Master the Boards: Gynecology Flashcards Preview

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Flashcards in Master the Boards: Gynecology Deck (11):
1

Postcoital bleeding should be a red flag for what condition?

Cervical cancer

2

What are two systemic, endocrine causes of anovulation?

Hypothyroidism
Hyperprolactinemia

3

What congenital adrenal hyperplasia is the most common cause of labial fusion in females?

21-hydroxylase deficiency

4

What is treatment for both lichen sclerosus and lichen planus?

Topical steroids

5

Woman presents with pain, tenderness, dyspareunia, and a tender, fluctuant mass on her vulva. Dx? Tx?

Bartholin gland cyst
Incision and drainage, culture fluid, +/- maruspialization

6

58 yo female presents with a red lesion on her vulva with a superficial white coating. What is the most likely dx and tx?

Paget's disease
Radical vulvectomy

7

A large, boggy uterus generally indicates what disease?
What is the most accurate imaging test?
Tx?

Adenomyosis
MRI
Hysterectomy

8

In relation to menstruation, when does the pain of endometriosis start and peak?

Starts 2 weeks prior to menstruation and peaks 1-2 days before

9

What kind of drug is leuprolide? How must it be given to have a suppressive effect?

GnRH agonist. When given continuously it leads to a suppression of estrogen and ovulation

10

In PCOS patients who wish to conceive what drug should be given?

Clomiphene (and metformin)

11

What are the lifestyle modifications to control PMS?

What medication is used for severe PMS?

Reduce caffeine, alcohol, smoking. Exercise

Severe: SSRI