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Step 2 Rapid Review > OB/Gyn > Flashcards

OB/Gyn Flashcards

1
Q

Primary causes of 3rd-trimester bleeding

A

placental abruption and placenta previa

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2
Q

Classes US and gross appearance of complete hydatidiform mole

A

Snowtorm on US. “Cluster-of-grapes” appearance on gross examination

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3
Q

Chromosomal pattern of 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

Sx’s of placental abruption

A

Continuous, painful vaginal bleeding

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6
Q

Sx’s of placenta previa

A

Self-limited, painless vaginal bleeding

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7
Q

When should a vaginal exam be performed w/ suspected placenta previa?

A

Never

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8
Q

Abx w/ teratogenic effects

A

Tetracycline, fluoroquinolones, aminoglycosides, sulfonamides

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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

Most common cause of postpartum hemorrhage

A

Uterine atony

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11
Q

Treatment for postpartum hemorrhage

A

Uterine massage; if that fails, oxytocin

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12
Q

Typical Abx for GBS prophylaxis

A

IV penicillin or ampicillin

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13
Q

A Pt fails to lactate after an emergency C-section w/ marked blood loss

A

Sheehan’s syndrome (postpartum pituitary necrosis).

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14
Q

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

A

Inevitable abortion

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15
Q

Uterine bleeding at 18wks; no products expelled; cervical os closed

A

threatened abortion

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16
Q

First test to perform when woman presents w/ amenorrhea

A

beta-gCG; most common cause of amenorrhea is pregnancy

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17
Q

Heavy bleeding during and between menstrual periods

A

menometrorrhagia

18
Q

Cause of amenorrhea w/ normal prolactin, no response to estrogen-progesterone challenge, and a h/o D&C

A

Asherman’s syndrome

19
Q

Therapy for PCOS

A

Wt loss and OCPs. Consider metformin

20
Q

Medication used to induce ovulation

A

Clomiphene citrate

21
Q

Diagnostic step required in a postmenopausal woman who presents w/ vaginal bleeding

A

Endometrial biopsy

22
Q

Indications for medical treatment of ectopic pregnancy

A

Pt stable; unruptured ectopic pregnancy of

23
Q

Medical options for endometriosis

A

OCPs, danazol, GnRH agonists

24
Q

Laparoscopic findings in endometriosis

A

Powder burns, “chocolate cysts.”

25
Q

The most common location for an ectopic pregnancy

A

Ampulla of the oviduct

26
Q

How to diagnose and follow a leiomyoma

A

US

27
Q

Natural h/o a leiomyoma

A

Regresses after menopause

28
Q

Pt has increased vaginal discharge and petechial patches in the upper vagina and cervix

A

Trichomonal vaginitis

29
Q

Treatment for BV

A

Oral or topical metronidazole

30
Q

Most common cause of bloody nipple discharge

A

Intraductal papilloma

31
Q

Contraceptive methods that protect against PID

A

OCPs and barrier contraception

32
Q

Unopposed estrogen is contraindicated in which cancers?

A

Endometrial or estrogen receptor-positive breast cancer

33
Q

A Pt presents w/ recent PID w/ RUQ pain

A

Consider Fitz-Hugh-Curtis syndrome

34
Q

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

A

Paget’s disease

35
Q

Annual screening for women w/ a strong family h/o ovarian CA

A

CA-125 and transvaginal US

36
Q

A 50yo F leadk urine when laughing coughing. Nonsurgical options?

A

Kegel exercises, estrogen, pessaries for stress incontinence

37
Q

30yo F has unpredictable urine loss. Examination is normal. Medical options?

A

Anticholinergics (oxybutynin) or beta-adrenergics (metaproterenol) for urge incontinence

38
Q

Lab values suggestive of menopause

A

increase in serum FSH

39
Q

Most common cause of female infertility

A

Endometriosis

40
Q

2 consecutive finding of ASCUS on pap smear. Follow-up eval?

A

Colposcopy and endocervical curettage

41
Q

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

A

Lobular carcinoma in situ

Step 2 Rapid Review (7 decks)

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