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3rd Year > Gyne > Flashcards

Gyne Flashcards

1
Q

Which position is the pelvic examination performed in

A

Dorsal lithotomy position

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2
Q

How is the bimanul examination done

A

The index and middle finger Of the dominant hand is used
To examine the vagina crevix uterus pelvic floor and adnexa

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3
Q

What are some diagnostic methods

A

1- vaginal USG
2- abdomanl USG
3- cervical smear
4-vulvar cervical and endometrial biopsy
5- colposcopy

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4
Q

What are the phases for the ovarian cycle

A

1- follicular phase 1-14
2- ovulation day 14
3- luteal phase days 14-28

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5
Q

What are the phases for the uterine cycle

A

1- menstrual phase 1-5
2- proliferativw phase 6-14
3- secretory phase 14-28

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6
Q

What is the function of the FSH

A

FSH SECRETES ESTROGEN FROM THE FOLLICULES IN OVARIES

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7
Q

What does the estrogen do

A

Proliferated the endometrium

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8
Q

What does the granulosa and theca cells secrete

A

Granulosa cells secrete estrogene
Theca cells screte progesterone

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9
Q

What is the life span of corpus luteum

A

14 days

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10
Q

Most common cause of vaginal bleeding in childhood is

A

Foreign body I’m the vagina

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11
Q

Most common vaginal bleeding in reproductive age women

A

Accidents of pregnancy

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12
Q

Most common cause of vaginal beldding in post menopausal women is

A

Atrophic endometrium

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13
Q

Cause of heavy menstrual bleeding

A

POLYp
ADENOMYOSIS
LEIOMYOMA
MALIGNANY HYPERPLASIA
COAGULOPTHY
OVULATORY DISORDERS
ENDOMETRIAL DISORDERS
IATROGENIC CUASES
Not CLASSIFED

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14
Q

What’s is primary and secondary Amenorrhea

A

No Menses by age of 14 without sexual characteristics or no menses by age if 16 with sexual characteristics
Secondary
The an neşe of menstruation for three pres ions cycle intervals for 6 months

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15
Q

What is the difference between PREMENSTRUAL SYNDROME AND PREMENTRUZL DISPHORIC DISRODEE

A

PMS has mild to moderate symptoms and it is physical and behavioral occur in the 2n half of the menstrual cycle and may interfere with daily activity
PMDD is more severe and marked with behavioral and emotional symptoms

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16
Q

What is the simalarity between PMS AND PMDD

A

Manifest in the luteal phase of menstrual cycle
Resolve during menses

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17
Q

The difference between PMS AND PMDD

A

PMDD must have one sever affective symptom which in during the last week of the luteal phase
Anxiety
Tension
Anger
5 of 11 sumotoms of the DSM IV CRITERIA

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18
Q

infective causes of the vaginal

A

Candida vaginitis
Trachomonial vaginitis
Bacterial vaginosis

19
Q

Cervical infective causes

A

GONORRHOEA CERVICITIS
CHLAMDYDIA CERVIcitis

20
Q

White intense discharge with itching

A

CANDIDA VAGINITIS

21
Q

Greenish frothy copious discharge with itching

A

TRICHOMONIAL VAGINTIS

22
Q

Whitish Grey copious discharge without itching with fish odor

A

Bacterial vaginosis

23
Q

First trimester symptoms

A

Peripheral edema
Vaginal bleeding
Nassau a pelvic pain
Breast tenderness

24
Q

Second and third trimester

A

Vaginal bleeding placental
Vaginal fluid drainage
Hyoetrension migraine

25
Q

During the first 6 months of a pregnancy what is the main obstretric complication

A

Abdominal pain and vaginal bleeding

26
Q

Symptoms of an ectopic pregnancy

A

Amenorrhea
Abdominal pain
Fainting
Irregular vaginal bleeding

27
Q

Signs of threatened abortion

A

Vaginal bleeding in low levels
Closed cervix
Uterine size for the amenorrhoea period

28
Q

Signs of inevitable abortion

A

Vaginal bleeding at the increasing levels
Lower abdominal pain
Open cervical os
Non expulsion of the products of conception

29
Q

Septic abortion signs

A

Fever
Abdominal pain
Persistent vaginal bleeding
Foul smelling vaginal discharge
Open cervical os
Bulky uterus
Tenderness in adnexa

30
Q

Complete abortion signs

A

Expulsion of products of conception
Minimal vaginal bleeding
Abdominal discomfort
Closed cervical os

31
Q

Types of obstetric hearmorrhage

A

ANTEPARTUM HAEMORRHAGE
INTRAPARTUM HAEMORRHAGE
POSTPARTUM HAEMORRHAGE

32
Q

Antepartum and intrapartum HAEMORRHAGE can be cause by

A

Placental praevia
Abruptio placentae
Unterune rupture
Vasa praevia
Cervical lesion

33
Q

Postpartum HAEMORRHAGE can be caused by

A

Uterine Antony
Retention of placental tissue
Lacerations of the soft tissues of the perineum vagina cervix
Clotting failure or coagulopathy

34
Q

Which condition is an emergency for pregnancy

A

Placenta praevia
Partial implantation of the placenta in lower part

35
Q

Common cause of PPH

A

TONE Antony
TISSUE clots
TRAUMA uterine cervical vagina, tears or injury
THROMBIN coagulopahty

36
Q

Shoulder dystocia

A

Failure to deliver shoulders after the head of the babyhas been delivered

37
Q

Common symptoms during a pregnancy

A

1- nausea and vomiting most common cause but resolve by the end of the 12 weeks estimated gestational age
2-Epigastric pain git reflux
3- cough with chest pain and shortness of breath should indicate pulmonary embolism in pregnancy
4- RASH= melasma = srtirae gavidadum stretch marks= pruritic Papiles and plaques
5- dysuria
6- Low back pain
7- headaches

38
Q

What is intraheptic cholestasis of pregnancy

A

Causes pruritus without a rash but itching is there check for intrahepatic cholestasis
Treat with ursidiol
I

39
Q

What is triple test used for and what codes it comprise

A

Used for DOWN SYNDROME
1-AFP
2- HCG
3- uE3 unconjugated estradiol

40
Q

What is quadruple test

A

TRIPLE TEST + inhibin A estimation
This test + maternal age defects 76% Down syndrome

41
Q

Down syndrome AFP UE3 HCG LEVELS

A

AFP and uE3 are low
HCG IS RAISED

42
Q

What is DOUBLE TEST

A

LOW PREGANCY PLASMA PROTEIN A level and raised serum beta HCG during 1 st trimester
Double test + maternal age diagnose 60% DS

43
Q

Trisomy 18 levels

A

AFP HCG E3 are low

44
Q

What are some invasive tests

A

1- AMNIOCENTESIS
2- CHORIONIC VIlUS SAMPLING
3- FETAL BLOOD SAMPLING
4- EMRYOSCOPY AN FETOSCOPY
5-NEW MOLECULAR ANALYTIC TECHNQUES
6- PCR
7- FLOURESCENT IN SITU HYBRIDIZATION

3rd Year (7 decks)

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