other Flashcards

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

A

pelvic floor surgery

23
Q

1st test imaging to assess Fallopian tube patency

A

hysterosalpingogram

24
Q

Fenale reproductive system - ligaments

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
Q

Fenale reproductive system - ligaments an what they connect

A
  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
Q

infundibulopelvic (suspensory ligament of the ovary) contains

A

ovarian vessels

27
Q

cardinal ligament contains

A

uterine vessels

28
Q

Round ligament of the uterus contains

A

nothing

29
Q

Broad ligament contains

A

ovaries, fallopian tuves, round ligaments of uterus

30
Q

ovarian ligament contains

A

nothing

31
Q

5a reductase def (vs insensitivity)

A

phenytopically female at birth BUT develop virilization at puberty (eg. clitoromegaly + have no breast development)

32
Q

ovarian cancer can present as an adnexal mass with pelvic pain and bloating to to abnormal proliferation of ….

A

ovarian or tubal epithelium or peritonueum

33
Q

granuloma inguinale - pain?

A

no

34
Q

endometriosis - heave menstrual bleeding?

A

NO

35
Q

another cause, beside ovarian ca, that can elevate the levels of Ca-125

A

PID

36
Q

endometriosis - when to to laparoscopy to confirm diagnosis

A
  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
Q

diagnosis of granulosa cell tumor - next step?

A

endometrium biopsy

38
Q

dopamine agonists for lactation suppression

A

NO - not approved

- wearr a supportive bra, aboid nipple stimulation + manipulation + use ice packs and analgeesics to releive pain

39
Q

contraceptive method with weight loss

A

levonorgestrel intrauterine device

- also amenorrhea –> imroves anemia + abnormal uterine bleeding

40
Q

aromatase def

A

virilization of female fetuses –> normal internal genitalia with ambigiguous external

41
Q

HPV vaccine - age

A

all girls + women: 11-26

boys and men: 9-21 or 9-26 if sex with men

42
Q

what age start PAP test in a woman who already is sexually active

A

21 (regardless of age of onset of sexual activity in immunocompetenet patients

43
Q

manipulation of teratoma

A

avoided because of the risk of chemical peritonitis

44
Q

OCP - benign breast disease

A

OCPs decrease the risk for benign breast disease

45
Q

OCPs decreases the risk of …. cancer

A

ovarian + endometrial

46
Q

diagnosis of vulvovaginal candidiasis - next step

A

hemoglobin A1c

47
Q

aspiration of breast mass (clear fluid) in 20 years old - next step

A

follow up in 2 months

48
Q

OCP - lipids

A

elevate TG

49
Q

chlamydia or gonor in women - MC manifestation

A

asymptomatic

50
Q

hypothalamic amenorhea - vasomotors?

A

NEVER

- if there are, look for something else

51
Q

endometrial ablation?

A

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
Q

anovulation 2ry to obesity - FSH/LH levels

A

normal

53
Q

Bipolar treatment in pregnancy

A

lamotrigine

54
Q

renal colic in pregnant patients - test

A

U/S of kidneys and pelvis

- low dose CT urography maybe be consdered only in the 2nd and 3rd trimesters