Sex Flashcards

1
Q

gynecomastia causes

A

estrogen-secreting tumor
exogenous estrogen
ampicillin
phenothiazine tranquilzers (psychosis)
gingko biloba, ginseng
spironolactone
cirrhosis/chronic liver disease (decreased estrogen metabolism)
aromatase excess syndrome

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2
Q

aromatase

A

androgens –> estrogens

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3
Q

aromatase inhibitors

A

tx gynecomastia, trans, breast cancer
anastrozole
exemestane

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4
Q

Kallmann syx

A

low GnRH childhood, male
late puberty
anosmia
cryptorchidism
cleft palate
hearing impairment

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5
Q

time of day T testing

A

morning when highest

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6
Q

intracellular gram-negative diplococci

A

N gonorrhoeae

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7
Q

empiric tx urethritis and cervicitis

A

ceftriaxone + azithromycin

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8
Q

tube-ovarian abcess

A

life-threatening sequela of PID
rupture –> sepsis

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9
Q

strawberry cervix

A

tiny capillary hemorrhages caused by Trich infection of cervix

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10
Q
A

herpesviruses including HSV-2 and VSV

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11
Q
A

HPV

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12
Q

congenital syphilis

A

hepatomegaly
jaundice
lymphadenopathy
rash
nasal discharge
skeletal abnormalities

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13
Q

Jarisch-Herxheimer reaction

A

fever
HA
myalgia
rigors
diaphoresis
hypOtension
worsening rash

w/in 24 h of syphilis tx
dt release of antigens from spirochetes dt inflammatory rxn

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14
Q

gestational hypertension ddrugs

A

only when >160/110

hydralazine
methyldopa
labetalol
nifedipine

not safe:
ACE inhibitors
thiazide diuretics

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15
Q

tx preeclampsia

A

delivery if ≥37 wk
consider Mg Sulf for seizure prevention
close monitoring
preterm delivery if progresses

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16
Q

eclampsia tx

A

delivery regardless of GA
mag sulfate

17
Q

HELPP syndrome

A

delivery regardless of GA
symptomatic support

18
Q
A

congenital toxoplasmosis
CMV

19
Q

congenital parvovirus

A

stillbirth
fetal hydrops
aplastic anemia

20
Q

congenital listeria

A

SA/IUFD
prematurity
systemic granulomatous disease
postnatal meningitis
bacteremia

avoidance of unpasteurized dairy

21
Q

lithium birth defect

A

Epstein anomaly - tricuspid valve defect

22
Q

valproic acid birth defect

A

neural tube - folate absorption

23
Q

retinoid acid

A

(for acne)
craniofacial, heart, nervous system anomolies