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GYN/ OB Flashcards

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1
Q

copper iud can be used how?

A

emergency up to 5 days

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2
Q

combined oral contraceptives is contraindicated in who?

A

smokers > 35

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3
Q

Rape/ SA victim first exam?

A

pregnancy test

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4
Q

young female w/ abnormal bleeding what is first exam to be done?

A

pregnacy test

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5
Q

what level is increased with galactorrhea?

A

increased prolactin

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6
Q

mastitis treatment?

A

treat with cephalexin and warm compress

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7
Q

cellulitis not getting better next step?

A

US

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8
Q

tender mass, cyclic in breast is?

A

fibrocystic changes

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9
Q

nontender mass in breast is?

A

fibroadenoma

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10
Q

who has an increased breast cancer risk?

A

women who have not experienced a pregnancy

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11
Q

most aggressive cancer is?

A

triple negative

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12
Q

inflammatory breast cancer next step?

A

refer for biopsy

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13
Q

39 y/o that is asking about screning but no family hs and everything is normal next step?

A

no testing

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14
Q

what age to start mammograms?

A

40

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15
Q

what is a RF for cystocele?

A

multiple pregnacies

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16
Q

first line treatment for stress incontinece?

A

weight loss

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17
Q

+ KOH, vulvar irritation, and curd like discharge dx? tx?

A

candidais
clotrimazole supp

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18
Q

Frothy discharge dx? tx?

A

trich
treat partener
TX: metro

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19
Q

wet mount w/ malodorous drainage dx? tx?

A

BV
metro

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20
Q

pts w/ cervical motion tenderness dx? tx?

A

PID
Endocervical bx

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21
Q

old lady bleeding first line test?

A

transvaginal US

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22
Q

vaginal atrophy tx?

A

estrogen topical

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23
Q

endocervical cancer marker?

A

CA 125

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24
Q
  1. 39 y/o F clinic seeking advice to undergo breast cancer screening she is not concerned just anxious. Most appropriate next step?
A

no testing

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25
2. 24 y/o F pre 2 week hx of vaginal discharge thick, white curd like? Candida TX?
-> clotrimazole suppository
26
3. What is increased breast cancer incidence?
Nulliparity
27
4. 19 y/o w/ dysuria, froth discharge?
Trich -> mobile flagellated organism on a normal saline prep
28
5. MC manifestation of candida vulvar? -
> valvular irritation
29
6. 29 y/o F lower abd pain w/ vaginal discharge PID ->
endocervical cx first
30
8. 62 y/o comes to the clinic w/ sensation of fullness in vagina (cystocele) what increases the factor?
-> multiparity
31
9. 39 y/o with leaking breast why? ->
increased prolactin
32
10. 30 y/o w/ DMDD most appropriate step? -
> citalopram
33
11. Fall in which hormone results in menstruation?
-> progesterone
34
12. Cell w/ greatest abundance of FSH? -
> Granulosa
35
7. 23 y/o ER post sexual assault. Wha is the next step?
Beta HCG
36
13. Most important characteristic of MDD?
-> Psychomotor Retardation
37
16. 30 y/o F irregular menstrual cycle w/ increased testosterone, increased fasting insulin, wants to get pregnant. Tx?
-> Clomiphene citrate
38
17. Hormone concentration that is decreased during lactation? ->
Gonadotrophin releasing hormone
39
10. 30 y/o w/ DMDD what is the most appropriate step?
Citalopram
40
11. Fall in which hormone results in menstruation?
Progesterone
41
12. Cell w/ greatest abundance of FSH is?
Granulosa
42
13. Most characteristic of MDD is?
Psychomotor retardation
43
14. 30 y/o women irregular menstrual cycle w/ increased testosterone and increased fasting insulin wants to get pregnant tx?
Clomiphene citrate
44
1. 33y/o runner eval for amenorrhea w/ BMI <17 needs to?
Gain weight
45
2. 35 y/o w/ 5 month hx of prolactin 500 is caused by?
Stimulation of dopamine
46
3. 32 y/o ER next best step?
Ethinyestrial/nor
47
4. 16 y/o with painful periods first line?
Ibuprofen
48
5. 30 y/o eval headache and PMS symptoms tx?
Citalopram
49
6. 60 y/o w/ vaginal irritation tx?
Estradiol vaginal ring
50
7. 53 y/o w/ breast cancer and post menopausal tx?
Venlafaxine
51
8. Absolute contraindication of menopausal hormone therapy?
DVT
52
9. 28 y/o w/ lower abdominal pain?
Ob/gyn consult
53
10. When to test for gestational DM?
24-28 weeks
54
11. 38 y/o glucose test + next step?
Nutritional consult
55
12. Unfavorable cervix?
Dinopprost
56
13. Reduced w/ combined hormonal contraceptive?
Dysmenorrhea
57
14. Progesterone does what?
Thickens cervical mucus
58
14yoF w/ 1 yr history of intermittent irregular vaginal bleeding w/ spotting and heavy flow. normal vaginal exam. next step?
estrogen + progesterone — reason: to regulate menses
59
19yo w/ frothy discharge, no odor. expected findings?
mobile flagella in NS prep
60
irregular cervix w/ ulcers, +/- red patches. after applying acetic acid → delayed whitening of lesions. preliminary diagnosis?
LGSIL
61
1L tx in F w/ PCOS trying to conceive?
clominphene citrate
62
frequent and irregular bleeding is called?
menometrorrhagia
63
absolute contraindicayion to postmenopausal estrogen replacement therapy?
undiagnosed abnormal vaginal bleeding
64
28 y/o G2P1 @ 26 weeks. US shows fetalhydrops most appropriate next step?
RH antibody
65
MC complication in pregnacy?
spontanoues abortion
66
Fundal height to umbilicus is?
20 weeks
67
Mid-luteal phase hormone measurement?
progestrone
68
28 y/o pelvic pain + vaginal bleeding LMP 3 months ago. Utereus fundus is palpated tto umbilucus. GGT 375, 749? Dx?
hydratiform mole
69
28 y/o is 39 wks gestaton. Regular contraction every 5 mins dilated @ 6 cm and 80 % effaced?
active labor

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