OBGyn Flashcards
What is a proliferation of smooth muscle cells w/in the myometrium?
Fibroids
What causes HELLP?
Systemic inflammation and platelet consumption
How do you treat condyloma acuminatum?
Trichloroacetic acid
Podophyllin resin
Primary ovarian insufficiency is a form of what?
GnRH level?
FSH?
Estrogen?
Hypergonadotropic hypogonadism
INC
INC
DEC
What is a possible SE of an epidural?
What?
HoTN
Vasodilation and venous pooling
How do you maintain uterine quiescence?
Give progesterone
What vaccines are ok in pregnancy?
Tdap
Influenza
RhoD Ig
1st step in placental abruption is what?
Then?
IVF
Lateral decubitus position
What is the 1st step in shoulder dystocia?
Movement?
McRoberts maneuver
Flex hips against ABD, apply suprapubic pressure
Pharyngitis w/lower ABD pain in sexually active young female points to what?
PID - gonoccoal pharyngitis
What are some modifiable RF for breast cancer?
Alcohol consumption
HRT
Nullparity
Breast Yes
Uterus Normal
Axillary hair Normal
Karyotype 46 XX
Diagnosis?
Transverse vaginal septum
Pt w/Fever, lower ABD tenderness, intermenstrual spotting and mucopurulent cervical discharge has what?
PID
HELLP can cause what symptom which manifests w/respiratory symptoms and pitting edema in LE?
Pulmonary edema
What is the MC SE of OCPs?
Breakthrough bleeding
What presents w/a painful/tender goiter after uri?
Subacute thyroiditis (de Quervain)
Normal internal genitalia, external virilization, and undetectable estrogen levels indicates what?
Aromatase deficiency
Multilocular, b/l, 10-15 cm ovaries is most likely what?
Management?
The a lutein cysts
Follow b-hCG
Where are bartholin glands located?
MC in whom?
Describe how?
4 and 8 o’clock
< 30
Mobile, soft, well-circumscribed, behind labium majora
Ectopic pregnancy and unstable pt requires what?
Surgical exploration
ABD pain + secondary amenorrhea + cervical motion tenderness = ?
Ectopic pregnancy
What is the only indication for HRT in women?
Hot flashes aka vasomotor sx
What feature is pathognomonic for uterine rupture?
Loss of fetal station
What is Erb-Duchenne palsy?
C5, C6
“Waiter’s tip”
Women under 25 y/o must be screened for what else in addition to their pap?
GC
Pt w/hyperemesis gravidarum what should you look for?
Ketones in the urine and other electrolyte disturbances
Pt w/palpable breast mass over 30 years old 1 step?
Next?
Mammogram
Core biopsy
Mammography shows spicules but biopsy shows foamy macrophages and fat globules - diagnosis?
Fat necrosis
Pt w/HTN, proteinuria, RBC casts, joint pain and edema most likely has what?
SLE flare
Most newborns affected by ABO incompatibility will have what?
Mild disease - physiologic jaundice
GDM fasting should be less than what?
1 hour postprandial?
2 hour?
< 95
< 140
< 120
Hyperechoic nodules and calcifications adnexal mass = ?
Cystic teratoma
What defines IUFD?
When do you do a vaginal delivery?
< 20 weeks
24 weeks and after
What are some contraindications to breast feeding?
Active Tb, HIV, varicella
Herpetic breast lesions
Chemo/radiation
Active substance abuse
Vaginismus is also called what?
CF?
Tx?
Genito-pelvic pain/penetration disorder
Pain w/vaginal penetration, distress/anxiety over sx
Desensitization therapy
Secondary amenorrhea due to hypothalamic amenorrhea presents how in athletes?
Amenorrhea
Osteoporosis
eating disorder
What has the morphology of a homogenous cystic appearance on US?
Endometrioma