PANCE OB, Repro 8/11 Flashcards
1
Q
abnormal frequency and intensity of uterine bleeding
A
dysfunctional uterine bleeding
2
Q
what is metrorrhagia
A
abnormal bleeding between periods
3
Q
what is oligomenorrhagia
A
infrequent menstruation
4
Q
what often causes dysfunational uterine bleeding
A
- unopposed estrogen
5
Q
acute severe vaginal bleeding bleeding TX 2
A
- high dose IV estrogen
- high dose OCP
6
Q
how to tx anovulatory cycles
A
OCP
7
Q
painful mestration
A
dysmenorrhea
8
Q
what is the tx for dysmenorrhea 2
A
- NSAIDs
- OCP
9
Q
what is the tx for PMS
A
- SSRI
- OCP
10
Q
what phase is PMS in
A
luteal phase
11
Q
dysmenorrhea is due to what
A
increased protagladins
12
Q
what is secondary amenorrhea
A
absense of menses for > 3 months
13
Q
what is primary amenorrhea
A
- no peroid by 15 with boobs
- no peroid by 13 w/o boobs
14
Q
scaring of the uterus is called what
A
ashermans syndrome
15
Q
if there is no withdraw bleed post progesterone what does that mean
A
ovarian dysfunction
16
Q
what is the MCC of amenorrhea
A
pregnancy
17
Q
no menses for 1 year
A
menopause
18
Q
what is the FSH with menopause
A
increased
19
Q
how do you tx vaso motor symptoms of menopause
A
estrogen + progesterone
20
Q
how do you tx osteoprosis symptoms of menopause
A
bisphosphenates
SERM (tamoxafin)
21
Q
manuapuse if they have a uterus Tx
A
estrogen + progesterone
22
Q
manuapuse if they have have no uterus Tx
A
estrogen
23
Q
does HRT estrogen only have an increased risk for breast cancer
A
no
24
Q
does HRT estrogen+ progesterone have an increased risk for breast cancer
A
slightly
25
estrogen+ progesterone protective against what
endometrial cancer
26
what is the biggest risk with HRT
VTE
27
benign smooth uterine tumor
leiomyoma
28
what causes leiomyoma
estrogen
29
RF leiomyoma 2
1. African american
| 2. >35
30
leiomyoma MC symptom
bleeding
31
hard shaped mass on urine exam what pathology is first line dx
- leiomyoma
32
leiomyoma Dx
ultrasound
33
what are the 4 tx for leiomyoma
- observation
- Leuprolide
- Hysterectomy
- myomectomy
34
islands of endometrial tissue in the myometrium pathology
adenomyosis
35
tender boggy uerus pathology
adenomyosis
36
adenomyosis tx
hysterectomy
37
how do you tx endometritis
clinda + gent
38
what is the biggest risk for endometriosis
nullparity
39
endometriosis triad
- pelvic pain
- dysmnorrhea
- dysprenua
40
endometriosis dx
laproscopy
41
endometriosis tx
OCP + NSAID
42
what is the MC gyncological cancer
endometrial cancer
43
what is protective against endometrial cancer
combination OCP
44
what is the MC type of endometrial cancer
adenomyosis
45
what does endometrial stripe on US mean
endometrial cancer
46
endometrial stripe > ? is a sign of endometrial cancer
4mm
47
endometrial cancer tx
hysterectomy
48
what is postmenapausal bleeding concerning for
endometrial cancer
49
prolapse in the anterior portion of vagina
- cystocele
50
prolapse in the posterior portion of vagina
- rectocele
51
what are the three types of functional ovarian cysts
- follicular
- corpus luteal
- theca lutein
52
where is the pain with a functional oviarian cyst
unilateral
53
oviarian cyst dx
ultrasound
54
oviarian cyst what size is observation
< 8 cm
55
what two types of cancer is OCP protective against
ovarian
| endometrial
56
_ ascites
| _ sisters merry joshphs node
ovarian cancer
57
What is the triad for PCOS
- amenorrhea
- obesity
- Hirsutism
58
Ca-125 associated with what type of cancer
ovarian
59
what lab is increased with PCOS
LH
60
what is the vaginal US with PCOS
string of perls
61
what are the 4 meds for PCOS
- OCP
- Spironolactone
- clomiphene
- metformin
62
what HPV is associated with cervical cancer
16 + 18
63
what are the two types of cervical cancer
1. squamous cell carcinoma
| 2. adenocarcinoma
64
what is the MC symptom of cervical cancer
post coital bleeding
65
at what age can they not give the gardisil vaccine
26
66
what ages gets a pap
21-65
Q: 3
Q: 5 if co test
67
how do you tx cervical imcompetance
cerclage
68
vulvar cancer primary symptom
pruritius
69
what does ospemifine tx
vulvovaginal atrophy tx
70
what is the cause of mastitis
s. aureus
71
how do you tx mastitis
nafcillin
72
can you breast feed with mastitis
nafcillin
73
FNA of the breast with straw colored fluid
fibrocycstic changes
74
what breast pathology increases and decreases with menstruation
fibrocycstic changes
75
does fibrocyctic adenoma increases and decreases with menstruation
no
76
breast mass
immovable
painless lump
hard
breast cancer
77
MC type of breast cancer
infiltrate ductal carcinoma
78
speculated lesions on mammogram good or not good
not good
79
best beast cancer screen < 40what modality
US
80
what is the primary antiestrogen for breast cancer
tamoxafen
81
when do you examine the breast manually
5-7 days post menstruation
82
what are the two MCC causes of PID
- Gonorrhea
| - Chlamydia
83
what pathology is chandelier sign associated with
PID
84
what is the age for breast cancer screening
40-74 every 2 years
85
PID tx
doxcy + cef
86
toxic shock syndrome Tx 2
clina + Vanco
87
- fish odor
- clue cells
- > PH
BV
88
BV tx
metronidazole
89
frothy discharge
| strawberry cervix
Trichomonas
90
Trichomonas tx
metronidazole
91
how do you tx vaginal candidia
fluconazole
92
how long until b- HCG in blood
5 days
93
how long until b- BCH urine
14 days
94
what is the sign for cervical softening at 4-5 weeks
Goodell's
95
blue color of the cervix 12 weeks what sign
chadwiks sign
96
uterius softening at 6 weeks what sign
landins signs
97
what is gravida
how many times she has been pregnant
98
what is para
births > 20 weeks
99
what is the fundal height at 20 weeks
- at the umbilicus
100
what is the fundal height at 12 weeks
- at the pubic symphasis
101
what is naegeles rule
EDD: LMP + 7 days - 3 months
102
when is chorionic villus sampling done
10- 13 weeks
103
AFP: Low
| HC-G: high
downs
104
AFP: High
| HC-G: low
spina biffida
105
AFP: Low
| HC-G: low
trisome 18
106
when do you test for DM preg
weeks 24-28
107
when do you test for group B strep in preg
32-27 weeks
108
what should the fetal HR be in third trimester
120-160
| - 2 accelerations in 20 min good
109
how long do you have to be trying for infertility
1 year
110
what is the triad for ectopic
- unilateral pelvic pain
- vaginal bleeding
- ammemorrhea
111
how do you tx ectopic with medication
- methotrexate
112
what med may you need to give with ectopic (protective of the mother)
- Ro- gam
113
what is the OS postion with thretened abortion
closed
114
how long can you give misoprostol for abortion
9 weeks
115
how long can you give methotrexate abortion
7 weeks
116
How do you give abotionn > 12 weeks
D and E
117
what is gestational HTN
HTN > 20 weeks
118
HTN + proteinuria + edema > 20 weeks
pre- ecampsia
119
Preecamlplesia + seizure =?
ecampsia
120
what is the acronem for severe Preecamlplesia
HELLP
- Hemolytic anemia
- Elevated liver
- Low platelets
121
How do you tx HELLP
- Mag
| - anti HTN (lebatalol, hydralazine)
122
when do you give seroids
if < 34 weeks
123
what anti HTN can be used in preg 3
- hydralazine
- lebatalol
- methyldopa
124
what is the tx for abruprio placentae
- immediate delivery
125
placenta previa pain or no pain
no pain
126
placenta previa tx
monitor
127
what is the gestational DM glucose level that would result in a + test
> 140
128
gestational DM Tx
insulin
129
snowstrom on ultrasound (pregnancy)
Gestational trophoblasic disease
130
What is teh bad RH combo
RH - mom
| RH + baby
131
what is the medication given for moning skickness in pregnancy
- pyridoxine B6
132
what are the beginning and ending of each of the following stages of labor
- stage I
- stage II
- Stage III
- stage I: labor to full dilation of the cervix
- stage II:dilation of the cervix - delivery of fetus
- Stage III: dilation of the fetus - delivery of placenta
133
what is the apgar range
1-10
134
when do you do an apgar
1, 5, 10 min if abnormal
135
what are the components of APGAR
```
Appearance
Pulse
Grimmise
Activity
Respiration
```
136
what is the MCC of postpartum hemorrhage
uterine atony
137
two medications for postpartum hemorrhage
oxytocin
| misoprostol
138
how do you tx premature rupture of membranes
await spontanous labor
139
"fern test "
premature rupture of membranes
