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General Surgery > PANCE reporductive > Flashcards

PANCE reporductive Flashcards

1
Q

what is the definition of dysfunctional uterine bleeding

A

this mean either bleeding too much or too little

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2
Q

How do you treat dysfunctional uterine bleeding

A

OCP’s

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3
Q

what is the definition of dysmenorrhea

A

painful menstration due to a pelvic pathology

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4
Q

what is the the definition of primary dysmenorrhea

A

Not due to a pelvic pathology

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5
Q

what is the definition of secondary dysmenorrhea

A

due to a pelvic pathology

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6
Q

what is the pain pattern of dysmenorrhea

A

diffuse pelvic pain around the time of menses

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7
Q

primary tx of dysmenorrhea

A

NSAIDs

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8
Q

secondary tx of dysmenorrhea

A

OCPs

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9
Q

premenstraul syndrome happens in what phase

A

luteal

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10
Q

premenstraul syndrome tx (2)

A

SSRI

OCP

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11
Q

what is the definition of primary and secondary amenorrhea

A

Primary: failure of menarche onset
secondary: absense of menses for > 3 months

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12
Q

what is the MC cause of amenorrhea

A

pregnancy

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13
Q

what are the 5 causes of amenorrhea

A
  1. Pregnancy
  2. Hypothalamus
  3. pituitary dysfunction
  4. ovardian disorders
  5. uterine disorder
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14
Q

what is the definition of menopause

A

cessation of menses for > 1 year

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15
Q

what is the average age for menopause

A

50-52

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16
Q

what is the best lab value for menapause

A

inc FSH

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17
Q

who can you give unapposed estrogen to

A

women who still have a uterus

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18
Q

what is a leimyoma or fibromyoma classified as

A

uterine fibroid

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19
Q

what is the growth of leimyoma dependent on

A

estrogen

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20
Q

MC age for Leimyoma

A

35

MORE COMMON ON BLACK X5

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21
Q

what are the MC symptom of uterine fibroid

A

bleeding

pelvic pain

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22
Q

leimyoma physical exam

A

large palpable mass in abdomen of pelvis

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23
Q

what are the 3 progressive tx for leimyoma

A
  • Observation
  • leuprolide
  • hysterectomy
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24
Q

“islands of endometrial tissue within the myometrium

A

adenomyosis

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25
Q

“tender boggy uterus”

A

adenomyosis

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26
Q

endometritis risk factors

A

postpartum
postabortabl
C section

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27
Q

endometritis tx

A

Clindamyacin + gent

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28
Q

presence of endometrial tissue outside the endometrial cavity

A

endometriosis

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29
Q

endometriosis triad

A
  1. cyclic premenstrual pelvic pain
  2. dysmenorrhea (painful menstruation)
  3. dyspareunia
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30
Q

dx of endometriosis

A

laparoscopy

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31
Q

endometriosis tx

A

OCP

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32
Q

how do you dx endometriosis

A

biopsy

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33
Q

what is the MC gynecological malignancy in the US

A

endometrial

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34
Q

what is protective against endometrial cancer

A
  • OCP
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35
Q

postmenapausal bleeding think what

A

endometrial cancer

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36
Q

functional ovarian cyst treatment

A

most resolve without treatment

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37
Q

what is the triad for PCOS

A
  • amenorrhea
  • obesity
  • hirsutuism
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38
Q

PCOS is due to

A

insulin resistance

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39
Q

string of perls what dx

A

PCOS

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40
Q

what are the three tx for PCOS you would do all three

A
  • OCP
  • spronolactone
  • insulin
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41
Q

what HPV causes cervical cancer

A

18 and 16

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42
Q

what type of cancer is cervical

43
Q

what is the MC symptom of cervical cancer

A

post coital bleeding

44
Q

what is the HPV vaccination done

A

11-26 years old
if < 15 2 doses 6 months apart 0,6
if > 15 3 doses within 6 months 0,2,6

45
Q

what is the pap schedule

A

start age 21
end age 65
every 3 years

46
Q

what is the MC presentation of vulvar cancer

47
Q

what is the medication ospemifene used for

A

vaginal dryness

48
Q

what is the most common cause of mastitis

49
Q

can mothers breastfeed with masitis and on meds

50
Q

if a breast mass increases and decreases with menstruation what is the cause

A

fibrocycstic changes

51
Q

what is the #1 type of breast cancer

A

infiltrative ductal carcinoma

52
Q

infiltrative ductal carcinoma mets where

53
Q

is breast cancer painful

A

no

Painless, hard fixed, non mobile lump

54
Q

MC quadrant for breast cancer

A

upper outer

55
Q

what are the guidelines for breast cancer screenig

A
  • average risk: 40-75 every 2 years
  • start at 40 years old if increased risk factors
    start 10 years prior than 1st degree relative dx
56
Q

what is day one of menstruation

A

This is when bleeding starts

57
Q

what should a female do her breast exam

A

day 5-7 (monthly)

58
Q

ascending infection of the upper reproductive tract

59
Q

chandelier sign and cervical motion tenderness is associated with what pathology

60
Q

endometrial cancer tx

A

hysterectomy

61
Q

what pathology
Grey white dischnage that smells like fish
Clue cells

A

bacterial vaginosis

62
Q

how do you treat bacterial vaginosis

A

metronidazole

63
Q

how do you treat trich

A

metronidazole

64
Q

when is blood and urine hcG detected

A
  • Blood: 5 days

- Urine: 14 days

65
Q

at 20 weeks where should the fundal weight be

66
Q

EDD nagules rule

A

1st day of last menstral period + days days - 3 months

67
Q

when do you check nuchal luncency

68
Q

downs test 2ns teimester

69
Q

spina bifida test 2ns trimester

70
Q

gestational dm screen

A

24-28 weeks

71
Q

when do RH - mothers get rogam

A

28 weeks and

72 he prior to birth

72
Q

● Dysfunctional uterine bleeding

3 causes

A

anovulatory cycles,
HPA problem,
cancer

73
Q

● Endometrial cancer

tx

A

hysterectomy with bilateral salpingo-oophorectomy; chemo/radiation

74
Q

● Dysfunctional uterine bleeding can be a cause of

75
Q

falling-out” sensation

A

● Uterine prolapse

76
Q

what size in ovarian cyst do you have to remove

77
Q

○ post-coital bleeding

may be a sign of what

A

Cervical carcinoma

78
Q

what do you treat ● Cervicitis - Chlamydia

with if they are pregnant

A

erythromycin

79
Q

● Cervicitis - Candidiasis

A

fluconazole

80
Q

Trichomonas Tx

A

Metronidazole 2mg PO

81
Q

CLUE CELLS

A
  • Bacterial Vaginosis
82
Q
  • Bacterial Vaginosis TX
A

Metronidazole 2mg PO

83
Q

● Incompetent cervix

WHAT WEEK

A

S/S: 14-20 weeks pregnant

84
Q

prolapse of anterior vaginal wall with descent of bladder

A

● Cystocele

85
Q

prolapse of posterior vaginal wall with descent of rectum

A

● rectocele

86
Q

● Vagina/vulva neoplasm

cause / type

A

; SCC (MCC)

87
Q

● Atrophic Vaginitis

tx

A

intravaginal estrogen

88
Q

○ Cause: excess prostaglandin and leukotriene levels

A

● Primary dysmenorrhea

89
Q

Primary dysmenorrhea is due to what

A

non pelvic pathology

90
Q

Primary dysmenorrhea causes

A

NSDAIDs 2-3 days prior, mefenamic acid

91
Q

● Premenstrual syndrome

tx (2)

A

pyridoxine (B6),

OCP

92
Q

● Menopause

has an increase in what hormone

93
Q

what breast pathology is painful

A

● Fibrocystic disease

94
Q

● Galactorrhea

MCC

A

prolactinoma (MCC);

95
Q

bromocriptine, cabergoline are tx for what

A

prolactinoma / ● Galactorrhea

96
Q

cervical motion tenderness, purulent discharge, adnexal mass/tenderness

97
Q

most common Implanted contraceptive

A

medroxyprogesterone max use 2 years

98
Q

how quickly do you need to use emergency contraceptive

99
Q

● Infertility

1st line

A

semen analysis

100
Q

what is this medication used for clomiphene citrate

A

Infertility

101
Q

when do you check BG in prego

102
Q

what week prego do you check for group B strep

A

group B strep

103
Q

what week is the fundal height at the umbilicis

General Surgery (30 decks)

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