OBGYN Board studying Flashcards
What is the incidence of vesicovaginal fistulas when hysterectomies are done for benign causes?
< 1%
Where in the Fallopian tubes do ectopics most commonly occur?
Ampula
What is the incidence of Ectopic Pregnancies?
1-2%
Absolute Contraindications to MTX for an ectopic pregnancy?
IUP, breastfeeding, ruptured ectopic, HD unstable, inability to FU, Active (Pulmonary, PUD), Hepatic Dysfunction, Renal dysfunction, Immunodeficiency, Mod to severe anemia/leukopenia, thrombocytopenia, sensitivity to MTX
What is the failure rate of MTX when the pre-treatment HCG is > 5K?
14.3 % vs 3.7% when less than 5000
What is the most prognostic factor for cervical cancer?
Stage, followed by lymph node status
Incidence of bowel injury at the time of gynecological surgery?
0.16% (40% are verses needle)
Antibiotics for hysterectomy for patients with anaphylaxis to PCN’s?
Gent/Clinda
What are the CDC recommendations for after a sexual assault?
Azithromycin 1 g (Chlamydia), Ceftriaxone 250 mg IM (gonorrhea), Flagyl 2 g (Trich), HPV vaccine (up to age 26), Emergency contraception, Hep B vaccine
Most common stage of Ovarian Cancer patient present with?
Stage 3
Most common uterine anomaly
Septate Uterus followed by Bicornuate
Absolute contraindications to ablation
- Abnormally shaped uterus 2. Uterus < 6 cm or > 10 cm, 3. Thin myometrium (< 1 cm) 4. Active/recent uterine infection 5. endometrial hyperplasia or cancer 6. current, recent or future preg desire
Management of Air Embolus
Closed cardiac chest massage or chest compressions, cessation of CO2 infusion, left lateral decubitus, increase FiO2
What percentage of patients with a Sertoli Lydig cell tumor will have signs of virilization?
30 - 35%
Thermal injury to the bowel management
Excision of damaged area and up to 5 cm around the margin of the injury
