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Gynecology > Pediatric Gynecology > Flashcards

Pediatric Gynecology Flashcards

0
Q

Most common gynecologic problem in prepubertal female

A

Vulvovaginitis

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1
Q

Grayish white discharge 6-12 months before menarche

A

Physiologic discharge of puberty

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2
Q

Major RF of vulvovaginitis

A

Poor hygiene
A/B beta hemolytic streptococcus
H influenzae
Pinworms

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3
Q

Most common FB

A

Tissue paper

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4
Q

Consequence of chronic vulvitis

Translucent vertical line at midline

A

Adhesive vulvitis

Topical estrogen

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5
Q

Postmenopausal and prepubertal

Parchment skin with figure of 8 or hourglass pattern

A

Lichens sclerosus
Postmenopausal: clobetasol
Prepubertal: avoid trauma or irritation

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6
Q

Histologic features of lichen sclerosis

A

Epidermal atrophy
Hydropic degeneration of basal cells
Sclerotic stroma
Dermal lymphocytic inflammation

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7
Q

MCC accidental genital trauma

A

Straddle injury

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8
Q

Genital warts

2

A

Maternal to child
Sexual
Laser therapy under inhalation anesthesia

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9
Q

Onset of secondary sexual characteristics before 8 in girls and 9 in boys

A

Precocious puberty

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10
Q

Types of Complete Precocious Puberty

A

True Central GnRH dependent

Pseudo Peripheral GnRH independent

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11
Q

MC True Complete Precocious Puberty

A

Idiopathic

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12
Q

MC Pseudo Complete Precocious Puberty

A

Granulosa Cell Tumor

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13
Q

Early activation of HPO axis
N LH FSH Estrogen
GnRH stimulation test: inc FSH LH

A

Central

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14
Q

Autonomous production of estrogen
Dec LH FSH Inc Estrogen
GnRH stimulation test: No inc LH FSH

A

Peripheral

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15
Q

Early activation of HPO axis
N LH FSH Estrogen
GnRH stimulation test: inc FSH LH
N MRI

A

Idiopathic

GnRH agonist

16
Q

Early activation of HPO axis
N LH FSH Estrogen
GnRH stimulation test: inc FSH LH
Abnormal MRI

A

CNS tumor

17
Q 
Autonomous production of estrogen
Dec LH FSH Inc Estrogen
GnRH stimulation test: No inc LH FSH
Pigmentation: Cafe au lait spots
Polyostotic fibrous dysplasia
A

McCune Albright Syndrome

Aromatose inhibitor

18
Q

Autonomous production of estrogen
Dec LH FSH Inc Estrogen
GnRH stimulation test: No inc LH FSH
Pelvic mass

A

Granulosa cell tumor

Surgical removal of tumor

19
Q

Most useful diagnostic tool for PMS

A

Symptom diary

Gynecology (11 decks)

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