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Family Med EOR > OBGYN > Flashcards

OBGYN Flashcards

1
Q

s/s of breast cancer

A

-painless mass
-hard
-fixed
-upper outer quadrant

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2
Q

diagnosis of breast cancer

A

-mammogram
-core biopsy

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3
Q

treatment of breast cancer

A

-mastectomy
-radiation
-if estrogen positive: tamoxifen
-chemo

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4
Q

s/s of fibrocystic breast changes

A

-pain and tenderness
-size fluctuations
-worse during menstrual cycle

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5
Q

diagnosis of fibrocystic breast

A

-ultrasound

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6
Q

treatment of fibrocystic breast

A

-reassurance

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7
Q

s/s of fibroadenoma

A

-round, firm, mobile, nontender mass

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8
Q

diagnosis of fibroadenoma

A

-US
-core biopsy

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9
Q

treatment of fibroadenoma

A

-surgery if rapidly growing

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10
Q

types of cervical dysplasia

A

-CIN1: lower 1/3 of epithelial lining
-CIN2: lower 2/3 of epithelial lining
-CIN3: over 2/3 of epithelial lining
-CIS: full thickness

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11
Q

Abnormal pap smears

A

-ASCUS: undetermined significance
-ASCH: cannot exclude high grade lesion
-low grade: CIN1
-high grade: CIN2 and 3

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12
Q

management of ASCUS

A

-repeat cytology
-test for high risk HPV
-colposcopy

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13
Q

management of ASCH, LSIL, and HSIL

A

colposcopy

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14
Q

management of CIN1

A

-2 paps every 6 months
-pap + HPV test every 6 months

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15
Q

management of CIN 2 and 3

A

surgical therapy

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16
Q

s/s of cervical cancer

A

-abnormal vaginal bleeding
-enlarged, irregular, firm cervix

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17
Q

treatment of cervical cancer

A

radical hysterectomy

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18
Q

benefits of oral contraceptives

A

-reduce ovarian and endometrial cancer risk
-lower risk of ectopic pregnancy
-improvement of dysmenorrhea

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19
Q

side effects of oral contraceptives

A

-Venous thromboembolism
-stroke
-higher risk of cervical cancer
-higher risk of breast cancer

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20
Q

benefits for progestin only pills compared to COC

A

safe for women who cant take estrogen

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21
Q

cystocele

A

protrusion of bladder through vaginal wall

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22
Q

rectocele

A

protrusion of rectum through vaginal wall

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23
Q

s/s of pelvic organ prolapse

A

-vaginal fullness and pressure
-pelvic pain
-urinary or defecatory incontinence or incomplete

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24
Q

treatment of pelvic organ prolapse

A

-pessary
-surgery

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25
Q

diagnosis of dysfunctional uterine bleeding

A

-pelvic US
-endometrial biopsy

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26
Q

gold standard for evaluation of pathology in uterine cavity

A

hysteroscopy

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27
Q

treatment of DUB

A

-hormone therapy
-hysterectomy

28
Q

s/s of endometriosis

A

-dysmenorrhea
-dyspareunia
-infertility

29
Q

diagnosis of endometriosis

A

Laparoscopy with biopsy

30
Q

MC symptom of endometrial hyperplasia

A

abnormal uterine bleeding

31
Q

treatment of endometriosis

A

-NSAIDs
-OCPs

32
Q

MC type of endometrial cancer

A

adenocarcinoma

33
Q

s/s of endometrial cancer

A

-abnormal bleeding
-lower abdominal cramps and pain

34
Q

diagnosis of endometrial cancer

A

biopsy

35
Q

treatment of endometrial cancer

A

total hysterectomy with bilateral salpingo-oopherectomy

36
Q

s/s of dysmenorrhea

A

lower abdominal cramps

37
Q

treatment for dysmenorrhea

A

NSAIDs
OCPs

38
Q

menopause

A

going at least 12 months without a period

39
Q

s/s of menopause

A

-irregular bleeding
-mood swings
-hot flashes
-vaginal dryness
-hair loss

40
Q

treatment of menopause

A

hormone replacement therapy

41
Q

etiology of PID

A

polymicrobial

42
Q

s/s of PID

A

-cervical motion tenderness
-lower abdominal pain

43
Q

treatment for PID

A

rocephin, doxy, and flagyl

44
Q

complete abortion

A

complete expulsion of all products of contraception before 20 weeks

45
Q

incomplete abortion

A

partial expulsion of some but not all POC before 20 weeks

46
Q

treatment of incomplete abortion

A

-D&C
-prostaglandins

47
Q

inevitable abortion

A

no expulsion of products, but vaginal bleeding and dilation of the cervix such that a viable pregnancy is unlikely

48
Q

treatment of inevitable abortion

A

-prostaglandins
-expectant management

49
Q

missed abortion

A

death of the embryo or fetus before 20 weeks with complete retention of all POC

50
Q

treatment of missed abortion

A

-D&C
-prostaglandins

51
Q

threatened abortion

A

any vaginal bleeding before 20 weeks without dilation of the cervix or expulsion of any POC

52
Q

treatment of threatened abortion

A

monitor closely

53
Q

s/s of yeast infection

A

-itching
-thick cottage cheese discharge

54
Q

diagnosis of yeast infection

A

-KOH prep

55
Q

treatment of yeast infection

A

fluconazole

56
Q

s/s of BV

A

-fishy smell
-milky discharge

57
Q

diagnosis of BV

A

-saline prep
-KOH prep

58
Q

treatment of BV

A

flagyl

59
Q

s/s of trich

A

-frothy, greenish, discharge
-strawberry cervix

60
Q

diagnosis of trich

A

saline prep

61
Q

treatment of trich

A

flagyl

62
Q

s/s of gonorrhea

A

-can be asymptomatic
-mucopurulent discharge

63
Q

treatment of gonorrhea

A

rocephin

64
Q

s/s of chlamydia

A

-mucopurulent discharge
-itching
-dysuria

65
Q

treatment of chlamydia

A

doxy

Family Med EOR (14 decks)

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