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REPRO II Exam 2 > Dunn OB/GYN VII > Flashcards

Dunn OB/GYN VII Flashcards

1
Q

gravidity

A

how many pregnancies

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2
Q

parity

A

how many deliveries

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3
Q

TPAL

A

term, preterm, abortion, living kid

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4
Q

LMP

A

first day of last menstrual period

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5
Q

dating of pregnancy

A

most accurate - first trimester ultrasound

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6
Q

gyn hx questions

A 
age at menarche
age 1st intercourse
pap smears
STI history
HPV vaccine
use of contraception
age of maternal menopause
fam hx breast/ovarian cancer
hx endometriosis, fibroids, pelvic organ prolapse (familial)
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7
Q

painful menses

A

dysmenorrhea

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8
Q

absence of 3 menstrual periods or no menstruation by age 15

A

amenorrhea

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9
Q

period interval >35 days or 4-9 periods in a year

A

oligomenorrhea

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10
Q

heavy menstruation

A

menorrhagia

> 80cc

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11
Q

bleeding between periods

A

metrorrhagia

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12
Q

heavy bleeding and between menses

A

menometrorrhagia - MMR

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13
Q

painful intercourse

A

dyspareunia

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14
Q

tampon

A

5cc

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15
Q

EGBUS

A

external genitalia
bartholins gland
urethra
skenes gland

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16
Q

72yo urinary incontinence and pelvic prolapse
-G5P5

leaks when cough - stress incontinence

stage 4 prolapse of uterus

A

tx - hysterectomy - uterus removal

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17
Q

cystocele

A

prolapse of bladder

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18
Q

rectocele

A

prolapse of rectum

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19
Q

prolapse staging

A

1 halfway to hymen
2 to hymen
3 past hymen
4 max descent

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20
Q

risk fx for prolapse

A

postmenopausal
previous pregnancy or vag delivery
difficulty delivery
obesity

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21
Q

tx of prolapse

A 
kegel workout
weight loss
estrogn cream
pessary - push things up
bladder sling
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22
Q

stress incontinence

A

most common bladder control problem in women

pressure on bladder - sphincter should close - reflex

pressure not to sphincter - leak urine

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23
Q

risk fx stress incontinence

A

genetics**
age
child birth

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24
Q

overactive bladder

A

urgency (8-10 times a day)

  • w/ or w/out urge incontinence
  • frequency/nocturia

absence of pathologic or metabolic conditions that might explain these symptoms

diagnosis based on symptoms**

25
Q

urge incontinence

A

strong need to urinate - don’t make it to bathroom in time

26
Q

mixed incontinence

A

stress and urge

27
Q

cause of incontinence

A

DIAPPERS

delirium
infection
atrophic urethritis
pharm - alpha blocker, cholinergics, etc.
psych
excessive urine production
restricted mobility
stool impaction
28
Q

women incontinence

A

1/3 mixed
1/3 urged
1/3 stress

29
Q

diagnosis of overactive bladder

A

hx, symptoms
physical exam
urinalysis

30
Q

overactive bladder

A

can lead to diabling conditions

think link to depression

31
Q

falls and fractures

A

correlation between overactive bladder

32
Q

nocturia

A

patient has to wake at night 1 or more times to void

33
Q

42yo G2G2 with LMP one week ago

  • tubal ligation for BC
  • annual exam
  • smoker
  • hypothyroid
  • last PAP 5 years ago
  • cervical discharge
A

do a pap smear
-discharge - wet prep - saline and KOH

atypical squamous cells - high grade

bacterial vaginosis

biopsy - CIN III
loop conization

34
Q

LGA

A

> 4,000g

large for gestational age

35
Q

bacterial vaginosis

A

no inflammation
fishy odor

pain and itching - concomitant infection

overgrowth of vaginal bacteria
-gardnerella

loss of lactobacilli - change in pH

36
Q

risk fx bacterial vaginosis

A

sexual activity

douching - BAD - gets rid of normal flora

37
Q

amsel criteria

A

for diagnosis of bacterial vaginosis

need at least 3
1 - white gray discharge
2 - pH > 4.5
3 - positive whiff test
-4 - clue cells

gram stain - gold standard - but rarely done

PCR based assay

38
Q

stippling of epithelial cells

A

clue cell

gardnerella

39
Q

bacterial vaginosis complications

A

PID
post abortal PID
post hysterectomy infections

pregnancy - PROM, premature delivery, chorioamnionitis, endometritis**

40
Q

tx of bacterial vaginosis

A

metrondiazole - avoid alcohol

clindamycin

tindazole ($$$)

asymptomatic - recommended to treat
-no partner treatment

41
Q

avoid alcohol with

A

metrondiazole

42
Q

KOH with hyphae

A

candida albicans

43
Q

bubbly vaginal fluid

A

trichomonas vaginalis

motile with flagella**

44
Q

koilocytes

A

HPV infection

45
Q

pap smear

A

just screening test**

normal vs. abnormal

abnormalities:
high nuclear:cytoplasm ratio
abnormal cell structure
koilocyte changes (HPV)

46
Q

most common STI

A

HPV

75% sex active adults in life will be infected

100 types

40 types transmitted sexually

47
Q

most HPV

A

latent infection

no visible lesions
diagnosis - DNA hybrid testing

48
Q

DNA testing

A

performed in evaluation of abnormal pap smear

49
Q

undeveloped countries

A

lots of cervical cancers

bc no screening - paps

50
Q

colposcopy

A

visualize under microscope

51
Q

warts with HPV

A

condyloma accuminatum

HPV 6 and 11**

in men and women

immunocompromised more risk

52
Q

cancers with HPV

A

cervical, vaginal, vulvar

53
Q

transformation zone

A

cervical cancer and HPV

54
Q

HPV infection clears

A

spontaneously within 2 years

55
Q

high risk HPV

A

16, 18, 30

cervical cancer

56
Q

low risk HPV

A

6, 11

warts

57
Q

gardasil

A

16, 18, 6, 11

HPV vaccine

58
Q

treating warts

A

symptoms
cosmetic
psych

freezing, meds, excision, IFN cream

REPRO II Exam 2 (21 decks)

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