OB/GYN Flashcards Preview

Step 2 > OB/GYN > Flashcards

Flashcards in OB/GYN Deck (102)
Loading flashcards...
1

3 indications for getting a QUANTitative BhCG

dx and follow ectopic pregnancy
monitor trophoblastic disease
screen for fetal aneuploidy

2

Avg age of thelarche, adrenarche/pubarche and menarche

thelarche = 8-9
adrenarche/pubarche = 9-10
menarche = 12-13

3

Ages for primary amenorrhea

14 w/o secondary sex characteristics
16 if secondary sex characteristics

4

2 Cell hypothesis

LH -> Thecal cells -> androgen precursors
FSH -> Granulosa cells -> convert androgens into estradiol (therefore requires BOTH fxnal cells)

5

Trigger for ovulation

E2 rises --> LH surge mid-cycle --> ovulation

6

Corpus luteum prodoces...

progesterone

7

role of progesterone

endometrial proliferation

8

3 clinical signs of heavy periods

changes tampon q1hr, mutliple nighttime changes, anemia

9

6 predisposing factors for vaginal candidiasis

Abx, steroids, immunodef, DM, OCPs, pregnancy

10

vaginal pH in candidiasis

normal (3.8-4.2)

11

Tx vaginal candidiasis? Recurrent?

Tx = topical antifungals (monistat) or oral (fluconazole)
recurrent Tx = antifungal monthly after menses OR oral med daily/weekly

12

highly infectious vaginal infxn

trichomoniasis

13

the pt c/o genial pruritus, frequency, dysuria, and dyspareunia. On PE you note erythema, yellow-green frothy discharge, and punctate cervical hemorrhages ("strawberry cervix"). What is the dx?

trichomoniasis

14

4 Dx test trichomonas

vaginal pH >4.5, pap, saline prep (motile flagellated organisms), cx

15

Tx trichomonas

DOC = metronidazole, 1x 2g dose, also tx partner

16

Positive amine test

bacterial vaginosis

17

Clue cells

bacterial vaginosis

18

6 complications of bacterial vaginosis

PID, endometritis, post-op infxn, PPROM, chorioamnionitis, preterm delivery

19

Tx bacterial vaginosis

oral metronidazole

20

palpable mass on labia majora, painful and swollen but not fever, no drainage. Dx? Tx?

bartholin's gland cyst
Tx = drain and catheter, sitz bath and marsupialization (definitive)

21

palpable, fluctuant mass on labia majora. painful, swollen, erythematous with drainage. Dx, Tx?

bartholin's gland abscess
Tx drainage, abx, catheter, sitz bath and marsupialization (definitive)

22

4 causes of bartholin's gland abscess

gonorrhea, chlamydia >>coliforms, anaerobes

23

palpable, firm, indurated mass on labia majora. No pain but is swollen. Dx, Tx?

bartholin's gland tumor, dx = bx
Tx = excision

24

Abx for bartholin's gland abscess (4)

doxy + metro
augmentin
azithromycin (chlamydia)
ceftriaxone (gonorrhea)

25

MC type of cervical cancer

SCCA

26

5 RF for cervical cancer

early 1st intercourse, multiple partners, High-risk HPV infxn, recurrent STDs, smoking

27

when can you switch from q2yr to q3yr pap smears?

30yo+ and 3 consecutive negative paps

28

2 indications for d/c pap smears

hysterectomy for a benign condition and no h/o high-grade cytologic abnormalities
OR
>65yo + 3 consec. neg. paps and normal for the past 10 yrs

29

management of ASC-US: low risk HPV

rescreen at 1yr

30

management of ASC-US: high risk HPV

colposcopy + bx