Female Reproduction - UWorld Flashcards
Premenstrual Syndrome (PMS) is characterized by which 2 Types of Symptoms?
- Emotional, and
- Physical
When in the Menstrual Cycle do Premenstrual Syndrome (PMS) symptoms Occur?
PMS symptoms occur in the Second-Half of the Menstrual Cycle.
When in the Menstrual Cycle do Premenstrual Syndrome (PMS) symptoms Resolve?
PMS symptoms resolve promptly with the Onset of Menses.
What are (3) Emotional Symptoms characteristic of Premenstrual Syndrome (PMS)?
- Depression
- Anxiety
- Irritability
What are (2) Physical Symptoms characteristic of Premenstrual Syndrome (PMS)?
- Bloating
- Breast Tenderness
What is the First-Line Treatment for both Premenstrual Syndrome (PMS) and Premenstrual Dysmorphic Disorder (PMDD)?
Selective Serotonin Reuptake Inhibitors (SSRIs)
If the initial treatment for Premenstrual Syndrome (PMS) or Premenstrual Dysmorphic Disorder (PMDD) is ineffective, what (2) Treatments should be tried next?
- Another SSRI. or
- Estrogen-Progesterone oral contraceptive
What are the (3) Side Effects of Combined Hormonal Contraception (CHC) methods (eg, pills, patch, ring)?
- Breakthrough Bleeding (Most Common)
- Breast Tenderness
- Nausea
What are (5) Side Effects of Depot Medroxyprogesterone Acetate (DMPA)?
- Reversible Bone Loss
- Amenorrhea
- Weight Gain (+/-)
- Delayed Return to Fertility
- Initial Irregular Bleeding
What is a Side Effect of Progestin Subdermal Implant contraception?
Irregular Bleeding
What are the (2) Side Effects of Progestin IUD contraception?
- Irregular Bleeding
- Amenorrhea
What are the (2) Side Effects of Copper IUD contraception?
- Heavy Menses
- Dysmenorrhea
What is the Unscheduled/Breakthrough Bleeding with Combined Hormonal Contraception (CHC) pill use due to?
Thin Atrophic Unstable Endometrium that sheds erratically.
List (6) Types of Contraception Options from MOST Effective to LEAST Effective (by % effectiveness):
- Intrauterine Device (> 99%)
- Implant (> 99%)
- Injection (94%)
- Pills/Patch/Ring (91%)
- Condom (80%)
- Withdrawal (75%)
What are (2) First-Line Contraceptives typically recommended for Adolescents?
- Intrauterine Devices (IUDs)
- Subdermal Implants
(Long-acting Reversible Contraceptives)
What are (3) Clinical Features of a Vaginal Foreign Body in a Prepubertal Girl?
- Vaginal Spotting
- Malodorous Vaginal Discharge
- NO signs of trauma (eg, lacerations)
What is the Most Common Object found to be the cause for a diagnosis of Vaginal Foreign Body in a Prepubertal Girl?
Toilet Paper
What are (2) Management Steps in the Treatment of a Vaginal Foreign Object in a Prepubertal Girl?
- Warm Irrigation
- Vaginoscopy under Sedation/Anesthesia (eg, can’t tolerate above procedure or can’t remove easily with above procedure)
What are (12) Absolute Contraindications to taking Combined Hormonal Contraceptives?
- Migraine with Aura
- ≥ 15 cigarettes/day AND Age ≥ 35
- Hypertension (≥ 160/100 mmHg)
- Heart Disease
- Diabetes Mellitus with End-Organ Disease
- History of Thromboembolic Disease
- Antiphospholipid-Antibody Syndrome
- History of Stroke
- Breast Cancer
- Cirrhosis & Liver Cancer
- Major Surgery with Prolonged Immobilization
- Use < 3 weeks Postpartum
- What is the Most Common VIRAL Sexually Transmitted Disease in the U.S.?
- What is the VIRAL Etiology of this STD?
- Condylomata Acuminata (genital warts)
- Human Papilloma Virus (HPV)
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?
Podophyllin (External use only in men and women who aren’t pregnant)
What are the Breast Cancer Screening Recommendations for women with Breast Implants?
Women with Breast Implants should have Screening Mammograms at Regular Intervals.
