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PANCE > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

tx for primary dysmenorrhea:

A

NSAIDs

Cox-2 inhibitors

oral contraceptives-supress ovulation

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2
Q

The most important hormones to check in secondary amenorrhea are:

A

beta HCG

TSH

Prolactin

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3
Q

Conization of cx cancer may lead to:

A

incompeten cervix

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4
Q

Contaception method for breastfeeding pt:

A

Progesterone mini-pill

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5
Q

short satute

nipple set far apart

never menstruated

webbed neck

indicative of:

A

Turner’s syndrome

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6
Q

cx cell collected for pap smear must come from:

A

Tranformation Zone

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7
Q

in PCOS LH/FSH ratio is:

A

3:1

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8
Q

female 21-29 y.o

pap smear every

A

3 years

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9
Q

12 weeks gestation the fundus is at the level of

A

Syphysis Pubis

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10
Q

important consideration in placenta previa:

A

NOT to do digital exam.

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11
Q

type of fibroids that can be felt on a manual exam are:

A

Subserosal

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12
Q

HTN

Proteinuriea

edema

seizure

are signs of:

A

ECLAMSIA

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13
Q

classical C-section scar is:

A

vertical

contraindication to vaginal delivery

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14
Q

IUP should be visualized at:

A

beta HCG >1500

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15
Q

drug for medical abortion is:

A

Mifepristone

Misoprostol

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16
Q

clue cells

fishy odor

A

Bacterial Vaginosis

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17
Q

KOH prep that shows PSEUDO-HYPHAE

are indicative of:

A

Candidosis

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18
Q

premature rapture of membranes is rapture at what age?

A

before week 37

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19
Q

holistic PMS tx:

A

Calcium carbonate

Mg

Vit B6

St.John’s wort

increase carbs

decrease caffeine, ETOH, tobacco, chocolate, NA

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20
Q

In endometriosis the uterus is usually in:

A

Retroverted and fixed position

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21
Q

risk assosiated with hormone replacement therapy:

A

CAD

Stroke

DVT

Breast CA

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22
Q

definitive test for Menopause:

A

FSH>30

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23
Q

Positive None stress test would show:

A

fetal heart acceliratiotn by 15 beats or more during a contraction.

good prognosis

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24
Q

Fetal fibronectin test:

A

if positive>high risk of delivery w/in 2 weeks,

if negative>low risk of delivery w/in 2 weeks

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25
Q

Fishy grey scant

Think, sticky, non irritating vaginal discharge

A

tx: Metronidazole 500 mg BID x 7 days

or

Clindamycin cream x 7 days

(diagnosis bacterial vaginosis)

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26
Q

unilateral hemorrhagic / chocolate cyst is known as:

A

Endometrioma

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27
Q

FSH>30 is indicative of:

A

Menopause

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28
Q

darkening of the face during pregnancy is known as:

A

Chloasma

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29
Q

Gestational DM is screened at:

A

week 24-28

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30
Q

Mild vs. Sever Pre-eclampsia:

A

Mild Sever

Bp 140/90 Bp 160-180/110

24 h UA protein<5 g >5 g

no addition sx other sx

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31
Q

tx for Mastitis is:

A

Dicloxacillin

Cephalexin

Erythromycin

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32
Q

number 1 risk factor for Pre-Eclampsia is:

A

Nulliparity

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33
Q

side effect of magnesium sulfate is:

A

N/V

muscle weakness

decrease reflexes

respiratory depression

antidote-Calcium Gluconate

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34
Q

Glucose Tolerance Test involves:

A

done only after positive Glucose Challenge test

100 g of oral load

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35
Q

medication used in tx of endometriosis that has a side effect of permanent voice deepening is:

A

Danazol-testosterone

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36
Q

most common cause of post partum hemmorhage is:

A

Uterine Atony

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37
Q

Frothy vaginal discharge:

A

Trichomoniasise

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38
Q

Rh Incompatibility

A

Mom is Rh -

Fetus is Rh +

risk of hydrops fetalis

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39
Q

Preeclapsia will demonstrate hyper or hyporeflexia

A

HyperReflexia

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40
Q

Amenorrhea with

No breast development and elevated FSH is due to:

A

Turner’s sydnrome

(ovarian dysgenesis)

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41
Q

glucose challenge test involves:

A

oral load of 50 g.

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42
Q

painfull vs. painless bleeding:

A

painfull> abruption

painless>previa

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43
Q

most common location of endometriosis is:

A

Ovary

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44
Q

tx for Bacterical Vaginosis:

A

Metronidazole 500 BID x 7 days

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45
Q

Paget disease affect:

A

Infiltrating intra-ductal carcinoma in the nipple and ducts of nipple

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46
Q

androgen excess and hirsutism are sx of:

A

Polycycstic Ovaryian Syndrome

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47
Q

pt with Turner sydnrome is likely to have what cardiact anamoly?

A

coartation of the aorta

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48
Q

tx for PCOS in a woman who wants to become pregnant is:

A

weight loss

Clomid

metformin

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49
Q

Asherman’s syndrome is:

A

outflow tract obstruction

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50
Q

Hormonal therapy for Turner’s syndrome is:

A

cyclic estrogen and progestin

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51
Q

Clue Cells of wet prep

indicative of:

A

Bacterial Vaginosis

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52
Q

symptomatic fibroids are of what type?

A

Submucous

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53
Q

RhoGam is given at:

A

week 28

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54
Q

tx of endometriosis in a pt who would like to maintain her fertility is:

A

Surgical only

No medication

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55
Q

20 weeks gestation the fundus is at the level of

A

umbilicus

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56
Q

motile flaglated protozoa seen on wet prep is a signs of:

A

Trichomonas

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57
Q

Most common functional cyst is:

A

Follicular

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58
Q

HELLP Syndrome stands for:

A

Hemolysis

Elevated Liver enzymes

Low Platletes

59
Q

side effect of Depo (pregestin) is

A

Ca loss > osteoporosis

60
Q

chronic HTN during pregnancy can be manifested by:

A

IUGR

61
Q

next step after ASC-US result:

A

if HPV negative > repear pap in 6 month

if HPV positive > colposcopy

62
Q

tx for Uterine Atony is:

A

Oxytocin

UT massage

63
Q

Rh incompatibility mostly affects:

A

subsequent children

64
Q

factors predisposing to Candidosis:

A

HIV

Diabete

abx

65
Q

false positive pregnancy test may be due to:

A

Petuitary tumor

66
Q

Cottage Cheese

vaginal discharge

odorless

tx:

A

Fluconazole

or

-azole- cream

(diagnosis: Candida)

67
Q

tx of unstable Placetal Abruption is:

A

delivery or C section

68
Q

tx for Trichomonas

A

Metronidazole 2 gram - one dose

69
Q

sx of Gestational Trophoblastic Disease: Molar (Hydatidiform) Pregnancy

A

Bleeding
Hyperemesis
Large for dates uterus
hCG markedly high for LMP
Pre-eclampsia in 1st or 2nd trimester pathognomonic for molar pregnancy
Snowstorm or cluster of grapes appearance in uterus on US

70
Q

name of Emergency Contraception:

A

Levonorgestrel (progesterone)

71
Q

peau d’orange is:

A

Erythematous,

edematous,

warm skin overlying the breast

72
Q

Karyotype 45, X is indicative of:

A

Turner’s syndrome

73
Q

Depo Provera MoA

A

Progesteron supresses LH surge > anavulation

74
Q

late decelerations are:

A

fetal heart decelerations at the end of contractoins

very worrisome

75
Q

sx of CX cancer is:

A

post coital bleeding

76
Q

drug therapy for ER positive breast CA:

A

Taxoxifen

Aromastase Inhibitor - Anastrozole

Biphosphonate - Zoledronic Acid

77
Q

most common cause of septic arthritis in sexually active adults is:

A

Gonorrhea

78
Q

Condylomata acuminata is:

A

genital warts caused by HPV

79
Q

most common breast CA is

A

Infiltrating ductal carcinoma

80
Q

tx for Gonorrhea is

A

ceftriaxone - IM single dose

81
Q

Strawberry cx

Green/yellow frothy vaginal discharge

description of:

A

Trichomonas

Strawberry Trichomonas

82
Q

Hormones that produce Follicular cysts are:

A

LH and FSH

83
Q

Betamethasone is given to pregnant pt to:

A

enhanse fetal lung maturity

increase levels of surfactant

84
Q

virus that is assosiated with cx CA is:

A

HPV 16, 18

85
Q

prolonged menstral bleeding is known as:

A

meno rrhagia

86
Q

during pregnancy Chalesterol level

A

goes up

87
Q

most common cause of secondary dysmenorrhea is:

A

Endometriosis

88
Q

Positive gestational DM test is:

A

1 hour oral glucose >140

89
Q

softening of fundus and cx during pregnancy is known as:

A

Hagar’s sign

90
Q

the test of choice for secondary ammenorrhea is

A

Progesterone challenge test

91
Q

Contraseption MoA

A

Estrogen: supresses FSH>supresses fillicular growth

Progesteron: supresses LH>supresses ovulation

92
Q

Female 30-65 y.o

Cx screening:

A

Pap cytology smear + HPV: every 5 years

Pas smear: every 3 years

93
Q

Androgen excess in PCOS is treated with:

A

Spironolactone

94
Q

most malignant form of breast cancer

A

Inflammatory Breast Cancer

95
Q

irregular bleeding between cycles is known as:

A

Metrorrhagia

96
Q

painful cyclic breast lesions:

A

Fibrocystic breast

97
Q

oyster ovaries or string of pearls are indicative of:

A

Polycystic Ovarian Syndrome

98
Q

Bluish discoloration of vagina and cx during pregnancy is knonw as:

A

Chadwick’s sign

99
Q

purulent vaginal discharge is indicative of:

A

N.Gonorrhea

purulent = puss

100
Q

FSH / LH challenge test that rpdocuces bleeding is indicative of:

A

Hypothalamic-pituitary-ovarian axis abnormality

101
Q

contraindications to Estrogen contraception:

A

DVT/PE

Cancer

Vascular headache

Smoker

Diabetes

102
Q

anterior vaginal bulge:

A

Cystocele

Bladder prolapse

103
Q

HCG should double every

A

48 hours

104
Q

magnesium sulfate is given to pregnant pt to:

A

slow down preterm labor

inhibits myometrial contractility

105
Q

medication used tx PMS:

A

NSAIDs

SSRI

Spirolactone

106
Q

Most cx cancers are

A

Squamous

107
Q

posterior vaginal bulge:

A

Rectocele

108
Q

tx of Gestational DM:

A

Diet and exercise

109
Q

Most common isoimmunization is

A

antigen D

110
Q

the cause of Primary Dysmenorrhea is:

A

Prostaglandins

111
Q

tx for Endometritis is:

A

Glindamycin + Gentamicin

112
Q

After stoping progesteron contraception, fertility/ovulation returns as late as:

A

18 month after

113
Q

tx for endometriosis is:

A

laparoscopy and ablation

114
Q

Fibrocystic vs Fibroadenoma

A

Fibrocystic - painful, cyclic

Fibroadenoma - painless, solid

115
Q

s/p Cesarean

fever

uterine tenderness

A

Endometritis

116
Q

medical tx of ectopic pregnancy with Methotrexate can be completed if:

A

beta HCG is less than 5000

ectopi size<3.5

117
Q

significant risk factor for Endometrial Cancer is:

A

Nulliparity

Late menopause

Tamoxifen

118
Q

causative organism for Bacterial Vaginosis:

A

Haemophilus / Garderella

119
Q

in a Turner’s syndrome FSH will be ________ while Estrogen will be _________

A

high FSH

low Estrogen (no ovaries)

120
Q

soft, solid, mobile, rubbery lesion

not painful

young women

A

Fibroadenoma

121
Q

Amenorrhea caused by Hypothalamic Pituitary insufficiency will demonstrate _______FSH, LH

A

low FSH and LH

122
Q

bleeding induced by the progesterone challange test is indicative of:

A

Anovulation

123
Q

Lupron is

A

GnRH agonist

124
Q

Hypotension

Tachycardia

Abdominal guarding

sign of:

A

Ruptured Ectopic Pregnancy

125
Q

tender nodularity in the cul de sac and uterine ligaments are seen in

A

Endometriosis

126
Q

eclamsia/preeclamis can be diagnosed oly after

A

20 w of gestatoin

127
Q

organism that causes Mastitis:

A

S. aureus

128
Q

Grape-like vesicles,

snow storm pattern

A

Gestational Throphoblastic Disease - Hydatidiform Mole

129
Q

most common ovarian CA is:

A

epythelial

130
Q

labor induction is adviced if the pregnancy goes beyond

A

42nd week.

131
Q

Tumor marker for ovarian cancer is:

A

CA 125

132
Q

HTN

Proteinuriea

edema

are signs of:

A

Preclamsia

133
Q

Cauliflower like warts on genitalia are caused by:

A

HPV

134
Q

mucopurulent vaginal discharge is indicative of:

A

Chlamydia

135
Q

Positive Contraction Stress Test (ooxytocin challenge test)

A

would show fetal hear decelaration in response to contraction

bad prognosis

136
Q

Sister Mary Joseph’s nodule are:

A

metastatic mesentery nodes in the umbilicus

137
Q

tx for Chlamydia is:

A

Azithromycin 1 gram once

or

Doxycycline 100 mg BID for 7 days

138
Q

itching or burning of the nipple is a signs of:

A

Paget Disease of the Breast

139
Q

Emergency contraception must be given:

A

1st dose w/i 72 hours

2nd dose 12 hours later

140
Q

Severe Preeclampsia Tx:

A

Magnisium Sulfate - siezure prophylaxis

Labetalols, hydralazine - HTN tx.

141
Q

Missing of X chromosome is known as:

A

Turner syndrome

45 x

142
Q

Preclamsia is caused by:

A

Endothelial dysfunction

143
Q

tx of HIV pregnant pt:

A

Zidovudine

Zidovudine=zygote

PANCE (20 decks)

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