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First Aid > gynecology > Flashcards

gynecology Flashcards

1
Q

bloody nipple discharge

A

intraductal papilloma

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2
Q

difference differentielle of breast mass(5)

A 
fibrocystic disease
fibroadenoma
mastitis/abscess
fat necrosis
breast cance
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3
Q

most common breast lesion in women < 30 ans

A

fibroadenoma

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4
Q

increased risk of Ca

A

exposure to estrogen

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5
Q

case of increase exposure to estrogen(3)

A

early menarche
late menopause
nulliparity

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6
Q

localisation of ca sein

A

45% occur in the upper outer quadrant

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7
Q

fat diet in ca du sein(2)

A

high fat diet

low fiber diet

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8
Q

stage 1 tumor du sein

A

Tumor size < 2 cm

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9
Q

Stage II tumor du sein

A

Tumor size 2–5 cm

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10
Q

Stage III tumor du sein

A

Axillary node

involvement

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11
Q

Stage IV tumor du sein

A

Distant

metastasis

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12
Q

Tumor markers for recurrent breast cancer(2)

A

CEA and CA 15-3 or

CA 27-29.

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13
Q

Most reliable prognosis factor for breast cancer

A

TNM

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14
Q

Behavioral methods of contraception(2)

A

rythm

coitus interruptus

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15
Q

barrier methods(4)

A

diaphragm
cervical cap
IUD
condoms

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16
Q

quid of rythm

A

Uses body temperature
cervical mucus
consistency to predict time of fertilit

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17
Q

side effect of IUD(6)

A 
vaginal bleeding
 uterine perforation, 
IUD migration,
 infection
ectopic pregnancy
risk of PID
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18
Q

hormonal methods(3)

A

OCP
prosterone minipills
Depo provera

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19
Q

Quid of OCP.s

A

combination of estrogen and progestin

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20
Q

action of OCP(3)

A

Suppress ovulation by inhibiting FSH/LH;
change the consistency of cervical mucus
making the endometrium unsuitable for implantation

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21
Q

hormonal method which can be used in lactating women(4)

A

depoprovera(DMPA)
progestin mini pills
levonorgestrel
post coital morning after pills

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22
Q

infertility in patient taking Depo provera

A

till 10 months

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23
Q

ovulation in progestin minipills

A

40 % des cas

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24
Q

quid of levonorgestrel(2)

A

norplant

progesterone

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25
Q

Absolute contraindications to OCPs

A

Pregnancy.
■ A history of thromboembolic disorders (past or present).
■ A history of stroke or CAD (past or present).
■ Breast cancer (known or suspected).
■ Undiagnosed abnormal vaginal bleeding.
■ Estrogen-dependent cancer (known or suspected).
■ A benign or malignant tumor of the liver (past or present).
■ Cigarette smoking in women > 35 years of age

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26
Q

Absolute contraindications to IUD use

A 
Pregnancy.
■ A history of PID.
■ Acute cervical, uterine, or salpingeal infection.
■ Suspected gynecologic malignancy.
■ Undiagnosed abnormal vaginal bleeding.
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27
Q

quid of Adenomyosis

A

endometrial tissue in the myometrium that makes

the uterus symmetrically enlarged and globular

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28
Q

endometriosis

A

growth of endometrium outside the uterus

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29
Q

laparoscopy of endometriosis

A 
dark brown (“powder-burned”) appearance
blue black (raspberry appearrance)
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30
Q

secret in rx endometriosis

A

suppress ovulation 4 -9 months

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31
Q

med used in endometriosis

A

danazol
GNRH analog
OCPs

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32
Q

quid of GNRH analog(2)

A

nafarelin

leuprolide

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33
Q

anatomic abnormalities causing primary amenorrhea(4)

A

mullerian anomalies
vaginal agenesis
hyperforate hymen
testicular feminisation

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34
Q

hormone in anatomic abnormalities causing primary amenorrhea(2)

A

asherman syndrome

cervical stenosis

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35
Q

ovarian and uterine dysfunction causing primary amenorhea with high FSH(2)

A

gonadal dysgenesis

ovarian failure

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36
Q

characteristics in testicular feminisation

A

High LH

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37
Q

ovarian and uterine dysfunction with low or normal FSH(2)

A

constitutionnal development delay

steroidogenic enzyme defects

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38
Q

secondary amenorrhea with high FSH with ovarian or uterine dysfunction

A

premature ovarian failure
primary hypogonadism before 40
menopause

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39
Q

secondary amenorrhea with low or normal FSH in ovarian and uterine dysfunction

A

PCOS

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40
Q

secondary amenorrhea with high BHCG

A

pregnancy

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41
Q

primary amenorrhee with central regulatory disorders

A

low or normal FSH

42
Q

primary amenorrhee with central regulatory disorders cause(2)

A

Hypothalamic dysfunction

primary pituitary dysfunction

43
Q

quid of hypothalamic dysfunction causing primary amenorrhee(6)

A 
kallman syndromes
anorexia
stress
excess exercice
weight loss
tumor
44
Q

pituaitary dysfunction causing secondary amenorrhea(2)

A

sheehan

hyperprolactinemia

45
Q

Menorrhagia(2)

A 
increase amount of flow(> 80 ml per cycle)
prolonged bleeding(> 8jrs)
46
Q

oligomenorrhea

A

35 a 90 jours between cycles

47
Q

polymenorhea

A

cycle < 21 jours

48
Q

metrorragia

A

bleeding between periods

49
Q

Menometrorrhagia

A

excessive and iregular bleeding

50
Q

most commoncause f uterine bleeding and amenorrhea

A

pregnancy

51
Q

quid of menopausal uterine bleeding

A

vaginal bleeding that occurs > u egal 6 months following the cessation of menstrual function

52
Q

post menopausal bleeding

A

cancer

53
Q

post menopausal bleeding causes(5)

A 
atrophic endometrium
endometrial proliferation and hyperplasia
endometrial ca
cervical ca
prise d'estrogens sans progestins
54
Q

hirsutism and virilization with high testo and normal DHEAS

A

ovarian neoplasm

55
Q

hirsutism and virilization and high DHEAS > 7 Microgram(2)

A

adrenal tumor

cushing syndrome

56
Q

hirsutism and virilization with high Testo > 70 ng/dl and high DHEAS but less than 7(3)

A

PCOS
adrenal hyperplasia
cushing’s syndrome

57
Q

hirsutism and virilization with normal DHEAS and normal testo

A

low end organ sensitivity

58
Q

HAIR-AN syndrome

A

variant of PCOS

59
Q

symptom of HAIR-An syndrome(3)

A

hyperandrogenism
insulin resistance
acanthosis nigricans

60
Q

Menopause wreaks HAVOC

A 
Hot flashes
Atrophy of the
Vagina
Osteoporosis
Coronary artery disease
61
Q

most common cause of infertility

A

low sperm cunt and motility(40%)

62
Q

Most common localisation of ectopic

A

ampulla oviduct

63
Q

High BHCG and absence of an intra uterine pregnancy on ultrasound

A

ectopic pregnancy

64
Q

diagnosis of vaginitis (trichomonas and bacterial vaginitis)

A

wet prep

65
Q

diagnosis for yeast

A

KOH

66
Q

Chandelier sign

A

PID

67
Q

quid of chandelier sign

A

cervical tenderness motion

68
Q

bacterial vaginosis leukorea(2)

A

grayish-white

fishy

69
Q

trichomonas discharge(2)

A

yellow green

frothy

70
Q

yeast discharge

A

cottage cheese texture

71
Q

clue cells

A

vaginose bacterienne

72
Q

Azole during pregnancy

A

no azole in pregnant women

73
Q

HPV serotype

A

type 16 18 31

74
Q

most common cause of death in cervical cancer

A

uremia

75
Q

uterine mass continues to grow after menopause

A

rule out malignancy

76
Q

Bethesda system

A

Mild dysplasia=CIN1=low garde SIL

77
Q

Bethesda system in CIN 2

A

Moderate dysplasia=High grade SIL

78
Q

Bethesda system in CIN 3

A

severe dysplasia=high grade dysplasia

79
Q

Bethesda system in CIN 3 carcinome in situ

A

High grade HSIL

80
Q

Invasive cancer in Dysplasia and CIN system

A

invasive ca

81
Q

CIN 1 rx

A

Pap smear and colposcopy every 3-4 months for one year

82
Q

CIN 2 et 3 exocervix

A

laser or

Cryotherapy

83
Q

CIN 2 et 3 endocervix rx(2)

A

Conisation with loop electrosurgical excision procedure

cold knife biopsy

84
Q

palpable adnexal in a premenarchal or postmenopausal patient

A

ovarian neoplasm

85
Q

Marker for ovarian tumor epithelial

A

CA-125

86
Q

endodermal sinus ovarian tumor marker

A

AFP

87
Q

Embryonal carcinoma ovarian tumor (2)

A

AFP

HCG

88
Q

choriocarcinoma tumor marker

A

HCG

89
Q

Dysgerminoma ovarian tumor marker

A

LDH

90
Q

urinary incontinence without specific urogenital pathology

A 
DIAPPERS
Delirium/confusionnal state
Infection
Atrophic vaginitis/uretritis
Pharmaceutical
Psychiatric causes
Excessive urinary output
Restricted mobility
stool impaction
91
Q

cause of excessive urinary output(3)

A

hyperglycemia
hypercalcemia
CHF

92
Q

4 types of incontinence

A

total
stress
urge
overflow

93
Q

quid of stress incontinence(2)

A

uncontrolled loss at all times

in all positions

94
Q

cause of stress incontinence

A

pelvic flow weakness

95
Q

Urge incontinence

A

preceded by a strong unexpected urge to void

96
Q

cause of urge incontinence

A

detrusor hyperreflexia

sphincter dysfunction

97
Q

disease with urge incontinence(2)

A

inflammatory conditions

neurogenic bladder disorder

98
Q

rx of urge incontinence

A

anticholinergic medication

99
Q

overflow incontinence

A

seen in patient with chronic urinary retention

100
Q

etiologies of overflow incontinence(4)

A

tumor
strictures
neurologic factors
medications

101
Q

cause of urge incontinence(4)

A

cystitis
stone
tumor
CNS causes

First Aid (19 decks)

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