UWorld questions obgyn Flashcards
Management of Pap smear showing atypical squamous cells of undetermined significance:
- Age 21-24 = repeat in 1 year
- Age > 25 = HPV testing; positive = colpo
- 3 consecutive Paps showing ASC = colpo
Most common cause of physiologic galactorrhea:
hyperprolactinemia
Evaluation of galactorrhea:
- Serum prolactin
- TSH
- Consider brain MRI
Management of preterm labor (3):
- Tocolytics
- Betamethasone
- MgSO4 (protect vs. cerebral palsy)
Features of androgen insensitivity syndrome:
- 46XY (male karyotype)
- Primary amenorrhea
- No uterus, cervix, or vagina
3 D-symptoms of endometriosis + 1 more:
- Dyspareunia
- Dysuria
- Dyschezia
- Infertility
Relation between thyroid and prolactin levels:
- TRH stimulates prolactin release
- Dopamine inhibits prolactin release
Lecithin/sphingomyelin ratio:
- Evaluation of fetal lung maturity
- L/S
Greatest risk factor for clear cell carcinoma:
DES exposure in utero
Most common cause of mucopurulent cervicitis:
Chlamydia trachomatis, then Neisseria gonorrheae
Management of CIN II/III on colposcopy:
Cytology and biopsy every 12 weeks
First and second signs of magnesium toxicity:
- Hyporeflexia
2. Respiratory depression
Management of abnormal uterine bleeding:
Endometrial biopsy
Management of endometrial hyperplasia:
- Without atypia = progestin therapy
- With atypia = hysterectomy or progestin therapy
Most important method for preventing transmission of HIV from mother to fetus:
Antiretroviral therapy (even in pregnancy)
Antibiotics for asymptomatic bacteriuria in pregnancy:
- Nitrofurantoin
- Amoxicillin +/- clavulanate
- Fosfomycin
Workup for adnexal mass in postmenopausal woman:
Ultrasound + CA-125 level (r/o malignancy)
Most common (?) complication with postterm labor:
Oligohydramnios (aging placenta has decreased perfusion, resulting in decreased fetal renal perfusion/urine output)
Women should not be tested for HPV until what age?
30
Limits for HPV vaccination:
ages 9-26 for women, 9-21 for men
Cervical cancer screening guidelines:
21-29: pap smear
30-65: pap smear + HPV testing
65+: no screening if prior test negative
Immunocompromised: at onset of sexual activity, then q6 months twice, then annually
Causes of elevated AFP:
- Open neural tube defects
- Ventral wall defects
- Multiple gestation
Inevitable vs. threatened abortion:
Threatened = closed os Inevitable = open os
