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USMLE step2 > Gynecology > Flashcards

Gynecology Flashcards

(53 cards)

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1
Q

normal female development

A

growth acceleration->thelarche–>pubarche–>menarche

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2
Q

men development

A

testicular enlargement–>penile growth–>pubarche–>facial hair

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3
Q

premature menopause

A

cessation of the menses before age 40

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4
Q

2 Dysmenorrhea DDX

A 
endometriosis
adenomyosis
fibroids
adhesions 
PID
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5
Q

adenomiosis triad

A

menorrhagia, enlarged boggy symmetrical uterus

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6
Q

AUB(abnormal uterine bleeding)

PALM COEIN

A 
PALM(structural causes)
-polyps
-Adenomyosis
-Leiomyoma
-Malignancy
COEIN(nonstructural)
-Coagulopathy
-Ovulatory dysfunction
-Endrometrial
-Iatrogrenic
-Not yet classified.
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7
Q

endometrial biopsy indication

A
  • endometrium is >4mm in postmenopausal woman

- in the patient is >35years of age with risk factors for endometrial hyperplasia(obesity,diabetes)

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8
Q

rotterdam criteria

A

PCOS (2/3)

  • polycystic ovaries(via ultrasound)
  • oliog. and/or anovulation
  • clinical and/or biochemial evidence of Hyperandrogenism
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9
Q

many WBCs and no organism on saline smear, suspect?

A

Chlamydia

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10
Q

suspicious breast mass first step in workup

A

before 30 mammogram

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11
Q

most accurate test for adenomyosis

A

MRI

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12
Q

postcoital bleeding

A

cervical cancer until proven otherwise

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13
Q

dysfunctional uterine bleeding treatment

A

OCP

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14
Q

DUB with acute hemorrage treatmetn

A
  • fluid until stable

- D &C

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15
Q

labial fusion

A

excess androgens

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16
Q

bartholin gland cyst

A

I and drainage if persist marsupialization

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17
Q

bilateral cancer in vaginal treatment

A

radical vulvectomy

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18
Q

only definitive treatment for adenomyosis

A

hysterectomy

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19
Q

endometriosis pain synmtomatology

A

pain start 1 to 2 weeks before menstruation , peaks 1 to 2 days before mesntruation, PAIN ENDS WITH MESNTRUATION

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20
Q

treatment for endometriosis in satisfacty childbearing female

A

hysterectomy and bilateral salpingo-oophorectomy

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21
Q

male normla development

A

testicular enlargement–>(9-14y)–>penile growth—>pubarche—->facial hair

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22
Q

MOST effective emergency contraceptive method

Study These Flashcards
A

Copper T IUD(99% effective) used within 7 days of unprotected sex

23
Q

1amenorrhea/delayed puberty

Study These Flashcards
A
  • absence of menses by age 16 with 2 sexual develop present.

- absence of 2 sexual characteristics by age 14

24
Q

absence of 2 sexual characteristic

Study These Flashcards
A

MEANS NO ESTROGEN

25
1 amenorrhea with absence of 2 sdexual characteristic
- TURNER - CENTRAL HYPOGONADISM * undernourishment,stress,hyperprolactinemia or exercise * CNS tumor * Kallman syndrome(anosmia) * constutional growth delay
26
1 amenorrhea with 2 sexual characteristics(estrogen prodcution but other anatomic or genetic problem)
- mullerian agenesis(absence 2/3 of vagina) - imperforated hymen(hematocolpos - complete androgen insensitivity - congenital adreanl hyperplasia:virilization with amenorrha or oligomenorrhea
27
first step en 1 and 2 amenorrhea
pregnancy test
28
1 amenorrhea
CHECK pag 339 firts aid CK
29
2 amenorrhea definition
absence of menses for 6 months in women who have passed menarche.
30
2 amenorrhea causes
- pregnancy - ovary:PCOS, premature ovarian failure - hypothalamus * Neoplasm * Functional hypothalamic amenorrhea(nutrition,exercise,stress) * systemic disease - Pituitary:adenoma,sellar mases,sheehan syndrome - thyroid - uterine:asherman syndrome,cervical stenosis.
31
2 amenorrhea workup
1-.pregnancy test 2-. TSH and prolactin 3-.Progestin challenge *if positive(withdrawal bleed):anovulation *if negative(no bleed):uterine abnormality or estrogen deficiency
32
premature ovarian failure treatment
if uterine present ---> OCP
33
2 dysmenorrhea DDx
- endometriosis - adenomyosis - fibroids - adhesion - PID
34
most common cause of infertility in women
PCOS
35
increase DHEA | signs of hyperandrogenism
adrenal tumor
36
indication for drainage of tubo-ovarian/pelvic abscess
persist after antibiotic | -larger than 4-6cm
37
more mortal gynecologic neoplasm
ovarian
38
HPV 16
squamous cell carcinoma
39
HPV 18
adenocarcinoma
40
ASCUS or LSIL before 24y
repeat cytology at 12 months
41
ASCUS or LSIL after 24 Y
ASk for HPV DNA test | if positive COLPOSCOPY
42
direc to colposcopy
ASC-H HSIL HPV DNA +
43
indication por cervical ablation or incision
CIN II and CIN III + margin: papa in 6m - margin: pap in 12 m
44
microinvasice carcinoma treatmetn
cone biopsy
45
precocious puberty
-secondary sexual characteristics in a child before 8 years | ASK FOR GnRH
46
causes of peripheral precocious puberty
``` CAH adrenal turmors McCune-Albright syndrome gonadal tumors exogenous estrone,OCP ovarian cyst ```
47
centra precocious puberty treatment
Leuprolide
48
breast cancer | stages
stageII:more than 2 cm StageIII:nodal involvement stageIV: mets
49
OCP absolute contraindication
- migraine with aura - more than 15 cigarretes/days over 35y - 2 stage hypertention - history DVP - stroke or ischemic heart disease - Breast cancer - cirrhosis and liver cancer - major surgery with prolonged immobilization
50
epithelial carcinoma
increased CA-125
51
ASCUS with HPV DNA negative ...next best step
repead co-testing in 3 years
52
breast cancer treatment during pregnancy
CX, no radiatiation, and no chemo during first trimester
53
next step if sperm analysis comes out abnormal
repeat the test

USMLE step2 (21 decks)

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