Shared Flashcard Set

Details

12. Gynecology
Rapid Review - First Aid
26
Medical
Professional
07/24/2015

Additional Medical Flashcards

 


 

Cards

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
Menometrorrhagia
Term
Cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C.
Definition
Asherman's Syndrome
Term
Therapy for PCOS
Definition
-Weight loss
-OCPs
-Metformine
-Clomiphere if wanting ovulation
Term
Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding
Definition
Endometrial biopsy
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
Ampulla of the oviduct
Term
How to diagnose and follow a leiomyoma
Definition
US
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
Intraductal papilloma
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
Paget's disease
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
Increased serum FSH
Term
The MCC of female infertility
Definition
Endometriosis
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
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