Flashcards in Gynecology Deck (26):
1st test to perform when a woman presents w/ amenorrhea
B-hCG; MCC of amenorrhea is pregnancy
Term for heavy bleeding during and b/w menstrual periods
Cause of amenorrhea w/ normal prolactin, no response to estrogen-progesterone challenge, and a hx of D&C.
Therapy for PCOS
Wt loss and OCPs. Consider metformin.
Medication used to induce ovulation
Dx step required in a postmenopausal woman who presents w/ vaginal bleeding
Indications for medical tx of ectopic pregnancy
Patient stable; unruptured ectopic pregnancy of
Medical options for endometriosis
OCPs, danazol, GnRH agonists
Laparoscopic findings in endometriosis
Powder burns, "chocolate cysts"
Most common location for an ectopic pregnancy
Ampulla of the oviduct
How dx and follow a leiomyoma
Natural hx of leiomyoma
Regresses after menopause
Pt has increased vaginal d/c and petechial patches in the upper vagina and cervix
Tx for bacterial vaginosis
Oral or topical metronidazole
MCC of bloody nipple d/c
Contraceptive methods that protect against PID
OCPs and barrier contraception
Unopposed estrogen is contraindicated in which cancers?
Endometrial or estrogen receptor-(+) breast ca
Pt presents w/ recent PID w/ RUQ pain
Consider Fitz-Hugh-Curtis syndrome
Breast malignancy presenting as itching, burning, and erosion of the nipple
Annual screening for women w/ a strong family hx of ovarian cancer
CA-125 and transvaginal U/S
50 y/o woman leaks urine when laughing or coughing. Nonsurgical options?
Kegel exercises, estrogen, pessaries for stress incontinence
30 y/o woman has unpredictable urine loss. Exam is normal. Medical options?
Anticholinergics (oxybutynin) or B-adrenergics (metoproterenol) for urge incontinence
Lab values suggestive of menopause
Increased serum FSH
MCC of female infertility
2 consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. F/u evaluation?
Colposcopy and endocervical curettage