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8
Q

WHO genitalia mutilation class 4

A

Anything else

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9
Q

Atrophic vaginitis, cause? Tx?

A

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

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10
Q

Histo of lichen schlerosis, tx?

A

⬇️ rete ridges

Tx = clobetasol

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11
Q

Histo of lichen simplex chronicus, tx?

A

⬆️ rete ridges

Tx = steroids

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12
Q

Decubitus ulcers causes (2)

A

1 chronic pressure

2 moist skin (in continence)

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13
Q

Most common epithelial location for fibroid/leiomyoma

A

Intramural (myometrium)

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14
Q

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

A

Unilateral oophorectomy + APPENDECTOMY

older women: b/l salpingo-oophorectomy + hysterectomy

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15
Q

1 risk factor for ovarian torsion

A

> 5cm ovarian mass

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16
Q

How often do women with HMB change their pad?

A

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

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17
Q

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

A

Mullerian agenesis

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18
Q

Bleeding 🩸 > 80cc can cause …

A

Anemia

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19
Q

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

A

PCOS

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20
Q

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

A

Structural (cus the blood can’t come out)

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21
Q

BI-RADS mammography score 1

A

No mass

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22
Q

BI-RADS mammography score 2

A

Benign mass

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23
Q

BI-RADS mammography score 4

A

Sus

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24
Q

BI-RADS mammography score 5

A

> 95% chance malignant

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25
Q

BI-RADS mammography score 6

A

PROVEN malignant

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26
Q

Grab em right by the

A

Bro don’t do that

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27
Q

Method for testing breast lesions for <40 vs >40

A

<40 = ultrasonography

> 40 = mammography (MAMAography for the MAMAs)

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28
Q

BRCA carriers should get breast lesions screened by…

A

MRI

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29
Q

Cyclic mastalgia defn, tx?

A

Breast pain during luteal ➡️ right before menses

Danazol

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30
Q

Who gets tested for cystic fibrosis?

A

ALL PREGNANT PATIENTS

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31
Q

Teratogenic effect of thalidomide?

A

Limb defects (tha-LIMB-domide)

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32
Q

Anti anxiety of choice during pregnancy

A

Fluoxetine

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33
Q

When do you give Rho-GAM? 2 points

A

28 weeks

Within 72 hours of delivery

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34
Q

VEAL CHOP

A

Variable decelerations = cord compression

Early decelerations = head compression

Accel = okay

late deceleration = placental insuff

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35
Q

Braxton Hicks

A

Irregular contractions WITHOUT cerival changes

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36
Q

Pelvic shapes good for birth

A

Gynecoid

Anthropod

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37
Q

Only approved med to induce labor?

A

Pitocin

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38
Q

Dividing septum in dizygotic twins

A

Thick amnion-chorion separation

39
Q

Dividing septum in monozygotic twins

A

Thin dividing membrane

40
Q

What if the first twin is coming out in breech?

A

C section

41
Q

Most common type of anastomoses , tx?

A

Arterial-arterial

Photocoagulation

42
Q

Most common cause of first trimester abortions (2)

A

Turner

Trisomy 16

43
Q

Threatened vs inevitable abortion

A 
Threatened = vaginal bleeding
Inevitable = vaginal bleeding + dilated cervix (that mans coming out no matter what)
44
Q

Incomplete vs complete abortion

A

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

Complete = passage of ALL products of conception

45
Q

Missed abortion px

A

Asymptomatic

46
Q

Septic abortion

A

Fever, tenderness, retained and infected products of conception

47
Q

Blighted ovum definition

A

Just makes a placenta, no embryo

48
Q

Definition of recurrent abortions

A

> 3 in a row

49
Q

Most common cause of mater al death in 1st TM

A

Ectopic pregnancy

50
Q

Pregnant bitch with blurry vision might have

A

Pre eclampsia

51
Q

Management of pre eclampsia <37 weeks

A

Monitor

52
Q

Management of pre eclampsia >37 weeks

A

Induce labor

53
Q

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

A

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

54
Q

Management for severe pre eclampsia

A

Deliver >34 weeks

55
Q

Prevention of pre eclampsia in high risk patients?

A

Low dose aspirin

56
Q

Risk factors for pre eclampsia

A

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.

57
Q

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

A

Regular vagene delivery

58
Q

FIRST THING TO DO IN ECLAMPSIA

A

protect the fookin airway dawg mans are have a seizureaaz

59
Q

Method and timing of of delivery in placenta previa

A

36 week C section

60
Q

Most common cause of third trimester bleeding

A

Abruption

61
Q

Most common cause of DIC in pregnancy, and management

A

Abruption

Steroids if <34 weeks

62
Q

What is couvelaine uterus , and cause?

A

Purple uterus because of abruption

63
Q

Most common cause of maternal death

A

Postpartum hemorrhage within 24 hours (“primary hemorrhage”)

64
Q

Post partum hemorrhage non pharm hemorrhage

A

Uterine massage

65
Q

Post partum hemorrhage pharm therapy - hormone?

A

Oxytocin, may cause hyPOTN

66
Q

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

A

Methylgon

67
Q

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

A

15methyl (hemabate)

“She gets short of breath when sHE MAsturBATEs”

68
Q

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

A

Dinoprostone (PGF2 analog)

69
Q

What does inverted uterus look like

A

Fundus poking through vagene

70
Q

Management of inverted uterus causing post partum hemorrhage

A

Do NOT DELIVER PLACENTA until you fix the uterus

71
Q

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

A

Purperal sepsis

Do NOT even consider extra pelvic causes

72
Q

Persistent post partum fever despite abx treatment?

A

Septic pelvic thrombophlebitis

73
Q

Is HPV vaccine safe in pregnancy?

A

Fuck no

74
Q

Is HPV vaccine safe in breast feeding?

A

Yeeee

75
Q

Can people with an abnormal Pap smear get HPV vaccine?

A

Yeeee

76
Q

How many shots is full HPV vaccination?

A

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

77
Q

most common cause infant mortality

A

Preterm (20-37)

78
Q

Screening for pre term labor

A

Fetal fibronectin (released with uterine activity)

79
Q

Management of pre term labor if before 34 weeks

A

Begin tocolysis

80
Q

Go to drug for tocolysis

A

MgSO4

81
Q

MOA of MgSO4

A

Competes with Ca2+, prevents contractions

82
Q

Maternal and fetal side affects of MgSO4

A

Maternal: resp depression, heart conduction problems

Fetal: ⬇️ APGAR

83
Q

Nifedipine is a … (class). MOA?

A

Tocolytic for pre term labor

CCB

may replace MgSO4 for go-to tocolytic

84
Q

NSAID for tocolytic?

A

Indomethacin, inhibition of prostaglandins synth

85
Q

Most commonly used tocolytic

A

Indomethacin

86
Q

When do you give steroids for fetal lung maturity

A

24-34

87
Q

Definition of IUGR

A

Weight <10%ile

88
Q

Post term pregnancy definition and management

A

> 38 weeks, induce labor at 42

89
Q

Definition of intrauterine demise

A

> 20weeks

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

90
Q

IUD absolute contradiction

A

Breast cancer

91
Q

IUD side effect

A

Ectopic pregnancy can occur

92
Q

What method of contraception is associated with highest risk for UTI

A

Diaphragm

93
Q

A cap is just a small version of a

A

Diaphragm

Bobs And Vagene (1 decks)

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