Truelearn Review 2 Flashcards

1
Q

What is the most common type of ovarian cancer?

A

Epithelial

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2
Q

How do you define pelvic congestion syndrome

A

Chronic pelvic discomfort, made worse by long time standing or sex in women with peri ovarian varicosities seen on imaging studies

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3
Q

What are the recommended imaging of choice for pelvic venous disorders ( like pelvic congestion syndrome)

A

Retrograde ovarian and internal iliac venography

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4
Q

The most common stage of endometrial cancer presentation is stage ____

A

IB - involves more than 50% of endometrium

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5
Q

What is the most common histology of vaginal cancer

A

Squamous cell
Adenocarcinoma ( including clear cell) is THE SECOND MOST COMMON

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6
Q

What are 3 risk factors for clear cell epithelial ovarian cancer ?

A

(1) Pelvic endometriosis

(2) Asian ethnicity

(3) Residence in Korea, Taiwan, Japan

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7
Q

Clear cell carcinoma of the ovaries arises from and is most commonly associated with what gyn condition ?

A

Endometriosis

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8
Q

What percent of the general population is affected by congenital uterine anomalies?

A

2%

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9
Q

What percent of women with recurrent pregnancy loss have a congenital uterine anomaly?

A

6 - 7% of them

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10
Q

FEV1 of what level indicates well controlled asthma ?

A

> 80

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11
Q

What are some metabolic derangements that are side effects of high dose beta adrenergic agonists?

A

Hypokalemia

Hyperglycemia

Hypomagnesemia

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12
Q

A patient taking 5 mg/day of prednisone or its equivalent daily for more than 3 weeks , is this person in need of stress dose steroids?

A

YES

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13
Q

What are the two single agent therapies that can be used for low risk GTN

A

Methotrexate

Actinomycin

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14
Q

The inferior epigastric artery, originating from ________________ is the dominant artery supplying the anterior abdominal wall

A

External iliac artery

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15
Q

Why is second trimester the best time to perform non emergent surgery ( 4)

A

Most ovulation related cysts will have resolved during this time

Reduce teratogenesis risk (most organs are already formed)

Progresterone is completely being made by the placenta at this time

Most preg loss due to inherent abnormalities have happened by this Time

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16
Q

What type of hysterectomy has the greatest risk for urethral injury?

A

Laparoscopic

17
Q

What type of hysterectomy has the lowest risk of ureteral injury

A

Vaginal hysterectomy

18
Q

Cherney incision involves doing what to the rectus

A

Transect the rectus muscle at the insertion into the public symphysis

( can be repaired with 5 - 6 interrupted delayed absorbable or permanent sutures in horizontal mattress configuration )

19
Q

PDS (polydioxanone) is what kind of suture

A

Delayed absorbable

Loses 20% of tensile strength over 2 weeks , 6% after 8 weeks
Completely absorbed by hydrolysis after 200 days