Gyn quick associations Flashcards

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1
Q

Positive b-hCG + intrauterine pregnancy, closed os

A

Threatened abortion

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2
Q

Enlarged uterus + menometrorrhagia for months

A

Fibroids, molar pregnancy, adenomyosis

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3
Q

Bleeding associated with severe menstrual pain

A

Endometriosis, adenomyosis

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4
Q

AUB + perimenopausal or postmenopausal

A

endometrial hyperplasia or cancer

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5
Q

AUB started with menarche

A

von Willebrand dz

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6
Q

positive b-hCG + severe pain, no fetus in uterus on US

A

ectopic pregnancy

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7
Q

AUB after intercourse + no pain, normal sized uterus

A

Polyp or glandular tissue on cervix

post menopausal - vaginal atrophy

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8
Q

AUB + wt gain, fatigue, constipation

A

hypothyroidism

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9
Q

AUB + bitemporal hemianopsia

A

Prolactinoma

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10
Q

AUB + Obesity, hirsutism, acne, insulin resistance

A

PCOS - confirm with U/S

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11
Q

Primary amenorrhea + Parent went through puberty late with subsequent normal growth and development

A

Constitutional delay

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12
Q

Primary amenorrhea + excessive exercise, stress, and or weight-loss

A

Functional hypothalamic amenorrhea

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13
Q

Primary amenorrhea + short stature, webbed neck, low hairline

A

Turner syndrome

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14
Q

Primary amenorrhea + breast development, absent uterus, no pubic/axillary hair

A

Androgen insensitivity syndrome - 46, XY

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15
Q

Primary amenorrhea + breast development, absent uterus, with pubic/axillary hair

A

Mullerian agenesis - normal hormone levels

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16
Q

Primary amenorrhea + cyclic pain, bluish vaginal bulge on exam

A

Imperforate Hymen

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17
Q

Primary amenorrhea + anosmia; no secondary sexual characteristics

A

Kallmann syndrome - replace hormones

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18
Q

Secondary amenorrhea - mc cause

A

Pregnancy

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19
Q

Secondary amenorrhea with hirsutism, insulin resistance, acne, infertility, “string of pearls” on US

A

PCOS

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20
Q

Secondary amenorrhea with clitoromegaly, Voice deepening, increase muscle mass

A

Elevated androgens - tumor or exogenous use

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21
Q

Secondary amenorrhea with fatigue, cold intolerance, weight gain, constipation, delayed relaxation of DTRs

A

hypothyroidism

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22
Q

Secondary amenorrhea + anxiety, palpitations, tremor, heat intolerance, weight loss, diarrhea

A

Hyperthyroidism

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23
Q

Secondary amenorrhea + bitemporal hemianopsia + galactorrhea

A

Prolactinoma

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24
Q

Secondary amenorrhea in patient with schizophrenia + galactorrhea

A

S/E of antipsychotic

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25
Q

Secondary amenorrhea + hot flashes, vaginal dryness

A

Menopause, primary ovarian insufficiency

26
Q

Secondary amenorrhea with history of postpartum hemorrhage

A

Sheehan sn

27
Q

Secondary amenorrhea with history of D&C for septic abortion

A

Asherman syndrome

28
Q

Infertility + history of gonorrhea or chlamydia

A

PID - get hysterosalpingogram (HSG)

29
Q

Infertility + severe dysmenorrhea, dyspareunia, pelvic pain

A

endometriosis - get laprascopy

30
Q

Infertility + history of pelvic irradiation

A

Primary ovarian insufficiency - check FSH level

31
Q

Infertility + history of tubal surgery

A

tubal obstruction - get hysterosalpingogram (HSG)

32
Q

Infertility + enlarged uterus with irregular contours

A

uterine fibroids - US

33
Q

Infertility + history of D&C for septic abortion

A

Asherman syndrome - get hysteroscopy

34
Q

Prolapsed bladder through anterior wall of the vagina

A

cystocele

35
Q

urethral prolapse

A

urethrocele

36
Q

Prolapse of rectum through posterior wall a vagina

A

rectocele

37
Q

Prolapse of uterus through apical wall of vagina

A

Uterine prolapse

38
Q

Prolapse of intestines into vagina, history of hysterectomy

A

enterocele

39
Q

Flesh colored papule with cauliflower like appearance

A

Condyloma accumulata - HPV 6, 11

40
Q

Multi nucleated giant cells on Tzanck smear

A

HSV 1/2 - herpes

41
Q

U/L Inguinal LAD with “groove” sign with history of painless ulcer that resolved spontaneously

A

Lymphogranuloma venerium - C. trachomatis L1-L3

42
Q

Painless nodule(s) with shallow, beefy red base; intracellular gram negative rods on Wright-Giemsa stain

A

Granuloma inguinale (donovan bodies on stain) - Klebsiella granulomatis

43
Q

Painful ulcer with exudative/purulent base, painful inguinal LAD, bubos, culture shows gram-negative rod’s in school of fish pattern

A

Chancroid - H. ducreyi

44
Q

Painless, clean-based ulcer with heaped up border, heals spontaneously

A

Chancre of primary syphilis - T. pallidum

45
Q

Adenexal mass Women of reproductive age

A

Physiologic ovarian cyst

46
Q

Adenexal mass + dysmenorrhea, dyspareunia, pelvic pain

A

Endometrioma

47
Q

Adenexal mass + fever, vaginal discharge, cervical motion tenderness

A

tuboovarian abscess

48
Q

Adenexal mass + abdominal pain, vaginal bleeding, positive pregnancy test

A

Ectopic pregnancy

49
Q

Adenexal mass in otherwise normal pregnancy

A

corpus luteum cyst

50
Q

ovarian tumor + elevated CA125

A

epithelial tumors - serous or mucinous

51
Q

ovarian tumor + elevated LDH

A

dysgerminoma

52
Q

ovarian tumor + elevated AFP

A

yolk sac
Teratoma (benign)
embryonal

53
Q

ovarian tumor + elevated AFP and hCG

A

embryonal

54
Q

ovarian tumor + elevated estrogen and inhibin

A

granulosa cell

55
Q

ovarian tumor + elevated testosterone

A

Sertoli-Leydig cell

56
Q

MC breast tumor in teen and young women

A

Fibroadenoma

57
Q

MC Mass in patients 35-50

A

fibrocystic changes

58
Q

Often present for serous or bloody nipple discharge

A

Intraductal papilloma

59
Q

Large, painful breast mass with high fever

A

Breast abscess

60
Q

Multiple painful breast masses just before menstruation

A

Fibrocystic changes

61
Q

Bulky breast mass with leaf like projections on biopsy

A

Phyllodes tumor