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Comquest incorrects > obgyn incorrects > Flashcards

obgyn incorrects Flashcards

1
Q

what are the sympotms of sheehan syndrome?

A

postpartum woman who cant breastfeed

all pituitary enzymes decreased

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2
Q

bacterial vaginosis?

A

vaginal discharge with fishy odor and clue cells

ph more than 4.5

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3
Q

trichomonas vaginosis?

A

green discharge with trichomonas

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4
Q

candida vaginitis?

A

cottage cheese in vagina with normal ph

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5
Q

threatened abortion

A

less than 20 weeks

vaginal bleeding

closed os

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6
Q

inevitable abortion

A

cramping, bleeding

open os

fetal products in uterus

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7
Q

missed abortion

A

nonviable pregnancy on ultrasound
no bleeding
closed os

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8
Q

incomplete abortion

A

partial expulsion of fetal material with open os

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9
Q

how much weight should a normal woman gain during pregnancy?

A

25-35 pounds

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10
Q

when to start mammograms?

A

age 50

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11
Q

what do you give women you cant make milk?

A

d2 antaagonist such as metoclopramide

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12
Q

gold standard for endometriosis?

A

laparoscopy

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13
Q

adenomyosis?

A

endometrial tissue in myometrium

middle aged women

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14
Q

salpingitis?

A

fever and vaginal discharge

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15
Q

endometriosis causes

A

adnexal enlargement and pain, can be bilateral

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16
Q

biggest risk factor for endometrial cancer?

A

obesity, because of estrogen

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17
Q

straw colored discharge from nipple?

A

intraductal pappiloma

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18
Q

invasive ductal carcinoma?

A

lump
nipple retraction
microcalcifications

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19
Q

breast fibrocystic disease?

A

lumpiness

premenstrual tenderness and swelling

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20
Q

lobular carcinoma in situ?

A

incidental finding

no symptoms

must be excised

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21
Q

whats the difference between gestational hypertension and preeclampsia

A

precclampsia has proteinuria and end organ damage evidence

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22
Q

what drugs treat gestational hypertension?

A

methyldopa, nifedipine, hydralazine, labetalol

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23
Q

chorioamniotis?

A

infection before delivery

fetal or maternal tachycardia

maternal fever tenderness

foul smelling discharge

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24
Q

endometritis?

A

after delivery

fever

tenderness

foul smelling discharge

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25
Q

what does sinusoidal pattern during pregnancy mean?

A

severe fetal anemia

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26
Q

what causes sinusoidal pattern?

A

hypoxia, rh isoimmunization

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27
Q

what does pressure on fetal head cause?

A

early decelerations

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28
Q

what does uteroplacental insufficiency cause?

A

late decelerations

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29
Q

what does umbilical cord compressions cause?

A

variable decelerations

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30
Q

what does congenital heart block cause?

A

fetal bradycardia

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31
Q

symptoms of ectopic pregnancy?

A

6-8 weeks since last period

abdominal pain +vaginal bleeding

unilateral adnexal pain +tenderness

pregnancy symptoms or positive pregnancy test

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32
Q

symptoms of ovarian torsion?

A

pelvic pain

adnexal mass

waves of nausea and vomiting

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33
Q

ductal carcinoma in situ?

A

usually no sympotms

calcifications within breast ducts

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34
Q

symptoms of placental abruption?

A

vaginal bleeding abdominal pain

no reassuring fetal heart tones

uterine irritability

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35
Q

placental accreta

A

placental villi goes into endometrial decidua

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36
Q

placental increta

A

placental villi go into myometrium

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37
Q

placental percreta

A

placental villi can reach bladder

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38
Q

uterine rupture symptoms?

A

abdominal pain, no vaginal bleeding

worsening abdominal pain between contractions, babys head goes back in

previous uterine surgery such as c section

39
Q

vasa previa symptoms

A

large fetal vessel over cervix

painless bleeding and fetal bradycardia, nonreassuring fetal heart tones

velamentous cord insertion

40
Q

placenta previa symptoms?

A

third semester bleeding

painless, nontender uterus

placena over internal cervical os

41
Q

symptoms of choriocarcinoma?

A

recent pregnancy

BHCG over 50000

vague symptoms like abdominal fullness

42
Q

what does choriocarcinoma look like?

A

sheets of atypical cells, necrosis, hemhorrage

43
Q

complete mole looks like

A

enlarges chorionic villi with hyperplasia

44
Q

partial mole looks like

A

variable sized chorionic villi with scalloping and trophoblastic inclusions

45
Q

esophageal atresia is associated with

A

polyhydramnios and accumulation of amniotic fluid

46
Q

what are the causes of polyhydramnios?

A

anything that affects swallowing

gestational diabetes

infections

congenital abdnormalities

multiple gestations

47
Q

intrauteral growth restriction causes

A

olighydromnios

obesity in later life

48
Q

what is the appropriate cervicel cancer screening for women

A

30-65

pap smear every 3 years

cytology +HPV testing every 5 years

49
Q

granulosa theca cell tumor symptoms?

A

high estrogen

precocious puberty

menstrual irregularites in postemenopausal women

palpable mass

50
Q

sertoli leydig tumor symptoms?

A

virilization

palpable mass

51
Q

treatment for trichimoniasis?

A

metronidazole

52
Q

when is anti d globulin prophylaxis adminsitered?

A

risk of fetomaternal bleeding or abortion

53
Q

treatment for ecclampsia?

A

iv magnesium sulfate, betamethasone (less than 34 weeks), vaginal delivery

54
Q

what causes IUGR?

A

pregnancy using assisted reproductive technology

abnormal placental vasculature

fetal undernutrition

genetic or congenital abnormalities

gestational hypertension, diabetes, teratogens, preeclampsia

55
Q

when is colposcopy required?

A

patient over 30 with low grade squamous intraepithelial lesion found with unknown or positive HPV

patients 25-29 regardless of HPV status with LSIL

56
Q

what to do if patient is over 30, LSIL but negative HPV?

A

repeat cytology with HPV cotesting in one year

57
Q

when should pap be done?

A

30-65, every 5 years

58
Q

Patients 21-24 with LSIL, what to do?

A

repeat cytology in one year

59
Q

symptoms of molar pregnancy?

A

larger than expected uterune size

n/v, high BP, vaginal bleeding

high bHCG

60
Q

what are the risk factors for shoulder dystocia during pregnancy?

A

macrosomia

maternal diabetes

post term pregnancy

prolonged second stage of labor

multiparity

61
Q

treatment of shoulder dystocia?

A

mcroberts maneuver and suprapublic pressure

62
Q

diabetic mothers can cause what in infants?

A

rds hypoglycemia hypocalcemia polycythemia hypomagnesemia

63
Q

fetal growth restriction, preterm baby, what do you do?

A

if viable, give betamethasone and induce labor

64
Q

end diastolic flow reversal in fetus, what does it mean?

A

fetal growth restriction, ominous, deliver baby

65
Q

signs of ectopic pregnancy

A

normal signs of early pregnncy

positive pregnancy test or missed period

presence of cystic massm grape like clusters

66
Q

second stage of labor?

A

between full dilation and delivery, should last 3 hours

67
Q

latent phase of pregnancy?

A

dilation up to 3-4cm

68
Q

endometriosis presents as

A

pelvic pain

pain with defecation

pelvic tenderness

infertility

adnexal mass

69
Q

endometrial hyperplasia?

A

obese, pcos, estrogen replacement therapy

early menopause, abnormal bleedimg

70
Q

inevitable abortion?

A

less than 20 weeks

open cervical os

bleeding

71
Q

what happens with vasa previa?

A

induction of labor

72
Q

what is hydrosalpinx?

A

collection of fluid inside fallopian tube

complication of salpingitis/ PID causes infertility

pelvic pain with sausage like lesions

73
Q

tuboovarian abscess?

A

complication of PID

fever, abd pain, leukocytosis

cystic masses on ultrasound

74
Q

gartner duct cyst

A

asymptomatic cyst on back of vagina

75
Q

evidence of choriocarcinoma?

A

blue black papules on vagina

high bhCG

abdominal tenderness

shortness of breath from pulmonary nodules

history of pregnancy, abortion, molar pregnancy

76
Q

dysgerminoma presents as

A

abdominal fullness with mass

high LDH

no history of pregnancy

77
Q

epithelioid trophoblastic tumor

A

years after pregnancy

slow growing uterine mass with abdominal fullness

78
Q

placental site trophoblastic tumor symptoms?

A

presents a few months after pregnancy, high HPL

79
Q

how does cervical testing work?

A

pap smear every 3 years at age 21

pap +HPV every 5 years at 30

80
Q

risk factors for premature rupture of membrane?

A

UTI

previous pprom

smoking

81
Q

when to do rh D immuno rescreening?

A

28 weeks

antepartum bleeding

82
Q

treatment for lactational mastitis?

A

dicloxacillin

83
Q

what if a patient has previous history of pregnancy with ntd?

A

incrase folic acid to 3 mg

84
Q

what is the treatment for uterine fibroids?

A

myomectomy

85
Q

uterine fibroids symptoms?

A

african american female

dysmenhorrea

pelvic pressure

86
Q

causes of breech presentation?

A

gestational age

multiple gestation

fetal abnormalities

prior breech delivery

tumors

87
Q

hirustism of PCOS is treated with

A

spironoalactone

88
Q

anovulation of PCOS is treated with

A

clomiphene

89
Q

visible lesion on cervix what do you do?

A

biopsy

90
Q

patient over 24 with pap smear with ASCUS, what to do?

A

hpv testing

91
Q

mother who is AFP positive, what to do?

A

amniocentesis to look for AFP and acetylcholinesterase for NTD

92
Q

how to treat endometriosis?

A

OCP +nsaids

93
Q

patient with suspected ectopic pregnancy with negative ultrasound and high Bhcg, what to do next?

A

repeat elevated HCG in 48-72 hours

94
Q

palpable mass but nothing seen on mammogram, what to do?

A

ultrasound

Comquest incorrects (20 decks)

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