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Leik > Female Health > Flashcards

Female Health Flashcards

1
Q

Name this condition. red scaly rash that starts on nipple and spreads to areola on one breast.
Is this diagnosis concerning?

A

Pagets disease of the breast
Requires biopsy. High incidence of breast cancer

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2
Q

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.

A

Inflammatory breast cancer - highly agressive

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3
Q

If + family hx of BRCA or breast cancer, screening in individual occurs ___ years prior to when family member diagnosed

A

10 years prior ie. family diagnosed at 45, screening starts at 35 in patient

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4
Q

PID and tubal ligation are risk factors for what medical emergency?

A

Ectopic pregnancy

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5
Q

T/F. most breast cancer is located in the tail of spence?

A

True

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6
Q

Heavy menstrual bleeding, pelvic pain or cramping and urinary urgency

A

Uterine lyeomas or fibroids

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7
Q

T/F. papable ovaries in postmenopausal women is NOT always concerning.

A

False - rule out ovarian cancer

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8
Q

T/F you can perform a PAP test during menses.

A

False

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9
Q

Cervical cancer screening starts at what age and ends at what age in US?

A

21-65

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10
Q

HPV vaccine is given at what age? what is the age range for this vaccine?

A

11-12 years
9-26 years

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11
Q

KOH slide is used for what condition

A

Candida

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12
Q

Whiff test is used for

A

BV

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13
Q

Tzanck smear is used for

A

HSV

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14
Q

For pts age 21-24 years with LSIL PAP results, repeat PAP test in ____ months

A

12

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15
Q

If LSIL at age 25-29 years, then what diagnostics to order?

A

colposcopy w/ cervical biopsy

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16
Q

What is next steps if endometrial cells are observed on PAP?

A

Endometrial biopsy (NOTE - different from colposcopy)`

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17
Q

Ethyl estradiol and drosperenone COC - give trade name and what it is used for

A

Yaz
PMDD, PCOS, acne, hirutism

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18
Q

In progestin only COC, if dose is late > 3 hours or a day is missed, backup contraception should be used for ___ days

A

2 days

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19
Q

Contraindications for COC

A

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

20
Q

Follow up in ___ months following COC to check ____

A

2-3 months, BP

21
Q

all of the following are:
active PID, pregnancy, hx ectopic, undiagnosed pv bleeding, uterine or cervical abnormality

A

CI to IUD

22
Q

Start depo w/ in first ___ days of menstrual cycle

A

5 days

23
Q

Ovulation may not occur for weeks or months following removal of what 2 cokntraceptives

A

Implant and depo provera

24
Q

If 2 contraceptive pills are missed

A

take 2 pills for 2 days then use backup till next pack`

25
Q

Breast lumps that feel tender and rubbery and mobile 2 weeks before menses

A

fibrocystic breasts

26
Q

T/F metformin is used to induce ovulation in females w/ PCOS

A

True

27
Q

All of the following are at high risk for what condition:
eating disorder
long term use of PPIs
gastric bypass
chronic steroid use

A

OP

28
Q

When to repeat DXA after starting biphosphonates

A

Q 2 years

29
Q

All of the following are CI to what medication:
Inability to sit upright
Esophageal motility dx
hx of PUD
or hx of GI bleeding

A

Biphosphonates

30
Q

Tamoxifen or SERM has increased risk for DVT and PE and is used for osteoporosis. true /false?

A

True

31
Q

Abnormal vaginal discharge w/ pH > 4.5 (alkaline)

A

BV

32
Q

Petechial or pustular skin lesions of hands and soles; swollen red and tender joints +/- signs of urethritis

A

Disseminated gonnococcal disease

33
Q

T/F. MSM there is recommended annual screening of gonorrhoea throat swab in addition to HIV, syphillis and Hep B surface antigen

A

True

34
Q

Test of cure for STI in pregnant women occur __ weeks following treatment

A

3 weeks

35
Q

Maculopapular rash on hands/ feet or may be generalized. Non-pruritic

A

Syphillis

36
Q

True/false. Confirmatory test for syphillis is VDRL or RPR?

A

False, confirmatory tests are treponemal tests FTA-ABS or TPPA

37
Q

condylomata lata

A

secondary syphillis

38
Q

condylomata accuminata

A

genital warts HPV

39
Q

T/F. False + RPR can be caused by pregnancy, lyme disease, autoimmune dx and acute or chronic disease

A

true

40
Q

Fitz-Hugh Curtis syndrome

A

Chlamydial or gonococcal infection of liver capsule. Scars look like violin strings –> complication of PID

41
Q

Acute febrile reaction occuring w/ in first 24 hours after treatment of syphillis and/or lyme disease. Ususally spontaneously resolves in 12-24 hours

A

Jarish-Herxheimer reaction

42
Q

Reiters syndrome
S&S

A

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)

43
Q

T/F PID is a clinical diagnosis

A

TRUE. TREAT!!!!!

44
Q

All of the following are risk factors for what?
Born between 1975 and 1985
History of mutliple sexual partners

A

HIV

45
Q

Tenofovir and zidovudine are treatments for what condition?
What two diagnostics should be monitored for these meds?

A

U/A - nephrotoxic
CBC - bone marrow suppression

46
Q

What is the test to order for HIV suspected?

A

HIV-1, 2 antibody w/ p24 antigen with reflexes

47
Q

PCP (pneumocystis carinii pneumonia) prophylaxis starts when CD4 counts are < _____

A

200

Leik (19 decks)

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