Gynecology Flashcards

1
Q

recurrent, variable cluster of symptoms during the 7-14 days before onset of menses

A

premenstrual syndrome

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2
Q

some signs and symptoms of premenstrual syndrome

A

bloating

breast pain

ankle swelling

irritability/agressiveness

depression

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3
Q

treatment of premenstrual syndrome

A

NSAIDs

oral contraceptives

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4
Q

amenorrhea

A

lack of menstruation

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5
Q

dysmenorrhea

A

menstrual pain

low, midline, wave-like, cramping pelvic pain caused by uterine vasoconstriction & prostaglandins

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6
Q

severe PMS with funcitonal impairment

A

premenstrual dysphoric disorder (PMDD)

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7
Q

difficult or painful sexual intercourse

A

dyspareunia

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8
Q

triad of amenorrhea, obesity, hirsutism

A

polycystic ovarian syndrome (PCOS)

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9
Q

what might the ultrasound show of somebody with PCOS?

A

bilateral enlarged ovaries with peripheral cysts

“string of pearls”

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10
Q

andorgen excess and causes unwanted male-pattern hair growth on a woman’s face, chest, and back

A

hirsutism

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11
Q

benign uterus smooth muscle tumor

A

leiomyomas

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12
Q

do leiomyomas progress or regress with menopause?

A

regress

growth is related to estrogen production

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13
Q

what is a nabothian cyst

A

discrete cystic structure that forms when a cleft of columnar epithelium becomes covered w/ squamous cells & columnar cells continuues to secrete mucoid material

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14
Q

most common causes of pelvic inflammatory disease

A

N. gonorrhea

Chlamydia

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15
Q

signs and symptoms of pelvic inflammatory disease

A

pelvic or abdominal pain

dysuria

dyspareunia

+ Chandelier sign

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16
Q

treatment for pelvic inflammatory disease

A

doxy + ceftriaxone (to cover gonorrhea & chlamydia)

17
Q

presence of normal endometrial tissue outside the uterine cavity

A

endometriosis

18
Q

class triad of endometriosis

A
  1. cyclic premenstrual pelvic pain
  2. dysmenorrhea
  3. dyspareunia
19
Q

most common site of endometriosis

A

ovaries

20
Q

definitive diagnosis of endometriosis

A

laparoscopy with biopsy

21
Q
A