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
