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Genitourinary System > Clinical Care of the OB&GYN Conditions > Flashcards

Clinical Care of the OB&GYN Conditions Flashcards

1
Q

breast pain or tenderness

pain worsen during premenstrual phase

multiple and bilateral masses

fluctuation in mass size

absence of enlargement or tenderness of lymphadenopthy

A

Breast mass

“Fibricystic Conditions”

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2
Q

treatment of beast mass “fribricystic conditions”

A

NSAIDS

avoid trauma

supportive bra

decrease fat intake

eliminate caffeine

Vitamin E

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3
Q

Round or ovoid mass

rubbery

discrete

relatively movable

non-tender

A

Fibroadenoma

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4
Q

common after:
segmental resection / radiation therapy / trauma / breast augmentation

A

Fat Necrosis

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5
Q

what is the 2nd most common cancer in woman and 2nd leading cause of death

A

Breast Carcinoma

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6
Q

what are risk factors for Female breast carcinoma

A

age

family Hx

Genetics

Reproductive Hx

Menstrual Hx

PMx

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7
Q

single, non-tender, firm to hard mass and ill defined margins

A

Breast Carcinoma

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8
Q

once regular menses is established what is the most common cause of abnormal Uterine bleeding

A

ovulatory dysfunction

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9
Q

painful menstrual cramping

signs of amenia

A

abnormal uterine bleeding

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10
Q

treatment for AUB-O

A

Hormone treatment

NSAIDS

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11
Q

when the emotional or mood Sx predominate along with the physical Sx and there is a clear fictional impairment with work or personal relationships

A

Premenstrual Dysphoric Disorder (PMDD)

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12
Q

treatment of Premenstrual Dysphoric Disorder (PMDD)

A

aerobic exercise

reduction of caffeine, salt, alcohol

Vitamin D or magnesium

increase complex carbs

hormonal Contraceptives

SSRI

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13
Q

vaginal irritation or pruritus

pain

unusual or malodorous discharge

Bi-manual Exam

Pelvic inflammation

Cervical motion tenderness

adexal tenderness

A

Vaginitis 0

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14
Q

vaginal irritation or pruritus

pain

unusual or malodorous discharge

Bi-manual Exam

Pelvic inflammation

Cervical motion tenderness

adexal tenderness

A

Vaginitis 0

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15
Q

white curd like discharge

NOT malodorous

exposure to hot humid conditions and wears occlusive clothing

A

Vuvovaginal Candidiasis

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16
Q

STI

Malodorous frothy

yellow-green discharge

strawberry cervix - red macular lesions

A

Trichomonas Vaginalis Vaginitis

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17
Q

polymicrobial disease

NOT an STI

Chronic

Increased Malodorous

A

Bacterial Vaginosis

18
Q

in bacterial Vaginosis vaginal pH is frequently greater than what

A

4.5

19
Q

Treatment of Vulvovaginal Candidiasis

A

Fluconazole

20
Q

treatment for trichmonas vaginalis Vaginitis

A

treat both partners with metronidazole (flagyl)

21
Q

treatment for Bacterial Vaginosis

A

Metronidazole

22
Q

treatment for Chlamydia

A

Doxyxyxline

23
Q

treatment for Gonorrhea

A

Ceftriaxone (Rocephin)

24
Q

periodic painful swelling on either side of the introitus

dysoareunia

A

bartholins gland abscess

25
Q

what is the most common benign neoplasm of the female genital tract

A

Leiomyoma of the uterus (fibroid tumor)

26
Q

Sx:

dysmenorrhea

chronic pelvic pain

Dyspareunia

abnormal uterine bleeding

infertility

PE:
tender nodules in the cul-de-dac or rectovaginal septum

cervical motion tenderness

adnexal mass or tenderness

A

Endometriosis

27
Q

lower abdominal pain

chills fever

menstrual disturbances

purulent cervical discharge

cevical adnexal tenderness

A

pelvic inflammatory disease

28
Q

pelvic inflammatory disease is what type of infection

A

polymicrobial of upper GI tract

29
Q

pelvic inflammatory disease is most common in what population of females

A

young

nulliparous

polysexual

30
Q

what is the leading cause of infertility and ectopic pregnancy

A

pelvic inflammatory disease

31
Q

whats provides the most significant protection against pelvic inflammatory disease

A

barrier method of contraception

32
Q

menstrual disorder

infertility

skin disorders

insulin resistance

A

polycystic ovarian syndrome

33
Q

sexual pain disorder with recurrent or persistent genital pain associated with sexual intercourse this is not associated with lack of lubrication or vaginismus

A

Dyspareunia

34
Q

whats the most common cause of dyspareunia

A

vulvodynia

35
Q

sensation of burning

pain

itching

stinging

irritation

rawness

A

vulvodynia

36
Q

sexual disorder with recurrent or persistent involuntary spasm of the musculature of the outer third if the vagina

A

vaginismus

37
Q

interferes with sexual intercourse due to:

fear

pain

sexual violence

negative attitude towards sex

A

Vaginismus

38
Q

treatment for vaginismus

A

sexual counseling and edu

edu on lube and botox injections

39
Q

treatment for vulvodynia

A

topical anesthetics

tricyclic antidepressents

SSRI

gabapentin

physical therapy

40
Q

what instruction covers sexual assult on ships

A

SECNAVINST 1752.4

Genitourinary System (7 decks)

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