Random Coulibaly Questions Flashcards
Name the types of hysterectomies.
Total vs. Subtotal (aka supracervical)
Vaginal vs. Abdominal
Open vs. Laparoscopic
Incision (Classical, T, inverted T, J, transverse segmental)
When should Pap smears be performed?
beginning at age 21, every 3 years
after 30, every 5 years (if Pap and high-risk HPV have been negative)
When should Pap smears be performed?
beginning at age 21, every 3 years
after 30, every 5 years (if Pap and high-risk HPV have been negative)
What are exceptions to the Pap guidelines?
Screen annually: HIV (twice in first year,then annually), immunocompromised, solid organ transplant
What are exceptions to the Pap guidelines?
Screen annually: HIV (twice in first year,then annually), immunocompromised, solid organ transplant
What is normal timing for menses?
every 21-35 days, last for 2-7 days
Define infertility
inability to conceive after 1 year of attempting to, or 6 months if the woman is > 35.
What are the initial steps in evaluating infertility?
semen analysis, Day 21 progesterone level, Hystersalpingogram
Define adenomyosis
endometrial glands and stroma within the myometrium. Sx of heavy menstrual bleeding and painful menstruation.
Is female pyelonephritis MC on the right or left?
Right.
The uterus is MC dextrorotated due to the sigmoid colon to the left.
Define and give a ddx of Thrombocytopenia.
< 150,000 platelets / microliter
Pregnancy; Drug-Induced (Heparin, Quinine); Infection (HIV, HCV); Chronic Liver Disease; Alcohol; Deficiency in B12, Folate, or Copper; SLE; RA; Cancer…
Define wound separation, dehiscence, and evisceration.
Separation: fascia intact.
Dehiscence: fascia breached.
Evisceration: viscera is extruding.
MCC of post-menopausal bleeding?
atrophic endometrium or vagina.
What should be ruled out with post-menopausal bleeding?
CANCER!
When is intervention for an ovarian cyst indicated?
large size, torsion, hemorrhagic, or dermoid rupture
