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PANCE PREP > PANCE OB, Repro 8/11 > Flashcards

PANCE OB, Repro 8/11 Flashcards

1
Q

abnormal frequency and intensity of uterine bleeding

A

dysfunctional uterine bleeding

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2
Q

what is metrorrhagia

A

abnormal bleeding between periods

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3
Q

what is oligomenorrhagia

A

infrequent menstruation

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4
Q

what often causes dysfunational uterine bleeding

A
  • unopposed estrogen
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5
Q

acute severe vaginal bleeding bleeding TX 2

A
  • high dose IV estrogen

- high dose OCP

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6
Q

how to tx anovulatory cycles

A

OCP

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7
Q

painful mestration

A

dysmenorrhea

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8
Q

what is the tx for dysmenorrhea 2

A
  • NSAIDs

- OCP

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9
Q

what is the tx for PMS

A
  • SSRI

- OCP

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10
Q

what phase is PMS in

A

luteal phase

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11
Q

dysmenorrhea is due to what

A

increased protagladins

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12
Q

what is secondary amenorrhea

A

absense of menses for > 3 months

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13
Q

what is primary amenorrhea

A
  • no peroid by 15 with boobs

- no peroid by 13 w/o boobs

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14
Q

scaring of the uterus is called what

A

ashermans syndrome

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15
Q

if there is no withdraw bleed post progesterone what does that mean

A

ovarian dysfunction

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16
Q

what is the MCC of amenorrhea

A

pregnancy

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17
Q

no menses for 1 year

A

menopause

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18
Q

what is the FSH with menopause

A

increased

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19
Q

how do you tx vaso motor symptoms of menopause

A

estrogen + progesterone

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20
Q

how do you tx osteoprosis symptoms of menopause

A

bisphosphenates

SERM (tamoxafin)

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21
Q

manuapuse if they have a uterus Tx

A

estrogen + progesterone

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22
Q

manuapuse if they have have no uterus Tx

A

estrogen

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23
Q

does HRT estrogen only have an increased risk for breast cancer

A

no

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24
Q

does HRT estrogen+ progesterone have an increased risk for breast cancer

A

slightly

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25
Q

estrogen+ progesterone protective against what

A

endometrial cancer

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26
Q

what is the biggest risk with HRT

A

VTE

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27
Q

benign smooth uterine tumor

A

leiomyoma

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28
Q

what causes leiomyoma

A

estrogen

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29
Q

RF leiomyoma 2

A
  1. African american

2. >35

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30
Q

leiomyoma MC symptom

A

bleeding

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31
Q

hard shaped mass on urine exam what pathology is first line dx

A
  • leiomyoma
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32
Q

leiomyoma Dx

A

ultrasound

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33
Q

what are the 4 tx for leiomyoma

A
  • observation
  • Leuprolide
  • Hysterectomy
  • myomectomy
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34
Q

islands of endometrial tissue in the myometrium pathology

A

adenomyosis

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35
Q

tender boggy uerus pathology

A

adenomyosis

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36
Q

adenomyosis tx

A

hysterectomy

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37
Q

how do you tx endometritis

A

clinda + gent

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38
Q

what is the biggest risk for endometriosis

A

nullparity

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39
Q

endometriosis triad

A
  • pelvic pain
  • dysmnorrhea
  • dysprenua
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40
Q

endometriosis dx

A

laproscopy

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41
Q

endometriosis tx

A

OCP + NSAID

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42
Q

what is the MC gyncological cancer

A

endometrial cancer

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43
Q

what is protective against endometrial cancer

A

combination OCP

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44
Q

what is the MC type of endometrial cancer

A

adenomyosis

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45
Q

what does endometrial stripe on US mean

A

endometrial cancer

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46
Q

endometrial stripe > ? is a sign of endometrial cancer

A

4mm

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47
Q

endometrial cancer tx

A

hysterectomy

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48
Q

what is postmenapausal bleeding concerning for

A

endometrial cancer

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49
Q

prolapse in the anterior portion of vagina

A
  • cystocele
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50
Q

prolapse in the posterior portion of vagina

A
  • rectocele
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51
Q

what are the three types of functional ovarian cysts

A
  • follicular
  • corpus luteal
  • theca lutein
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52
Q

where is the pain with a functional oviarian cyst

A

unilateral

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53
Q

oviarian cyst dx

A

ultrasound

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54
Q

oviarian cyst what size is observation

A

< 8 cm

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55
Q

what two types of cancer is OCP protective against

A

ovarian

endometrial

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56
Q

_ ascites

_ sisters merry joshphs node

A

ovarian cancer

57
Q

What is the triad for PCOS

A
  • amenorrhea
  • obesity
  • Hirsutism
58
Q

Ca-125 associated with what type of cancer

A

ovarian

59
Q

what lab is increased with PCOS

A

LH

60
Q

what is the vaginal US with PCOS

A

string of perls

61
Q

what are the 4 meds for PCOS

A
  • OCP
  • Spironolactone
  • clomiphene
  • metformin
62
Q

what HPV is associated with cervical cancer

A

16 + 18

63
Q

what are the two types of cervical cancer

A
  1. squamous cell carcinoma

2. adenocarcinoma

64
Q

what is the MC symptom of cervical cancer

A

post coital bleeding

65
Q

at what age can they not give the gardisil vaccine

A

26

66
Q

what ages gets a pap

A

21-65
Q: 3
Q: 5 if co test

67
Q

how do you tx cervical imcompetance

A

cerclage

68
Q

vulvar cancer primary symptom

A

pruritius

69
Q

what does ospemifine tx

A

vulvovaginal atrophy tx

70
Q

what is the cause of mastitis

A

s. aureus

71
Q

how do you tx mastitis

A

nafcillin

72
Q

can you breast feed with mastitis

A

nafcillin

73
Q

FNA of the breast with straw colored fluid

A

fibrocycstic changes

74
Q

what breast pathology increases and decreases with menstruation

A

fibrocycstic changes

75
Q

does fibrocyctic adenoma increases and decreases with menstruation

A

no

76
Q

breast mass
immovable
painless lump
hard

A

breast cancer

77
Q

MC type of breast cancer

A

infiltrate ductal carcinoma

78
Q

speculated lesions on mammogram good or not good

A

not good

79
Q

best beast cancer screen < 40what modality

A

US

80
Q

what is the primary antiestrogen for breast cancer

A

tamoxafen

81
Q

when do you examine the breast manually

A

5-7 days post menstruation

82
Q

what are the two MCC causes of PID

A
  • Gonorrhea

- Chlamydia

83
Q

what pathology is chandelier sign associated with

A

PID

84
Q

what is the age for breast cancer screening

A

40-74 every 2 years

85
Q

PID tx

A

doxcy + cef

86
Q

toxic shock syndrome Tx 2

A

clina + Vanco

87
Q
  • fish odor
  • clue cells
  • > PH
A

BV

88
Q

BV tx

A

metronidazole

89
Q

frothy discharge

strawberry cervix

A

Trichomonas

90
Q

Trichomonas tx

A

metronidazole

91
Q

how do you tx vaginal candidia

A

fluconazole

92
Q

how long until b- HCG in blood

A

5 days

93
Q

how long until b- BCH urine

A

14 days

94
Q

what is the sign for cervical softening at 4-5 weeks

A

Goodell’s

95
Q

blue color of the cervix 12 weeks what sign

A

chadwiks sign

96
Q

uterius softening at 6 weeks what sign

A

landins signs

97
Q

what is gravida

A

how many times she has been pregnant

98
Q

what is para

A

births > 20 weeks

99
Q

what is the fundal height at 20 weeks

A
  • at the umbilicus
100
Q

what is the fundal height at 12 weeks

A
  • at the pubic symphasis
101
Q

what is naegeles rule

A

EDD: LMP + 7 days - 3 months

102
Q

when is chorionic villus sampling done

A

10- 13 weeks

103
Q

AFP: Low

HC-G: high

A

downs

104
Q

AFP: High

HC-G: low

A

spina biffida

105
Q

AFP: Low

HC-G: low

A

trisome 18

106
Q

when do you test for DM preg

A

weeks 24-28

107
Q

when do you test for group B strep in preg

A

32-27 weeks

108
Q

what should the fetal HR be in third trimester

A

120-160

- 2 accelerations in 20 min good

109
Q

how long do you have to be trying for infertility

A

1 year

110
Q

what is the triad for ectopic

A
  • unilateral pelvic pain
  • vaginal bleeding
  • ammemorrhea
111
Q

how do you tx ectopic with medication

A
  • methotrexate
112
Q

what med may you need to give with ectopic (protective of the mother)

A
  • Ro- gam
113
Q

what is the OS postion with thretened abortion

A

closed

114
Q

how long can you give misoprostol for abortion

A

9 weeks

115
Q

how long can you give methotrexate abortion

A

7 weeks

116
Q

How do you give abotionn > 12 weeks

A

D and E

117
Q

what is gestational HTN

A

HTN > 20 weeks

118
Q

HTN + proteinuria + edema > 20 weeks

A

pre- ecampsia

119
Q

Preecamlplesia + seizure =?

A

ecampsia

120
Q

what is the acronem for severe Preecamlplesia

A

HELLP

  • Hemolytic anemia
  • Elevated liver
  • Low platelets
121
Q

How do you tx HELLP

A
  • Mag

- anti HTN (lebatalol, hydralazine)

122
Q

when do you give seroids

A

if < 34 weeks

123
Q

what anti HTN can be used in preg 3

A
  • hydralazine
  • lebatalol
  • methyldopa
124
Q

what is the tx for abruprio placentae

A
  • immediate delivery
125
Q

placenta previa pain or no pain

A

no pain

126
Q

placenta previa tx

A

monitor

127
Q

what is the gestational DM glucose level that would result in a + test

A

> 140

128
Q

gestational DM Tx

A

insulin

129
Q

snowstrom on ultrasound (pregnancy)

A

Gestational trophoblasic disease

130
Q

What is teh bad RH combo

A

RH - mom

RH + baby

131
Q

what is the medication given for moning skickness in pregnancy

A
  • pyridoxine B6
132
Q

what are the beginning and ending of each of the following stages of labor

  • stage I
  • stage II
  • Stage III
A
  • stage I: labor to full dilation of the cervix
  • stage II:dilation of the cervix - delivery of fetus
  • Stage III: dilation of the fetus - delivery of placenta
133
Q

what is the apgar range

A

1-10

134
Q

when do you do an apgar

A

1, 5, 10 min if abnormal

135
Q

what are the components of APGAR

A 
Appearance
Pulse
Grimmise 
Activity
Respiration
136
Q

what is the MCC of postpartum hemorrhage

A

uterine atony

137
Q

two medications for postpartum hemorrhage

A

oxytocin

misoprostol

138
Q

how do you tx premature rupture of membranes

A

await spontanous labor

139
Q

“fern test “

A

premature rupture of membranes

PANCE PREP (27 decks)

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