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SmartyPance:Reproductive > Reproductive Boards - Sheet1 > Flashcards

Reproductive Boards - Sheet1 Flashcards

1
Q

HCG, TSH, Prolactin. Progesterone challenge.

A

Amenorrhea

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2
Q

Anovulation. Coagulation disorder. OCP

A

DUB

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3
Q

Risk: Obesity, anovulation, Nulliparity, FHX, Post menopausal bleeding = biopsy. Endometrial stripe >5 mm

A

Endometrial Cancer

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4
Q

chocolate cyst. Chronic pelvic pain. laparoscopy. OCP. leuprolide

A

Endometriosis

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5
Q

Estrogen/progesterone dependent. Shrink at menopause.

A

Leiomyoma

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6
Q

Early satiety and bloating. Complex Cyst. CA-125. BRCA-1/2

A

Ovarian Cancer

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7
Q

Pap > 21 every 3 years. HPV 16 and 18.

A

Cervical Cancer

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8
Q

Clue cells

A

Bacterial Vaginosis

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9
Q

Green frothy discharge. Strawberry cervix

A

Trichomoniasis

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10
Q

Cottage cheese. budding yeast. hyphae

A

Candidiasis

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11
Q

51y /o. Elevated FSH. HRT: Give progesterone to protect uterus

A

Menopause

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12
Q

tamoxifen

A

Breast cancer

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13
Q

Prolactin

A

Galactorrhea

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14
Q

Chlamydia and gonorrhea. Cervical motion tenderness. Pelvic pain.

A

PID

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15
Q

< 20 weeks. Vaginal bleeding. Pelvic pain

A

Abortion

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16
Q

Fallopian tube.Positive pregnancy test, vaginal bleed, pelvic pain, cervical motion tenderness. IUP seen when HCG >2,000

A

Ectopic Pregnancy

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17
Q

CG > 100,000. Snow storm pattern

A

Molar Pregnancy

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18
Q

< 20 weeks

A

Chronic hypertension

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19
Q

> 20 weeks. No end organ damage or proteinuria. Labetalol and methyldopa

A

Gestational HTN

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20
Q

Preeclampsia + seizure. Magnesium

A

Eclampsia

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21
Q

Painless 2nd and 3rd trimester bleed. No digital or TV ultrasound

A

Placenta Previa

22
Q

Uterine Atony

A

Postpartum Hemorrhage

23
Q

< 37 weeks

24
Q

Painful third trimester bleed

A

Placental abruption

25
Q

Frothy, clear - white or yellow-green to gray adherent vaginal discharge, dysuria, vaginal pruritis. Vulvar and cervical erythema. Flagellated protozoa

A

Trichomonas

26
Q

Fishy odor, Thin grayish vaginal discharge, Clue cells

A

Bacterial vaginitis; Gardnerella vaginalis

27
Q

Thick white vaginal discharge, hyphae & buds on KOH prep

28
Q

Postmenopausal, dyspareunia, thin vaginal discharge, atrophic vulvar changes, vaginal petechiae

A

Atrophic vaginitis; Tx = topical estrogen

29
Q

Secondary amenorrhea

30
Q

Female with acute abdominal pain. No characteristic acute abdomen pattern

A

Ectopic pregnancy

31
Q

20yo female w/ rubbery, firm, well- circumscribed, non-tender breast lesion, doesn’t change w/ cycle

A

Fibroadenoma

32
Q

30 - 50yo female, painful, multiple, bilateral breast masses that increase in pain and size before menses

A

Fibrocystic breast disease

33
Q

Spontaneous bloody, serous, or cloudy nipple discharge

A

Intraductal papilloma

34
Q

Breast mass, nipple retraction, bloody nipple discharge

A

Breast cancer (mass is most common presenting clinical manifestation)

35
Q

Overweight, irregular menstrual cycles (poss. Amenorrhea), elevated blood sugar, hirsutism

A

PCOS (stein-leventhal syndrome)

36
Q

Adolescent female with midcycle pain alternating from left to right side. Relieved w/ NSAIDs

A

Mittelschmerz

37
Q

Dysmenorrhea, dyspareunia, dyschezia. Uterus is fixed, retroflexed. Cyclic pelvic pain. May have palpable pelvic mass

A

Endometriosis. Palpable pelvic mass - “chocolate cyst”

38
Q

Firm irregular shaped, NONTENDER enlarged uterus

39
Q

Softened, tender, diffusely globular uterine enlargement

A

Adenomyosis

40
Q

6cm unilateral, mobile, tender adnexal mass

A

Tubo-ovarian abscess

41
Q

Naegele’s rule:

A

LMP + 7 - 3 mo

42
Q

Pregnant + rash, post-auricular or occipital LAD

A

Rubella. Give vaccine AFTER delivery

43
Q

Pregnant, HA, visual disturbance

A

Pre-eclampsia

44
Q

Pregnant, seizures

45
Q

Pregnant < 20 wks gestation w/ vaginal bleeding, abd & pelvic pain. Blood from closed cervical os.

A

Threatened abortion

46
Q

Pregnant < 20 wks gestation w/ vaginal bleeding, abd & pelvic pain. Tissue at or said to be passed from open cervical os.

A

Incomplete abortion (complete abortion will have empty uterus, complete passage of fetal tissue, pain resolves after passage of tissue)

47
Q

Pregnant woman who drinks during pregnancy and inadequate peri-natal care

A

Fetal alcohol syndrome - low birth weight

48
Q

Postpartum hemorrhage

A

Uterine Atony. Tx = uterine massage

49
Q

Postmenopausal vaginal bleeding

A

Endometrial Ca - do endometrial biopsy

50
Q

Postmenopausal adnexal mass

A

Ovarian Ca

SmartyPance:Reproductive (4 decks)

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