Term
The first test to perform when a woman presents with amenorrhea. |
|
Definition
B-hCG -MCC of amenorrhea in pregnancy |
|
|
Term
Term for heavy bleeding during and between menstrual periods. |
|
Definition
|
|
Term
Cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C. |
|
Definition
|
|
Term
|
Definition
-Weight loss -OCPs -Metformine -Clomiphere if wanting ovulation |
|
|
Term
Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding |
|
Definition
|
|
Term
Indications for medical treatment (MTX) of ectopic pregnancy |
|
Definition
Patient stable Unruptured ectopic pregnancy <3.5cm <6 weeks gestation |
|
|
Term
Medical options for endometriosis |
|
Definition
OCPs Danazol GnRH agonists-Continual (not pulse therapy) |
|
|
Term
Laparoscopic findings in endometriosis |
|
Definition
-Powder burns -Chocolate cysts |
|
|
Term
The MC location for an ectopic pregnancy |
|
Definition
|
|
Term
How to diagnose and follow a leiomyoma |
|
Definition
|
|
Term
Natural history of a leiomyoma |
|
Definition
Regresses after menopause |
|
|
Term
A patient has increased vaginal discharge, petechial patches in the upper vagina and cervix. Dx? Tx? |
|
Definition
Dx: Trichomonas vaginitis Tx: Metronidazole or Tinidazole (PO meds)
[Strawberry cervix. Yellow-Green Frothy discharge.] |
|
|
Term
fishy vaginal odor with gray-white discharge. Dx? Tx? |
|
Definition
Dx: Bacterial Vaginosis Tx: Metronidazole or Clindamycin (PO or topical meds) |
|
|
Term
Wet mount findings for Trichomonas vaginitis vs Bacterial Vaginosis? |
|
Definition
TV: Motile flagellated Trichomonads (slightly larger than WBCs)
BV: Clue Cells - Epithelial cells coated with bacteria |
|
|
Term
MCC of bloody nipple discharge |
|
Definition
|
|
Term
Contraceptive methods that protect against PID |
|
Definition
Barrier contraception and OCPs
[OCPs?? Only according for First Aid step 3. Haven't seen that anywhere else] |
|
|
Term
Unopposed estrogen is contraindicated in which cancers? |
|
Definition
-Endometrial CA -Estrogen Receptor Positive Breast Cancer |
|
|
Term
A patient presents with recent PID or RUQ pain |
|
Definition
COnsider Fitz-Hugh-Curtis syndrome |
|
|
Term
Breast malignancy presenting as itching, burning and erosion of the nipple. |
|
Definition
|
|
Term
Annual screening for women with a strong family history of ovarian cancer |
|
Definition
-CA-125 -Transvaginal ultrasound |
|
|
Term
A 50yo woman leaks urine when laughing or coughing. Nonsurgical options? |
|
Definition
kegel exercises. Estrogen Pessaries
[Dx: Stress incontinence] |
|
|
Term
A 30yo woman has unpredictable urine loss. Exam is normal. Medical options? |
|
Definition
Anticholinergics: Oxybutinin B-Agonists: Metaprotenerol
[Dx: Urge incontinence] |
|
|
Term
Lab values suggestive of menopause |
|
Definition
|
|
Term
The MCC of female infertility |
|
Definition
|
|
Term
Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. F/u Evaluation? |
|
Definition
Colposcopy and endocervical curretage |
|
|
Term
Breast cancer type that increases the future risk of invasive carcinoma in both breasts |
|
Definition
Lobular carcinoma in situ |
|
|