O&G Flashcards

1
Q

Primary causes of third trimester bleeding

A

Placental abruption & placenta previa

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2
Q

Classic ultrasonography and gross appearance of complete hydatidiform mole

A

USS: snowstorm

Gross ex: cluster of grapes appearance

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3
Q

Chromosomal pattern of a complete mole

A

46,XX

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4
Q

Molar pregnancy containing fetal tissue

A

Partial mole

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5
Q

Symptoms of placental abruption

A

Continuous, painful vaginal bleeding

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6
Q

Symptoms of placenta previa

A

Self limited, painless vaginal bleeding

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7
Q

When should a vaginal exam be performed with suspected placenta previa?

A

Never

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8
Q

Teratogenic antibiotics?

A

Tetracycline
Fluoroquinolones
Aminoglycosides
Sulphonamides

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9
Q

Medication given to accelerate fetal lung maturity

A

Betamethasone or dexamethasone x 48hrs

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10
Q

The most common cause of postpartum haemorrhage

A

Uterine atony

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11
Q

Treatment for postpartum haemorrhage

A

Uterine massage

If massage fails give oxytocin

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12
Q

Typical antibiotics for Group B strep (GBS) prophylaxis

A

IV penicillin or ampicillin

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13
Q

A patient fails to lactate after an emergency C-section etc marked blood loss

A

Sheehan’s syndrome (postpartum pituitary necrosis)

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14
Q

Uterine bleeding at 18 weeks gestation; no products expelled; cervical os open

A

Inevitable abortion

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15
Q

Uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed

A

Threatened abortion

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16
Q

The first test to perform when a woman presents with amenorrhoea

A

b-HCG

Most common cause of amenorrhoea is pregnancy

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17
Q

Term for heavy bleeding during and between menstrual periods

A

Menometorrhagia

18
Q

Cause of amenorrhoea with normal prolactin, no response to estrogen-progesterone challenge, and history of D&C

A

Asherman syndrome

19
Q

Therapy for polycystic ovarian syndrome

A

Weight loss & OCPs

Consider metformin

20
Q

Medication used to induce ovulation

A

Clomiophene citrate

21
Q

Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding

A

Endometrial biopsy

22
Q

Indications for medical treatment of ectopic pregnancy

A

Patient stable;

Unruptured ectopic pregnancy of <3.5cm at <6 weeks gestation

23
Q

Medical options for endometriosis

A

OCP, danazol, GnRH agonists

24
Q

Laparoscopic findings in endometriosis

A

Powder Burma & chocolate cysts

25
Q

Most common location for an ectopic pregnancy

A

Ampulla of oviduct

26
Q

Diagnosis and follow up of leiomyoma

A

Ultrasonography

27
Q

Natural history of leiomyoma

A

Regresses after menopause

28
Q

A patient has increased vaginal discharge and petechia patches in the upper vagina and cervix

A

Trichomonal vaginitis

29
Q

Treatment for bacterial vaginosis

A

Oral metronidazole

30
Q

Most common cause of bloody nipple discharge

A

Intraductal papilloma

31
Q

Contraceptive methods that protect against PID

A

OCP & barrier contraception

32
Q

Unopposed oestrogen is contraindicated in which cancers?

A

Endometrial & ER + breast cancers

33
Q

A patient presents with recent PID & RUQ lain

A

Consider Fitz-Hugh-Curtis syndrome

34
Q

Breast malignancy presenting as itching, burning, and erosion of the nipple

A

Pager disease

35
Q

Annual screening for women with a strong family history of ovarian cancer

A

Ca-125 and TVUS

36
Q

A 50 year old woman leaks urine when laughing or coughing.

Non surgical options?

A

Kegel exercises, oestrogen, pessaries for stress incontinence

37
Q

A 30 year old woman has unpredictable urine loss. Examination is normal. Medical options?

A

Anticholinergics (oxybutinin) or b-adrenergics (metaproterenol) for urge incontinence

38
Q

Lab values for suggestive of menopause

A

Raised serum FSH

39
Q

Most common cause of female infertility

A

Endometriosis

40
Q

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow up evaluation?

A

Colposcopy & endocervical curettage

41
Q

Breast cancer type that increases the future risk of invasive carcinoma in both breasts?

A

Lobular carcinoma in situ