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M3 - clinicals > OBGYN Stepwards - high yield > Flashcards

OBGYN Stepwards - high yield Flashcards

https://www.stepwards.com/?page_id=9717

1
Q

hydrocephaly, intracranial calcifications, hydrocephalus, chorioretinitis, and experiences seizures

A

Congenital Toxoplasmosis

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2
Q

Lethargic/fatigued
Hypotension
Failure to lactate
Cold intolerance

A

Sheehan Syndrome

Decreased TSH: fatigue cold intolerance, slowed deep-tendon reflexes
Decreased Prolactin: inability to lactate
Decreased ACTH: hypotension, weight loss, hypoglycemia
Decreased FSH/LH:

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3
Q

lower abd pain, chills, 2 days post c-sec, temperature, low bp, tender uterus

A

Postpartum Endometritis

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4
Q

large amount of bleeding + soft/enlarged uterus

A

Postpartum Hemorrhage - (in this case it is likely caused by uterine atony given the size soft and enlarged uterus

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5
Q

firm pale mass in the vagina + unable to palpate the uterus

A

Uterine Inversion

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6
Q

past C-section + loss of fetal station (going from 0 to -3)

A

Uterine Rupture (feeling fetal parts above the uterus)

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7
Q

GDM, large weight gain during preg, large fundal height, fetal head delivers then retracts

A

Shoulder Dystocia

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8
Q

Early contractions, temperature, inc HR, nl BP, tender fundus, high WBC, possible rupture of membranes

A

Chorioamnionitis

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9
Q

High pH, high paCO2, high bicarb

A

Hyperemesis Gravidarum

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10
Q

headache, blurred vision, and constant right upper quadrant pain

A 
HELLP Syndrome - hemolysis (anemia + increased bilirubin)+ elevated liver enzymes + low platelets 
Complete blood count:
Hemoglobin: 7.8 g/dL
Platelets: 85,000/µL
Liver function studies:
Total bilirubin: 2.7 mg/dL
Direct bilirubin: 0.9 mg/dL
Alkaline phosphatase: 150 U/L
Aspartate aminotransferase: 313 U/L
Alanine aminotransferase: 225 U/L
Lipase: 75 U/L
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11
Q

hypertension + vision changes+ right upper quadrant pain + seizures

A

Eclampsia

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12
Q

hypertension (2 measurements) + proteinuria (urine dipstick will be confirmed with additional study)

A

Preeclampsia

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13
Q

sudden onset third trimester bleeding + painless uterus

A

Placenta Previa

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14
Q

sudden onset third trimester bleeding + painless uterus

A

Abruptio Placentae

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15
Q

Abdominal pain + positive beta-hCG + no intrauterine pregnancy + ovarian mass with free fluid

A

Ectopic Pregnancy

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16
Q

Severe abodminal pain + vaginal bleeding + surgical abdomen (rebound tenderness and guarding) + positive pregnancy test + empty uterus on ultrasound

A

Ruptured ectopic

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17
Q

intense itching on palms + elevated total bile acids

A

Intrahepatic Cholestasis Of Pregnancy

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18
Q

funneled lower uterine segment with dilated internal cervical os

A

Cervical Incompetence

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19
Q

Minutes to hours after delivery - SOB and HoTN

A

Amniotic Fluid Embolism

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20
Q 
Normal development of secondary sexual characteristics: breast development, pubic hair 
Short vagina (no upper vagina): can be seen on a physical exam. 
Variable uterine development: can be absent or underdeveloped (can be seen on ultrasound)
Normal ovaries: will be seen on ultrasound.
A

Mullerian Agenesis

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21
Q

stress inconctiennce + urethral hypermobility

A

Urethrocele

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22
Q

loss of Doppler flow, acute abdominal pain, no temperature

A

Ovarian Torsion

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23
Q

primary amenorrhea + unable to visualize vaginal canal + anterior tender mass on rectal exam

A

Imperforate Hymen (blueish***)

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24
Q

secondary amenorrhea + recent dilation and curettage + unremarkable physical exam + reference range TSH, FSH, prolactin + not pregnant + lack of withdrawal bleeding

A

Asherman Syndrome

25
Q 
Physical complaints:
Bloating
Fatigue
Headaches
Breast tenderness
Behavioral complaints:

Anxiety
Irritably
Mood swings
Decreased interest

A

Premenstrual Syndrome

26
Q

irregular menstrual periods + obesity + acanthosis nigricans + acne

A

Polycystic Ovarian Syndrome (PCOS)

27
Q

Infertility + pelvic pain + adnexal enlargement/mass + homogenous cystic appearing mass on ovary

A

Endometriosis (3Ds - Dysmenorrhea + deep dyspareunia + dyschezia )

28
Q

Vaginal dryness,Menopausal owman, smoking, pain during penetration

A

Atrophic Vaginitis

29
Q

Mass and hirsuitism/viriliuzation

A

Sertoli-Leydig Cell Ovarian Tumor

30
Q

Irregular bleeding, mass, complex endometrial hyperpalisa wihtout atypia. Precous puberty

A

Granulosa Cell Ovarian Tumor

31
Q

Abodminla distention/ascities
Weight loss
Decreased appetite
CA125

A

Epithelial Ovarian Cancer

32
Q

very high beta-hCG value + snowstorm appearance in the uterus on ultrasound

A

Hydatidiform Mole

33
Q

vulvar itching + low risk for sexually transmitted diseases + ulcerated lesion on vulva

A

vulvuar cancer

34
Q

vaginal bleeding + mass + hydrometer

A

Cervical Cancer

35
Q

no signs of infection + abdominal pain right after sex + ovarian mass + free fluid in the pelvis

A

Ovarian Cyst Rupture

36
Q

Ovarian cystic structure + areas of calcifications/hyperechoic nodules

A

Teratoma Dermoid Ovarian Cyst (Mature Cystic Teratoma

37
Q

urinary issues + irregular shaped uterus + larger then expected uterus

A

Leiomyoma Uteri

38
Q

multiple small papules with ubilicated centers

A

Molluscum Contagiosum

39
Q

frothy, malodorous, green vaginal discharge + increased vaginal pH

A

Trichomoniasis

40
Q

painless genital lesion + current rash that covers palms/soles of feet

A

Syphilis

41
Q

Fever, cervical motion tenderness, adenexal/uterine tendenress, STI risk

A

Pelvic Inflammatory Disease (PID)

42
Q

multiple small papules, verrucous

A

Condylomata Acuminata (Genital Warts) - 6/11

43
Q

white “cigarette paper” skin on vulva + retraction of clitoris

A

Lichen Sclerosus

44
Q

painful grouped genital ulcers (multiple), recent stress or immunosupression

A

Genital Herpes

45
Q

painful ulcer

A

Chancroid (Haemophilus Ducreyi)

46
Q

bleeding post-coitally in young woman

A

Acute Cervicitis

47
Q

wet mount shows budding yeast + psuedohyphae

A

Candida Vulvovaginitis

48
Q

Painful vulvar swelling

Fluctuant vaginal mass can be palpated

A

Bartholin Gland Abscess

49
Q

elevated vaginal pH + positive “whiff” test + “clue cells”

A

Bacterial Vaginosis

50
Q

Itchy rash breast, edematous plaque, pruitic

A

Paget Disease Of Breast

51
Q

asymptomatic patient + normal breast exam + microcalcifications on mammography + histological findings (distended ducts with pelimorphic class, contained in basement membrane)

A

Ductal Carcinoma In Situ

52
Q

pathological discharge (unilateral bloody) + no palpable breast mass + nothing on mammography

A

Intraductal Papilloma

53
Q

Lump on young girl. Fluctuates with menses, tnder.

A

Fibroadenoma - SINGLE LUMP (fibrocystic, older women and multiple)

54
Q

no solid components on ultrasound + needle aspiration with clear liquid + resolution of mass upon needle aspiration

A

Breast Cyst

55
Q

no fever + tender breast mass + fluctuant breast mass + no erythema on breast

A

Galactocele

56
Q

fever + erythema of breast + no fluctuance

A

Mastitis

57
Q

calcifications on imaging + foamy macrophages/fat globules on biopsy

A

Fat Necrosis Of The Breast

58
Q

erythema + fluctuance on breast

A

breast abscess

59
Q

Hydrops fetalis, polyhydramnios, ascities, skin thickening

A

ParvoB19 from cardiac cannot keep up with Parvo’s induced anemia

M3 - clinicals (7 decks)

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