gyn Flashcards
can oral contraceptives decreaase risk of breast cancer ?
no ! they decrease the risk of ovarian cancer but have no effect on breast cacner
when to stop pap testing
when 65 and above with negatove pap smears and no CIN2 (2 consecutive co testing or 3 consecutive negative pap
atypical glandular cells can be due to ? next step in managment ?
can be due to cervical or endometrial problems and the next step should be an endometrial biopsy not a leep
Which term ultrasound is the best predictor of gestational age
First trimester plus crown rump is th best predictor
Treatment for urinary urgency, stress and overflow incontinence
Stress incontinence give kegel exercise and sling
Overflow incontinence give tamsulosin, bethanechol
Urgency give oxybutinin
Diffuse uterine enlargement vs irregular enlargemnet
Ad3nomyosis vs leiomyoma
Intermenstrual bleeding, premenaupausal, 30s to 40 year old
Endometrial polyp
What is the contraindication to raloxifene
Hor flashes and hx of thromnoembolisms
Pink fleshy friable papules
Condylom accuminata
Can only give 4 doses
Cytotec
Can use with a bloon
Ballon plus pitocin
Can pitocin and cytotec be uused together
Nope
When can pitocin be given
When bishop score is more than 7 ..increases chances of vaginal delivery
Symmetric, boggy tender uterus, 40 year old , new onset dysmenorrhea
Adenomyosis
Uterine atony management
Massage Bladder balloon Oxytocin Tranexamic acid Metylergonvine Intrauterine balloon
Cervical insufficiency risk factors
Leep
Cervical laceration
Manual dilation of cervix
Uterine anomaly
hidradenitis suppurativa
inflammation and blockage of ahir follicles that are painful and can lead to spontanoeus draing abscess
fibrotic bands, acneform scars and thickened plaques
bilateral, gray non bloody discharge from breast
physiological galactorrhea
what is cloposcopy
adding acetiic acid to the cervix to visualize the areas
when is endometrial biopsy indicated
when postmenaupausal and endometrial strip is 4mm
condition that occurs two weeks prior to menses and condiiton that occurs during menses
2 weeks prior is mettelschmerz pain caused by peritoneal inflammation from ovarian follicale rupture
condtion during menses dysmennorhea due to endometrial postag;andin procution
endometrial cells present on pap based on age
if less than 45 then its considered normal if greater than 45 or postmenaupausal then need to do endometrial biopsy to rule out cancer
clinical presnetaion of intramniotic infection
fever, tachy baby, fundal tenderness or ruptur of memnrabes
treatment for aymptomatic bacterieuria
cephalexin
amox-clavulanate
nitrofurantoin
fosfomycin
thyroid values in pregnancy
TSH decreases
totoal T4 increases
free T4 stays the same or increases
when to give anti D immune globulin in patients
at 28 weeks and again within 72 hrs of delivery
after delivery a higher does of immunoglobulinns might be required if the aptient went through a procedure of abruption
kleiher betke test is used to detemrine higher dose
treatment of carpal tunnel during pregnancy
wrist splinitng –keeps the writ at neutral position during sleep to prevent edema
hamman sign (crunching soound on auscultation)
esophageal perforation
pseuocyesis
patient belives she is pregannt and has associated symmpoms such as morning sickness, breadt fullness and abdominal distention
how many months follwing cessation of OCP i the person considered amennorheic and require foloow up treatment
3 motnsh
Lsb values for hyperenesis grsvusarum
Ketonuria
Hypochloremic
Hypokalemua
Hemoconcentration
Asympotamic vs stmptomatic bartholin cyst management
Treat asymptomatic with observation and symtomatic with antibiotics
when should hsv suppession begin
starting week36
What stage does neuroaxial anesthesia effect ?
Stage 2 of deliver when cervix is 10 cm dilated.
Normal post partum period
Rigor and chills Peripheral edema Lochia rubra Jnvolution of uterus Breast engorgement
What are normal postrisidual volume in men and women
Men less than 50ml
Women less than 150ml
Epidural place,ent …how does breathing in helps
Breathing increases the preload to the right heart pulling blood from veins and this increases space in the epidural area which has vein fats and nerves
