Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB GYN > test 3 deck 1 > Flashcards

test 3 deck 1 Flashcards

1
Q

pt. presents w/ no pain and enlarged tumor in vuvla-vaginal region. She is >40. treatment ___

A

bx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the evaluation for ovarian cysts w/ indeterminate, but probaly benign qualities (hemorrhagic cyst, mature cystic teratoma, endometrioma) pre/post menopausal?

A

premenopausal: TVS repeated 6-12 weeks if persistent then consider surgical evaluation

post menopausal surgical evalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when is a cyst considered functional?

A

>3cm w/ symptoms of pelvic pain, dullness and heaviness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the difference between the benign stromal neoplasms granulosa-theca, sertoli-leydig, and ovarian fibroma?

A

granulosa theca: estrogen

steroli-ledic: testosterone

ovarian: no hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

most benignand malignant breast disease arise in the?

A

terminal duct-aciner structures (lobules)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

mastitis/ abscess that’s nonpuerperal requires what?

A

biopsy to exclude inflammatory breast cancer

peripheral abscess I&D (dont get better) and abx

subareolar abscess: duct excision/ sinus tract removal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

estrogen dependent, benign smooth muscle tumor, distinct autonomy from their surrounding. typcially ayspmptomatic, may have mass effect or cause infertility. on bimanual you note an increased size of the uterus. dx__ next step__

A

leioymoma, U/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the evaluation for a simple benign cyst postmenopausal that >7 cm?

A

mri/surgery evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the indications for surgery of leiomyomas?

A
  1. rapid enlargement
  2. severe pelvic pain
  3. abnomral uterine bleeding w/ anemia
  4. UTI
  5. inability to evaluate adnexa
  6. growth of fibroid after menopause
  7. infertility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

smooth, clear, white/yellow rounded elevations on the cervix. dx__ trx__

A

nabothian cysts

no treatment for asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the MC breast mass ID’s in adolescent female

A

fibroadenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pt. presents w/ contraction of scar tissue or adhesions w/ in the endocervical canal. They have a hx of treatments for CIN (LEEP/CKC), and are hypoestrogenic. They hav complaints of dysmenorrhea, amenorrhea, and infertility. DX__ trx__

A

cervical stenosis

cervical dialator, vaginal estrogen if hypostrogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what to do w/ spontaneous discharge?

A

evaluate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the preferred imagin for leiomyoma?

A

u/s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pt presents post menopause/post oophorectomy. they are complaining of pain during sex, urinary symptoms, clear, yellow, blood tinged discharge. You perform a PAP and the their are changes (parabasal epithelial cells). On speculum you see a fiable vaginal epithelium, loss of rugae, and pale mucose. dx__ trx__

A

atrophic vaginitis,

topical estrogen (give progesterone if pt. has uterus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what stage does normal breat proliferation occur?

A

luteal phase of menstrual cycle (estrogen and progesterone increase)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

post menopausal woman presents w/ inflammation in the dermis of vulva. she has pruruitis, vulvar thickening, that has progressed to burning and dyspareunia. her vaginal skin looks like cellphane paper/tissue paper/ crinkled cigarette paper on gentle streching of skin. wk up__ trx__ concern__

A

biopsy, examine q12 mos,

treatment: symptomatic, topical corticosteroid, phototherapy if initiated w/ 1st 2 years reduces scarring

squamous cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ovarian torsion is a __

A

emergency associated w/ ovarian mass typically >6cm, more commonly Right adenexa

19
Q

nests of endometrial glands and stoma embedded w/in the muscular uterine wall (actually in wall opposed to leiomyomas). Pt. presens w/ heavy abnormal uterine bleeding or dysmenorrhea in parous women between ages of 40-50. dx__ trx__

A

adenomyosis

hysterectomy (classicly), maybe GnRH agonists (danazol) or progestins

20
Q

pt. has bilateral breast pain, with multiple bilateral cysts that feels nodular. Increased tenderness especially premenstrual. you know this is aused by dialted ducts and acini invested w/ dense collagenous stroma. DX__ TRX__ PROG__

A

fibrocystic breast disease, premenstrual, decrease chocolate intake +/- caffeine, support bra

21
Q

ovarian cysts that suggest malignancy (irregular septations, nodule blood flow)?

A

surgical evlation

22
Q

are palpable nodular breast tissue a breast cancer risk by itself?

A

not a breast cancer risk by itself

23
Q

green galactorrhea is related to ___ ___

A

cholesterol dieposides

24
Q

pt. presents w/ non-neoplastic morphologic alteration of the vulvar skin related to chronic irriation. results from intense itch/scratch cycle that even wakes her from sleep. the patient started w/ excoriations and erythema that progressed to a greyish/leathery appearnace that extends past the labia major(MC). dx__ treat__

A

lichen simplex chronicus

eliminate triggers (clothing, heat, chemicals in laundry/hygiene products, food sensitivty), lubricate (petroleum jelly, vegetable oil), antihistamines, gloves at night

25
Q

pt. presents w/ severe pain, difficulty walking, sitting or having intercourse. she has a tumor in vulva region. she is under 40. dx__ trx__

A

bartholin’s abscess,

I&D w/ packing or word catheter

abx: if recurrent or high risk for complicated infection (pregnant, cellulitis, systemic infection, immunosuppressed)

culture for MRSA

Augmentin/Clindamycin, screen for chlamydia/gonorhea

26
Q

what is the MC symptom for endometrial polyps and what are the imaging studies?

A

metrorrhagia

TVUS intially then sonohysterography

27
Q

what cervix size is needed for sufficient flow?

A

5mm if <2mm there may be retrograde flow and you have to worried about retrograde flow

28
Q

pt. presents w/ progressive sharp lower abdominal pain, low grade fever, N/V. you suspect ovarian torsion. what is the treatment?

A

salvage, resect tumor, possible oophorectomy

29
Q

for vulvar disease your patients will commonly present w/ ___. your working diagnosis is __, alway ___ suspicious lesion, and teach your patients to ___.

A

itching, cancer, biopsy, look

30
Q

treatment for fibroadenoma?

A

benign

31
Q

what is the evaluation for a simple ovarian cyst with bengin qualites pre menopausal that >5 cm, but <=7 cm?

A

TVS repeated in 6-12 to document resolution then yearly TVS

32
Q

autoimmune disorder of t-cells. pt presents after drug use w/ NSAIDS, B-blockers, methyldopa, penicillamine, quinine. They have intense vaginal itching, burning pain, dyspaerunia and postcoital bleeding. They have purple, pruruitic, polygonal, papules and plaques. They are erosive, papulosquamous and hypertrophic. They are located on both the vagina and gingiva. DX__ trx__

A

lichen planus

topical steroids-> clobetasol, vaginal hydrocortisone

33
Q

imaging study for adenomyosis?

A

TVUS, then MRI for differentiation

34
Q

what is the treatment for leimyomas?

A

observe, COCPs to reduce bleeding, GnRH agonist for pre-op surgery

35
Q

what is the MC pelvic tumor in women?

A

leiomyomas “fiborids”

36
Q

what is the evaluation for simple cyst w/ benign qualities <=5 cm but >1cm postmenopausal?

A

CA125, if normal then TVS repeated in 6-12 weeks. Then yearly TVS

37
Q

what is the evlation for a simple ovarian cyst w/ bengin qualities >7 cm premenopausal?

A

mri/surgical evaluation

38
Q

treatment for intertrigo? Most often found in genitocurual folds, also in inguinal and intergluteal regions

A

treatment: drying agents, inflammation (topical steroid), infection (nystatin), weight loss, light weight clothing

39
Q

hyperlastic overgrowth of endometrial lining on a stalk?

A

endometrial polyps

40
Q

pt. presents w/ rash following vaginal trauma. its adherent silver scale, but in skin folds are more red w/ fine scale. DX__ TRX___

A

inverse psoriasis

emollients, steroids, dovenex after control

41
Q

what is the treatment for cervical polyp?

A

benign, but still need to go to pathology

small, pedunculated, remove w/ forceps

sessile, remove w/ forceps and cauterize

42
Q

what is the surgical treatment for ovarian cysts?

A

cystectomy, unilateral salpingo-oophorectomy, TAH/BSO for malignancy

43
Q

what is the MC ovarian neoplasma?

A

benign cystic teratoma (dermoid cyst), presents risk of torsion

44
Q

breast pain that follows cycle is what?

A

mastalgia, normal, if noncyclic investigate for cancer

OB GYN (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions