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Gynecology > Pedia Gyne & Menstrual Abnormalities > Flashcards

Pedia Gyne & Menstrual Abnormalities Flashcards

1
Q

Age in precocious puberty in boys

A

10 y/o

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2
Q

Physiologic discharge of puberty occurs

A

6-12 mos before menarche

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3
Q

Types of complete precocious puberty

A

central and peripheral precocious puberty

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4
Q

Type of complete precocious puberty that results in an inc in FSH and LH on GnRH stimulation test

A

Central

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5
Q

Type of complete precocious puberty that can be caused by granulosa cell tumor

A

Peripheral

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6
Q

Tx for precocious puberty

A

GnRH

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7
Q

Group of symptoms, both physical and behavioral that occur on the second half of menstrual cycle

A

PMS

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8
Q

More severe type of PMS

A

Premenstrual dysmorphic d/o

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9
Q

Usual cause of AUB at irreg intervals

A

Polyps

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10
Q

Intermenstrual bleeding

A

metrorrhagia

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11
Q

Excessive menses

A

Menorrhagia

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12
Q

Irregular and prolonged menses

A

Menometrorrhagia

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13
Q

Indications for endometrial biopsy for AUB

A

In reproductive yrs and >35 y/o, obese, HPN, DM
All post menopausal women
(to r/o endometrial carcinoma)

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14
Q

Most impt thing to r/o when a reproductive age woman presents with AUB

A

Pregnancy

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15
Q

DUB that is harder to control

A

Ovulatory

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16
Q

Finding in endometrial biopsy in ovulatory DUB

A

Secretory changes

17
Q

Finding in endometrial biopsy in anovulatory DUB

A

Proliferative

18
Q

Type of DUB usually occuring among postmenarcheal and perimenopausal life

A

Anovulatory DUB

19
Q

DUB that is self-limited and with midcycle rise in temp

A

Ovulatory DUB

20
Q

DOC for anovulatory DUB

A

Progestin

21
Q

DOC for acute DUB

A

Estrogen

22
Q

Androgenic steroid used prior to surgery to induce endometrial atrophy

A

Danazol 200-400mg/ day

23
Q

Irreversible SE of Danazol

A

Deepening of voice

24
Q

Preop drug used to inhibit ovarain steroid production

A

GnRH agonist (Leuprolide)

25
Q

Definitive management for AUB

A

Hysterectomy

26
Q

Normal menstrual cycle frequency

A

28 +/- 7 days

27
Q

Normal menstrual duration

A

4-7 days

28
Q

Normal menstrual cycle volume

A

30-80 mL

29
Q

Tx for hemodynamically unstable pts with acute excessive bleeding

A

IV estrogen

24 mg conjugated equine estrogen q4h for 24 hrs

30
Q

Tx for hemodynamically stable pts with acute excessive bleeding

A

CEE for 14-21 days ff by medroxyPROGESTERONE for 7-10 days

31
Q

Age in precocious puberty in girls

A

9 y/o

Gynecology (7 decks)

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