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obstetric - gynecol STEP 2 > other > Flashcards

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1
Q

normal postvoid residual volume

A

less than 150 in women

less than 50 in men

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2
Q

RF for pseudocyesis

A
  1. history of infertility

2. prior pregnancy loss

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3
Q

violent muscle contraction during seizure can lead to

A

posterior dislocation of the shoulder

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4
Q

abdominal pain in chiladbearing age woman - next step

A

pregnancy test –> if (+) –>. US

if (-) –> consider CT

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5
Q

Pubic symphysis diastasis - RF

A
  1. fetal macrosomia
  2. multiparity
  3. precipitous labor
  4. operative vaginal delivery
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6
Q

Pubic symphysis diastasis - presentation

A
  1. difficulty ambulating
  2. radiating suprapubic pain
  3. Pubic symphysis tenderness
  4. intact neurologic examination
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7
Q

Pubic symphysis diastasis - management

A
  1. conservative
  2. NSAID
  3. Physical therapy
  4. pelvic support
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8
Q

Vesicovaginal fistula - RF

A
  1. pelvic surgery
  2. Pelvic irradiation
  3. Prolonged labor/childbirth trauma
  4. Genitourinary malignancy
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9
Q

Vesicovaginal fistula - clinical features

A

painless, continuous urine leakage from the vagina

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10
Q

Vesicovaginal fistula - diagnostic studies

A

physical exam
dye test
cystourethroscopy

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11
Q

vaginismus treatment

A

vaginal dilators

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12
Q

Pelvic organ prolapse - definitions

A 
cystocele - bladder
rectocele - rectum
enterocele - small intestine
procidentia 
apical prolapse - uterus, vaginal vault
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13
Q

Pelvic organ prolapse - RF

A

obesity
multiparity
hysterectomy
postmenopausal

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14
Q

Pelvic organ prolapse - Clinical presentation

A 
Pelvic pressure
obstructed voiding
urinary retention 
urinary incontinence
constipation 
fecal urgency, incontinence 
sexual dysfunction
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15
Q

Pelvic organ prolapse - management

A 
weight loss
pelvic floor exercise 
vaginal pessary 
surgical repair
(complete herniation of the uterus requires mechanical correction: pessary, surgical repair)
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16
Q

MgSO4 in patients with renal failure

A

high risk of toxicity

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17
Q

genito-pelvic pain/penetration disorder - RF

A
  1. history of abuse
  2. lack of sexual knowledge
  3. sexual trauma
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18
Q

genito-pelvic pain/penetration disorder - clinical features

A

pain with vaginal penetration
distress/anxiety over symptoms
no other medical cause

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19
Q

genito-pelvic pain/penetration disorder - treatment

A

desensitization therapy

kegel exercise

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20
Q

anovulation of obesity

A

normal FSH and LH levels

ovaries are still producing estrogen but progesteron is not produced

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21
Q

definition of infertility

A

failure to archieve pregnancy after 12 months of unprotected intercourse for a couple in which the woman is age less than 35 or 6 months if she is 35 or older

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22
Q

last solution for urinary incontinence

Study These Flashcards
A

pelvic floor surgery

23
Q

1st test imaging to assess Fallopian tube patency

Study These Flashcards
A

hysterosalpingogram

24
Q

Fenale reproductive system - ligaments

Study These Flashcards
A
  1. infundibulopelvic ligament (suspensory ligament of the ovary)
  2. Cardinal ligament
  3. Round ligament of uterus
  4. Broad ligament
  5. Ovarian ligament
  6. uterosacral
25
Fenale reproductive system - ligaments an what they connect
1. infundibulopelvic (suspensory ligament of the ovary) --> ovaries to lateral pelvic 2. Cardinal --> cervix to side wall of pelvis 3. Round ligament of uterus --> uterine fundus to labia major 4. Broad --> uterus, fallopianm tuves and ovaries to pelvic side wall 5. Ovarian --> madian pole of ovary to lateral uterus 6. uterosacral --> uterus to the anterior aspect of the sacrum
26
infundibulopelvic (suspensory ligament of the ovary) contains
ovarian vessels
27
cardinal ligament contains
uterine vessels
28
Round ligament of the uterus contains
nothing
29
Broad ligament contains
ovaries, fallopian tuves, round ligaments of uterus
30
ovarian ligament contains
nothing
31
5a reductase def (vs insensitivity)
phenytopically female at birth BUT develop virilization at puberty (eg. clitoromegaly + have no breast development)
32
ovarian cancer can present as an adnexal mass with pelvic pain and bloating to to abnormal proliferation of ....
ovarian or tubal epithelium or peritonueum
33
granuloma inguinale - pain?
no
34
endometriosis - heave menstrual bleeding?
NO
35
another cause, beside ovarian ca, that can elevate the levels of Ca-125
PID
36
endometriosis - when to to laparoscopy to confirm diagnosis
1. contraindications to medical therapy 2. need for definitive diagnosis 3. history of infertility 4. concern for malignancy or adxenal mass 5. fail to treatment
37
diagnosis of granulosa cell tumor - next step?
endometrium biopsy
38
dopamine agonists for lactation suppression
NO - not approved | - wearr a supportive bra, aboid nipple stimulation + manipulation + use ice packs and analgeesics to releive pain
39
contraceptive method with weight loss
levonorgestrel intrauterine device | - also amenorrhea --> imroves anemia + abnormal uterine bleeding
40
aromatase def
virilization of female fetuses --> normal internal genitalia with ambigiguous external
41
HPV vaccine - age
all girls + women: 11-26 | boys and men: 9-21 or 9-26 if sex with men
42
what age start PAP test in a woman who already is sexually active
21 (regardless of age of onset of sexual activity in immunocompetenet patients
43
manipulation of teratoma
avoided because of the risk of chemical peritonitis
44
OCP - benign breast disease
OCPs decrease the risk for benign breast disease
45
OCPs decreases the risk of .... cancer
ovarian + endometrial
46
diagnosis of vulvovaginal candidiasis - next step
hemoglobin A1c
47
aspiration of breast mass (clear fluid) in 20 years old - next step
follow up in 2 months
48
OCP - lipids
elevate TG
49
chlamydia or gonor in women - MC manifestation
asymptomatic
50
hypothalamic amenorhea - vasomotors?
NEVER | - if there are, look for something else
51
endometrial ablation?
surgical procedure that destroys the endometrium --> treatment for regular heahy bleeding in premenopausal women that can be perforemd only after a benign endometrial biopsy)
52
anovulation 2ry to obesity - FSH/LH levels
normal
53
Bipolar treatment in pregnancy
lamotrigine
54
renal colic in pregnant patients - test
U/S of kidneys and pelvis | - low dose CT urography maybe be consdered only in the 2nd and 3rd trimesters

obstetric - gynecol STEP 2 (22 decks)

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