GYN pretest Flashcards Preview

Shelf exams PK Edit > GYN pretest > Flashcards

Flashcards in GYN pretest Deck (35)
Loading flashcards...
1
Q

who should have DEXAs?

A

postmenopausal not on HRT or women over 65

2
Q

parabasal cells on pap mean what?

A

postmenopausal –> they lack estrogen

3
Q

vaginal cysts

A

gartner duct– embryonic origin of mesonephric duct, on lateral wall, small and benign

inclusion cyst–from burth trauma or surgery

bartholin –> on the labia,

4
Q

cervical cancer will spread first to which nodes?

A

paracervical

5
Q

how often are cystic teratomas (dermoid cysts) bilat?

A

10%

6
Q

how do you classify microinvasive CIN?

A

not >3mm into BM and not >7mm lateral spread

7
Q

how does vulvar carcinoma spread throuhg nodes?

A

SUPERFICIAL inguinal –> deep iliac –> external iliac

8
Q

characterize syphillis in stages

A

1) chancre
2) dissemination –> maculopapular rash on palms and soles
3) tertiary –> optic atrophy, tabes dorsaliz, AA, gumas

9
Q

an indication for cone biopsy?

A

when colpo is not in proportion of scary pap

10
Q

go to treatment for vulvodynia

A

avoid anything touch vagina

topical lidocaine, estrogen creams

11
Q

what are clue cells?

A

vaginal epithelial cells with bacteria on them

12
Q

how can fibroids contribute to PPH?

A

uterine distortion that prevents appropriate contraction

13
Q

how would you medically treat a pt with endometriosis who wanted to get pregnant?

A

GnRH agonist –> after suppression effects are over, no problems getting pregnant

Danazol= “pseudomenopause”, causes endometrial atrophy

14
Q

what structure in the male secretes MIF?

A

testes –> so no testes= no MIF= uterus in a phenotypical male

46xy

15
Q

primary ammenorrhea with absent uterus?

A

mullerian agenisis (46xx)

16
Q

order to primary amenorrhea (GMAT)

A

gondal dysgenesis > mullerian agen 46xx > testicular feminization 46xy

17
Q

most effective treatment for PMS?

A

SSRI

18
Q

hair growth is caused by _______ not _________

A

androgens! not estrogen, which does about everything else in pubrty and development

19
Q

for fertility, when should a hysterosalpingogram be done?

A

mid follicular, day 8ish

20
Q

how do you check progesterone levels to see if ovulation is appropriate?

A

serial levels from day 14-21

21
Q

you see an atrophic endometrial stripe in someone with acute uterine bleeding… what do you do

A

ESTROGEN will rebuild endometrium and stimulate clotting at capillary level

22
Q

stress incont

A

MOST COMMON
intravesical pressure exceeds max urethral pressure—> aka incompetence of urethral sphincter with normal ureththral pressure profile
**no destrusor activity proceeding leakage

***25% of women will ahve for a few months after vaginal birth

23
Q

urge incont. Whats the first line treatment? Next line?

A

second most common, inc with inc AGE!!
-bladder leaks due to uninhibited detrusor contraction >15cmH20 and urethral relaxation

tx= bladder training, dec xs fluids/ caffiene. Next line is oxybutinin (anticholinergic)

24
Q

functional incont

A

pt cannot reach toilet in time to due to physical/cognitive/psych limitations

25
Q

urethral diverticula

A

present with dribbling incont after voiding

  • suburethral mass palpated in vaginal exam
  • dyspareunia
26
Q

what imaging test is CI in patients with high Cr?

A

CT with contrast

27
Q

what volumes do you feel fullness, urge, max capacity?

A

100
350
450

28
Q

oxybutinin treats:

A

detrusor insability

29
Q

define: cystocele, rectocele, enterocele

A

cystocele: prolapse of ANTERIOR wall of vagina
rectocele: prolapse of POSTERIOR wall of vainga
enterocele: prolapse of bowel wall

up and beyond hymenal ring

30
Q

procedentia, risk factors

A

CERVIX come out beyond vagina

  • parity
  • menopause
  • pelvic surgery
  • intraabd pressure
31
Q

first line therapy for prolapse among most urogyns?

A

pessary

32
Q

colpocleisis

A

complete obliteration of vaginal lumen

***only in women who will NOT be sexuall active

33
Q

outpatient procedure for strss incont?

A

urethral sling

34
Q

how do you manage uterine/ vaginal vault prolapse? esp in old ladies or medically complicated?

A

probably go for a pessary because they are not a surgical candidate

If she has uterine prolapse and no sx, then don’t treat!

35
Q

how should you manage someone with persistent UTI sx despite treatment?

A

follow up urine culture to look for resistant organisms