Day 13 - Gyn2 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 13 - Gyn2 Quiz > Flashcards

Flashcards in Day 13 - Gyn2 Quiz Deck (13):
1

Tx PMS & PMDD

Exercise, B6, NSAIDs, OCPs, Progestin; SSRIs +/- Midazolam

2

Tx of choice for primary dysmenorrhea

NSAIDs +/- OCPs

3

Most common cause of hirsuitism in US

PCOS

4

Lab findings used to dx PCOS

Elevated LH; Total testosterone elevated, DHEA-S normal, Androstenedione elevated

5

Sexually active F p/w classic sx UTI cystitis, gram stain urine shows no organisms - suspected organism

Urethritis due to Chlamydia trachomatis (i.e., intracellular organism)

6

Meds tx syphilis

Pencillin G; If penicillin allergic, Doxycycline or Tetracycline

7

Dx PID

Primarily clinical - low dx threshold; Abdominal or pelvic pain in absence of other etiologies, with CMT/adnexal tenderness, leukocytosis, vaginal/cervical discharge, WBCs on wet prep, elevated temp, elevated ESR/CRP

8

Meds tx PCOS

Weight loss, Exercise; OCPs (reduce likelihood of endometrial hyperplasia); Progesterone withdrawal (opposing estrogen); Metformin; Spironolactone (acne, androgenic effects); Statins (cholesterol profiles); If pregnancy, start w/ Metformin or use Clomiphene to induce ovulation

9

Most common cause of female infertility

Endometriosis

10

What volume/duration/frequency of bleeding considered abnormal uterine bleeding

More than 7 days of menses OR > 80 mL per cycle; More frequent than q 24 days or less frequent than q 35 days

11

Distinguishing feat of bacterial vaginosis, Trichomoniasis, & Candidal vaginitis

BV: Clue cells, high pH (> 4.5); TRICH: Motile trichomonads, also high pH, strawberry cervix w/ cervical petechiae; CV: pseudohyphae on KOH prep, normal pH, cottage cheese like discharge

12

STD can be mistake for IBD due to its assoc w/ fistula formation

Lymphogranuloma venereum (caused by Chlamydia trachomatis - L1, L2, L3 serotypes)

13

Indication for endometrial bx in w/u for abnormal uterine bleeding

Pt bleeding more frequently (menorrhagia/metorrhagia/menometorrhagia) & over age 35 OR risk factor for endometrial hyperplasia (e.g., PCOS, excess estrogen exposure)

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