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EOR Womens Health > GYN > Flashcards

GYN Flashcards

1
Q

MC organism in BV

A

Gardnerella vaginalis

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2
Q

discharge is watery gray filmy with fishy/musty odor

A

BV

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3
Q

(+) whiff test and presence of clue cells

A

BV

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4
Q

Treatment for bacterial vaginosis

A

Metronidazole (Flagyl) 500mg BID x7

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5
Q

flagellated protozoan T. vaginalis causes

A

Trichomonas

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6
Q

discharge is copious frothy green with a fishy odor and pruritus

A

Trich

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7
Q

PE finding indicative of Trichomonas

A

strawberry cervix

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8
Q

Wet mount showing a motile organism

A

Trichomonas

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9
Q

discharge is like “cottage cheese” white and clumpy with pruritus

A

Candidiasis

MCC Candida albicans

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10
Q

wet prep demonstrates pseydohyphae

A

Candidiasis

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11
Q

Hx of small painless genital ulcer that healed
Now Inguinal LAN with abscess formation
+/- proctitis

A

Lymphogranuloma Venereum (LGV)

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12
Q

rectal discharge, bleeding, and painful inflammation in MSM recent travel to South America

A

LGV

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13
Q

Treatment of LGV

A

Doxycycline 100mg BID x3weeks

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14
Q

Cause of syphilis

A

Treponema pallidum

corkscrew spaed spirochete

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15
Q

Primary stage of syphilis

A

painless ulcer at site of exposure

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16
Q

diffuse maculopapular rash with lesions involving palms and soles

A

secondary syphilis

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17
Q

condylomata lata

A

moist heads up lesions in intertriginous regions

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18
Q

Different classifications of tertiary syphilis

A

Neurosyphilis
Cardiovascular (now rare)
Gummatous/Late benign syphilis

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19
Q

Sxs of neurosyphilis-

A 
P: personality- emotional lability
A: affect- flat
R: reflexes- hyperreflexia
E: eye- Argyll-Robertson pupil
S: sensorium- illusions, delusions, hallucinations
I: intellect- memory & judgement impairment
S: speech- slurring
 \+ tabes dorsalis
\+ CN abnl, ocular, & otic manifestations
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20
Q

w/o for syphilis

A

VDRL or RPR for screening

FTA-ABS is confirmatory

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21
Q

Tx for primary, secondary, and early latent syphilis

A

Benxathine Penicillin G (Bicillin) 2.4mill units IM x1

22
Q

Tx late latent syphilis

A

Bicillin weekly x3

23
Q

Neurosyphilis tx options

A

Aqueous PCN G IV daily x2weeks
Procaine PCN IM daily + Probenecid QID x2wk
Ceftriaxone 2g IV daily x2wk

24
Q

dysmenorrhea

A

painful menses

25
Q

menorrhagia

A

prolonged menstrual bleed >7d

26
Q

metorrhagia

A

bleeding between menstrual periods

27
Q

menmetorrhagia

A

prolonged, excessive, irregular

28
Q

MCC PID

A

Chlamydia & Gonorrhea

29
Q

abd pain and cervical motion tenderness

A

PID

30
Q

Outpt tx for PID

A

Ceftriaxone IM + Doxy BID 14d

31
Q

MCC mastitis

if bilat suspect

A

Staph aureus

bilat- neonatal streptococcal infection

32
Q

breast abscess tx

A

I&D

abx TOC- Cephalosporin or Methicillin Sodium

33
Q

lumpy breast tissue that is transient

A

fibrocystic breast “disease”/changes

34
Q

Fibrocystic breast changes d/t what hormone

A

estrogen

35
Q

Tx for severe fibrocystic breast disease that have failed conservative tx and OCPs

A

Danazol

36
Q

Breast mass that is round, firm, discrete, relatively moveable and NONtender
“rubbery”

A

Breast Fibroadenoma

37
Q

RF for breast CA

A 
BRCA
endometrial CA
prolif form of fibrocystic breast dis
menses <12
nulliparous/late
White more likely to get (AA higher mortality)
38
Q

mammography screening should DEF start

A

50-65 q1 yr

39
Q

estrogen receptor positive breast CA tx

A

Tamoxifen

Anastrozole (not in premenopausal)

40
Q

Dx PCOS

A

Need 2/3:

1) oligomenorrhea/anovulation
2) hyperandrogenism- via PE or labs
3) US demonstrates ( “string of pearls”)

41
Q

LH:FSH >3

A

PCOS

42
Q

PMS is associated with which phase of cycle

A

luteal

43
Q

PMDD core sxs

A

Depressed, Anxiety, Sad, Irritable/Anger

dx must have atleast 1 core sx, 5 sxs all together

44
Q

best pharmacotherapy for PMS or PMDD

A

SSRI Fluoxetine

45
Q

premenstrual pelvic pain

dysmenorrhea

A

w/o endometriosis

laparoscopy

46
Q

ovarian CA MC what type

A

90% epithelial

47
Q

adnexal mass

next step

A

US (pref transvag)

48
Q

endometrial CA MC what type

A

adenocarcinoma

MC type 1 estrogen receptive

49
Q

what lab value is indicative of menopause

A

FSH >30

50
Q

dominant estrogen once a woman is in menopause

A

estrone

51
Q

in a women with a uterus, what kind of HRT should be used

A

combined estrogen & progesterone

EOR Womens Health (2 decks)

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