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Flashcards in Gyn 1 Deck (23):
1

Most common lymphoma?

Diffuse large b cell

2

Tanner staging made easy?

Stage 1 is prepubertal, Stage 5 is normal. Stage three is in the middle then stage 2 and 4 can be filled in

3

PUbic hair last step in Tanner staging?

5 is to the thigh

4

What is central precocious puberty?

Early hypothalamic puberty

5

What is heterosexual precocious puberty?

virilization for girls. Maturing like other gender

From pseudo precocious puberty (not following the axis)

6

DHEAS is only made by adrenals

oh ok

7

Tx central precocious puberty?

continous GnRH analog to stop the hypothal pit track

8

FSH causes release of what from the follicle?

estradiol (makes sense for feedback)

9

Perimenopause can have fluctuant flow. Sometimes worse than others, but if it is worse, you still need to work it up

Endometrial biopsy

10

Oligomenorrhea in younger than 45 workup?

TSH, beta hCG, prolactin, FSH

too see if menopause or something else

11

Can you use topical estrogen in any woman who had history of estrogen sensitive cancer?

NO. DUH!

12

Hot flash tx?

Wellc an do temporary HRT, but not long term

SNRIs: venlafaxine, desvenlafaxine

13

Liver issue with OCP?

Hepatic adenomas. SO ANY HISTORY OF liver issue can't have OCP

Reversible cholestasis
Budd Chiari
Hepato carcinoma

14

Guiness Coronas and PBRS induce chronic alcoholism

Griseofulvan
Carbamazapine
Pheny
Barbs
Rifampin
St Johns Wart
Chronic alcoholism

15

Progesterone only pill issue if miss a day?

WONT WORK, MUS TAKE AT SAME TIME EVERY DAY

16

What is Plan B?

Levonorgestrel no estrogen. Prevents OVULATION!!! and inhibits fertilization by thickening mutcous

17

What is mifepristone?

Progesterone antagonist

18

What age d you start to work up if patient has never had any puberty signs?

Age 13

19

Secondary amennorhea lab?

B hCG
THS and free T4
Prolactin
FSH and LH
Check for testosterone and DHEA

20

Progesterone challenge tells you what?

Tells you if estrogen is the problem or not.

If bleed, it is anovulatory but estrogen is being made

If no bleed, she is likely not making estrogen or there is outflow obstruction

21

When do you do estrogen-progesterone challenge?

To test outflow tract after no let down after progestin challenge

22

What is abnormal mullerian development?

No development of internal genitalia and presents as primary anovulation

23

Patient has amenorrhea, absent secondary sexual characteristics and anosmia?

Kallman syndrome