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DIT Level 2 > Gyn quick associations > Flashcards

Gyn quick associations Flashcards

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
Secondary amenorrhea + hot flashes, vaginal dryness
Menopause, primary ovarian insufficiency
26
Secondary amenorrhea with history of postpartum hemorrhage
Sheehan sn
27
Secondary amenorrhea with history of D&C for septic abortion
Asherman syndrome
28
Infertility + history of gonorrhea or chlamydia
PID - get hysterosalpingogram (HSG)
29
Infertility + severe dysmenorrhea, dyspareunia, pelvic pain
endometriosis - get laprascopy
30
Infertility + history of pelvic irradiation
Primary ovarian insufficiency - check FSH level
31
Infertility + history of tubal surgery
tubal obstruction - get hysterosalpingogram (HSG)
32
Infertility + enlarged uterus with irregular contours
uterine fibroids - US
33
Infertility + history of D&C for septic abortion
Asherman syndrome - get hysteroscopy
34
Prolapsed bladder through anterior wall of the vagina
cystocele
35
urethral prolapse
urethrocele
36
Prolapse of rectum through posterior wall a vagina
rectocele
37
Prolapse of uterus through apical wall of vagina
Uterine prolapse
38
Prolapse of intestines into vagina, history of hysterectomy
enterocele
39
Flesh colored papule with cauliflower like appearance
Condyloma accumulata - HPV 6, 11
40
Multi nucleated giant cells on Tzanck smear
HSV 1/2 - herpes
41
U/L Inguinal LAD with "groove" sign with history of painless ulcer that resolved spontaneously
Lymphogranuloma venerium - C. trachomatis L1-L3
42
Painless nodule(s) with shallow, beefy red base; intracellular gram negative rods on Wright-Giemsa stain
Granuloma inguinale (donovan bodies on stain) - Klebsiella granulomatis
43
Painful ulcer with exudative/purulent base, painful inguinal LAD, bubos, culture shows gram-negative rod's in school of fish pattern
Chancroid - H. ducreyi
44
Painless, clean-based ulcer with heaped up border, heals spontaneously
Chancre of primary syphilis - T. pallidum
45
Adenexal mass Women of reproductive age
Physiologic ovarian cyst
46
Adenexal mass + dysmenorrhea, dyspareunia, pelvic pain
Endometrioma
47
Adenexal mass + fever, vaginal discharge, cervical motion tenderness
tuboovarian abscess
48
Adenexal mass + abdominal pain, vaginal bleeding, positive pregnancy test
Ectopic pregnancy
49
Adenexal mass in otherwise normal pregnancy
corpus luteum cyst
50
ovarian tumor + elevated CA125
epithelial tumors - serous or mucinous
51
ovarian tumor + elevated LDH
dysgerminoma
52
ovarian tumor + elevated AFP
yolk sac Teratoma (benign) embryonal
53
ovarian tumor + elevated AFP and hCG
embryonal
54
ovarian tumor + elevated estrogen and inhibin
granulosa cell
55
ovarian tumor + elevated testosterone
Sertoli-Leydig cell
56
MC breast tumor in teen and young women
Fibroadenoma
57
MC Mass in patients 35-50
fibrocystic changes
58
Often present for serous or bloody nipple discharge
Intraductal papilloma
59
Large, painful breast mass with high fever
Breast abscess
60
Multiple painful breast masses just before menstruation
Fibrocystic changes
61
Bulky breast mass with leaf like projections on biopsy
Phyllodes tumor

DIT Level 2 (49 decks)

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