Gynecology Flashcards
What dose of Vitamin A is the cut-off in pregnancy?
10000 IU
What is the diagnostic criteria for PCOS (Rotterdam Criteria)?
Two of the following three criteria are required:
1) oligo/anovulation 2)hyperandrogenism 3) clinical (hirsutism or less commonly male pattern alopecia) or
biochemical (raised FAI or free testosterone)
3) polycystic ovaries on ultrasound
Name the vaginal disorder:
pH < 4.5, neg KOH odor, hyphae
Candida
Name the vaginal disorder:
pH > 5.0, possible + whiff test, motile organisms
Trichomonas
Name the vaginal disorder:
pH > 4.5, + whiff test, clue cells
BV
Name the tumor marker: CA-15-3 CA 19-9 CA-125 CEA AFP PSA B-HCG
Breast Pancreatic Ovarian Colon - Breast CA Germ cell neoplasia, hepatoma Prostate CA Germ cell tumors and gestational trophoblastic dz
Which HPV strains are associated with cervical CA?
HPV 16, 18, 31, 33
T/F: Bleeding after intercourse requires workup for cervical CA.
T
MC benign tumor in women? Is it estrogen dependent?
Leiomyoma/Fibroid
Yes
MC invasive CA of the female tract? What symptoms is most suspicious of this condition?
Adenocarcinoma
Postmenopausal woman starts bleeding
Term: mid-cycle or mid-ovulation pain?
Mittelschmerz
Term: Mucoid cyst(s) on the cervix.
Nabothian
What are common SSX for ovarian CA?
GI sx
What are some side effects of estradiol?
Seizures, thromboembolism, CVA, MI, hepatic adenoma, nausea, GI distress
Increased risk of endometrial and/or breast cancer
What are some drug interactions with OCPs?
Acetaminophen/Vit C - inc plasma estrogen
Atorvastatin - inc plasma estrogen
Azole antifungals, barbituats, figampin, modafinil, St. John’s, tetracyclines, penicillin - decrease effectiveness
Benzo, caffeine, steroids, theophylline, tricycl antidepressants - effects increased by OCP
Lamotrigine - effects decreased by OCP
Thyroid - increases need for thyroid
