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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
"tender boggy uterus"
adenomyosis
26
endometritis risk factors
postpartum postabortabl C section
27
endometritis tx
Clindamyacin + gent
28
presence of endometrial tissue outside the endometrial cavity
endometriosis
29
endometriosis triad
1. cyclic premenstrual pelvic pain 2. dysmenorrhea (painful menstruation) 3. dyspareunia
30
dx of endometriosis
laparoscopy
31
endometriosis tx
OCP
32
how do you dx endometriosis
biopsy
33
what is the MC gynecological malignancy in the US
endometrial
34
what is protective against endometrial cancer
- OCP
35
postmenapausal bleeding think what
endometrial cancer
36
functional ovarian cyst treatment
most resolve without treatment
37
what is the triad for PCOS
- amenorrhea - obesity - hirsutuism
38
PCOS is due to
insulin resistance
39
string of perls what dx
PCOS
40
what are the three tx for PCOS you would do all three
- OCP - spronolactone - insulin
41
what HPV causes cervical cancer
18 and 16
42
what type of cancer is cervical
squamous
43
what is the MC symptom of cervical cancer
post coital bleeding
44
what is the HPV vaccination done
11-26 years old if < 15 2 doses 6 months apart 0,6 if > 15 3 doses within 6 months 0,2,6
45
what is the pap schedule
start age 21 end age 65 every 3 years
46
what is the MC presentation of vulvar cancer
itching
47
what is the medication ospemifene used for
vaginal dryness
48
what is the most common cause of mastitis
s, aureus
49
can mothers breastfeed with masitis and on meds
yes
50
if a breast mass increases and decreases with menstruation what is the cause
fibrocycstic changes
51
what is the #1 type of breast cancer
infiltrative ductal carcinoma
52
infiltrative ductal carcinoma mets where
axillary
53
is breast cancer painful
no | Painless, hard fixed, non mobile lump
54
MC quadrant for breast cancer
upper outer
55
what are the guidelines for breast cancer screenig
- 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
what is day one of menstruation
This is when bleeding starts
57
what should a female do her breast exam
day 5-7 (monthly)
58
ascending infection of the upper reproductive tract
PID
59
chandelier sign and cervical motion tenderness is associated with what pathology
PID
60
endometrial cancer tx
hysterectomy
61
what pathology Grey white dischnage that smells like fish Clue cells
bacterial vaginosis
62
how do you treat bacterial vaginosis
metronidazole
63
how do you treat trich
metronidazole
64
when is blood and urine hcG detected
- Blood: 5 days | - Urine: 14 days
65
at 20 weeks where should the fundal weight be
unbilicus
66
EDD nagules rule
1st day of last menstral period + days days - 3 months
67
when do you check nuchal luncency
12 weeks
68
downs test 2ns teimester
low afp
69
spina bifida test 2ns trimester
high afp
70
gestational dm screen
24-28 weeks
71
when do RH - mothers get rogam
28 weeks and | 72 he prior to birth
72
● Dysfunctional uterine bleeding | 3 causes
anovulatory cycles, HPA problem, cancer
73
● Endometrial cancer | tx
hysterectomy with bilateral salpingo-oophorectomy; chemo/radiation
74
● Dysfunctional uterine bleeding can be a cause of
cancer
75
falling-out" sensation
● Uterine prolapse
76
what size in ovarian cyst do you have to remove
> 8 cm
77
○ post-coital bleeding | may be a sign of what
Cervical carcinoma
78
what do you treat ● Cervicitis - Chlamydia | with if they are pregnant
erythromycin
79
● Cervicitis - Candidiasis
fluconazole
80
Trichomonas Tx
Metronidazole 2mg PO
81
CLUE CELLS
- Bacterial Vaginosis
82
- Bacterial Vaginosis TX
Metronidazole 2mg PO
83
● Incompetent cervix | WHAT WEEK
S/S: 14-20 weeks pregnant
84
prolapse of anterior vaginal wall with descent of bladder
● Cystocele
85
prolapse of posterior vaginal wall with descent of rectum
● rectocele
86
● Vagina/vulva neoplasm | cause / type
; SCC (MCC)
87
● Atrophic Vaginitis | tx
intravaginal estrogen
88
○ Cause: excess prostaglandin and leukotriene levels
● Primary dysmenorrhea
89
Primary dysmenorrhea is due to what
non pelvic pathology
90
Primary dysmenorrhea causes
NSDAIDs 2-3 days prior, mefenamic acid
91
● Premenstrual syndrome | tx (2)
pyridoxine (B6), | OCP
92
● Menopause | has an increase in what hormone
FSH
93
what breast pathology is painful
● Fibrocystic disease
94
● Galactorrhea | MCC
prolactinoma (MCC);
95
bromocriptine, cabergoline are tx for what
prolactinoma / ● Galactorrhea
96
cervical motion tenderness, purulent discharge, adnexal mass/tenderness
PID
97
most common Implanted contraceptive
medroxyprogesterone max use 2 years
98
how quickly do you need to use emergency contraceptive
72 hours
99
● Infertility | 1st line
semen analysis
100
what is this medication used for clomiphene citrate
Infertility
101
when do you check BG in prego
24-28
102
what week prego do you check for group B strep
group B strep
103
what week is the fundal height at the umbilicis
20 weeks

General Surgery (30 decks)

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