Gynecology Flashcards Preview

USMLE Step 3 > Gynecology > Flashcards

Flashcards in Gynecology Deck (25):
1

- fibroadenoma
- fibrocystic disease
- intraductal papilloma
- fat necrosis
- mastitis

benign breast disease

2

- ductal carcinoma in situ (DCIS)
- lobular carcinoma in situ (LCIS)
- invasive ductal carcinoma
- invasive lobular carcinoma
- inflammatory breast cancer
- Paget's disease of breast/nipple

malignant breast disease (breast cancer)

3

causes of enlarged uterus

1. pregnancy
2. leiomyoma
3. adenomyosis

4

ALL postmenopausal bleeding is what until proven otherwise?

endometrial carcinoma

5

when do you start screening for cervical cancer?

21 yoa regardless of onset of sexual activity

6

frequency of cervical cancer screening if LESS than 30 yoa?

every 3 years w/ cytology ONLY

7

frequency of cervical cancer screening if MORE than 30 yoa?

every 3 years w/ cytology ONLY, OR every 5 years w/ cytology AND HPV

8

PAP screening is NOT recommended for?

- greater than 65 yoa w/ recent normal PAP smear
- women w/ total hysterectomy for benign disease

9

management of ASCUS on PAP smear if f/u is CERTAIN

repeat PAP smear in 3-6 months AND order HPV DNA typing

10

management of ASCUS on PAP smear if f/u is UNCERTAIN

colposcopy and biopsies

11

management of ASCUS if REPEAT PAP smear again shows ASCUS or HPV 16 and 18 are found

colposcopy and biopsies

12

give quadrivalent HPV recombinant vaccine (Gardasil) to?

all females 8-26 yoa

13

INITIAL w/u for pelvic pain

1. pelvic exam
2. cervical cultures
3. ESR
4. WBC (BC if fever is present)
5. US

14

cervicitis management

- cervical cultures
- single dose azithromycin PO and ceftriaxone IM

15

acute salpingo-oophoritis management

- cervical cultures
- single dose doxycycline PO and ceftriaxone IM (outpt)
- cefotetan or cefoxitin IV and doxycycline IV (inpt)

16

chronic pelvic inflammatory disease treatment

- infertility
- dyspareunia
- h/o ectopic pregnancy or abnormal vaginal bleeding
- NEGATIVE cervical cultures and labs
- US = B/L cystic pelvic masses (hydrosalpinges)

lysis of tubal adhesions

17

tuboovarian abscess treatment

- cefoxitin and doxycycline IV
- exlap +/- TAH and BSO (total abdominal hysterectomy bilateral salpingo oophorectomy), or percutaneous drainage

18

primary dysmenorrhea treatment

- crampy lower abd pain
- N/V, and diarrhea during menstruation
- excessive endometrial PG F2

- NSAIDs
- combination OCP (2nd line)

19

MCC of secondary dysmenorrhea

endometriosis

20

endometriosis treatment

continuous PO progesterone

21

secondary amenorrhea w/u

1. B-hCG (pregnancy test)
2. TSH
3. prolactin
4. progesterone challenge test
5. estrogen-progesterone challenge test

22

LH:FSH ratio in PCOS (polycystic ovarian syndrome)

3:1

23

treatment for PCOS

- OCP
- spironolactone
- clomiphene
- metformin

24

when is HRT the answer?

- menopausal vasomotor symptoms (hot flashes)
- genitourinary atrophy
- dyspareunia

25

when is HRT NOT the answer?

- treatment of osteoporosis
- h/o breast or endometrial cancer
- liver disease
- active thrombosis
- unexplained vaginal bleeding