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PANCE Review > Reproductive System > Flashcards

Reproductive System Flashcards

1
Q

most common gynecologic malignancy in the US

A

endometrial carcinoma

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2
Q

most common type of endometrial cancer

A

adenocarcinoma

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3
Q

most common presenting symptom of endometrial cancer

A

postmenopausal bleeding

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4
Q

condition in which endometrial glands and stroma are present outside the endometrial cavity

A

endometriosis

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5
Q

definitive diagnostic tool for endometriosis

A

laparoscopic exam with biopsy

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6
Q

sharp, exquisitely tender barb on uterosacral ligament is diagnostic for

A

endometriosis

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7
Q

endometrial tissue within the myometrium

A

adenomyosis

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8
Q

exam findings consistent with adenomyosis

A

tender, symmetrically enlarged, boggy uterus

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9
Q

most common indication for a hysterectomy

A

leiomyoma (uterine fibroid)

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10
Q

bimanual exam findings consistent with a leiomyoma

A

irregular contoured, hard, enlarged uterus

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11
Q

sagging of the uterus into the vagina

A

uterine prolapse

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12
Q

posterior bladder wall protrudes into anterior vagina

A

cystocele

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13
Q

upper posterior vagina protrudes into the upper vagina, usually after a hysterectomy

A

enterocoele

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14
Q

distal sigmoid colon bulges into posterior distal vagina

A

rectocele

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15
Q

most common ovarian growths

A

functional ovarian cysts

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16
Q

Risk factors for ovarian cancer

A

older, nulliparous, white, family history of GYN cancer

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17
Q

sister mary joseph nodule

A

metastatic implant in the umbilicus, indicative of ovarian cancer

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18
Q

bimanual exam findings that could indicate ovarian cancer

A

solid, irregular, fixed mass on overies

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19
Q

tumor marker for ovarian cancer

A

CA-125

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20
Q

HPV types linked to cervical cancer

A

HPV 16, 18, 31, and 33

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21
Q

at what age to pap smears begin

A

21

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22
Q

treatment of chlamydia cervicitis

A

Azithromycin 1 gram PO

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23
Q

treatment of gonorrhea cervicitis

A

Rocephin IM and Azithromycin

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24
Q

chandelier sign is diagnostic for…

A

pelvic inflammatory disease

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25
treatment for PID
rocephin, doxy and flagyl
26
uterine, cervical or adnexal tenderness to palpation and motion
Chandelier sign
27
most common type of vulvar cancer
squamous cell carcinoma
28
most common symptom of vaginal or vulvar cancer
pruritus - often postmenopausal
29
thin, white discharge with a foul odor and a vaginal pH > 4.5 (alkaline)
Bacterial vaginosis
30
treatment of bacterial vaginosis
metronidazole
31
frothy discharge with a bad odor, vulvar pruritus and a high vaginal pH
trichomonas
32
treatment of trichomonas
metronidazole
33
strawberry cervix can be seen in which infections
trichomonas, chlamydia
34
thick white cottage cheese discharge with a low vaginal pH
candida infection
35
treatment of vaginal candida infection
fluconazole
36
clue cells =
BV
37
budding yeast and hyphea =
candidiasis
38
motile trichomonads =
trichomonas
39
HPV types that cause genital warts
6 and 11
40
never menstruated by age 16
primary amenorrhea
41
not had a menses for the past 6 months in a woman who has a history of irregular menses
secondary amenorrhea
42
most common cause of secondary amenorrhea
pregnancy
43
lab findings for amenorrhea due to hypothalamic-pituitary dysfunction
FSH and LH are low
44
lab findings for amenorrhea due to ovarial failure
FSH and LH are high
45
physical, mood and behavior changes associated with the luteal phase of the menstrual cycle and resolve after the start of menses
PMS
46
cessation of menses for one eyar
menopause
47
average age of menopause
51.5 years
48
Lab findings consistent with menopause
FSH greater than 30
49
treatment of menopausal symptoms
HRT with estrogen and progesterone
50
which patients can get estrogen only HRT postmenopausal
patients without a uterus
51
most common malignancy in women
breast cancer
52
most common of all benign breast conditions
fibrocystic disorder
53
smooth, well-circumscribed rubbery breast lumps that are non-tender and mobile - DX?
fibroadenoma
54
lactating woman with fever, chills, breast pain, erythema and tendernes
mastitis
55
most common organism to cause mastitis
S. aureus
56
test of choice in a patient with galactorrhea who is not pregnant
prolactin -- if elevated prolactinoma is cause
57
failure to conceive following one year of regular, unprotected intercourse
infertility
58
first test when investigating infertility
semen analysis
59
bluish discoloration of the cervix, vagina, and labia
chadwick's sign - early pregnancy
60
softening of the uterine isthmus
Hegar's sign - pregnancy
61
softening of the cervix
goodell sign
62
aminoglycosides causes which teratogenic effects
ototoxicity
63
tetracyclines causes which teratogenic effects
fetal teeth and bone abnormalities
64
lithium causes which teratogenic effects
congenital heart disease
65
nagele's rule
first day of LMP plus 7 days minus 3 months
66
at what weeks of pregnancy is the glucose tolerance test given
24-28 weeks
67
when is RH immune globulin given during pregnancy
28 weeks and within 72 hours of childbirth
68
when is group B strep tested for in pregnancy
after 32 weeks
69
onset of labor to full dialtion of cervix
stage one of labor
70
complete dilation of cervix through delivery of infant
2nd stage of labor
71
begins after delivery of infant and ends with delivery of placenta
3rd stage of labor
72
immediate postpartum period of approximately two hours after delivery of placenta
fourth stage of labor
73
during which stage of labor has the highest likelihood of serious complications
4th stage of labor
74
treatment for incompetent cervix
cerclage
75
pregnant patient with vaginal bleeding and cramping but a closed cervical os
threatened AB
76
pregnant patient with vaginal bleeding and cramping with a dilated cervical os
inevitable abortion
77
pregnant patient with vaginal bleeding and a dilated cervical os who has only passed some products of conception
incomplete abortion
78
all products of conception are expelled prior to 20 weeks
complete abortion
79
embryo is not viable but is retained in utero for at least 6 weeks
missed abortion
80
implantation of fertilized ovum outside of the uterine cavity
ectopic pregnancy
81
development of HTN with protinuria or edema during pregnancy
preeclampsia
82
presence of convulsions in woman who has met criteria for preeclampsia
eclampsia
83
treatment for eclampsia
delivery
84
hemolytic anemia, elevated liver enzymes, low platelets and hypertension during pregnancy
HELP syndrome
85
medical treatment for gestational DM
insulin
86
Values consistent with GDN after 1 hr GTT
>130
87
abnormal placement of placenta over cervical os, presents with painless bleeding
placenta previa
88
premature separation of the placenta from uterine wall, presents with painful vaginal bleeding
abruptio placenta
89
maneuver used for shoulder dystocia
McRoberts maneuver
90
first line treatment in postpartum hemorrhage
uterine massage

PANCE Review (9 decks)

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