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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
Q

Which antibiotic used to treat UTI in 2nd trimester but avoided in last 30 days of pregnancy?

A

Nitrofurantoin

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26
Q

Safe antibiotics for UTI during pregnancy

A

Amoxicillin, cephalexicin

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27
Q

……….. is a complication of ventous delivery

A

Cephalohematoma

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28
Q

If post partum hemorrhage is more than 500 and occurs during the first 24 hours then it’s called

A

1ry

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29
Q

What do do if you have post menopausal ptn with endometrial thickness

A

Endometrial sample

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30
Q

Ptn presented with RLQ pain what the most likely cause

A

Ovarian torsion

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31
Q

38 week polyhydraminous present with ROM and having sever Abd pain and fetus bradycardia what’s the cause

A

Cord prolapse

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32
Q

Drug should a avoided in pregnancy is

A

Ciprofloxacin

33
Q

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!

A

No

34
Q

Vaginal examination is contraindicated in placenta brevia

A

True

35
Q

Contraindicated vaccine during pregnancy

A

Zoster, rubella, varicella or any live vaccine

36
Q

What are the antidepressant allowed in pregnancy

A

SSRIs ( cetalopram, fluoxetine, sertraline )

37
Q

Antidepressants that must be stopped in pregnancy

A

Paroxetin, Paxil

38
Q

Pregnant wot preeclampsia ( blurred vision , HTN 170 , headache )

A

Stabilize, give MG, deliver

39
Q

In case of mgso4 ( magnesium sulfate )toxicity (absence of deep tendon reflex) will you discontinue or give ca gluconate

A

Discontinue then give ca gluconate ( magnesium sulfate is given in preeclampsia to prevent seizure)

40
Q

Pregnant with High BP and urine 3+ proteinuria what to do

A

Admission ( but if she’s 39w then induce labor )

41
Q

⬆️ BP+ proteinuria + high creatinine =

A

Preeclampsia

42
Q

What’s the drug given in preeclampsia to prevent convulsions

A

Mg sulfate

43
Q

Pregnant Ptn with sever HTN what to give

A

Hydralazine

44
Q

Pathophysiology of GDM

A

Placental hormone ( lactogene )

45
Q

When is it the best time to do US to determine gestigenal age

A

14-16weeks or 11-13

46
Q

Gestesional diabetes screening done on ….week

A

24 week

47
Q

When can you do cervical cerclage?

A

From 12-14 week

48
Q

Women older than 55 should do mammogram every….years

A

2 years

49
Q

After doing oral glucose test 2-3 times and it’s high what you should do next

A

HA1C

50
Q

Female present with leg swelling and pain with red streaks what’s the cause

A

Streptococcus pyrogens

51
Q

Female with history of PID she want to get pregnant and her husband semen is good what to do

A

IVF also do hysterosalpengiogram for diagnosis

52
Q

What’s the pb in polycystic ovary

A

Ovulation

53
Q

Monophasic basal body temperature = ……

A

Anovulation

54
Q

First thing to check in case of infertility

A

Progesterone 21 & semen analysis

55
Q

When ptn present with chlamydia infection what to do

A

Hysterosalpengiogram ( because of adhesions )

56
Q

Which bacterial infection is ass. With intrauterine device

A

Actinomyosis

57
Q

What’s the most common cause of ectopic pregnancy

A

Pelvic infection disease ( PID )

58
Q

Pregnant with chlamydia what the most part affected in newborn

A

Eyes

59
Q

Cervical mass + hemoptysis is

A

Choriocarcinoma

60
Q

Trichomonas vaginalis under mic

A

Motile flagellate

61
Q

What the treatment for vaginal discharge ( pseudohyphae cell )

A

Fluconazole

62
Q

Whats the vaginal infection that causes incompetency?

A

Bacterial vaginitis ( do gram stain )

63
Q

Painless genital ulcer + skin rash =

A

2ry Syphilis

64
Q

Vaccines allowed in pregnancy

A

Influenza , dtap

65
Q

When to give anti D

A

When mother is RH negative and fetus/ newborn RH is positive

66
Q

Pregnant came in 28week and mentioned that she RH - while her husband is RH + , what do do

A

Give her anti D in this visit

67
Q

Cottage like vaginal discharge is common in…..and caused by ……

A

Diabetics , Candida

68
Q

Hyphae in urine microscopy =

A

Candida ( treated by Fluconazole)

69
Q

Itching + bad smell + microscopic flagella =

A

Tricominosis

70
Q

Rubella has increased link to abortion, true or false

A

True

71
Q

Painful genital ulcer + conjunctivitis =

A

Gonorrhea

72
Q

Mother with HPV gave birth 12h ago , what to give the baby?

A

HPV vaccine and IG

73
Q

What’s the first line of treatment for bacterial vaginosis ( fishy smell with itching)

A

Oral metronidazole

74
Q

When you take a sample of bacterial vaginosis discharge , what do you expect to see

A

Granular Epithelial cells or clue cells

75
Q

In case of cheesy infection = Candida no need to treat the husband, true or false

A

True

76
Q

Metronidazole can be given in pregnancy?

A

Yes

77
Q

Ptn with history of herpes is about to give birth what to do?

A

Pelvic speculum exam

78
Q

Mother with hepatitis B just gave birth what is next

A

After 12 hours give the baby hepatitis B vaccine and immunoglobulin

79
Q

Genital warts are treated with……..even in pregnancy

A

Cryotherapy

DHA Exam (21 decks)

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