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OBGYN Shelf Prep > GYN > Flashcards

GYN Flashcards

1
Q

Amsel Criteria

A

pH over 4.5, clue cells, positive whiff test, thin gray discharge

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2
Q

Which diagnosis? Polygonal ivory papules of vulvar and perianal areas, waxy sheen on labia minora and clitoris, hypopigmentation; progresses to fissures/erosions, mucosal edema, and surface vascular changes

A

Lichen sclerosis

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3
Q

Which diagnosis? Itching, pruritis, contact bleeding, pain, dyspareunia, lacy reticular pattern of labia and perineum, possible scarring or erosions

A

Lichen planus

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4
Q

Which diagnosis? Severe vulvar pruritis (can be worse at night), thick/enlarged labia possibly with edema, associated with chronic scratching/rubbing

A

Lichen simplex chronicus

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5
Q

Which vulvar infection necessitates treatment of sexual partner as well?

A

Trichomoniasis

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6
Q

Which diagnosis? Severe pain on vestibular touch and attempted vaginal entry, including tenderness to pressure

A

Vestibulodynia

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7
Q

Most prevalent STI in the US

A

HSV

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8
Q

Which diagnosis? Firm, small umbilicated dome-shaped papules on vulva

A

Molluscum Contagiosum

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9
Q

Management of tuba-ovarian abscess

A

Abx

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10
Q

Which diagnosis? Perihepatitis caused by purulent tubal discharge ascending to the RUQ

A

Fitz-Hugh-Curtis Syndrome

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11
Q

Which diagnosis? Soft painful ulcer on vulva

A

Chancroid

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12
Q

Which diagnosis? “School of fish” appearance on gram stain

A

Chancroid

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13
Q

Which diagnosis? Pink/skin-colored lesions that range from papular to exophytic; pruritis and bleeding possible

A

Condyloma accumniata (HPV)

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14
Q

Which diagnosis? painless papule or shallow ulcer/erosion followed by development of inguinal buboes and groove sign

A

Lymphogranuloma venereum (chlamydia trachomatis)

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15
Q

Which diagnosis? Large beefy-red painless ulcerations, “Donovan bodies” on microscopy

A

Granuloma Inguinale/Klebsiella granulomatis

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16
Q

Which diagnosis? Pain/fullness/heaviness of variable intensity and duration, worse premenstrually and during pregnancy, aggravated by standing, fatigue, and coitus

A

Pelvic congestion syndrome

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17
Q

Which diagnosis? Cyclical mastalgia worst before menstruation, engorged breasts, possibly serous or green discharge

A

Fibrocystic breast changes

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18
Q

Which diagnosis? serosanguineous nipple discharge in absence of breast mass

A

Intraductal papilloma

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19
Q

Which diagnosis? red, edematous, tender indurated breast in a non-lactating female

A

Inflammatory breast cancer

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20
Q

Delayed puberty definition

A

No secondary sex characteristics at age 14

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21
Q

Which diagnosis/tx? Premature menses before breast and hair development

A

McCune-Albright Syndrome (Continuous GnRH therapy)

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22
Q

Which diagnosis/tx? Premature adrenarche, may have ambiguous genitalia at birth

A

CAH (steroid replacement)

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23
Q

Which diagnosis? Absent uterus, normal secondary sex characteristics

A

Mullerian Agenesis

24
Q

Which diagnosis/tx? Absent uterus, normal breast development, axillary/pubic hair absent

A

Androgen Insensitivity Syndrome (46,XY), Gonadectomy

25
Q

Most common cause of amenorrhea

A

Pregnancy

26
Q

FSH:LH ratio in premature ovarian failure

A

Greater than 1.0

27
Q

Which diagnosis/tx? Intrauterine synechiae or adhesions result from trauma to the basal layer of the endometrium, may result in amenorrhea

A

Asherman Syndrome (Operative hysteroscopy w/IUD placement)

28
Q

PCOS hormone ratio

A

Elevated LH:FSH ratio

29
Q

PCOS increases risk for ____ cancer

A

endometrial

30
Q

Which diagnosis/tx? Hirsutism, amenorrhea, acanthosis nigricans

A

PCOS/OCPs

31
Q

Labs for Hirsutism (7)

A

FSH, LH, DHEA-S, Testosterone, 17-hydroxyprogesterone, PRL, TSH

32
Q

Which diagnosis? most common in women 20-40, rapid onset hirsutism and virilizing signs (acne, amenorrhea, clitoral hypertrophy, deepening of voice)

A

Sertoli-Leydig Cell tumor

33
Q

PALM-COEIN

A

Polyp, Adenomyosis, Leiomyoma, Malignancy, Coagulopathy, Ovulatory Dysfunction, Endometrial Dysfunction, Iatrogenic, Not Classified

34
Q

Workup for heavy menses

A

Pregnancy test, Pelvic US, Endometrial biopsy

35
Q

Most common cause of post-menopausal uterine bleeding

A

Atrophic endometrium

36
Q

Ddx for dysmenorrhea (5)

A

Adenomyosis, Leiomyomas, Endometriosis, PID, Primary

37
Q

Management of Adenomyosis (4)

A

GnRH agonists, Endometrial Ablation, IUD, Hysterectomy

38
Q

Management of Endometriosis (5)

A

NSAIDs, OCPs, GnRH agonists, Danazol, Laparoscopy

39
Q

Causes of Infertility (5)

A

Ovarian Factor, Uterine Factor, Tubal Factor, Male Factor, Peritoneal Factor

40
Q

Diagnostic test for tubal disease

A

HSG

41
Q

Demographic at highest risk for GTD

A

Asian

42
Q

Which diagnosis? Vaginal bleeding, uterine size greater than dates (25-50% of cases)

A

Molar pregnancy

43
Q

Management of Molar Pregnancy (3)

A

Suction curettage, Follow hCG levels, screen for metastasis (CT CAP/MRI Brain)

44
Q

Diagnosis of choriocarcinoma

A

hCG level

45
Q

Leading cause of injury-related death in pregnant women

A

Homicide

46
Q

Which diagnosis? Tissue paper, crinkled skin with fragile, thinned, and atrophic appearance

A

Lichen sclerosis

47
Q

Which diagnosis? White plaque-like lesions, poorly defined erythema

A

Paget Disease

48
Q

Treatment of leiomyomas (5)

A

Contraceptives, GnRH agonists, Myomectomy, Hysterectomy, Uterine Artery Embolization

49
Q

Most common cause of hysterectomy

A

Leiomyomas

50
Q

Most common gynecologic malignancy

A

Endometrial Cancer

51
Q

Screening for endometrial cancer metastasis

A

CXR

52
Q

Which diagnosis? Uniloculated ovarian cyst, without evidence of blood, soft tissue, or excrescences in a women of child-bearing age

A

Functional Ovarian Cyst

53
Q

Most common ovarian epithelial tumor

A

Serous cystadenoma

54
Q

Most common category of malignant ovarian tumors

A

Epithelial

55
Q

Most common ovarian tumor in all ages

A

Dermoid cyst/Benign cystic teratoma (most common in reproductive years

56
Q

Granuloma cell tumors may cause _____.

A

Endometrial hyperplasia

OBGYN Shelf Prep (2 decks)

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