Female Flashcards
STD Screen recs?
ALL 18-24
Pregnant and >24 with RF
Safe HTN meds in preg?
Bb
CCB
Best Anti-depressant in preg?
Sertraline
FHT at what time?
10-12 wks
Fetal Movement by?
18-20 wks
1st Tri bleeding work up? (4)
CBC
Wet Prep (No culture)
Progesterone
BHCG
Progesterone Testing results interpretation in 1st tri bleeding?
25 = No abortion
GTT Cutoffs?
fasting: 109
1hr: 190
2hr: 165
3hr: 145
Quad screen at?
15-21 wks
- 5% False P
- 81% specific
US starts when?
18-20 wks
3rd tri work up important?
R/O Placenta Previa (NO EXAM)
Breast CA Self exam screening?
USPSTF = Dont do ACS = Optional starting at 20
Breast Clinical Exam?
USPSTF = Not great, individualize
ACS = Starting at 20
- Every 3 yrs until 40
- Every 1 yr after 40
Mammorgram recs?
USPSTF = 50-74 every 2 yrs
Cervical CA recs?
Start @21
- 3 yrs PAP until 30
- 5 yrs PAP + HPV 30 - 65
Stop PAP?
Hysterectomy for non-CA reason
10 yrs of normal PAPs and >65
LSIL with (-) HPV
Routine screen
LSIL with (+) HPV
1 yr re-exam
HSIL next step?
Colpo
CIN II or III?
3x exams at 6 mo
- Normal = routine
HPV vaccine?
3 steps
- Age 9 - 26
Who gets Endometrial CA screen?
HNPCC
- bx starting at age 35
Breast Cancer RFs?
Weight Age 1st degree relative Menarche before 12 Menopause after 45 AMA with first preg DES Hormonal Therapy
Breast Cancer protective:
Less E exposure Early age of 1st preg Multiparity SERM NSAIDs/Aspirin