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Gynecology > Cervical Disorders > Flashcards

Cervical Disorders Flashcards

0
Q

MC cervical lesion
Intermenstrual or post coital spotting
Not premalignant

A

Cervical polyp

Polypectomy/Electrocautery

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1
Q

Mucous retention cyst of endocervical columnar cells
MC cervical cyst
MC menstruating women

A

Nabothian cyst

Reassurance

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2
Q

Oligomenorrhea, amenorrhea, dysmenorrhea
Cervical dystocia during labor
Congenital

A

Cervical stenosis

Gentle dilatation

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3
Q

Pap smear

WNL

A

Repeat as routine

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4
Q

Pap smear

Inflammation w/o atypia

A

Treat inflammation

Repeat as routine

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5
Q

Pap smear

Inflammation with atypia

A

Treat inflammation

Repeat pap smear

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6
Q

Pap smear

ASCUS

A

Colposcopy and biopsy

Or repeat pap smear after 3 mos

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7
Q

Pap smear

LSIL

A

Colposcopy and biopsy
Acetowhite lesions
Mild mosaicism and punctations
Leukoplakia

Koilocytosis
CIN I

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8
Q

Pap smear

HSIL

A

Colposcopy and biopsy
Very dense acetowhite leaions
More coarse mosaicism and punctation
Ulcerations

CIN II
CIN III

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9
Q

Diagnostic conization

A

T zone not completely evaluated
Uncertainty
Extension to ectocervix
Microinvasive disease

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10
Q

CIN I

A

Observation

Repeat pap smear 3 months

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11
Q

CIN II AND III

A

Ablative therapy
Excisional procedure
Hysterectomy

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12
Q

Frequent malignancies of female genital tract

A

Endometrial
Ovaria
Cervical

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13
Q

Neoplasia from
Ectocervix
Endocervix

A

Squamous MC cauliflower shaped

Adenoca Less common barrel shaped

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14
Q

MC symptom of cervical ca

A

Vaginal bleeding

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15
Q

Cervical Ca staging

A 
I cervix
II uterus and upper vagina
A 
B with parametrial invasion
III pelvic wall and lower third of vagina kidney
IV bladder rectum
16
Q

I-IIA

A

Extrafascial hysterectomy

17
Q

MCC death of cervical ca

A

Uremia

18
Q

HPV quadrivalent vaccine

A

9-26
3 doses over a period of 6 months 0-2-6
6 11 16 18

Gynecology (11 decks)

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