Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step 2 > Ob/Gyn > Flashcards

Ob/Gyn Flashcards

1
Q

Mammary Pagets is associated with

A

Adenocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Complex multiloculated adnexal mass with thick walls and internal debris

A

Tubo-ovarian abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Klumpke palsy

A

C8 and T1
“claw hand”: extended wrist, hyperextended MCP, absent grasp
Horner syndrome
Intact Moro and biceps reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Erb-Duchenne palsy

A

C5-6
“waiters tip”: extended elbow, pronated forearm, flexed wrist & fingers
Intact grasp reflex; decreased morro and biceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fx humerus or clavicle during birth

A

Bony crepitus

Decreased moro reflex d/t pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Theca lutein cysts

A

Multilocular, bilateral, ovaries 10-15cm

Due to ovarian hperstimulation from trophoblastic disease or multi gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pudendal nerve injury

A

During labor

Perianal sensation and wink reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nodules in the recto-vaginal septum, posterior cul-de-sac or uterosacral ligament

A

Endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Granulosa cell tumors

A

Produce estrogen (high estradiol and inhibin); chronic, unopposed estrogen -> endometrial hyperplasia and postmenopausal bleeding OR precocious puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Prior HSV infection during pregnancy

A

Antivirals at 36 weeks

C-section if lesions or prodromal sx during labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Extremely elevated AFP

A

NTD, ventral wall defects, multiple gestations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

GU syndrome of menopause

A

Dryness, dyspareunia, bleeding, incontinence, UTIs, pelvic pressure
Looks like lack of estrogen
Give topical estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

HPV screening

A

21-65
Abnml -> colposcopy
Endocervical + -> cone biopsy
ASCUS -> repeat pap q3m or HPV DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Endometrial cancer

A

Estrogen exposure; adeno

  1. Fat and old
  2. Young with PCOS
  3. Thin and old on hormones
  4. Granulosa-theca tumor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Epithelial ovarian carcinoma

A

Trauma of ovulation
Presents: renal failure, SBO, ascites cystadenos and Brenner
Solid mass with thick separations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Endodermal sinus tumor

A

Type of germ cell tumor

Elevated AFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vulvar cancer

A

Most common: SCC
Black lesions: melanoma
Red lesions: pagets
All will have pruritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Symmetric FGR

A

Chromosomal anomalies or congenital infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Asymmetric FGR

A

Vasculopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When to give Rhogam?

A

28-32 weeks

<72 hours of delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Homogenous cystic adnexal mass

A

Endometriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

PID

A

Gonorrhea think the sketch!

23
Q

Lichen planus

A

Itching, dyspareunia, vaginal involvement
white lesion, oral ulcers OR purple papules
Biopsy
Treat with corticosteroids

24
Q

Lichen sclerosis

A

White lesions, itching

NO vaginal involvement

25
Q

Mullerian agenesis

A

No uterus or cervix; otherwise normal secondary sex characteristics
Normal testosterone and FSH
Check the kidneys

26
Q

5-alpha-reductase deficiency

A

46,XY that appear female until puberty

Virilization

27
Q

Androgen insensitivity

A

X-linked; 46XY
Looks female, breast, no axillary or pubic hair
Female external genitalia; no uterus, cervic and upper 1/3 vagina
Cryptorchid testes

28
Q

Intraheaptic cholestasis of pregnancy

A

3rd trimester, pruritic (hands and feet), no rash, RUQ pain
Risks: demise, preterm, meconium, RDS
Deliver at 37 weeks, ursodeoxycholic acid

29
Q

Placenta previa risks

A

Prior c-section, prior placenta previa, multiple gestation, advanced maternal age

30
Q

Risk factors for shoulder dystocia

A

Macrosomia, maternal obesity, excessive weight gain, GDM, post-term

31
Q

Bloody nipple discharge

A

intraductal papilloma

32
Q

Normal 3-hr glucose tolerance

A

<140

33
Q

Melasma

A

Hyperpigmentation on sun-exposed areas; common in pregnancy

34
Q

Tamoxifen risks

A

Hot flashes, DVT, endometrial hyperplasia/carcinoma

35
Q

Sx of endometriosis

A

Chronic pelvic pain, dysmenorrhea, deep dyspareunia, dyschezia
Small, non-tender uterus that is immobile

36
Q

Dx chorioamnionitis

A

Maternal fever + fetal tachy OR maternal leukocytosis OR purulent amniotic fluid

37
Q

DCIS

A

Microcalcifications on mammography

38
Q

Fibroadenoma

A

Solitary, painless, firm, mobile mass

39
Q

Breast pain and diffuse nodularity

A

Fibrocystic change (usually post menopause)

40
Q

Inflammatory breast cancer

A

Diffuse erythema and peau d’orange

41
Q

Lobular breast carcinoma

A

fixed, palpable mass with irregular borders

42
Q

Adenomyosis

A

Endometrial tissue in the uterine myometrium
Dysmenorrhea, heavy bleeding, pelvic pain, uterine enlargement
Boggy, tender uterus

43
Q

Aromatase deficiency

A

Converts androgens into estrogens -> excess androgens but otherwise normal
(Can also have masculinization of mother during pregnancy)

44
Q

Classic congenital adrenal hyperplasia

A

Female: ambiguous external genitalia w/ normal internal organs; electrolyte abnormalities

45
Q

Kallmann

A

X-linked
Hypogonadrtropic hypogonadism w/ anosmia
LH and FSH low

46
Q

McCune-Albright

A

Cafe au lait, polyostoic fibrous dysplasia and autonomous endocrine
Precocious puberty

47
Q

Primary ovarian insufficiency

A

Amenorrhea, lack of progesterone with draw bleeding, low estrogen, elevated FSH

48
Q

Functional hypothalamic amenorrhea

A

Nutrient deficiency women
No withdraw bleeding after progesterone due to low estrogen
FSH low

49
Q

Intrauterine adhesions (synechiae)

A

Asherman syndrome

Risks: infection or intrauterine surgery

50
Q

Theca lutein cyst

A

Cystic, bilateral ovarian masses
Virilization risk of mother
Regress after deliver

51
Q

Optimal fetal presentation

A

occiput anterior

52
Q

When do you do oral glucose challange?

A

24-28 weeks

53
Q

Hirsutism in women with normal testosterone

A

5-alpha reductase excess

54
Q

Risk factors for PPROM

A

Previous PPROM, GU infection, bleeding

Step 2 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions