Women's Health Flashcards

1
Q

breast cancer risk factors

A

obesity
dense breasts
fam hx
low parity
estrogen exposure, including meds

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2
Q

most common breast masses

A

fibroadenoma, cyst

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3
Q

diagnostic study of choice if younger than 30 for breast mass

A

ultrasound

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4
Q

breast cancer screening

A

every 1-2 years until age 75, if >10 yr survival rate may continue screening

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5
Q

clinical breast exam

A

not recommended

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6
Q

primary dysmenorrhea characteristics

A
  • Onset after menarche
  • Severity stable
  • Improves with parity
  • Dyspareunia unusual
  • NSAIDs, CHC effective
  • Manage in primary care
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7
Q

secondary dysmenorrhea characteristics

A
  • Onset mid-20s or older
  • Increasing in severity
  • Endometriosis, PID, etc.
  • Dyspareunia especially deep
  • Variable relief from NSAIDs, CHC
  • Refer to OBGYN
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8
Q

PCOS symptoms

A

oligiomenorrhea
amenorrhea
AUB
hyperandrogenism
cystic ovaries
infertility
mood/mental health probs

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9
Q

Rotterdram criteria

A

dx for PCOS
requires 2/3: irregular cycles
hyperandrogenism
cystic ovaries

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10
Q

PCOS risks/complications

A

endometrial ca
infertility
diabetes
obesity
CVD
HLP
mental health issues

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11
Q

estrogen in COC provides

A

primarily cycle control

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12
Q

progestin in COC provides

A

primarily contraceptive effects

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13
Q

cervical cancer caused by

A

high risk HPV

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14
Q

HPV for most women

A

clears spontaneously after 8-24 months, especially if less than 24

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15
Q

HPV vaccine guidelines

A

give 2 doses if first by the age of 15
give 3 doses otherwise or if sexually active prior to first dosage

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16
Q

cervical cancer screening guidelines

A

21-29: every 3 years
30-65: every 5 years hpv/pap, every 3 year pap only
>65: may continue

17
Q

vulvovaginitis most common infection

A

vulvovaginal candidiasis

18
Q

osteoporosis risk factors

A

white/asian
previous fracture
long term oral steroid
low body weight
smoker
etoh use

19
Q

first line treatment for osteoporosis pharm

A

bisphosphonate

20
Q

osteoporosis management non pharm

A

weightbearing exercise
stop etoh, cigarettes
calcium, vitamin D
avoid steroids, anticonvulsants