Ob-gyn Flashcards
(127 cards)
The secretory phase of the menstrual cycle (days 14-28) is dominated by what hormone?
Progesterone
Is a nulliparous or multiparous woman more likely to get preeclampsia?
Nulliparity is a risk factor
Since a genetic cause is the number one reason for primary amenorrhea what is one very important test?
Karotype
Prurulent cervical discharge should make you think of what dx?
Neisseria gonorrhoeae
A description of a young girl with a web neck or wide shield chest should make you think of what dx?
Turner’s syndrome
A cervical bx comes back as C1N1. What is the next step?
Repeat Pap smear in 6 mos. repeat colposcopy in 12 mos.
What is the most common cause of secondary amenorrhea?
Pregnancy
What 3 labs should you consider if you are considering secondary amenorrhea?
Beta-HCG
TSH
Prolactin
Define premature birth
Delivery before 37 weeks
A unilateral, single, mobile, firm, nontender solid breast mass should make you think of what dx?
Fibroadenoma
Define metorrhagia
Bleeding between menstrual cycles
Postmenopausal bleeding is immediately believed to be what dx
Endometrial cancer until proven otherwise
During what portion of the menstrual cycle does PMS occur?
By definition it is in the second half and menstruation should relieve the symptoms
How do you tx Bacterial vaginosis?
Metronidazole x 7d
What location within the pelvis is endometriosis most commonly found ?
On an ovary
What lab text is the gold standard for chlamydia?
Nucleic acid amplification test
Are fibrocystic breast masses usually bilateral or unilateral?
Bilateral
How do you definitively dx endometriosis?
Exploratory laparoscopy
What is the most common uterine tumor?
Leiomyoma, aka fibroids
What ethnic background is at an increased risk for fibroids?
African Americans are 5x more likely to have fibroids compared to Caucasian women
How do you tx vaginal candida?
Fluconazole po 1 dose or azole cream x 1 wk
What is the first step of tx for endometrial cancer?
Total hysterectomy and bilateral salpingo-oophorectomy
If you see the term chocolate cyst, it should make you think of what dx?
Endometrioma
A surge in what hormone leads to ovulation?
Luteinizing hormone (LH)