OBGYN Flashcards
how treat endometriosis?
- NSAIDs
- OCP
- GnRH agonists
- surgical resection
in women < 35, when check HPV?
if get ASCUS or LSIL on pap
HSIL on pap - what next?
colpo or LEEP
HSIL on pap - what is pt at risk for?
CIN2 or CIN3
most common cause of pathologic nipple discharge?
papillary tumor (papilloma)
papilloma - malignant?
usually NOT, but assoc w/atypia, ductal carcinoma in situ
sarcoma botryoides - what is it?
embryonal rhabdomyosarcoma, presents in infancy/early childhood as cluster-of-grapes nodules protruding from vagina
mullerian agenesis - what is missing?
- proximal 2/3 of the vagina missing
- all of uterus missing (or have just rudimentary uterus)
endometriosis - physical exam findings?
- fixed, immobile uterus
- rectovaginal nodularity
- adnexal mass
neural tube defects - risk factors?
- inadequate folate
- carbamazepine use
adolescent pregnancy - assoc w/which risks to baby?
- LBW
- gastroschisis
- omphalocele
- preterm birth
- perinatal death
elevated alpha fetoprotein on maternal screening - suspicious for what?
neural tube defect
contraindications to combined OCPs?
- smoking >15 cigarettes per day AND age >35
- BP >160/100
- migraine w/aura
- heart disease
- DM w/end organ damage
- hx of thromboembolic dz
- APLAS
- hx stroke
- breast cancer
- cirrhosis or liver cancer
- major surgery w/long immobilization
combined OCPs decrease risk of which cancers?
- ovarian
- endometrial
newborn w/hepatosplenomegaly, purpuric lesions, sensorineural hearing loss + periventricular calcifications - dx?
congenital CMV
newborn w/hepatosplenomegaly, purpuric lesions, sensorineural hearing loss + intracerebral calcifications - dx?
congenital toxoplasmosis
cataracts, purpura, PDA, sensorineural hearing loss - dx?
congenital rubella
primary maternal HSV contracted during pregnancy - effects on fetus?
- hydrops fetalis
- fetal demise
ascending HSV infection during labor - effects on fetus?
- vesicular lesions
- meningitis
- disseminated dz
newborn w/ hepatomegaly, jaundice, rhinitis - dx?
congenital syphilis
HELLP - 1st line of therapy?
magnesium for seizure pps
HELLP - tx if fulminant hepatic disease?
plasma exchange
when to do parental karyotyping?
after 3 spontaneous abortions
bipolar mania in pregnancy - which medication is safe?
haldol
lithium - what birth defect?
Ebstein anomaly
endometriosis - treatments?
- NSAIDs
- OCPs
- progestin-only
- GnRH analogs (leuprolide)
- danazol (synthetic androgen)
- surgery
stress incontinence - causes?
- decreased urethral sphincter tone
- urethral hypermobility
urge incontinence - causes?
- detrusor hyperactivity
overflow incontinence - causes?
- impaired detruor contractility
- bladder outlet obstruction
HIV PEP regimen?
- tenofovir
- emtricitabine
- raltegravir
hep B PEP after assault?
- hep B vaccine +/- hep B immune globulin
PEP for STDs after assault?
- azithro
- ceftriaxone
- flagyl
HIV PEP can be offered up to how long after assault?
72 h
