OBGYN Flashcards

1
Q

PAP with ASCUS and is 21-24 SECOND positive

A

Colposcopy

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2
Q

PAP with ASCUS and age >25

A

HPV

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3
Q

PAP with ASCUS and is >25 and had a positive test

A

Colposcopy

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4
Q

PAP with ASC-H

A

Colposcopy

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5
Q

PAP with AGUS

A
Endocervical sampling
Colposcopy
Endometrial Bx (especially if over 35)
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6
Q

PAP with LSIL and 21-24 years old

A

Repeat in 1 year

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7
Q

PAP with LSIL in 21-24 year old second Positive

A

Colposcopy

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8
Q

LSIL in 25-29

A

Colposcopy

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9
Q

LSIL in >30

A

HPV

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10
Q

LSIL >30 with positive test

A

Colposcopy

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11
Q

LSIL >30 with negative test

A

Repeat pap and HPV in one year

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12
Q

HSIL in 21-24

A

Colposcopy

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13
Q

HSIL >25

A

Colposcopy or LEEP

The older more likely want LEEP or if fertility is not a factor

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14
Q

PAP with ASCUS and age 21-24 next step

A

Repeat pap in 1 year

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15
Q

Drugs for Gynecomastia

A

STACKED

spironolactone, THC, Alcohol (Chronic), Cimetidine, Ketoconazole, estrogens, Digoxin

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16
Q

Most common tumor in young women

A

Fibroadenoma

17
Q

Most common MASS 35-50 years old

A

Fibrocystic changes of breast

18
Q

Serous it bloody nipple discharge?

A

Intraductal Papilloma

19
Q

Fibroadenoma on Px

A

Solid MOBILE mass with well defined border

Can be tx with US/FNA or mammogram if over 30

20
Q

Intraductal papilloma

A

Serous bloody nipple

Some malignant potential

Needs excised to check

21
Q

Suspected breast cancer first screen

A

Mammogram

22
Q

Screening of BC with normal mammogram

A

Repeat mammogram every 1-2 years

23
Q

BC screen after abnormal mammogram with low suspicion of malignancy

A

Repeat mammogram in 6 months

24
Q

BC screen with abnormal mammogram with high suspicion of malignancy

A

Bx that sucker

25
Q

AFTER Bx of breast mass and non bloody fluid is seen or the mass resolves

A

Probably was cystic

Observe for changes

26
Q

Bx of mass and it shows bloody aspirate or the mass is still around after aspiration

A

More definitive Bx needed like a core or open Bx

27
Q

Bx of mass shows malignant findings

A

BC treated

28
Q

Palpable mass is felt

A

mammogram

29
Q

Low suspicion of malignancy after palpable mass mammogram

A

US

30
Q

US of the palpable mass seen to have low suspicion of malignancy on mammogram

A

Solid mass –> Bx
Symptomatic complex cyst –> Bx

Asymptomatic simple cyst –> repeat mammogram in 6 months

31
Q

Painful ulcers

A

Herpes and Chancroid

32
Q

Painless ulcer

A

Syphilis, granuloma inguinale, lymphogtanuloma venereum