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OBGYN Flashcards

1
Q

GTT

A 
24-28 weeks
if 1 hour test is >1300-140 then do a 3 hour test
\+ is >95 after fasting
>180 at 1 hour
>155 at 2 hours
>140 at 3 hours
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2
Q

trichomoniasis

A

pH >5, frothy green discharge

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3
Q

BV

A

pH >4.5, thin white/grey discharge
clue cells
gardnerella vaginalis

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4
Q

condyloma acuminata

A

cauliflower like lesions

HPV 6/11

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5
Q

MC PP infection

A

endometriitis
2-3 days post c-section
clinda+ genta

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6
Q

Rh

A

given at 28 weeks

incompatibility on poss when mom is neg and dad is +

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7
Q

pre-eclampsia

A

pregnant >20 weeks
new onset HTN with proteinuria
MgSO4

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8
Q

gonorrhea

A

gram negative diplococcus

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9
Q

chlamydia

A

obligate intracellular gram negative

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10
Q

chancroid

A

PAINFUL ulcer
H. Ducreyi
ceftriaxone or aizthromycin

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11
Q

prostate cancer

A

adeno

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12
Q

cervical cancer

A

squamous

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13
Q

chadwick sign

A

cervix cyanosis seen at 8-10 weeks

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14
Q

hegar’s sign

A

uterus softening at 6-8 weeks

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15
Q

vulvar cancer

A

HPV 16/18/33

SCC

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16
Q

what test should all pregnant pts get?

A

urine culture

RHh type, HH, MCV, Pap, rubella/variella titer, HIV/STD

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17
Q

normal changes in pregnancy

A

increased blood volume, CO, tidal volume

decreased systemic vascular resistance

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18
Q

when is IUP visualized?

A

bHcg 1500 on trans vag

4000 on abominal

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19
Q

Primary amennorhea

A

No menarche by 15 with sex characteristics or hybage 13 with no sex characteristics

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20
Q

phase 1 menstrual cycle
phase 2
phase 3

A

menstrual
proliferative-estrogen stim leads to increased LH, ovulation
luteal/secretory-increased prog leads to decreased FSH/LH , prog drops and corpus luteum atrophys

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21
Q

Endometrial cancer

A

TAH-BSO + radiation

Related to excessive uterine estrogen production, from obesity or chronic anovulation

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22
Q

adenomyosis

A

endometrial tissue within the myometrium

symmetric, diffusely enlarged (globular) tender boggy uterus

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23
Q

leomyoma aka fibroids

A

palpale mass, firm, assymetric, non-tender

tx-myomectomy, hysterectomy, lupron

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24
Q

endometriitis tx

A

c-sectin give clinda + genta

vaginal give amp + genta

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25
Q

cervical/vaginal/vulvar cancer

26
Q

SE of garasil

27
Q

when to start PAPs

A

21, HPV co-test at 30

28
Q

PID inpt vs op

A

inpt-cefoxitin/cefotetan + doxy

Cef + doxy

29
Q

mammo screening

30
Q

how soon to start BC after preg

31
Q

Nageles rules

A

1st day of LMP + 7 days - 3 months

32
Q

Fetal heart tones

A

doppler at 10-12 weeks

33
Q

AFP

A

15-20 weeks
increased with NTD
decreased with DS

34
Q

PP Blues vs Depression

A

Blues-2-4 days, resolves within 10 days

Depression-2 weeks-2 months, may last months, ssri

35
Q

how long can you do a medical abortion

surgical

A

up to 7 weeks

22 weeks

36
Q

HELLP

A

hemolysis
elevated liver enzymes, low paltelets
deliver

37
Q

Rhogam is given at

A

28 weeks and within 72 hours

38
Q

amniotic fluid for PROM

39
Q

APGAR

A 
Appearnce
Pulse
Grimace
Activity
Respiration
40
Q

OCPs reduce risk of

A

ovarian and endometrial cancer

41
Q

uteroplacental insufficiency

A

late decel

42
Q

head compression

A

early decel

43
Q

endometrial cancer

A

adenocarcinoma

44
Q

PCOS

A 
elevated LH:FSH ratio
insulin resistace
MCC infertility
tx with OCPs, lifetstye, metformin
increased risk of endometrial cancer
45
Q

What strain of HPV causes warts

46
Q

HPV that causes cervical cancer

47
Q

endometriosis

A

dyschezia, dyspareunia, dysmennorhea

48
Q

hydatidiform mole

A

purely paternal DNA

precursor to choriocarcinoma

49
Q

MC location of an ectopic

A

ampulla of fallopian tube

50
Q

when to stop paps

51
Q

when to remove an adnexal mass

52
Q

in high risk patients ( ) is used for pre-eclampsia prevention

A

ASA at 12 weeks

53
Q

when does HELLP occur?

A

3rd trimester

54
Q

when does hyperemesis gravidum occur?

A

1st trimester

55
Q

how to treat menopause symptoms in pts with uterus?

w/o uterus?

A

combined E/P

estrogen only

56
Q

what lab to order for primary ammenorhea

57
Q

ovarian torsion is MCC by twisting of

A

infundibulopelvic or suspensory ligament

58
Q

how to tx PCOS

A

OCP

spironolactone is for hirsutism

59
Q

how to tx molar preg

A

suction curettage

60
Q

how to evaluate placenta previa

A

transvag US

61
Q

how to evaluate secondary amenorrhea

A

preg test, serum prolactin, TSH, FSH

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