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DHA Exam > Gynecology > Flashcards

Gynecology Flashcards

1
Q

Ectopic pregnancy with BHCG 5000, what’s the treatment

A

Medical

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2
Q

Female with BHCG 1030409 what’s your diagnosis? 🔄3

A

Choriocarcenoma ( if with hemoptysis) or molar pregnancy if without hemoptysis

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3
Q

Abortion with open OS in1st trimester the cause is…….2nd the cause is

A

1st trimester = chromosomal pb, 2nd = cervical incompetence

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4
Q

Steps to confirm ROM?

A

Pelvic examination + chemical test of fluid

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5
Q

Ptn with PROM came with hypotension, what the cause?

A

Ameniotic fluid embolism

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6
Q

Newly married lady came to get pregnant what’s the first thing to do ?

A

General exam

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7
Q

Post menopause female came with fibroid and she’s taking tamoxifen, what to do ?

A

Do US and Take biopsy if >4mm

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8
Q

Exhausted Woman in labor with fully dilated cervix but CTG is 1 and station is -3 what’s the next step?

A

CS

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9
Q

What’s the treatment for vulvar carcinoma in situ?

A

Excision

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10
Q

Snow storm appearance means…..?

A

Hyditiform molar

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11
Q

Ptn with history of herpes in labor what do do?

A

Sterile speculum

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12
Q

Strawberry cervix with green discharge = ?

A

Trichomonas vaginalis

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13
Q

Cause of mastitis

A

S. Aureus

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14
Q

Endometriosis is associated with what cancer?

A

Epithelial ovarian cancer

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15
Q

Treatment for lactation mastitis?

A

Antibiotics

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16
Q

Herbal use on vulva might cause?

A

Contact dermatitis

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17
Q

Vaginal discharge with no smell or itching, what’s the cause ?

A

Candida

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18
Q

Can mother with HBV breastfeeding?

A

Yes

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19
Q

Rectum is not affected by blocking pudendal nerve, true or false

A

True

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20
Q

What to give for post partum hemorrhage?

A

Oxytocin

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21
Q

After post partum hemorrhage the mother can’t lactate why?

A

Sheehan syndrome

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22
Q

Post menopausal bleeding means

A

Endometrial cancer

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23
Q

Ptn on levothyroxine got pregnant what to do

A

Increase dose

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24
Q

Antibiotic treatment for UTI for 1st and 2nd trimester is…..

A

TMP, SMX

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25
Which antibiotic used to treat UTI in 2nd trimester but avoided in last 30 days of pregnancy?
Nitrofurantoin
26
Safe antibiotics for UTI during pregnancy
Amoxicillin, cephalexicin
27
……….. is a complication of ventous delivery
Cephalohematoma
28
If post partum hemorrhage is more than 500 and occurs during the first 24 hours then it’s called
1ry
29
What do do if you have post menopausal ptn with endometrial thickness
Endometrial sample
30
Ptn presented with RLQ pain what the most likely cause
Ovarian torsion
31
38 week polyhydraminous present with ROM and having sever Abd pain and fetus bradycardia what’s the cause
Cord prolapse
32
Drug should a avoided in pregnancy is
Ciprofloxacin
33
Pregnant 34 wk with breech position, on US : anterior low lying placenta. Or fetus in linear-lateral position or bicobunate uterus Can you do ECV!
No
34
Vaginal examination is contraindicated in placenta brevia
True
35
Contraindicated vaccine during pregnancy
Zoster, rubella, varicella or any live vaccine
36
What are the antidepressant allowed in pregnancy
SSRIs ( cetalopram, fluoxetine, sertraline )
37
Antidepressants that must be stopped in pregnancy
Paroxetin, Paxil
38
Pregnant wot preeclampsia ( blurred vision , HTN 170 , headache )
Stabilize, give MG, deliver
39
In case of mgso4 ( magnesium sulfate )toxicity (absence of deep tendon reflex) will you discontinue or give ca gluconate
Discontinue then give ca gluconate ( magnesium sulfate is given in preeclampsia to prevent seizure)
40
Pregnant with High BP and urine 3+ proteinuria what to do
Admission ( but if she’s 39w then induce labor )
41
⬆️ BP+ proteinuria + high creatinine =
Preeclampsia
42
What’s the drug given in preeclampsia to prevent convulsions
Mg sulfate
43
Pregnant Ptn with sever HTN what to give
Hydralazine
44
Pathophysiology of GDM
Placental hormone ( lactogene )
45
When is it the best time to do US to determine gestigenal age
14-16weeks or 11-13
46
Gestesional diabetes screening done on ….week
24 week
47
When can you do cervical cerclage?
From 12-14 week
48
Women older than 55 should do mammogram every….years
2 years
49
After doing oral glucose test 2-3 times and it’s high what you should do next
HA1C
50
Female present with leg swelling and pain with red streaks what’s the cause
Streptococcus pyrogens
51
Female with history of PID she want to get pregnant and her husband semen is good what to do
IVF also do hysterosalpengiogram for diagnosis
52
What’s the pb in polycystic ovary
Ovulation
53
Monophasic basal body temperature = ……
Anovulation
54
First thing to check in case of infertility
Progesterone 21 & semen analysis
55
When ptn present with chlamydia infection what to do
Hysterosalpengiogram ( because of adhesions )
56
Which bacterial infection is ass. With intrauterine device
Actinomyosis
57
What’s the most common cause of ectopic pregnancy
Pelvic infection disease ( PID )
58
Pregnant with chlamydia what the most part affected in newborn
Eyes
59
Cervical mass + hemoptysis is
Choriocarcinoma
60
Trichomonas vaginalis under mic
Motile flagellate
61
What the treatment for vaginal discharge ( pseudohyphae cell )
Fluconazole
62
Whats the vaginal infection that causes incompetency?
Bacterial vaginitis ( do gram stain )
63
Painless genital ulcer + skin rash =
2ry Syphilis
64
Vaccines allowed in pregnancy
Influenza , dtap
65
When to give anti D
When mother is RH negative and fetus/ newborn RH is positive
66
Pregnant came in 28week and mentioned that she RH - while her husband is RH + , what do do
Give her anti D in this visit
67
Cottage like vaginal discharge is common in…..and caused by ……
Diabetics , Candida
68
Hyphae in urine microscopy =
Candida ( treated by Fluconazole)
69
Itching + bad smell + microscopic flagella =
Tricominosis
70
Rubella has increased link to abortion, true or false
True
71
Painful genital ulcer + conjunctivitis =
Gonorrhea
72
Mother with HPV gave birth 12h ago , what to give the baby?
HPV vaccine and IG
73
What’s the first line of treatment for bacterial vaginosis ( fishy smell with itching)
Oral metronidazole
74
When you take a sample of bacterial vaginosis discharge , what do you expect to see
Granular Epithelial cells or clue cells
75
In case of cheesy infection = Candida no need to treat the husband, true or false
True
76
Metronidazole can be given in pregnancy?
Yes
77
Ptn with history of herpes is about to give birth what to do?
Pelvic speculum exam
78
Mother with hepatitis B just gave birth what is next
After 12 hours give the baby hepatitis B vaccine and immunoglobulin
79
Genital warts are treated with……..even in pregnancy
Cryotherapy

DHA Exam (21 decks)

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