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EORE > Women's Health > Flashcards

Women's Health Flashcards

1
Q

MC cause of postpatrum hemorrhage?

A

Uterine atony

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2
Q

Postpartum hemorrhage volume?

A

> 500mL

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3
Q

Tx for bacterial vaginosis?

A

Metronidazole (Flagyl)

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4
Q

pH of Candidiasis discharge?

A

<4.5

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5
Q

Causitive organism of mastitis?

A

S Aureus

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6
Q

White, sharply demarcated lesion of the cervix after acetic acid applied?

A

Cervical dysplasia

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7
Q

Gestational HTN at how many weeks of preggers?

A

≥20

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8
Q

BP for gestational HTN?

A

≥140, ≥90, ≥20 weeks

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9
Q

Clue cells in which condition?

A

BV

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10
Q

Fishy odor which condition?

A

BV

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11
Q

Which organism on wet mount from vag swab?

A

Trich

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12
Q

Green d/c which condition?

A

Trich

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13
Q

Ovarian enlargement MC caused by what?

A

Functional ovarian cysts

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14
Q

Functional ovarian cyst causes what 2 symptoms?

A
  1. Irregular menses

2. Unilateral pelvic/abdominal pain

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15
Q

Metroclopromide antiemetic which preggers category?

A

B

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16
Q

How to help prevent lactational mastitis?

A

Lubricating ointment for excoriations and cracking

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17
Q

Ovarian torsion most common on which side?

A

Right side

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18
Q

Test for ovarian torsion?

A

Pelvic U/S

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19
Q

Tx for PMS?

A

SSRI

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20
Q

Uterine fibroid aka

A

Leiomyoma

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21
Q

MC solid pelvic tumor in womens?

A

Leiomyoma (uterine fibroid)

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22
Q

Leiomoyoma most common in who?

A

AA women of childbearing age

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23
Q

How to remove leiomyoma and retain fertility?

A

Myomectomy

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24
Q

Third trimester painless bleeding most commonly due to?

A

Placenta previa

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25
Q

Dx for placenta previa?

A

U/S

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26
Q

Yellow Gram negative diplococci?

A

gonorroeae

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27
Q

Tx for gonorreae

A

IM Certriaxone 250mg + PO Azithromycin 1g PO once
or
IM Ceftriaxone 250mg + PO Doxycycline 100mg BID x7

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28
Q

Painful third trimester vaginal bleeding?

A

Placental abruption

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29
Q

MC cause of anovulatory infertility?

A

PCOS

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30
Q

First-line tx for PCOS in women who want to conceive?

A

Weight reduction

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31
Q

Androgen excess, insulin resistance, gonadotropin abnormalities?

A

PCOS

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32
Q

Tx of hirsutism in PCOS?

A

Spironolactone

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33
Q

MC reported STD?

A

Chlamydia trachomatis

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35
Q

Dx for Chlamydia trachomatis?

A

NAAT

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36
Q

Tx for Chlamydia trachomatis?

A

1g Azithromycin PO once

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37
Q

What can follow after PID, gonorrheae, and clamydia?

A

Tubo-ovarian abscess

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38
Q

Unilateral adnexal tenderness or unilateral mass with fever and chills and vaginal d/c?

A

Tubo-ovarian abscess

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39
Q

Dx for Tubo-ovarian abscess?

A

U/S

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40
Q

Tubo-ovarian abscess most commonly caused by what other condition?

A

PID

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41
Q

Tx of Tubo-ovarian abscess?

A

IV abx, I and D

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42
Q

Anterior shoulder impacted behind the pubic symphysis called…?

A

Shoulder dystocia

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43
Q

Which maneuver for shoulder dystocia?

A

McRoberts maneuver

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44
Q

Tx for post-menopausal vaginal atrophy

A

Vaginal ring with 2mg estradiol

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45
Q

Atrophic vaginitis due to loss of what?

A

Estrogen

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46
Q

What does vaginal epithelium look like in Atrophic Vaginitis?

A

pale, dry, shiny

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47
Q

Tx for ectopic preggers?

A

Methotrexate or surgery

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48
Q

Sx of Chlamydia trachomatis?

A

Most ASx

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49
Q

Biggest risk factor in endometritis?

A

C section

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49
Q

When does endometritis develop?

A

2-3 days postpartum

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50
Q

Tx for endometritis

A

IV Clindamycin + Gentamycin

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51
Q

When are decelerations in uteroplacental insufficinecy?

A

Late decelerations

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52
Q

Test for uterine bleeding?

A

Hysteroscopy

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53
Q

MC cause of abnormal uterine bleeding?

A

Hormonal replacement therapy

54
Q

Tx for abnormal uterine bleeding?

A

Combo OCPs

55
Q

Cause of gynecomastia?

A

Estrogen>Testosterone

56
Q

MC cell type in ovarian cancer?

A

Epithelial

57
Q

FSH levels in menopausal women?

A

Elevated!

58
Q

Define inevitable abortion

A

vaginal bleeding before 20 weeks with open internal os

59
Q

Ovarian cancer serum finding?

A

Elevated CA-125

60
Q

Non-cancerous breast lumps, tenderness, peaking before menstruation?

A

Fibrocystic breast disease

61
Q

Painless, mobile, slow growing breast lump?

A

Fibroadenoma

62
Q

Most common tumor in adolescent women?

A

Fibroadenoma

63
Q

Most common postmenopausal cancer?

A

Vulvar cancer

64
Q

Incomplete abortion?

A

Bleeding within 20 weeks, Os open, some retained products

65
Q

What happens in rectocele?

A

Posterior vaginal wall defect with rectum anterior displaced

66
Q

Rectocele is defect of what?

A

Rectovaginal septum

67
Q

Major complication of rectocele surgical repair?

A

Dyspareunia

68
Q

Is nulliparity a risk for developing breast cancer?

A

Yes it is

69
Q

Most common site for breast cancer to occur?

A

Upper outer quadrant

70
Q

Dyxocycline category in preggers?

A

D

71
Q

Define Menorrhagia

A

Heavy/prolonged/excessive bleeding >80mL
or
Menstruation lasting more than 7 days

72
Q

Define Metrorrhagia

A

Uterine bleeding at Irregular cycles/intervals

73
Q

Define Menometrorrhagia

A

Irregular cycles with excessive flow and duration

74
Q

Define Olgiomenorrhea

A

cycle length >35 days

75
Q

Define Polymenorrhea

A

Cycle length <21 days

76
Q

Define Amenorrhea

A

No menses for 6 months

77
Q

Chandelier sign aka

A

cervical motion tenderness

78
Q

IV abx for tubo-ovarian abscess

A

Cefoxitin, doxycycline, metronidazole

79
Q

Protein/creatinine ratio in pre-eclampsia?

A

> 0.3

80
Q

Tx for mastitis?

A

Dicloaxacillin

81
Q

Strawberry cervix?

A

Trichomoniasis

82
Q

pH> 5, flagellated, motile pear shaped?

A

Trichmoniasis

83
Q

Tx for trichomoniasis

A

Metronidazole

84
Q

Dx for endometriosis?

A

Laparoscopy

85
Q

Tx options for endometriosis?

A

GnRH agonists, Progesterone, oral contraceptives, NSAIDs

86
Q

At how many weeks does the uterine fundus become an intraabdominal organ?

A

12 weeks gestation

87
Q

At how many weeks does the uterine fundus reach the umbilicus?

A

20 weeks gestation

88
Q

Cigarettes and placenta?

A

Abruption

89
Q

Cigarettes and breast milk voume?

A

Decreased

90
Q

Mullerian dysgenesis and utereus/vagina?

A

No utereus and no upper 2/3 vagina

91
Q

Barthloand glands at which O’clock?

A

4 and 8 o’clocks

92
Q

2 most common SEs of hormonal contraception?

A
  1. Amennorhea

2. BTB

93
Q

First-line for birth control?

A

Long-acting reversible contraceptive agent like IUD

94
Q

What do some antiepileptic drugs due to estrogen-containing contraceptives?

A

Incude metabolism and cause them to fail

95
Q

2 contraceptive options for epilepsy patient?

A
  1. Styla/Mirena (levonorgestrel)

2. Copper IUD

96
Q

Tx for breast invasive ductal carcinoma?

A

lumpectomy, sentinel node biopsy, radiation

97
Q

Preferred outpatient tx for preggers HTN?

A

Methyldopa

98
Q

Outpatient tx for PID?

A

Ceftriaxone 250mg IM

Doxycycline 100mg BID x14d

99
Q

pH of amniotic fluid?

A

≥6.5

100
Q

What will amniotic fluid do to nitrizine paper?

A

Turn blue

101
Q

3 most common areas of endometriosis?

A
  1. Pelvis
  2. Ovaries
  3. Cul-de-sacs
102
Q

Definitive dx of endometriosis done by what?

A

Laparoscopy

103
Q

Define endometriosis

A

Abnormal growth of endometrium outside the utereus

104
Q

3 most common signs of endometriosis?

A
  1. Dysmenrrhea (painful menses)
  2. Dyspareunia (painful sex)
  3. Dyschezia (Pelvic pain)
105
Q

Vulvar or vaginal itching MC due to which condition?

A

Volvovaginal candidiasis

106
Q

Tx for vulvovaginal candidasis?

A

Fluconazole 150mg PO x1

107
Q

BV’s bacterial morphology?

A

Gram negative rods

108
Q

BV odor?

A

Fishy smell

109
Q

Strawberry cervix MC with what?

A

Trich

110
Q

Multiple punctuate hemorragic cervical lesions?

A

Trich

111
Q

MC symptom of endometrial cancer?

A

abnormal vaginal bleeding

112
Q

Tx for mental symtpoms of PMS?

A

SSRIs

113
Q

Weeks gestation Rh immunoglobulin Rhogam administered?

A

28 weeks

114
Q

Why is Rh immunoglobulin Rhogam administered?

A

Rh negative mother, Rh positive father so prevent miscarriage

115
Q

Rhogam needed every preggers?

A

Yup

116
Q

How many weeks first hear fetal heart rate?

A

12 weeks

117
Q

Estrogen and menopause?

A

Decreased

118
Q

FSH and menopause?

A

Increased!

119
Q

Term for menopause before age 40?

A

Premature ovarian failure

120
Q

Tx for chancroid?

A

Ceftriaxone 250mg
or
Azithromycin 1g

121
Q

Decrease in which hormone causes the sx of menopause?

A

Estradiol

122
Q

Contraception if have migraine?

A

Progesterone-only (no estrogen!)

123
Q

Week when Preterm Premature Ruputure of Membrane?

A

before 37 weeks

124
Q

Gestational diabetes is when?

A

BGL 130 one hour after 50g glucose load

125
Q

Tx for chorioamnionitis?

A

Amp + Gent

126
Q

MC cause of bleeding in older, obese women?

A

Endometrial Hyperplasia

127
Q

What do tocolytics do?

A

Relax uterus to delay labor

128
Q

How long to tocolytics last for?

A

48 hours

129
Q

Tocolytics won’t work once cervix is dilated how much?

A

> 3cm

130
Q

Which hormone is high in PCOS and causes the androgen effects?

A

LH

131
Q

PCOS caused by what?

A

Insulin resistance

EORE (10 decks)

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