Gynecology Flashcards Preview

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Flashcards in Gynecology Deck (26):
1

Term for heavy bleeding during and btwn menstrual periods

Menometrorrhagia

2

Cause of amenorrhea with nl prolactin, no respose to estrogen-progesterone challenge, and a h/o D&C

Asherman's syndrome

3

Therapy for PCOS

Wt loss and OCPs

4

Medication used to induce ovulation

Clomiphene citrate

5

Dxic step req'd in a post-menopausal F who presents with VB

Endometrial bx

6

Indications for medical tx of ectopic pregnancy

Stable, unruptured ectopic pregnancy of

7

Medical options for endometriosis

OCPs, danazol, GnRH agonists

8

Laparoscopic findings in endometriosis

"Chocolate cysts," powder burns

9

MC location for an ectopic pregnancy

Ampulla of the oviduct

10

How to dx and follow a leiomyoma

U/S

11

Natural hx of a leiomyoma

Regresses after menopause

12

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

Trichomonas vaginalis

13

Tx for bacterial vaginosis

Oral or topical metronidazole

14

MCC of bloody nipple d/c

Intraductal papilloma

15

Contraceptive methods that protect against PID

OCPs and barrier contraception

16

Unopposed estrogen is contraI in which CAs?

Endometrial or estrogen R (ER)+ breast CA

17

Pt presents with recent PID with RUQ pain

Consider Fitz-Hugh-Curtis syndrome

18

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

Paget's dz

19

Annual screening for F with a strong FHx of ovarian CA

CA-125 and TVUS

20

50 yo F leaks urine when laughing or coughing. Nonsurgical options?

Kegel exercises, estrogen, pessaries for stress incontinence

21

30 yo F has unpredictable urine loss. Exam is nl. Medical options?

Anticholinergics (oxybutynin) or ß-adrenergics (metaproterenol) for urge incontinence

22

Lab values suggestive of menopause

Increased serum FSH

23

MCC of F infertility

Endometriosis

24

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

Colposcopy and endocervical curettage

25

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

Lobular carcinoma in situ (LCIS)

26

1st test to do when a F presents with amenorrhea

ß-hCG (pregnancy = MCC of amenorrhea)