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TC Oral boards > Misc Office > Flashcards

Misc Office Flashcards

1
Q

Screening for alcohol abuse

A

Tolerance
Annoyed
Cut down
Eye opener

TACE

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2
Q

5 A’s for smoking cessation

A 
Ask 
Advise
Assess
Assist
Arrange (follow up)
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3
Q

Delivery timing for twins

A

Di-di 38-39
Mono-di 34-38
Mono-mono 32-34

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4
Q

Medication treatment regimen for medical abortion

A

OK up to 70 days gestation

Mifepristone 200 mg PO followed by miso 800 mcg 24 hrs later

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5
Q

First year failure rate for

OCPS
Condoms
Natural family planning
Depo
ParaGard
Mirena 
Nexplanon
A 
9%
18
24
3
0.8%
0.2%
0.05%
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6
Q

What are finding an ultrasound or diagnostic of early pregnancy failure

A
  1. CRL 7mm and no CA
  2. GS 25 mm and no embryo
  3. Absence of embryo with heartbeat 14 days after gestational sac with no yolk sac
  4. 11 days after gestational sac with yolk sac
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7
Q

Metabolic syndrome

A 
BP >130/85
Waist >35in
FBS >100
Decreased HDL <50 mg/dL
Triglycerides >150 mg/dL
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8
Q

DDX PCOS

A 
Androgen secreting tumor
Exogenous androgens
Nonclassical CAH
Acromegaly
Thyroid and PRL disorders
Tumor ovarian or adrenal
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9
Q

Treatment algorithm for n/v

A
  1. Ginger 250mg qid w P6 acupressure
  2. Add B6 +unisom
  3. Diphenhydramine or promethazine
  4. Regular or Zofran
  5. Methylprednisolone taper. Start w 16 mg q8h
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10
Q

Follow up after HSIL

A

HPV at 6 mo
Then costesting annually for 3 years
Then contesting q3 years for 25 yrs

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11
Q

Cervical cancer screening guidelines for HIV patient

A

Began one year after initiation of intercourse

Annually for three years then every three years until the age of 30 then contesting every three years

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12
Q

Treatments for acute uterine bleeding

A

CEE 25mg IV w6 x24h
COC 30 mcg q 8h until cessation
MPA 20mg PO TID x7d
TXA 1.3g q8 x5d

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13
Q

Female sexual interest and arousal disorder

A

Any 3 of the following:
Reduced interest in sexual activity
Absent overdue sexual fantasies
No initiation of sexual activity

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14
Q

flibanserin

A

Mixed serotonin agonist/antagonist
SEs: dizziness, drowsiness, fatigue, nausea
Contraindications: Hepatic impairment, alcohol abuse

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15
Q

Vulvodynia

A

Pain 3 mo duration w/o identifiable cause

Can be localized or generalized, spontaneous or provoked, primary or secondary

DDX: infectious, inflammatory, neoplasia, neurologic, trauma, GSM

Tx: Pelvic floor PT, TCAs, anticonvulsants, vestibulectomy (excision from hymen to the Hart line to

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16
Q

When should ECC be performed during colposcopy

A

If there is no identifiable lesion
Unsatisfactory colpo
Considering ablative therapy
Pap ASC-H, HSIL, AGC, AIS

17
Q

When would you consider a cone instead of a LEEP

A 
AIS
completed child-bearing
Inadequate colposcopy
Discrepancy between more severe pap And less severe colposcopic biopsy
CIN 3/CIS
Positive ECC
Post menopausal
18
Q

Which strains of HPV does Gardasil cover?

A

6, 11, 16,18,31,33,45,52,58

19
Q

Differential diagnosis of vulvar ulcer

A 
HSV
syphylis
Chancroid (h.ducreyi )
Lymphogranuloma venereum 
Granuloma inguinal 
Vulvar carcinoma
20
Q

Indications for admission PID

A 
Surgical emergency cannot be excluded
Toa 
Pregnancy 
N/v, fever>101
No clinical response to oral therapy
21
Q

Inpatient treatment for PID

A

Cefoxitin 2g IV q6

And Doxy 100 mg q12h X14d

22
Q

Outpatient rx PID

A

Ceftriaxone 500 mg IM
doxy 100 mg BID X14d
Metronidazole 500 BID X14d

Retest in 3 mo

23
Q

Options for treating hirsuitism

A

Spironolactone (aldosterone antagonist) 25-100 mg BID
Flutamide (androgen receptor agonist)
Finasteride (5 alpha reductive inhibitor)
Eflornithine (inhibits ornithine decarboxylase)

24
Q

Contra indications to hormone therapy

A 
Unexplained vaginal bleeding
Severe active liver disease
Prior estrogen sensitive breast or in Demetrio cancer
Coronary heart disease
Stroke, TIA
Dementia
High risk of thromboembolic disease
Hyper triglyceridemia
25
Q

4 FDA approved indications for hormone replacement therapy

A

Vasomotor symptoms
Prevention of bone loss
Hypoestrogenism caused by castration or POI
Genitourinary symptoms

26
Q

What is the difference between PMS and PMDD?

A

PMDD requires the presence of at least one affective sx:
Hopelessness
Anger
Depressed mood

27
Q

Management of VIN

A

LSIL can be followed for 2 yrs. if stable, space screening to 2-3 yr

HSIL should be treated w laser, excision or medical therapy (5% imiquimod, 5-FU)

Treated lesion should be followed up every six months for five years then annually

28
Q

Gardasil covers

A

HPV 6,11,16,18,31,33,45,52,58

29
Q

What do use for add back therapy

A

Norethindrone acetate 5 mg and conjugated equine estrogen 0.65 mg daily

TC Oral boards (38 decks)

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