Ovaries/Cervical, STI Flashcards

1
Q

Follicular cyst is due to

A

ovulation

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2
Q

ovarian cyst diag?

A

US, r/o preg

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3
Q

ovarian cyst tx?

A

nsaid, repeat US, surgery
<4mm = Observation
>6 mm laparascopy

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4
Q

ovarian cyst can lead to?

A

ovarian torsion if cyst is >5cm - Diag Lap, surgery to untwist

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5
Q

Ovarian cancer risk?

A

high number of ovulation,
Brca1/2,
Lynch synd

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6
Q

Ovarian cancer prevention? diag?

A

OPC

US/CT

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7
Q

Sister mary joseph nodes is

A

at umbilicus, ovarian cancer

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8
Q

Ovarian cancer tumor marker

A

CA-125

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9
Q

Ovarian cancer tx?

A

TAH-BSO, chemo, oophorectomy (if child bearing)

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10
Q

PCOS triad?

A

polycysts, anovulation, hyperandrogens

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11
Q

is insulin resistant

A

PCOS

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12
Q

acanthosis nigricans, obese, US - string of pearls

A

pocs

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13
Q

pcos diag?

A

test, dheas, higher LH

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14
Q

pcos tx?

A

OCP, antiandrogens, clomiphene, metformin

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15
Q

cervical cancer scrn

A

21-29: q3

30-65:q3 OR pap + HPV 5 years

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16
Q

ASC-US HPV positive, now what?

HPV positive?

A

<25- repeat pap in 1 year

25+ colposcopy

17
Q

LSIL positive?

A

25-29 = colposcopy + biopsy
30+ HPV += colpo
30+ HPV - = repeat cytology 1 year

18
Q

HSIL positive?

A

Colpo all ages

19
Q

After colpo, how do you treat transformation zone?

A

CIN 1-3= excision

20
Q

Which HPV test is worse 16 or 18?

A

16

21
Q

risk and preve of HPV?

A

Sex, HPV vaccine

22
Q

tx for Gonorhea, chalm, syph, trichomonas.

A

Ceft, azyth, PCN, Metronidazole

23
Q

pID is seen with what signs?

PID diagnoses?

A

Chandelier sign,

Ultrasound - prevent tubo abscess

24
Q

Tx and complications of PID are?

A

Fitz hughe Curtis and infertility

Tx= ceftriazone and dox

25
Q

How do you diag PID

A

Pelvic US

Complication is infertility and fitz Hugh Curtis