2nd Deck Flashcards
(55 cards)
What endometrial thickness in an asymptomatic post menopausal little patient should warrant sampling
according to Dr. Goodrich 11 mm, according to prolog 15mm
Preoperative testing is based off of what two classifications
Surgery grade: minor, intermediate, major
ASA classification:
- asa 1: normal healthy person
- asa 2: mild systemic disease: obesity, well controlled disease process, smoker
- asa 3 severe systemic disease
What tests are recommended for preoperative based off of surgical risk in ASA classification?
For minor surgeries EKG only test recommended in setting of Asa 2 or greater
Intermediate: ecg/bmp for Asa 2, full labs and ecg for Asa 3
Major:
Asa1-cbc/TS
Asa2: cbc, bmp, TS, ecg
Asa3+: cbc, bmp TS, Coags, ecg
Is there a role for routine preoperative chest x-rays?
No
Preferred initial syphilis test
automated treponemal enzyme immunoassay (EIA). Bc more likely to catch early primary and late syphilis. Has high false positive rate so needs confirmatory test.
Fragile x mutation categories 
Unaffected: 5- 44
Intermediate: 45-54
Premutation: 55-200
Full mutation: >200
Cgg repeats
Premutation of fragile x in women associated with what gynecological relevant condition
Premature ovarian failure and subsequent infertility
What percentage of clinically recognized pregnancies result in early pregnancy loss
10%
Management of urethral prolapse
Most people start with conservative measures, which includes sits baths, barrier creams, and behavior modification such as voiding in the tub to reduce discomfort. Topical estrogen cream is very effective and treatment, usually results in involution of the prolapse within a few weeks. Surgical excision may be more appropriate first line option for patients who are symptomatic with severe pain, inability to void, etc..
Age for routine vaccination with pneumococcal
65
Age for routine vaccination against shingles
50
Most common genetic condition associated with primary ovarian insufficiency
Turn nursing syndrome
Most common autoimmune condition associated with primary ovarian insufficiency
Auto immune thyroiditis
What additional testing is indicated in the setting of a diagnosis of primary ovarian insufficiency
Thyroid hormone, as well as thyroid, peroxidase a body due to an increased risk of thyroid related diseases.
Kartotype to evaluate for Turner syndrome
Fragile X testing
Anti-adrenal anti antibodies to evaluate for autoimmune adrenal insufficiency
Contraindications for medical management of abortion
Anemia, confirmed, or suspected ectopic, current IUD, current long-term systemic corticosteroid therapy, chronic adrenal failure, known coagulopathy, anticoagulant therapy, intolerance, or allergy to mife or miso
Risks factors for adnexal torsion
Known ovarian cyst/mass
Tubal sterilization
Pregnancy
What percent of adnexal torsions demonstrate normal blood flow on US
45-61%
Demographic that urethral prolapse is seen in most commonly
Prepubertal and postmenopausal
Risks of untreated opioid use disorder in pregnancy
Preterm delivery, growth restriction, placental abruption, fetal death
Why isn’t medically assisted withdrawal the preferred management for opioid use disorder in pregnancy
It is associated with an unacceptably high return to use
What labs must you draw in setting of galactorrhea
Prolactin and tsh
Hypothyroidism results in increased TRH and high trh increases prolactin
Does heavy menstrual bleeding from being on a blood fender fall under the palm coien iatrogenic or coagulopathy?
Most people agree coagulopathy. The c is either acquired (ie meds) or inherent
If someone is on blood thinners can you presume their aub is from that?
No, you should workup as usual. Also doacs do not usually precipitate heavy vaginal bleeding
Routine screening with mammography ages
40-75. Can continue past 75 if patient expected to live 10+ more years.
