OBGYN Cqb And U World Flashcards by Mani j

Disulfiram like toxicity occur in treatment of which STI if consumed Alcohol

Trichinonas vaginalis as it is treated with metronidazole

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PCOs criteria

1) amenorrhea
2) Hyperandrogenism
3) PCO on USG

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Contraindication of breast feeding

Active Herpes lesions on breast
active maternal TB
untreated brucellosis
Radioactive isotopes or chemotherapy
T cell virus
Recreational drug

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Treatment of PID

Outpatient

Inpatient

Ceftrixaone IM + Doxycycline PO
With or without Metronidazole

Cefoxitin plus doxycycline
Clindamycin plus gentamicin

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Heavy menstrual bleed?

regular intervals but prolonged or excessive in amount

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Complications of Untreated PID

chronic pelvic pain
abscess, peritonitis
adhesion formation
ectopic pregnancy
infertility
bacteremia
septic arthritis, endocarditis

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Colpocleisis

surgical closure of vagina

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Leading cause of Gynecological cancer and 4th most common cause of cancer in women

Endometrial cancer

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Incidence of Malignant Gynecological

Lesions in North America

endometrium > ovary > cervix > vulva >

vagina > fallopian tube

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Cancers causes in women listed

4) Endometrial

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Risk Factors for Endometrial Cancer

COLD NUT
Cancer (ovarian, breast, colon)
Obesity
Late menopause
Diabetes mellitus
Nulliparity
Unopposed estrogen: PCOS, anovulation,
HRT
Tamoxifen: chronic use

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OCP are protective for which cancers

Endometrial and ovarian cancers

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Stages of puberty

Adrenarche
Gonadarche
Thelarche 
Pubarche
Menarche

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Tanner Stage

Thelarche
1. None
2. Breast bud
3. Further enlargement of areolae and
breasts with no separation of contours
4. 2º mound of areolae and papilla
5. Areolae recessed to general contour of
breast – adult

Pubarche
1. None
2. Downy hair along labia only
3. Darker/coarse hair extends over pubis
4. Adult-type hair with no thigh involvement
5. Adult hair in distribution and type;
extends over thighs

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Indications for endometrial biopsy

AUB/PMB
age >40
risk factors for or history of endometrial cancer
failure of medical treatment
significant intermenstrual bleeding
consider in women with infrequent menses suggesting anovulatory cycles

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Hysterectomy indications

Indications
• uterine fibroids
• endometriosis, adenomyosis
• uterine prolapse
• pelvic pain
• AUB
• cancer (endometrium, ovaries, fallopian tubes, cervix)

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Gold standard test for Asherman’s syndrome

Hysteroscopy

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Treatment of Asherman’s syndrome

Hysteroscopic lysis of adhesion

Then

Prevention by
•Ballon catheter
•hyaluronic acid gel

Premenopausal women adnexal mass

D/d

Follicular cysts 
Corpus luteum cysts
Endometriosis 
pCOs 
Tubovarian abscesses 
Benign neoplasm

Most common cause of female infertility

Ovulatory dysfunction

Normal Antral follicular count is

22 to 35

Murmur in pregnancy

Aortic valve murmur due to increased in stroke volume

What sign is best for monitoring progress of labour once cervix is 10cm dilated?

Fetal station

Acute pyelonephritis in pregnancy

S/s

Lumbar pain
Fever 
Chills
Nausea
Vomiting
Costovertebral angle tenderness
Pyuria and bacteriuria

1 ) severe variable deceleration 2)thick meconium Treatment?

Amnioinfusion

GBS treatment during delivery

1) penicillin 2) tocolytics to buy time for steroids to act 3) corticosteroids for lung maturity

Side effect of intrapartum steroids

Increase blood sugar in DM patient

Palpable ovaries in a post menupausal women

Can be ovarian cancer

IUD associated PID caused by

Actinomyces Israeli

Contraindications of Methylergonavine maleate Misoprostol

Hypertension Asthma

Doxycycline side effect in pregnancy

Permanent discolouration of teeth

Sheehan’s syndrome First sign 2nd sign

Inability to breastfeed Failure of return of menstruation

Ovarian torsion

Unilateral lower abdominal pain | Presence of Adnexal mass.

Cervical insufficiency | Biochemical changes

Decreased collagen concentration Increased collagen solubility Increased interleukin 8 Increased glycosaminoglycans Increased tissue hydration

Insulin in pregnancy ?

Intermediate acting and short acting insulin

Elevated AFP levels causes?

Multiple gestation Fetal demise Fetal anomalies Incorrect dates calculation

Approach to the Management of Abnormal | FHR

*POISON – ER* ``` Position (LLDP) O2 (100% by mask) IV fluids (corrects maternal hypotension) Fetal scalp stimulation Fetal scalp electrode Fetal scalp pH Stop oxytocin Notify MD Vaginal exam to rule out cord prolapse Rule out fever, dehydration, drug effects, prematurity • If above fails, consider C/S ```

Colpitis macularis

Strawberry cervix | In trichomoniasis

Most effective combined hormonal method for obese patients?

Combined hormonal vaginal ring

Endometriosis protective factors

Estrogen deficient state Menstrual disorders Decreased body fat Tobacco use

Succinylcholine when given to? | Causes malignant hyperthermia

Ryanodine receptor mutations | Pts (having genetic predisposition)

Anti mullerian hormone will determine

Ovarian reserve

Cervical ectopic pregnancy USG finding?

Hour glass uterus sign