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ABSITE > gyn > Flashcards

gyn Flashcards

1
Q

round ligament

A

antevrts uterus; travels in inguinal canal

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2
Q

broad liggament

A

contains uterine vessels

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3
Q

infundibular ligament

A

contains ovarian aa, nerve, and vein

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4
Q

cardinal ligament

A

holds cervix and vagina

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5
Q

ectopic preg mgmt

A

methotrexate or salpingotomy - STABLE
salpingetomy - UNSTABLE

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6
Q

mittelschmerz what ruptures

A

graafian follicle

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7
Q

risk factor clear cell ca of vagina

A

DES diethylstilbestrol

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8
Q

mgmt vaginal SCC

A

RADIATION

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9
Q

vulvular intraepithelial neoplasms

A

VIN = premalignant (HPV)

HSIL - WLE 0.5-1cm, laser, or TOPICAL IMIQUIMOD with annual surveillance

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10
Q

vulvar SCC ca <2cm (stage I) mgmt

A

WLE 2 cm margin, ipsilateral inguinal node dissection

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11
Q

vulvar SCC ca >2cm (II+ stage) mgmt

A

radical vulvectomy (b/l labia) with b/l inguinal dissection and postop XRT if close margins <1cm

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12
Q

ovarian ca types

A

teratoma
granulosa-theca (ESTROGEN- early puberty)
Sertoli Leydig (ANDROGEN - manly)
struma ovarii (thyroid)
chorio (B-HCG)
mucinous
serous
papillary
clear cell type = worst prognosis

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13
Q

staging ovarian ca

A

I: 1 or 2 ovaries
II; limited to pelvis
III; spread throughout abdomen
IV: distant mets

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14
Q

indication for omentectomy for survival

A

met from ovary

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15
Q

mgmt ovarian ca

A

TAH BSO + pelvic/paraaortic LN dissection, omentectomy, 4 quadrant washes, and CHEMOt

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16
Q

what Is chemo for ovarian ca

A

cisplatin and paclitaxol

17
Q

Meiges syndrome

A

pelvic ovarian fibroma causing ascites and hydrothorax (just excise primary)

18
Q

Krukenberg

A

gastric met to ovary (path: signet ring cells)

19
Q

MC gyn ca

A

endometrial ca

20
Q

endometrial ca staging

A

I: endometrium
II: cervix
III: vagina/peritoneum/ovary
IV: bladder/rectum

21
Q

mgmt endometrial ca

A

TAH and BSO (add XRT once extends beyond cervix)

22
Q

cervical ca staging

A

I: cervix
II: upper 2/3 vagina
III: pelvis/side wall/lower 1/3 vagina/hydronpehrosis
IV: bladder/rectum

23
Q

mgmt cervical ca

A

cone bx if only CIS
TAH (I and IIA)
chemoXRT (IIB to IV) cisplatin/paclitaxel like ovarian

24
Q

mgmt fibroids

A

GnRH agonis (leuprolide)

25
Q

mgmt anovulation

A

clomiphene citrate

26
Q

tocolytic contraindication

A

> 34 wks, nonreassuring fetal HR

27
Q

severe fetal bradycardia

A

<80 bpm

causes: cord compression, cord prolapse, tetanic uterine contractions, maternal seizure, anesthesia effects

28
Q

stat C section indication

A

nonreassuring fetal heart rate
prolapsed cord
placental abruption
uterine rutpure
maternal cardiac arrest

29
Q
A

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