Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MCCEE > Gynaecology > Flashcards

Gynaecology Flashcards

1
Q

When is premature menopause?

A

Menopause before 40 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What effect does the copper IUD have?

A

Spermicidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is primary amenorrhoea ?

A

Absence of menses by age 16

or absence of secondary sexual characteristic by 14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the treatment of primary dysmenorrhea?

A

NSAID (Prostaglandin inhibitor)
OCP
Progestin IUD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is found on history of endometriosis?

A

Cyclical pelvic pain

Pain during sex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is found on history/exam of adenomyosis?

A

Menorrhagia
Enlarged uterus
Boggy uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the treatment of endometriosis ?

A

OCP FIRST LINE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the treatment of adenomyosis ?

A

NSAID first line

plus OCP or progestins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should endometrial biopsy be performed?

A

Endometrial thickness > 4mm in postmenopausal woman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is acute heavy bleeding managed?

A

High dose estrogen IV stabalise endometrium

Transition to OCP or add progestin when bleeding stalalised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the deficiency in congenital adrenal hyperplasia?

A

21 hydroxylaze deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

PCOS criteria?

A
  1. Polycystic ovaries
  2. Oligo-and/or an ovulation
  3. Hyperandrogenism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the presentation of PCOS?

A 
Obesity 
menstrual cycle disruption 
Infertility 
Acne 
Hirstutusm 
Acanthosis nigricans 
Metabolic syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How to test for hyperandrogegism in PCOS?

A

Raised testosterone (free better than total)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the treatment of PCOS in a woman not wanting to have bb’s?

A

OCP + metformin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the treatment of PCOS in a woman wanting to have bb’s?

A

Clomiphene + metformin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the treatment of bartholin cyst?

A

warm soaks

18
Q

What is the treatment of bartholin abscess

A

Aspiration and incision

19
Q

Treatment of BV?

A

Metronidazol or vaginal clyndamycin

20
Q

What is the treatment of PID?

A

Outpatient

  • ceftriaxone IM 1 dose
  • Doxycycline X 14 days
  • +/- metronidazole X 14 daya
21
Q

Presentation of Toxic Shock Syndrome?

A 
Fever 
Vomit 
Watery diarrhoea 
Desquamation at the palms and soles
Macular rash
22
Q

How is TSS diagnosed?

A

Clinical presentation:

  • Fever > 38.9
  • Hypotension
  • Skin findings
23
Q

Treatment of TSS?

A

Rapid rehydration

Empiric abx: clindamycin + vancomycin

24
Q

Treatment of an asymptomatic fibroid?

A

Expectant management with annual pelvic exam

25
Q

What is the pharmacological management of fibroids?

A

OCP

Medroxyprogesterone or danazol to slow down the bleeding

26
Q

What is the surgical management of fibroids?

A

Woman who wants to have bb’s:

- Abdominal or hysteroscopic myomectomy

27
Q

What is the commonest type of endometrial cancer?

A

Type I atypical endometrial hyperplasia

28
Q

What is the presentation of endometrial cancer?

A

Bleeding
Pain
Metabolic syndrome

29
Q

What is the most prevalent strains of HPV that cause cancer?

A

16 - SCC

18 - adenocarcinoma

30
Q

What does gardasil protect against?

A

16, 18

6, 11 (warts)`

31
Q

Recommended age for pap smear?

A

21- 65 every 3 years

32
Q

What is the management of a woman who’s pap smear comes back as ASCUS

A

> 30 yo
- HPV DNA testing
If positive: colposcopy
If negative: repeat cytology in 12 mo

< 30 yo
- repeat cytology in 6 mo
If Positive: colposcopy
If negative: repeat cytology in 6 mo and if -ve can go back to 3 yearly

33
Q

What is the management of a woman who’s pap smear comes back as ASC - H

A

Colposcopy

34
Q

What is the management of a woman who’s pap smear comes back as atypical glandular cells of undetermined significance (AGUS)

A

Colposcopy +/- sampling

35
Q

What are the RF for vulvar cancer?

A

HPV 16, 18, 31
Lichen sclerosis
Diabetes, obesity, HTN CVD…

36
Q

What are key words that describe lichen sclerosis?

A

Atrophic

Paper-like skin

37
Q

What is precocious puberty?

A

2ndary sexual characteristics before the age of 8

38
Q

How to investigate precocious puberty?

A

Bone age

GnRH stimulation test

39
Q

Treatment of central precocious puberty?

A

leuprolide

40
Q

Where does breast cancer spread?

A

Bone
Liver
Thyroid
Prostate

41
Q

Which adjuvant treatment should ER/PR+ve breast cancer women get?

A

Tamoxifen

or aromatase inhibitor in postmenopausal women

42
Q

Which adjuvant treatment should HER2+ve breast cancer women get?

A

trastuzumab

MCCEE (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions