Female Health Flashcards
Name this condition. red scaly rash that starts on nipple and spreads to areola on one breast.
Is this diagnosis concerning?
Pagets disease of the breast
Requires biopsy. High incidence of breast cancer
Acute red, swollen and warm area to breast of younger woman with no distinct lump palpable. Symptoms developed quickly and skin has peau d’orange appearance.
Inflammatory breast cancer - highly agressive
If + family hx of BRCA or breast cancer, screening in individual occurs ___ years prior to when family member diagnosed
10 years prior ie. family diagnosed at 45, screening starts at 35 in patient
PID and tubal ligation are risk factors for what medical emergency?
Ectopic pregnancy
T/F. most breast cancer is located in the tail of spence?
True
Heavy menstrual bleeding, pelvic pain or cramping and urinary urgency
Uterine lyeomas or fibroids
T/F. papable ovaries in postmenopausal women is NOT always concerning.
False - rule out ovarian cancer
T/F you can perform a PAP test during menses.
False
Cervical cancer screening starts at what age and ends at what age in US?
21-65
HPV vaccine is given at what age? what is the age range for this vaccine?
11-12 years
9-26 years
KOH slide is used for what condition
Candida
Whiff test is used for
BV
Tzanck smear is used for
HSV
For pts age 21-24 years with LSIL PAP results, repeat PAP test in ____ months
12
If LSIL at age 25-29 years, then what diagnostics to order?
colposcopy w/ cervical biopsy
What is next steps if endometrial cells are observed on PAP?
Endometrial biopsy (NOTE - different from colposcopy)`
Ethyl estradiol and drosperenone COC - give trade name and what it is used for
Yaz
PMDD, PCOS, acne, hirutism
In progestin only COC, if dose is late > 3 hours or a day is missed, backup contraception should be used for ___ days
2 days
Contraindications for COC
Smoker > 35 w/ 15 cigarettes or more per day
History of VTE/DVT
Liver disease
Breast cancer
Unexplained PV bleeding
CAD/CVD
Migraines w/ aura
Follow up in ___ months following COC to check ____
2-3 months, BP
all of the following are:
active PID, pregnancy, hx ectopic, undiagnosed pv bleeding, uterine or cervical abnormality
CI to IUD
Start depo w/ in first ___ days of menstrual cycle
5 days
Ovulation may not occur for weeks or months following removal of what 2 cokntraceptives
Implant and depo provera
If 2 contraceptive pills are missed
take 2 pills for 2 days then use backup till next pack`
Breast lumps that feel tender and rubbery and mobile 2 weeks before menses
fibrocystic breasts
T/F metformin is used to induce ovulation in females w/ PCOS
True
All of the following are at high risk for what condition:
eating disorder
long term use of PPIs
gastric bypass
chronic steroid use
OP
When to repeat DXA after starting biphosphonates
Q 2 years
All of the following are CI to what medication:
Inability to sit upright
Esophageal motility dx
hx of PUD
or hx of GI bleeding
Biphosphonates
Tamoxifen or SERM has increased risk for DVT and PE and is used for osteoporosis. true /false?
True
Abnormal vaginal discharge w/ pH > 4.5 (alkaline)
BV
Petechial or pustular skin lesions of hands and soles; swollen red and tender joints +/- signs of urethritis
Disseminated gonnococcal disease
T/F. MSM there is recommended annual screening of gonorrhoea throat swab in addition to HIV, syphillis and Hep B surface antigen
True
Test of cure for STI in pregnant women occur __ weeks following treatment
3 weeks
Maculopapular rash on hands/ feet or may be generalized. Non-pruritic
Syphillis
True/false. Confirmatory test for syphillis is VDRL or RPR?
False, confirmatory tests are treponemal tests FTA-ABS or TPPA
condylomata lata
secondary syphillis
condylomata accuminata
genital warts HPV
T/F. False + RPR can be caused by pregnancy, lyme disease, autoimmune dx and acute or chronic disease
true
Fitz-Hugh Curtis syndrome
Chlamydial or gonococcal infection of liver capsule. Scars look like violin strings –> complication of PID
Acute febrile reaction occuring w/ in first 24 hours after treatment of syphillis and/or lyme disease. Ususally spontaneously resolves in 12-24 hours
Jarish-Herxheimer reaction
Reiters syndrome
S&S
More common in males. Immune mediated reaction secondary. to chlamydial infection that spontaneously resolves. Treatment is supportive
I can’t see (conjunctivitis), pee (urethritis) or climb up a tree (migratory arthritis - ie. knee)
T/F PID is a clinical diagnosis
TRUE. TREAT!!!!!
All of the following are risk factors for what?
Born between 1975 and 1985
History of mutliple sexual partners
HIV
Tenofovir and zidovudine are treatments for what condition?
What two diagnostics should be monitored for these meds?
U/A - nephrotoxic
CBC - bone marrow suppression
What is the test to order for HIV suspected?
HIV-1, 2 antibody w/ p24 antigen with reflexes
PCP (pneumocystis carinii pneumonia) prophylaxis starts when CD4 counts are < _____
200
