Gyne Flashcards

(44 cards)

1
Q

Which position is the pelvic examination performed in

A

Dorsal lithotomy position

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2
Q

How is the bimanul examination done

A

The index and middle finger Of the dominant hand is used
To examine the vagina crevix uterus pelvic floor and adnexa

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3
Q

What are some diagnostic methods

A

1- vaginal USG
2- abdomanl USG
3- cervical smear
4-vulvar cervical and endometrial biopsy
5- colposcopy

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4
Q

What are the phases for the ovarian cycle

A

1- follicular phase 1-14
2- ovulation day 14
3- luteal phase days 14-28

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5
Q

What are the phases for the uterine cycle

A

1- menstrual phase 1-5
2- proliferativw phase 6-14
3- secretory phase 14-28

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6
Q

What is the function of the FSH

A

FSH SECRETES ESTROGEN FROM THE FOLLICULES IN OVARIES

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7
Q

What does the estrogen do

A

Proliferated the endometrium

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8
Q

What does the granulosa and theca cells secrete

A

Granulosa cells secrete estrogene
Theca cells screte progesterone

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9
Q

What is the life span of corpus luteum

A

14 days

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10
Q

Most common cause of vaginal bleeding in childhood is

A

Foreign body I’m the vagina

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11
Q

Most common vaginal bleeding in reproductive age women

A

Accidents of pregnancy

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12
Q

Most common cause of vaginal beldding in post menopausal women is

A

Atrophic endometrium

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13
Q

Cause of heavy menstrual bleeding

A

POLYp
ADENOMYOSIS
LEIOMYOMA
MALIGNANY HYPERPLASIA
COAGULOPTHY
OVULATORY DISORDERS
ENDOMETRIAL DISORDERS
IATROGENIC CUASES
Not CLASSIFED

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14
Q

What’s is primary and secondary Amenorrhea

A

No Menses by age of 14 without sexual characteristics or no menses by age if 16 with sexual characteristics
Secondary
The an neşe of menstruation for three pres ions cycle intervals for 6 months

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15
Q

What is the difference between PREMENSTRUAL SYNDROME AND PREMENTRUZL DISPHORIC DISRODEE

A

PMS has mild to moderate symptoms and it is physical and behavioral occur in the 2n half of the menstrual cycle and may interfere with daily activity
PMDD is more severe and marked with behavioral and emotional symptoms

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16
Q

What is the simalarity between PMS AND PMDD

A

Manifest in the luteal phase of menstrual cycle
Resolve during menses

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17
Q

The difference between PMS AND PMDD

A

PMDD must have one sever affective symptom which in during the last week of the luteal phase
Anxiety
Tension
Anger
5 of 11 sumotoms of the DSM IV CRITERIA

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18
Q

infective causes of the vaginal

A

Candida vaginitis
Trachomonial vaginitis
Bacterial vaginosis

19
Q

Cervical infective causes

A

GONORRHOEA CERVICITIS
CHLAMDYDIA CERVIcitis

20
Q

White intense discharge with itching

A

CANDIDA VAGINITIS

21
Q

Greenish frothy copious discharge with itching

A

TRICHOMONIAL VAGINTIS

22
Q

Whitish Grey copious discharge without itching with fish odor

A

Bacterial vaginosis

23
Q

First trimester symptoms

A

Peripheral edema
Vaginal bleeding
Nassau a pelvic pain
Breast tenderness

24
Q

Second and third trimester

A

Vaginal bleeding placental
Vaginal fluid drainage
Hyoetrension migraine

25
During the first 6 months of a pregnancy what is the main obstretric complication
Abdominal pain and vaginal bleeding
26
Symptoms of an ectopic pregnancy
Amenorrhea Abdominal pain Fainting Irregular vaginal bleeding
27
Signs of threatened abortion
Vaginal bleeding in low levels Closed cervix Uterine size for the amenorrhoea period
28
Signs of inevitable abortion
Vaginal bleeding at the increasing levels Lower abdominal pain Open cervical os Non expulsion of the products of conception
29
Septic abortion signs
Fever Abdominal pain Persistent vaginal bleeding Foul smelling vaginal discharge Open cervical os Bulky uterus Tenderness in adnexa
30
Complete abortion signs
Expulsion of products of conception Minimal vaginal bleeding Abdominal discomfort Closed cervical os
31
Types of obstetric hearmorrhage
ANTEPARTUM HAEMORRHAGE INTRAPARTUM HAEMORRHAGE POSTPARTUM HAEMORRHAGE
32
Antepartum and intrapartum HAEMORRHAGE can be cause by
Placental praevia Abruptio placentae Unterune rupture Vasa praevia Cervical lesion
33
Postpartum HAEMORRHAGE can be caused by
Uterine Antony Retention of placental tissue Lacerations of the soft tissues of the perineum vagina cervix Clotting failure or coagulopathy
34
Which condition is an emergency for pregnancy
Placenta praevia Partial implantation of the placenta in lower part
35
Common cause of PPH
TONE Antony TISSUE clots TRAUMA uterine cervical vagina, tears or injury THROMBIN coagulopahty
36
Shoulder dystocia
Failure to deliver shoulders after the head of the babyhas been delivered
37
Common symptoms during a pregnancy
1- nausea and vomiting most common cause but resolve by the end of the 12 weeks estimated gestational age 2-Epigastric pain git reflux 3- cough with chest pain and shortness of breath should indicate pulmonary embolism in pregnancy 4- RASH= melasma = srtirae gavidadum stretch marks= pruritic Papiles and plaques 5- dysuria 6- Low back pain 7- headaches
38
What is intraheptic cholestasis of pregnancy
Causes pruritus without a rash but itching is there check for intrahepatic cholestasis Treat with ursidiol I
39
What is triple test used for and what codes it comprise
Used for DOWN SYNDROME 1-AFP 2- HCG 3- uE3 unconjugated estradiol
40
What is quadruple test
TRIPLE TEST + inhibin A estimation This test + maternal age defects 76% Down syndrome
41
Down syndrome AFP UE3 HCG LEVELS
AFP and uE3 are low HCG IS RAISED
42
What is DOUBLE TEST
LOW PREGANCY PLASMA PROTEIN A level and raised serum beta HCG during 1 st trimester Double test + maternal age diagnose 60% DS
43
Trisomy 18 levels
AFP HCG E3 are low
44
What are some invasive tests
1- AMNIOCENTESIS 2- CHORIONIC VIlUS SAMPLING 3- FETAL BLOOD SAMPLING 4- EMRYOSCOPY AN FETOSCOPY 5-NEW MOLECULAR ANALYTIC TECHNQUES 6- PCR 7- FLOURESCENT IN SITU HYBRIDIZATION