Gynecology Flashcards Preview

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Flashcards in Gynecology Deck (26)
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1

First test to perform when a women presents with amenorrhea

b-HCG

Most common cause of amenorrhea is pregnancy

2

Term for heavy bleeding during and between menstrual periods

Menometrorrhagia

3

Cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C

Asherman's Sydrome

4

Therapy for polycystic ovarian syndrome

Weight loss and OCPs

5

Medication used to induce ovulation

Clomiphene Citrate

6

Diagnostic step required in a post menopausal women who presents with vaginal bleeding

Endometrial biopsy

7

Indications for medical treatment of ectopic pregnancy

Stable
Unruptured ectopic pregnancy of <6 weeks gestation

8

Medical options for endometriosis

OCP
Danazol
GnRH agonists

9

Laparoscopic findings in endometriosis

Chocolate cysts
Powder burns

10

Most common location for an ectopic pregnancy

Ampulla of the oviduct

11

How to diagnose and follow a leiomyoma

U/S

12

Natural history of a leiomyoma

Regresses after metopause

13

Pt has increase vaginal discharge and petechial patches in the upper vagina and cervix

Trichomonas Vaginitis

14

Tx for bacterial vaginosis

Oral or topical metronidazole

15

The most common cause of bloody nipple discharge

Intraductal papilloma

16

Contraceptive methods that protect against PID

OCPs and a barrier contraception

17

Unopposed estrogen is contraindicated in which cancers?

Endometrial or estrogen receptor -

+ breast cancer

18

Pt presents with recent PID with RUQ pain

Consider Fitz-Hugh-Curtis Syndrome

19

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

Paget's Disease

20

Annual screening for women with a strong family hx of ovarian cancer

CA-125

Transvaginal U/S

21

50 y/o women leaks urine when laughing or coughing.

Non-surgical options

Kegal exercises
Estrogen
Pessaries for stress incontinence

22

30 year old women has unpredictable urine loss

Examination is normal

Medical options

Anticholinergics or B-adrenergics for urge incontinence

23

Lab values suggestive of menopause

Increase serum FSH

24

Most common cause of female infertility

Endometriosis

25

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on pap smear

Follow up evaluation?

Colposcopy and Endocervical Curettage

26

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

Lobular carcinoma in situ