Gyn Flashcards
1
Q
Folicular phase- physio
A
- Estrogen!
- FSH>LH
- 0-14
- Mentruation = 1st day of follicular/ proliferative phase
2
Q
Ovulation phase- physio
A
- Surge of LH
3
Q
Luteal phase- physio
A
- Progesterone
- Corpeus leuteum
- FSH>LH
4
Q
Cervical CA screening
A
- Age 21-65 Q 3 y
- PAP + HPV = 5 years
- 65+ 3 consecutive negatives
5
Q
Paps- ASC-US: 21-24
A
- MC
Age 21-24: - Repeat 1 Y
- 2x normal -> Q 3 y
6
Q
Paps- ASC-US: 25+
A
- HPV test, + = colposcopy and bx
HPV Negative = Q 3 y
7
Q
ASC-H
A
Colposcopy
8
Q
LSIL: 25-29
A
Colposcopy
9
Q
LSIL: 30+
A
HPV test
If -, repeat 1 y
If +, colposcopy
10
Q
LSIL- CIN 1
A
- Observation
- Excision- leep, cold knife
- ablation
11
Q
HSIL-
A
Colposcopy c bx
- CIN 2 (2/3 thickness) or 3
- Excision and ablation
- Leep, cold knife
12
Q
Glandular cells
A
Colposcopy, endometrial neoplasia
13
Q
HPV vaccine
A
- 3 doses, starting at age 11
14
Q
Transabd US
A
- Pregnancy, difficult vag exams
15
Q
Colposcopy
A
Visualization of cervix/ vag
- c acetic acid
- Abn paps
