OB/Gyn Flashcards
What should a woman who is breastfeeding and develops mastitis be counseled to do?
She should be counseled to continue breastfeeding.
What is the recommended treatment for a woman with mastitis who is breastfeeding?
She should be treated with dicloxacillin, cephalexin, or clindamycin.
What is the likely diagnosis for a young woman with acute moderate to severe unilateral pelvic pain and a negative serum test for HCG?
Ovarian torsion.
What is the next step in management for a young woman with suspected ovarian torsion?
Ultrasound of the abdomen and pelvis.
What is required for treatment of a breast abscess?
Needle-aspiration drainage plus empiric antibiotic therapy with cephalexin or dicloxacillin.
What antibiotics are used for empiric treatment of mild to moderate PID in the outpatient setting?
Doxycycline, metronidazole, and a cephalosporin.
What are the early steps in an infertility evaluation for women?
Hysterosalpingogram and a day 3 FSH or anti-müllerian hormone test.
How does a breast abscess typically manifest in breastfeeding women?
With breast erythema, pain, and a palpable fluctuating mass with or without systemic symptoms of infection.
What is the typical presentation of women with mastitis?
They typically present during the second or third week after delivery with a unilaterally tender, hardened breast, chills, fever, and malaise.
What is the most common cause of mastitis?
Staphylococcus aureus.
How can you differentiate between a breast abscess and a galactocele?
A breast abscess is painful, while a galactocele is painless.
What is the appropriate treatment for a breastfeeding woman with a urinary tract infection if the infant is older than 4 weeks?
Nitrofurantoin.
What is the appropriate treatment for a breastfeeding woman with a urinary tract infection if the infant is older than 2 months?
TMP-SMX.
What is the first-line treatment for uncomplicated MRSA bacteremia?
Vancomycin.
What is the likely diagnosis for a premenopausal woman taking oral contraceptives who presents with a focal painful liver mass with no central scar?
Hepatic Adenoma.
What is the likely diagnosis for a 32-year-old woman with low-grade fever, diffuse lower abdominal pain worse by sex, and cervical motion tenderness?
Pelvic Inflammatory Disease (PID).
What is a likely explanation for excessively bleeding gums in a woman 3 weeks postpartum?
An acquired autoimmune disorder.
What is a likely explanation for excessively bleeding gums weeks post-partum?
An acquired autoimmune disorder.
What is a common post-partum condition related to factor 8?
An inhibitor to factor 8.
What should a woman who is breastfeeding and develops mastitis be counseled to do?
Continue breastfeeding.
What is the recommended treatment for mastitis in a breastfeeding woman?
Dicloxacillin, cephalexin, or clindamycin.
What is the most appropriate drug class for UTI in a woman who is breastfeeding?
Cephalosporin.
