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2.2) Other Cards > Female Reproduction - UWorld > Flashcards

Female Reproduction - UWorld Flashcards

1
Q

Premenstrual Syndrome (PMS) is characterized by which 2 Types of Symptoms?

A
  1. Emotional, and
  2. Physical
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2
Q

When in the Menstrual Cycle do Premenstrual Syndrome (PMS) symptoms Occur?

A

PMS symptoms occur in the Second-Half of the Menstrual Cycle.

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3
Q

When in the Menstrual Cycle do Premenstrual Syndrome (PMS) symptoms Resolve?

A

PMS symptoms resolve promptly with the Onset of Menses.

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4
Q

What are (3) Emotional Symptoms characteristic of Premenstrual Syndrome (PMS)?

A
  1. Depression
  2. Anxiety
  3. Irritability
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5
Q

What are (2) Physical Symptoms characteristic of Premenstrual Syndrome (PMS)?

A
  1. Bloating
  2. Breast Tenderness
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6
Q

What is the First-Line Treatment for both Premenstrual Syndrome (PMS) and Premenstrual Dysmorphic Disorder (PMDD)?

A

Selective Serotonin Reuptake Inhibitors (SSRIs)

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7
Q

If the initial treatment for Premenstrual Syndrome (PMS) or Premenstrual Dysmorphic Disorder (PMDD) is ineffective, what (2) Treatments should be tried next?

A
  1. Another SSRI. or
  2. Estrogen-Progesterone oral contraceptive
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8
Q

What are the (3) Side Effects of Combined Hormonal Contraception (CHC) methods (eg, pills, patch, ring)?

A
  1. Breakthrough Bleeding (Most Common)
  2. Breast Tenderness
  3. Nausea
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9
Q

What are (5) Side Effects of Depot Medroxyprogesterone Acetate (DMPA)?

A
  1. Reversible Bone Loss
  2. Amenorrhea
  3. Weight Gain (+/-)
  4. Delayed Return to Fertility
  5. Initial Irregular Bleeding
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10
Q

What is a Side Effect of Progestin Subdermal Implant contraception?

A

Irregular Bleeding

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11
Q

What are the (2) Side Effects of Progestin IUD contraception?

A
  1. Irregular Bleeding
  2. Amenorrhea
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12
Q

What are the (2) Side Effects of Copper IUD contraception?

A
  1. Heavy Menses
  2. Dysmenorrhea
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13
Q

What is the Unscheduled/Breakthrough Bleeding with Combined Hormonal Contraception (CHC) pill use due to?

A

Thin Atrophic Unstable Endometrium that sheds erratically.

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14
Q

List (6) Types of Contraception Options from MOST Effective to LEAST Effective (by % effectiveness):

A
  1. Intrauterine Device (> 99%)
  2. Implant (> 99%)
  3. Injection (94%)
  4. Pills/Patch/Ring (91%)
  5. Condom (80%)
  6. Withdrawal (75%)
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15
Q

What are (2) First-Line Contraceptives typically recommended for Adolescents?

A
  1. Intrauterine Devices (IUDs)
  2. Subdermal Implants

(Long-acting Reversible Contraceptives)

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16
Q

What are (3) Clinical Features of a Vaginal Foreign Body in a Prepubertal Girl?

A
  1. Vaginal Spotting
  2. Malodorous Vaginal Discharge
  3. NO signs of trauma (eg, lacerations)
17
Q

What is the Most Common Object found to be the cause for a diagnosis of Vaginal Foreign Body in a Prepubertal Girl?

A

Toilet Paper

18
Q

What are (2) Management Steps in the Treatment of a Vaginal Foreign Object in a Prepubertal Girl?

A
  1. Warm Irrigation
  2. Vaginoscopy under Sedation/Anesthesia (eg, can’t tolerate above procedure or can’t remove easily with above procedure)
19
Q

What are (12) Absolute Contraindications to taking Combined Hormonal Contraceptives?

A
  1. Migraine with Aura
  2. ≥ 15 cigarettes/day AND Age ≥ 35
  3. Hypertension (≥ 160/100 mmHg)
  4. Heart Disease
  5. Diabetes Mellitus with End-Organ Disease
  6. History of Thromboembolic Disease
  7. Antiphospholipid-Antibody Syndrome
  8. History of Stroke
  9. Breast Cancer
  10. Cirrhosis & Liver Cancer
  11. Major Surgery with Prolonged Immobilization
  12. Use < 3 weeks Postpartum
20
Q
  1. What is the Most Common VIRAL Sexually Transmitted Disease in the U.S.?
  2. What is the VIRAL Etiology of this STD?
A
  1. Condylomata Acuminata (genital warts)
  2. Human Papilloma Virus (HPV)
21
Q

Concerning the treatment of patients with Condylomata Acuminata:

Unlike Trichloroacetic Acid, which medication is NOT indicated for Internal use and should NOT be used during Pregnancy?

A

Podophyllin (External use only in men and women who aren’t pregnant)

22
Q

What are the Breast Cancer Screening Recommendations for women with Breast Implants?

A

Women with Breast Implants should have Screening Mammograms at Regular Intervals.

2.2) Other Cards (4 decks)

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