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Flashcards in gyn Deck (32)
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1

tumor marker for ovarian cancer

CA-125

2

MC type of ovarian cancer

epithelial carcinoma

3

which diagnostic test will remain positive after a persons first syphilis infection leading to false positive results and inaccuracy in diagnosing syphillis?

Fluorescent treponemal antibody absorption (FTA-ABS)

(a treponemal test)

4

how do you screen and diagnose syphilis

screen with non-treponemal tests- RPR or VRDL

Confirm with  treponemal tests- EIA, TPHA ,Fluorescent treponemal antibody absorption (FTA-ABS)

5

what is the most specific test for syphilis when a chancre or condyloma latum is present?

Dark-field microscopy

6

You can get a false-positive results on VRDL or RPR due to what 3 conditions?

pregnancy

autoimmune disorders

other infections

7

what part of the menstrual cycle is a ruptured cyst most likely to occur

During the luteal phase, mid-menstrual cycle.

8

what is the MC location of the uterus in a patient with endometriosis

fixed or retroverted uterus

9

What is 1st and 2nd line tx for Lymphogranuloma venereum

1st line= doxycycline 100 mg orally BID x 21 days. 2ndline= erythromycin 500 mg orally QD x 21 days.

10

What is the MC type of vulvar cancer

squamous cell carcinoma (SCC)

11

tx for chanchroid caused by H. ducrei

Ceftriaxone IM

OR

Azithromycin 1g

12

what hormone is considered a causative factor in the development of fibrocystic breast disease

Estrogen

(this is why fibrocystic breast dz resolves after menopause)

13

What is the preferred  1st line chemotherapy in women who have suboptimally cytoreduced disease after surgical cytoreduction for epithelial ovarian cancer.

Carboplatin and paclitaxel IV

14

In a patient with irregular menstrual cycles or unknown LMP, what should be the marker for repeating a urine HCG test? 

the last date of intercourse should be used as the marker for repeating a urine pregnancy test.

A urine pregnancy test 14 days after last intercourse

15

what is the tx for unstable uterine bleeding

IV estrogen

16

What type of dx test should be used to dx GC/C

NAAT

17

what hormonal changes are seen in the menopausal trasition in regards to:

-Estrone

-Estradiol

-Testosterone

- FSH/LH

-Estrone: INCREASE

-Estradiol: DECREASE

-Testosterone: NO CHANGE

-FSH/LH: INCREASE

 

18

What changes are seen in menopause in regards to:

-Total cholesterol

-LDL

-Apolipoprotein B

-HDL

-Total cholesterol: HIGHER

-LDL: LOW

-Apolipoprotein B: LOW

-HDL: LOSS OF PROTECTIVE EFFECT

19

What 2 fetal positions are associated with lower external cephalic version success

  • Longitudinal (AKA vertical- TV is better b/c dont have to rotate as much)
  • Frank breech

20

21

What placenta location is a/w succesful external cephalic version? What location is a/w failure?

Success: posterior placenta

Failure: anterior placenta

22

What 2 situations are CI for external cephalic version

PLACENTA PREVIA

prior CD

23

Tx for PID (outpatient)?

Ceftriaxone and Doxy

24

What is the physiologic cascade triggered by stress in a pregnant patient which can lead to Preterm labor?

Increased ACTH--> Increased cortisol--> increased corticotropin-releasing hormone--> activates prostaglandins that cause cervical change and rupture of membranes

25

ovarian mass over what size increases risk for torsion?

>5cm

26

tx for Lymphogranuloma venereum if pregnant or breastfeeding

erythromycin

(Doxy is first line for everyone else)

27

what 3 meds can be given for pp hemorrhage? \

1st line= oxytocin

2nd line (continued bleeding) = Carboprost, Methylergonovine

28

Carboprost, a med used for pp hemorrhage, what is a CI

 Carboprost (prostaglandin analog) CI= asthma b/c causes bronchospasm 

29

What is diagnostic of IUP?

Yolk sac w/in gestational sac

 intrauterine fetal pole, or intrauterine fetal heart activity

30

What is the most frequently encountered cystic structures in normal ovaries.

follicular cysts

31

most ovarian enlargements (75%) are caused by what?

functional ovarian cysts

32

What is a congenital risk factor for cervical insufficiency

Ehler's Danlos