Gynecology Flashcards Preview

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Flashcards in Gynecology Deck (26):
1

1st test to perform when a woman presents w/ amenorrhea

B-hCG; MCC of amenorrhea is pregnancy

2

Term for heavy bleeding during and b/w menstrual periods

Menometrorrhagia

3

Cause of amenorrhea w/ normal prolactin, no response to estrogen-progesterone challenge, and a hx of D&C.

Asherman's syndrome

4

Therapy for PCOS

Wt loss and OCPs. Consider metformin.

5

Medication used to induce ovulation

Clomiphene citrate

6

Dx step required in a postmenopausal woman who presents w/ vaginal bleeding

Endometrial bx

7

Indications for medical tx of ectopic pregnancy

Patient stable; unruptured ectopic pregnancy of

8

Medical options for endometriosis

OCPs, danazol, GnRH agonists

9

Laparoscopic findings in endometriosis

Powder burns, "chocolate cysts"

10

Most common location for an ectopic pregnancy

Ampulla of the oviduct

11

How dx and follow a leiomyoma

U/S

12

Natural hx of leiomyoma

Regresses after menopause

13

Pt has increased vaginal d/c and petechial patches in the upper vagina and cervix

Trichomonal vaginitis

14

Tx for bacterial vaginosis

Oral or topical metronidazole

15

MCC of bloody nipple d/c

Intraductal papilloma

16

Contraceptive methods that protect against PID

OCPs and barrier contraception

17

Unopposed estrogen is contraindicated in which cancers?

Endometrial or estrogen receptor-(+) breast ca

18

Pt presents w/ recent PID w/ RUQ pain

Consider Fitz-Hugh-Curtis syndrome

19

Breast malignancy presenting as itching, burning, and erosion of the nipple

Paget's dz

20

Annual screening for women w/ a strong family hx of ovarian cancer

CA-125 and transvaginal U/S

21

50 y/o woman leaks urine when laughing or coughing. Nonsurgical options?

Kegel exercises, estrogen, pessaries for stress incontinence

22

30 y/o woman has unpredictable urine loss. Exam is normal. Medical options?

Anticholinergics (oxybutynin) or B-adrenergics (metoproterenol) for urge incontinence

23

Lab values suggestive of menopause

Increased serum FSH

24

MCC of female infertility

Endometriosis

25

2 consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. F/u evaluation?

Colposcopy and endocervical curettage

26

Breast CA type that increase the future risk of invasive carcinoma in both breasts

Lobular carcinoma in situ