Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABSITE > gyn > Flashcards

gyn Flashcards

1
Q

round ligament

A

anteverts uterus; travels in inguinal canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

broad ligament

A

contains uterine vessels; lateral uterus to pelvic sidewalls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

infundibular ligament “suspensory ligaments”

A

contains ovarian aa, nerve, and vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

cardinal ligament

A

holds cervix and vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ectopic preg mgmt

A

methotrexate or salpingotomy - STABLE
salpingetomy - UNSTABLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

mittelschmerz what ruptures

A

graafian follicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

risk factor clear cell ca of vagina

A

DES diethylstilbestrol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mgmt vaginal SCC

A

RADIATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

vulvular intraepithelial neoplasms

A

VIN = premalignant (HPV)

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

vulvar SCC ca <2cm (stage I) mgmt

A

WLE 2 cm margin, ipsilateral inguinal node dissection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ovarian cyst concerning features

A

thick septation
solid + vascularity
papillary projections
>10 cm

if there, oophorectomy with intraop sections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ovarian cyst mgmt

A

US surveillance if no high risk features

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ovarian torsion risk factors

A

5cm cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ovarian ca risk factors

A

nulliparity
late menopause
early menarche
PCOS
endometriosis
smoking
family hx
BRCA, Lynch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

protective factors for ovarian ca

A

OCPs
bilateral tubal ligation
previous pregnancies
breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

staging ovarian ca

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

indication for omentectomy for survival

A

met from ovary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

mgmt ovarian ca

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what Is chemo for ovarian ca

A

cisplatin and paclitaxol

22
Q

Meiges syndrome

A

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

23
Q

Krukenberg

A

gastric met to ovary (path: signet ring cells)

24
Q

MC gyn ca

A

endometrial ca

25
Q

risk factors endometrial ca

A

unopposed E… nulliparity, later in life first pregnancy, obesity, use of tamoxifen

26
Q

endometrial ca staging

A

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

27
Q

mgmt endometrial ca

A

TAH and BSO (add XRT once extends beyond cervix)

28
Q

cervical ca staging

A

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

29
Q

where does cervical ca spread

A

obturator nodes

30
Q

mgmt cervical ca

A

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

31
Q

mgmt fibroids

A

GnRH agonis (leuprolide)

32
Q

mgmt anovulation

A

clomiphene citrate

33
Q

tocolytic contraindication

A

> 34 wks, nonreassuring fetal HR

34
Q

severe fetal bradycardia

A

<80 bpm

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

35
Q

stat C section indication

A

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

36
Q

Rh alloimmunization concept

A

if mom is Rh-: give mom Rh IgG within 72 hours and at delivery (if confirmed baby is Rh-positive)

37
Q

what fetal monitoring to for EGS

A

< 24 wks: pre & post op fetal herat tones

> 24 wks: continuous intraop fetal HR monitoring +/- tocodynamometry

38
Q

physiologic changes to CV system in pregnancy

A

dilutional anemia
leukocytosis
thrombocytosis
increased fibrinogen and 7, 8, 9, 10

39
Q

physiologic changes to Pulm system in pregnancy

A

increased tidal volume
decreased functional residual capacity
O2 consumption
chronic compensated respiratory alkalosis

40
Q

physiologic changes to GI system in pregnancy

A

decreased motility
decreased esophageal sphincter competency
increased aspiration risk

41
Q

nonoperative ectopic indications

A

HD normal
B-hcg < 5000
no fetal cardiac activity

give methotrexate:
follow up with B-hcg monitoring until undetectable
CI: if hemodynamically abnormal, simultaneous pregnancy, active pulmonary disease, renal insufficiency, peptic ulcer disease, immunosuppression, actively breast feeding

42
Q

operative ectopic indcations

A

salpingostomy: if want pregnancy in future
salpingectomy: if ruptured, tubal damage, uncontrolled bleeding, gestation is >3-5cm (too large for salpingostomy)

43
Q

CT scan A/P risk

A

2.5 rad

5 is organogenesis risk

44
Q

ACOG and ASA for GA

A

no risk to in utero developmentrime

45
Q

trimester restrictions to laparoscopcy

A

NONE

46
Q

laparoscopic port insertion in pregant patient

A

Hasson
6cm above most gravid part
1st tri: normal

47
Q

fetal fast

A

of fetuses
position placenta
location placenta
amniotic fluid volume
fetal cardiac activity
fetal femur length

48
Q

kleinhauser Bekte test

A

positive = abruption and is an indicator for preterm labor
do prompt Rh Ig administration

49
Q

mgmt TOA

A

clindamycin + aminoglycoside then PO

50
Q
A

ABSITE (37 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions