OBGYN Flashcards
what duration of menstrual period is considered the upper limit of normal?
45 days
what lab test can be used instead of ultrasound to assess for PCOS?
AMH
when would be an appropriate time to screen a patient with suspected PCOS with DHEA level?
if clinical suspicion remains high despite normal free and total testosterone
a woman experiences bloating, breast tenderness, irritability, lethargy, and mood lability during the luteal phase of the cycle. what is the most likely diagnosis?
premenstrual disorder
what medication class can be used to treat PMS when used 1 week prior to menses and for the first 3 days of menses?
SSRI
t/f progesterone or progestin only IUD do not improve premenstrual symptoms
true
what mineral supplement can be used to reduce symptoms of PMS?
Calcium
in addition to SSRI or OCP as an option for PMS, what other psychiatric and physical modality may be considered to reduce symptoms?
regular exercise (including yoga) and CBT
t/f chasteberry may be helpful for improving premenstrual symptoms
true
what medication class is most effective for affective symptoms of PMS?
SSRI
how frequently should an asymptomatic female be screened during pregnancy for hypertensive disorders?
every prenatal visit
t/f oral and vaginal probiotics reduce the incidence of recurrent UTI and prolong the time between UTIs in premenopausal women with frequent UTI
true
t/f heat application, breast massage and frequent complete breast emptying are encouraged for treatment of mastitis
false
what is the most common etiology of chronic pelvic pain in women?
CNS hypersensitivity
chronic pelvic pain in women is defined as pain that originates in the pelvis for what duration?
6 months
what two oral non-serotonergic medications can be considered in the treatment for chronic pelvic pain?
nsaids and gabapentin
what two classes of serotonergic medication can be used to treat chronic pelvic pain?
- snri
- tca
t/f chronic pelvic pain is a complex syndrome comprising multiple pain generators with central sensitization and nociplastic pain
true
t/f if a patient has a normal pelvic exam and normal TVUS in the setting of chronic pelvic pain, further imaging is rarely beneficial
true
what is the first line medication class in patients with suspected endometriosis for treatment of pelvic pain?
OCP
what is the only medication that is FDA approved for postpartum depression treatment?
zuranolone
what medication can you try first for a patient with chronic pelvic pain with normal evaluation?
duloxetine
