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Kaplan Lectures CCS > GYN > Flashcards

GYN Flashcards

1
Q 
DZX
BACT VAGINOSIS
CANDIDA
TRICHO
CYSTITIS

BUZZWORDS

CLUE CELL
COTTAGE CHEESE, SPAGHETTI
STRAWBERRY, MOTILE IN WET

A

IWU:

UA  UTI
U BHCG ALWAYS
PH VAG:  N 3.8 VAG BACT Y TRICHO > 4.5 CAND < 4 
HANGING DROP SALINE WET MOUNT
POTASSIUM KOH WHIFF TEST

FM:

VAGINOSIS METRO 7 DYS, CLYNDAM NO PARTNER TX
CANDIDA ANTIFUNG CREAM/SUPOSIT MICONAZOL, BUTOCONAZOL VS PO FLUCONAZOL
(RECURRENCE) NO PARTNER TX
TRICHO PO METRO, PARTNER TX

FU:

COUNSEL SAFE SEX IN TRICHO
OGT IN CANDIDA

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2
Q

I HAVEN’T HAD MY PERIOD SINCE MY BABY WAS BORN 15 MOS AGO.

DZX 2 AMENORRHEA

PREGNANCY
ANOVULATION - MCC
ESTROG DEFIC
TRACT OUTFLOW OBST

A

IM

Q/U BHCG
TSH
PRL

FM:

PROG CHALLENGE R/O ANOVULATION “MCC”
ESTROG - PROGEST CHALLENGE R/O ESTROG DEF
HSPG -ANATOMIC

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3
Q

METRORRHAGIA

PREGNANCY COMPLICATIONS
ANOVULATION
UTERINE ANATOMIC LESION

A 
IM:
ALWAYS 
U BHCG  +>> TVUS
- >>
FWU:
PROGESTERONE CHALLENGE  >> MUCUS -BASAL TEMP, TSH, PRL. 
-  >>
HYSTEROSCOPY ENDOMETRIAL POLYP
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4
Q

PREMENOP PELVIC MASS
PELVIC PRESSURE

DDZ:

DIVERTICULOSIS
KIDNEY URETER
ADNEXAL GYN

A

IWU:

ALWAYS U BHCG
SONOGRAM

SIMPLE CYST
DERMOID CYST BENING CYSTIC TERATOMA

WW CLOSE FU
CYSTECT
OOPHORECT

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5
Q

PMS

SXS
AUTONOMIC
EMOTIONALS
WATER RETENTION
MUSK SKELETAL
A

IM:

SX DIARY
RELAXATION AND AEROBIC
NUTRITION CHANGE CAFFEINE SUGARS SALT

FM:

FROM REASSURE TO TARGET THE MAIN FIELD
REDUCE COFFEE - BREAST TENDER
SPIRONOLACTONE
SSRI
PIRIDOXINE
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6
Q

C G

CERVIX
URETHRA
VAGINITIS
CYSTITIS

A

IWU:

U BHCG ALWAYS
POTASSIUM HYDROXIDE PREP
HANGING DROP SALINE AND KOH
CERVICAL SMEAR

FM:

BEST U FOR GC NAAT

THAYER MARTIN MEDIA
CHLAMYDIAE ZYME TEST INMUNO FLUORESCENCE
ELISA HIV - HEP PANEL - RPR 
TREAT PARTNER
NOTIFY PUBLIC HEALTH

TTX

CEFTRIAXONE
DOXYCICLINE

FM:
COUNSEL SAFE SEX

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7
Q

PID

DZX
OVARIAN CYST
ECTOPIC
ENDOMETRIOSIS
APPY 
CHRON
A

IM:

IVA -NSS
CEFOTETAN
DOXY

IWU:

BHCG ALWAYS
CBC
ESR
CERVICAL CULTURES 
RPR
BLOOD - U C &amp;S
ADMIT INPATIENT UNIT
ABSCESS
IUD
FAILED OUTPATIENT
IRS: FEVER WBC 
ABDOMINAL GUARDING
UNCERTAIN DZ
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8
Q

ABN PAP HIGH GRADE LESION CCS

A

IM:
COLPOSCOPY MOSAIC
ECTO ENDO BIO

FM:
ECTO: LEEP OR CRYO
CONE IF ENDO

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9
Q

PRIMARY DISMENORRHEA
PATH:
+PG AFTER PROG WITHDRAWAL
TTX PREVENT PROG WITHDR

A

IWU:
PELVIC US
CERVICAL CULTURES

FM:
NSAIDS AGENTS
CONTINUOUS OCP

DZ X
2ria ENDOMETRIOSIS W/ LEUPROLIDE OR DANAZOL OR OCP
ADENOMYOSIS
LEIOMYOMAS SHRINK W / GNRH AGO THEN MYOMECTOMY - TAH
CHRONIC PELVIC INFLAMATORY

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10
Q

LUMP:
FIBROADENOMA

DZ X
FIBROCYSTC
BREAST CA

A

US

EXCISIONAL BX
REASSURANCE
DECREASE COFFEE

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11
Q

GENUINE STRESS INCONTINENCE

DZ X

URGE ANTI M TOLTERODINE - OXYBUTININA SPONTANEOUS DETRUSOR CONT NORMAL RV
STRESS

IRRITATE EX UTI OR CA R/O W - ( CYSTOSCOPY)
FISTULA

OVERFLOW EX MS
RV HIGH - ALPHA ADRENERGIC AGO - BETHANECOL AGO M TX INTERMITTENT CATH

A

IM:

UA
U C & S
Q TIP
CYSTOMETRY RESIDUAL VOL RV -DETRUSOR ACTIVITY - URGE VOL

FM:
KEGEL ESTROGEN REPLACEMENT
MARSHALL MACHETTI - URETHRAE PEXIA

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12
Q

OVARIAN CANCER

DZ X

FIBROIDS
MET OVARY
TO ABSCESS

.

A 
IWU:
CA 125
CBC
LFT
SMA 8
CXR
PELVIC US

FM:
TAH BSO
DEBULKING
CHEMOTHERAPY

FU:
CA 125

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13
Q

I DONT WANT ANY CHILDREN

30 YO LMP 3 WKA

A

IWU:
U BHCG
BTL AFTER MENSE

FM:
COUNSELING: FAIL ECTOPIC
COUNSELING: FAMILY PLANIF METHODS

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14
Q

PERIMENOPAUSE

DZX

PREGANCY
OLIGOMENORRHEA

A

IWU:

2 SERIAL FSH 2 WKS APART

COUNSELING
PO CONJUGATED ESTROGEN
MEDROXIPROGEST

FU 3 MOS AFTER

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15
Q

COMPLEX ENDO HYPERPLASIA

A

SIMPLE / CYSTIC - MEDROXIPROGEST TRIAL - WW
ATYPIA - CANCER: SURGERY

IM:
D - C + HYSTEROSCOPY
ENDO BX ADENO

FM:
TAH BSO
PERIT WASHING
NODE DISECT

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16
Q 
DELAYED
14 NO MENSES 
16 " OR "SECOND SEXUAL DEVELOPMENT
PRIMARY AMENORRHEA
"BLIND POUCH"

DZ X:

MULLERIAN AGENESIS 46 XX

A

IWU:

SONOGRAM
SERUM TESTOSTERONE
KARYO.

COMPLETE ANDROG INSENSIT:
NO HAIR NO BREAST
INGUINAL TESTES
KARYO 46 XY

TX: ORCHI SURGERY AT 20 GERM CELL T
HRT ESTROG PROG NOT NEEDED

DZ:
MULLERIAN AGENESIS
RECORDAR CROMOSOME Y MIF
FUNCTIONAL VAG: DIL OR SURGERY 
HRT NOT NEEDED
17
Q

POSTMENOPAUSAL CYST

A

CA 125 US EVERY 3 MOS X 1YR
REASSURE
FU: PE X YR

18
Q

POSCOITAL BLEEDING
CA CERVIX

CERVICITIS GC
HPV
ENDOMETRIOSIS
CERVICAL DYSPLASIA
CERVICAL CA
A

IM:

CBC
BUN
CERVICAL BX
CYSTOSCOPY
PROCTOSCOPY
IV PYELO

FM:

CXR
CT ABD/PELV
RT EXTERNAL AND BRACHI RADIOACTIVE SEEDS

19
Q

HIRSUTISM

DZ X

CAD
PCOS
HAIR FOLLICULE SENSITIV (IDIOPATHIC)
TEST PROD TUMOR

A

IWU:

SERUM DHEA-S: ADRENAL T.
SERUM TESTOSTERONE: PCOS
SERUM 17 HYDROXYPROGESTERONE: LATE CAD

TX:

HAIR SENSITIV - SPIRONOLACTONE (5 A R I)

20
Q

PH:PID

DZX

ANOVULAT
MALE
TUBAL

A

IWU:

BASAL TEMP SHIFT?
TSH
SEMEN ANALYSIS X 2
CERVICAL CULTURES GC

FM:

HSG

LAPAROSCOPIC TUBAL SCARING ENDOMETRIOSIS

21
Q

PH:PID

DZ X

ANOVULAT
MALE
TUBAL

A

IWU:

BASAL TEMP SHIFT?
TSH
SEMEN ANALYSIS X 2
CERVICAL CULTURES GC

FM:
HSG

LAPAROSCOPY 4 TUBAL SCARING ENDOMETRIOSIS

Kaplan Lectures CCS (17 decks)

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