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CREOG > Rosh (1/3-1/9) > Flashcards

Rosh (1/3-1/9) Flashcards

1
Q

Topical medication for vulvodynia

A

Tricyclic antidepressant

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2
Q

HPV vaccine schedule

A

11-14 y/o – 2 doses 6 to 12 months apart

15-35 y/o – 3 doses at 0, 2, and 6 months

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3
Q

Types of malpractice insurance

A

Claims-made applies while policy in effect

Occurrence applies to any case that occurred while the policy was held

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4
Q

Artery associated with vaginal hematoma

A

Uterine

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5
Q

Arteries associated with vulvar hematoma

A

Pudendal or perineal

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6
Q

Endometritis treatment

A

Gent / clinda or Unasyn if GBS pos

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7
Q

Endometritis bugs

A

Polymicrobial, most common mycoplasma

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8
Q

Latency antibiotics

A

Ampicillin / erythromycin then amoxicillin / erythromycin

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9
Q

VIN associated with lichen sclerosis

A

Differentiated VIN (malignant potential)

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10
Q

How long to stop smoking to decrease surgical risk?

A

4 weeks

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11
Q

TB in female genital tract - location

A

Fallopian tubes, sometimes uterus or endometrium

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12
Q

Leiomyosarcoma treatment

A

Chemo with doxorubicin, docetaxel/gemcitabine, and ifosfamide can improve survival 17-36% in stage 3/4
Radiation does not help

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13
Q

Hereditary connection with leiomyosarcoma

A

Renal cell carcinoma

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14
Q

Ppx for cluster headaches

A

Verapamil

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15
Q

Timing of presentation of Bose injury

A

4-10 days post operatively

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16
Q

Green to yellow, thick, sticky breast discharge

A

Ductal ectasia

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17
Q

Four phases of wound healing

A

Hemostasis, inflammation, proliferation, maturation

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18
Q

Topical immunomodulator for high-grade VIN

A

Imiquimod

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19
Q

Pathology of granulosa cell tumors

A

Coffee bean nuclei and Call-Exner bodies

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20
Q

Highest risk factor for abruption

A

Prior abruption (up to 10 x more likely to recur)

21
Q

Which SERM best promotes bone health?

A

Raloxifene

22
Q

Nerve roots of femoral nerve

A

L2-3

23
Q

Hcg criteria for GTN

A

Rise 10% over three measurements two weeks apart OR stay within 10% for four measurements three weeks apart

24
Q

Likelihood of GTN after molar pregnancy

A

20% likelihood
75% of those GTN
25% of those choriocarcinoma

25
Q

Partial mole pathology and karyotype

A

Focal hyperplasia of villi

69, XXY (maternal X and paternal XY)

26
Q

Complete mole pathology and karyotype

A

Generalized hyperplasia

46, XX (both paternal)

27
Q

Treating low-risk GTN

A

MTX

Dactinomycin if contraindications to MTX

28
Q

Treating high-risk GTN

A

Cyclophosphamide, etoposide, MTX, dactinomycin, vincristine

29
Q

Length of time on progesterone therapy if treating EIN (minimum)

A

12 months

30
Q

Oral antibiotics with MRSA coverage

A

TMP-SMX, clindamycin, rifampin (in combo with other drugs), tetracyclines, linezolid

31
Q

Intra-operative repair of bowel injury

A

If <1 cm and cold instrument, place interrupted sutures parallel to axis of bowel
If >1 cm and/or thermal injury, consider resection and ostomy

32
Q

Modified radical hysterectomy

A

Stage IA1 and IB1 cervical cancer

Uterus, cervix, upper fourth of vagina, parametria

33
Q

Lynch syndrome genetics and associated cancers

A

Mismatch repair genes: MLH1, MSH2, MSH6, and PMS2

Colorectal and ovarian cancers, as well as many others

34
Q

Hereditary colorectal cancer gene

A

KRAS

35
Q

Genetics of Cowden syndrome

A

PTEN

Hamartomatous tumors and breast, thyroid, and endometrial cance

36
Q

Li-Fraumeni genetics and associated cancers

A

TP53

Sarcomas, breast, adrenal gland

37
Q

Meisosis of egg cells

A

Arrested in prophase I prior to ovulation. Transition to metaphase II at ovulation (creates 1 polar body). After fertilization, becomes two pronuclei.

38
Q

Contraindication to magnesium

A

Myasthenia gravis

39
Q

Chronic hep B in pregnancy

A

If viral load > 2,000,000 at 26-28 wks, then give tenofovir dispoproxil fumarate
Infant always gets IgG and immunization

40
Q

BRCA chromosomes

A

1) 17

2) 13

41
Q

Ovulation induction medication with PCOS

A

Letrozole

42
Q

Normal umbilical artery gas

A

pH 4.27, base excess -2.7

43
Q

Arterial pH associated with poor outcome

A

<7.10, deficit of >-12

44
Q

Causes of necrotizing fasciitis

A

Polymicrobial or Group A Strep

45
Q

Lisinopril in pregnancy

A

Renal dysfunction, limb contráctiles, craniofacial abnormalities

46
Q

Use for Kielland forceps

A

Asynclitism and rotation

47
Q

Use for Simpson forceps

A

Molded head

48
Q

Use for Elliott forceps

A

Round head

49
Q

Use for Piper forceps

A

Breech

CREOG (8 decks)

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