OB/GYN COPY Flashcards
tx for primary dysmenorrhea:
NSAIDs
Cox-2 inhibitors
oral contraceptives-supress ovulation
The most important hormones to check in secondary amenorrhea are:
beta HCG
TSH
Prolactin
Conization of cx cancer may lead to:
incompeten cervix
Contaception method for breastfeeding pt:
Progesterone mini-pill
short satute
nipple set far apart
never menstruated
webbed neck
indicative of:
Turner’s syndrome
cx cell collected for pap smear must come from:
Tranformation Zone
in PCOS LH/FSH ratio is:
3:1
female 21-29 y.o
pap smear every
3 years
12 weeks gestation the fundus is at the level of
Syphysis Pubis
important consideration in placenta previa:
NOT to do digital exam.
type of fibroids that can be felt on a manual exam are:
Subserosal
HTN
Proteinuriea
edema
seizure
are signs of:
ECLAMSIA
classical C-section scar is:
vertical
contraindication to vaginal delivery
IUP should be visualized at:
beta HCG >1500
drug for medical abortion is:
Mifepristone
Misoprostol
clue cells
fishy odor
Bacterial Vaginosis
KOH prep that shows PSEUDO-HYPHAE
are indicative of:
Candidosis
premature rapture of membranes is rapture at what age?
before week 37
holistic PMS tx:
Calcium carbonate
Mg
Vit B6
St.John’s wort
increase carbs
decrease caffeine, ETOH, tobacco, chocolate, NA
In endometriosis the uterus is usually in:
Retroverted and fixed position
risk assosiated with hormone replacement therapy:
CAD
Stroke
DVT
Breast CA
definitive test for Menopause:
FSH>30
Positive None stress test would show:
fetal heart acceliratiotn by 15 beats or more during a contraction.
good prognosis
Fetal fibronectin test:
if positive>high risk of delivery w/in 2 weeks,
if negative>low risk of delivery w/in 2 weeks
Fishy grey scant
Think, sticky, non irritating vaginal discharge
tx: Metronidazole 500 mg BID x 7 days
or
Clindamycin cream x 7 days
(diagnosis bacterial vaginosis)
unilateral hemorrhagic / chocolate cyst is known as:
Endometrioma
FSH>30 is indicative of:
Menopause
darkening of the face during pregnancy is known as:
Chloasma
Gestational DM is screened at:
week 24-28
Mild vs. Sever Pre-eclampsia:
Mild Sever
Bp 140/90 Bp 160-180/110
24 h UA protein<5 g >5 g
no addition sx other sx
tx for Mastitis is:
Dicloxacillin
Cephalexin
Erythromycin
number 1 risk factor for Pre-Eclampsia is:
Nulliparity
side effect of magnesium sulfate is:
N/V
muscle weakness
decrease reflexes
respiratory depression
antidote-Calcium Gluconate
Glucose Tolerance Test involves:
done only after positive Glucose Challenge test
100 g of oral load
medication used in tx of endometriosis that has a side effect of permanent voice deepening is:
Danazol-testosterone
most common cause of post partum hemmorhage is:
Uterine Atony
Frothy vaginal discharge:
Trichomoniasise
Rh Incompatibility
Mom is Rh -
Fetus is Rh +
risk of hydrops fetalis
Preeclapsia will demonstrate hyper or hyporeflexia
HyperReflexia
Amenorrhea with
No breast development and elevated FSH is due to:
Turner’s sydnrome
(ovarian dysgenesis)
glucose challenge test involves:
oral load of 50 g.
painfull vs. painless bleeding:
painfull> abruption
painless>previa
most common location of endometriosis is:
Ovary
tx for Bacterical Vaginosis:
Metronidazole 500 BID x 7 days
Paget disease affect:
Infiltrating intra-ductal carcinoma in the nipple and ducts of nipple
androgen excess and hirsutism are sx of:
Polycycstic Ovaryian Syndrome
pt with Turner sydnrome is likely to have what cardiact anamoly?
coartation of the aorta
tx for PCOS in a woman who wants to become pregnant is:
weight loss
Clomid
metformin
Asherman’s syndrome is:
outflow tract obstruction
Hormonal therapy for Turner’s syndrome is:
cyclic estrogen and progestin
Clue Cells of wet prep
indicative of:
Bacterial Vaginosis
symptomatic fibroids are of what type?
Submucous
RhoGam is given at:
week 28
tx of endometriosis in a pt who would like to maintain her fertility is:
Surgical only
No medication
20 weeks gestation the fundus is at the level of
umbilicus
motile flaglated protozoa seen on wet prep is a signs of:
Trichomonas
Most common functional cyst is:
Follicular
HELLP Syndrome stands for:
Hemolysis
Elevated Liver enzymes
Low Platletes
side effect of Depo (pregestin) is
Ca loss > osteoporosis
chronic HTN during pregnancy can be manifested by:
IUGR
next step after ASC-US result:
if HPV negative > repear pap in 6 month
if HPV positive > colposcopy
tx for Uterine Atony is:
Oxytocin
UT massage
Rh incompatibility mostly affects:
subsequent children
factors predisposing to Candidosis:
HIV
Diabete
abx
false positive pregnancy test may be due to:
Petuitary tumor
Cottage Cheese
vaginal discharge
odorless
tx:
Fluconazole
or
-azole- cream
(diagnosis: Candida)
tx of unstable Placetal Abruption is:
delivery or C section
tx for Trichomonas
Metronidazole 2 gram - one dose
sx of Gestational Trophoblastic Disease: Molar (Hydatidiform) Pregnancy
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
name of Emergency Contraception:
Levonorgestrel (progesterone)
peau d’orange is:
Erythematous,
edematous,
warm skin overlying the breast
Karyotype 45, X is indicative of:
Turner’s syndrome
Depo Provera MoA
Progesteron supresses LH surge > anavulation
late decelerations are:
fetal heart decelerations at the end of contractoins
very worrisome
sx of CX cancer is:
post coital bleeding
drug therapy for ER positive breast CA:
Taxoxifen
Aromastase Inhibitor - Anastrozole
Biphosphonate - Zoledronic Acid
most common cause of septic arthritis in sexually active adults is:
Gonorrhea
Condylomata acuminata is:
genital warts caused by HPV
most common breast CA is
Infiltrating ductal carcinoma
tx for Gonorrhea is
ceftriaxone - IM single dose
Strawberry cx
Green/yellow frothy vaginal discharge
description of:
Trichomonas
Strawberry Trichomonas
Hormones that produce Follicular cysts are:
LH and FSH
Betamethasone is given to pregnant pt to:
enhanse fetal lung maturity
increase levels of surfactant
virus that is assosiated with cx CA is:
HPV 16, 18
prolonged menstral bleeding is known as:
meno rrhagia
during pregnancy Chalesterol level
goes up
most common cause of secondary dysmenorrhea is:
Endometriosis
Positive gestational DM test is:
1 hour oral glucose >140
softening of fundus and cx during pregnancy is known as:
Hagar’s sign
the test of choice for secondary ammenorrhea is
Progesterone challenge test
Contraseption MoA
Estrogen: supresses FSH>supresses fillicular growth
Progesteron: supresses LH>supresses ovulation
Female 30-65 y.o
Cx screening:
Pap cytology smear + HPV: every 5 years
Pas smear: every 3 years
Androgen excess in PCOS is treated with:
Spironolactone
most malignant form of breast cancer
Inflammatory Breast Cancer
irregular bleeding between cycles is known as:
Metrorrhagia
painful cyclic breast lesions:
Fibrocystic breast
oyster ovaries or string of pearls are indicative of:
Polycystic Ovarian Syndrome
Bluish discoloration of vagina and cx during pregnancy is knonw as:
Chadwick’s sign
purulent vaginal discharge is indicative of:
N.Gonorrhea
purulent = puss
FSH / LH challenge test that rpdocuces bleeding is indicative of:
Hypothalamic-pituitary-ovarian axis abnormality
contraindications to Estrogen contraception:
DVT/PE
Cancer
Vascular headache
Smoker
Diabetes
anterior vaginal bulge:
Cystocele
Bladder prolapse
HCG should double every
48 hours
magnesium sulfate is given to pregnant pt to:
slow down preterm labor
inhibits myometrial contractility
medication used tx PMS:
NSAIDs
SSRI
Spirolactone
Most cx cancers are
Squamous
posterior vaginal bulge:
Rectocele
tx of Gestational DM:
Diet and exercise
Most common isoimmunization is
antigen D
the cause of Primary Dysmenorrhea is:
Prostaglandins
tx for Endometritis is:
Glindamycin + Gentamicin
After stoping progesteron contraception, fertility/ovulation returns as late as:
18 month after
tx for endometriosis is:
laparoscopy and ablation
Fibrocystic vs Fibroadenoma
Fibrocystic - painful, cyclic
Fibroadenoma - painless, solid
s/p Cesarean
fever
uterine tenderness
Endometritis
medical tx of ectopic pregnancy with Methotrexate can be completed if:
beta HCG is less than 5000
ectopi size<3.5
significant risk factor for Endometrial Cancer is:
Nulliparity
Late menopause
Tamoxifen
causative organism for Bacterial Vaginosis:
Haemophilus / Garderella
in a Turner’s syndrome FSH will be ________ while Estrogen will be _________
high FSH
low Estrogen (no ovaries)
soft, solid, mobile, rubbery lesion
not painful
young women
Fibroadenoma
Amenorrhea caused by Hypothalamic Pituitary insufficiency will demonstrate _______FSH, LH
low FSH and LH
bleeding induced by the progesterone challange test is indicative of:
Anovulation
Lupron is
GnRH agonist
Hypotension
Tachycardia
Abdominal guarding
sign of:
Ruptured Ectopic Pregnancy
tender nodularity in the cul de sac and uterine ligaments are seen in
Endometriosis
eclamsia/preeclamis can be diagnosed oly after
20 w of gestatoin
organism that causes Mastitis:
S. aureus
Grape-like vesicles,
snow storm pattern
Gestational Throphoblastic Disease - Hydatidiform Mole
most common ovarian CA is:
epythelial
labor induction is adviced if the pregnancy goes beyond
42nd week.
Tumor marker for ovarian cancer is:
CA 125
HTN
Proteinuriea
edema
are signs of:
Preclamsia
Cauliflower like warts on genitalia are caused by:
HPV
mucopurulent vaginal discharge is indicative of:
Chlamydia
Positive Contraction Stress Test (ooxytocin challenge test)
would show fetal hear decelaration in response to contraction
bad prognosis
Sister Mary Joseph’s nodule are:
metastatic mesentery nodes in the umbilicus
tx for Chlamydia is:
Azithromycin 1 gram once
or
Doxycycline 100 mg BID for 7 days
itching or burning of the nipple is a signs of:
Paget Disease of the Breast
Emergency contraception must be given:
1st dose w/i 72 hours
2nd dose 12 hours later
Severe Preeclampsia Tx:
Magnisium Sulfate - siezure prophylaxis
Labetalols, hydralazine - HTN tx.
Missing of X chromosome is known as:
Turner syndrome
45 x
Preclamsia is caused by:
Endothelial dysfunction
tx of HIV pregnant pt:
Zidovudine
Zidovudine=zygote
