OB/GYN COPY Flashcards
1
Q
tx for primary dysmenorrhea:
A
NSAIDs
Cox-2 inhibitors
oral contraceptives-supress ovulation
2
Q
The most important hormones to check in secondary amenorrhea are:
A
beta HCG
TSH
Prolactin
3
Q
Conization of cx cancer may lead to:
A
incompeten cervix
4
Q
Contaception method for breastfeeding pt:
A
Progesterone mini-pill
5
Q
short satute
nipple set far apart
never menstruated
webbed neck
indicative of:
A
Turner’s syndrome
6
Q
cx cell collected for pap smear must come from:
A
Tranformation Zone
7
Q
in PCOS LH/FSH ratio is:
A
3:1
8
Q
female 21-29 y.o
pap smear every
A
3 years
9
Q
12 weeks gestation the fundus is at the level of
A
Syphysis Pubis
10
Q
important consideration in placenta previa:
A
NOT to do digital exam.
11
Q
type of fibroids that can be felt on a manual exam are:
A
Subserosal
12
Q
HTN
Proteinuriea
edema
seizure
are signs of:
A
ECLAMSIA
13
Q
classical C-section scar is:
A
vertical
contraindication to vaginal delivery
14
Q
IUP should be visualized at:
A
beta HCG >1500
15
Q
drug for medical abortion is:
A
Mifepristone
Misoprostol
16
Q
clue cells
fishy odor
A
Bacterial Vaginosis
17
Q
KOH prep that shows PSEUDO-HYPHAE
are indicative of:
A
Candidosis
18
Q
premature rapture of membranes is rapture at what age?
A
before week 37
19
Q
holistic PMS tx:
A
Calcium carbonate
Mg
Vit B6
St.John’s wort
increase carbs
decrease caffeine, ETOH, tobacco, chocolate, NA
20
Q
In endometriosis the uterus is usually in:
A
Retroverted and fixed position
21
Q
risk assosiated with hormone replacement therapy:
A
CAD
Stroke
DVT
Breast CA
22
Q
definitive test for Menopause:
A
FSH>30
23
Q
Positive None stress test would show:
A
fetal heart acceliratiotn by 15 beats or more during a contraction.
good prognosis
24
Q
Fetal fibronectin test:
A
if positive>high risk of delivery w/in 2 weeks,
if negative>low risk of delivery w/in 2 weeks
25
Fishy grey scant
Think, sticky, non irritating vaginal discharge
tx: **Metronidazole 500 mg BID x 7 days**
or
Clindamycin cream x 7 days
***(diagnosis bacterial vaginosis)***
26
unilateral hemorrhagic / chocolate cyst is known as:
**Endometrioma**
27
**FSH\>30** is indicative of:
Menopause
28
**darkening of the face** during pregnancy is known as:
**Chloasma**
29
Gestational DM is screened at:
**week 24-28**
30
Mild vs. Sever Pre-eclampsia:
_Mild_ _Sever_
Bp 140/90 Bp 160-180/110
**24 h UA protein\<5 g \>5 g**
**no addition sx other sx**
31
tx for Mastitis is:
**Dicloxacillin**
Cephalexin
Erythromycin
32
number 1 risk factor for Pre-Eclampsia is:
**Nulliparity**
33
side effect of **magnesium sulfate** is:
N/V
muscle weakness
decrease reflexes
respiratory depression
**antidote-Calcium Gluconate**
34
**Glucose Tolerance Test** involves:
done only after positive Glucose Challenge test
## Footnote
**100 g of oral load**
35
medication used in tx of **endometriosis** that has a side effect of **permanent voice deepening** is:
**Danazol-testosterone**
36
most common cause of post partum hemmorhage is:
**Uterine Atony**
37
Frothy vaginal discharge:
Trichomoniasise
38
Rh Incompatibility
Mom is Rh -
Fetus is Rh +
**risk of hydrops fetalis**
39
**Preeclapsia** will demonstrate hyper or hyporeflexia
**HyperReflexia**
40
Amenorrhea with
No breast development and **elevated FSH** is due to:
**Turner's sydnrome**
| (ovarian dysgenesis)
41
**glucose challenge test** involves:
**oral load of 50 g.**
42
painfull vs. painless bleeding:
painfull\> abruption
painless\>previa
43
most common location of endometriosis is:
**Ovary**
44
tx for Bacterical Vaginosis:
**Metronidazole 500 BID x 7 days**
45
Paget disease affect:
Infiltrating intra-ductal carcinoma in the **nipple and ducts of nipple**
46
androgen excess and hirsutism are sx of:
**Polycycstic Ovaryian Syndrome**
47
pt with Turner sydnrome is likely to have what cardiact anamoly?
coartation of the aorta
48
tx for PCOS in a woman who wants to become pregnant is:
weight loss
**Clomid**
metformin
49
Asherman's syndrome is:
outflow tract obstruction
50
Hormonal therapy for Turner's syndrome is:
cyclic estrogen and progestin
51
**Clue Cells** of wet prep
indicative of:
**Bacterial Vaginosis**
52
symptomatic fibroids are of what type?
**Submucous**
53
RhoGam is given at:
week 28
54
tx of endometriosis in a pt who would like to **maintain her fertility** is:
**Surgical only**
**_No medication_**
55
**20 weeks gestation** the fundus is at the level of
umbilicus
56
**motile flaglated protozoa** seen on wet prep is a signs of:
***Trichomonas***
57
Most common functional cyst is:
Follicular
58
**HELLP** Syndrome stands for:
Hemolysis
Elevated Liver enzymes
Low Platletes
59
side effect of Depo (pregestin) is
Ca loss \> osteoporosis
60
chronic HTN during pregnancy can be manifested by:
**IUGR**
61
next step after ASC-US result:
if HPV negative \> repear pap in 6 month
if HPV positive \> colposcopy
62
tx for Uterine Atony is:
Oxytocin
UT massage
63
Rh incompatibility mostly affects:
**subsequent** children
64
factors predisposing to **Candidosis**:
HIV
Diabete
abx
65
false positive pregnancy test may be due to:
Petuitary tumor
66
**Cottage Cheese**
vaginal discharge
**odorless**
**tx:**
**Fluconazole**
or
***-azole- cream***
***(diagnosis: Candida)***
67
tx of unstable Placetal Abruption is:
**delivery or C section**
68
tx for ***Trichomonas***
**Metronidazole 2 gram - one dose**
69
sx of **Gestational Trophoblastic Disease: Molar (Hydatidiform) Pregnancy**
Bleeding
Hyperemesis
Large for dates uterus
hCG markedly high for LMP
Pre-eclampsia in 1st or 2nd trimester pathognomonic for molar pregnancy
Snowstorm or cluster of grapes appearance in uterus on US
70
name of Emergency Contraception:
**Levonorgestrel** (progesterone)
71
**peau d’orange** is:
Erythematous,
edematous,
warm skin overlying the breast
72
Karyotype 45, X is indicative of:
**Turner's syndrome**
73
Depo Provera MoA
Progesteron s**upresses LH surge \> anavulation**
74
late decelerations are:
fetal heart decelerations at the end of contractoins
## Footnote
**very worrisome**
75
sx of CX cancer is:
post coital bleeding
76
drug therapy for ER positive breast CA:
**Taxoxifen**
Aromastase Inhibitor - **Anastrozole**
Biphosphonate - **Zoledronic Acid**
77
most common cause of **septic arthritis** in sexually active adults is:
***Gonorrhea***
78
**Condylomata acuminata** is:
genital warts caused by HPV
79
most common breast CA is
**Infiltrating ductal carcinoma**
80
tx for Gonorrhea is
**ceftriaxone** - IM single dose
81
**Strawberry** cx
Green/yellow **frothy** vaginal discharge
description of:
**Trichomonas**
***Strawberry Trichomonas***
82
Hormones that produce Follicular cysts are:
LH and FSH
83
**Betamethasone** is given to pregnant pt to:
enhanse fetal lung maturity
increase levels of surfactant
84
virus that is assosiated with cx CA is:
HPV **16, 18**
85
prolonged menstral bleeding is known as:
**meno rrhagia**
86
during pregnancy Chalesterol level
**goes up**
87
most common cause of secondary dysmenorrhea is:
Endometriosis
88
Positive gestational DM test is:
**1 hour oral glucose \>140**
89
**softening of fundus and cx during** pregnancy is known as:
Hagar's sign
90
the test of choice for secondary ammenorrhea is
**Progesterone challenge test**
91
Contraseption MoA
Estrogen: **supresses FSH\>supresses fillicular growth**
Progesteron: **supresses LH\>supresses ovulation**
92
Female 30-65 y.o
Cx screening:
**Pap cytology smear + HPV**: every 5 years
Pas smear: every 3 years
93
Androgen excess in PCOS is treated with:
Spironolactone
94
most malignant form of breast cancer
**Inflammatory Breast Cancer**
95
irregular bleeding between cycles is known as:
**Metrorrhagia**
96
**painful cyclic** breast lesions:
Fibrocystic breast
97
**oyster ovaries** or **string of pearls** are indicative of:
Polycystic Ovarian Syndrome
98
Bluish discoloration of vagina and cx during pregnancy is knonw as:
**Chadwick's** sign
99
**purulent** vaginal discharge is indicative of:
***N.Gonorrhea***
purulent = puss
100
**FSH / LH** challenge test that rpdocuces bleeding is indicative of:
Hypothalamic-pituitary-ovarian axis abnormality
101
contraindications to Estrogen contraception:
DVT/PE
Cancer
**Vascular headache**
Smoker
**Diabetes**
102
**anterior** vaginal bulge:
Cystocele
Bladder prolapse
103
HCG should **double** every
48 hours
104
**magnesium sulfate** is given to pregnant pt to:
slow down preterm labor
inhibits myometrial contractility
105
medication used tx PMS:
NSAIDs
SSRI
Spirolactone
106
Most cx cancers are
Squamous
107
posterior vaginal bulge:
Rectocele
108
tx of Gestational DM:
**Diet and exercise**
109
Most common isoimmunization is
**antigen D**
110
the cause of **Primary Dysmenorrhea** is:
**Prostaglandins**
111
tx for **Endometritis** is:
**Glindamycin + Gentamicin**
112
After stoping progesteron contraception, fertility/ovulation returns as late as:
**18 month after**
113
tx for endometriosis is:
**laparoscopy and ablation**
114
Fibrocystic vs Fibroadenoma
Fibrocystic - **painful, cyclic**
Fibroadenoma - **painless, solid**
115
s/p Cesarean
## Footnote
**fever**
**uterine tenderness**
**Endometritis**
116
medical tx of ectopic pregnancy with Methotrexate can be completed if:
beta HCG is less than **5000**
ectopi size**\<3.5**
117
significant risk factor for Endometrial Cancer is:
**Nulliparity**
Late menopause
Tamoxifen
118
causative organism fo**r Bacterial Vaginosis:**
**Haemophilus / Garderella**
119
in a Turner's syndrome FSH will be ________ while Estrogen will be \_\_\_\_\_\_\_\_\_
high FSH
low Estrogen (no ovaries)
120
soft, solid, mobile, rubbery lesion
**not painful**
young women
**Fibroadenoma**
121
Amenorrhea caused by **Hypothalamic Pituitary insufficiency** will demonstrate \_\_\_\_\_\_\_FSH, LH
low **FSH and LH**
122
bleeding induced by the progesterone challange test is indicative of:
**Anovulation**
123
Lupron is
GnRH agonist
124
Hypotension
Tachycardia
Abdominal guarding
sign of:
**Ruptured Ectopic Pregnancy**
125
**tender nodularity in the cul de sac and uterine ligaments** are seen in
**Endometriosis**
126
eclamsia/preeclamis can be diagnosed oly after
**20** w of gestatoin
127
organism that causes Mastitis:
***S. aureus***
128
**Grape-like vesicles,**
**snow storm pattern**
**Gestational Throphoblastic Disease - Hydatidiform Mole**
129
most common ovarian CA is:
**epythelial**
130
labor induction is adviced if the pregnancy goes beyond
42nd week.
131
Tumor marker for ovarian cancer is:
**CA 125**
132
HTN
Proteinuriea
edema
are signs of:
**Preclamsia**
133
Cauliflower like warts on genitalia are caused by:
HPV
134
mucopurulent vaginal discharge is indicative of:
***Chlamydia***
135
_Positive_ **Contraction Stress Test** (ooxytocin challenge test)
would show fetal hear decelaration in response to contraction
## Footnote
**bad prognosis**
136
Sister Mary Joseph's nodule are:
metastatic mesentery nodes in the umbilicus
137
tx for ***Chlamydia*** is:
**Azithromycin** 1 gram once
or
**Doxycycline** 100 mg BID for 7 days
138
itching or burning of the nipple is a signs of:
**Paget** Disease of the Breast
139
Emergency contraception must be given:
1st dose w/i 72 hours
2nd dose 12 hours later
140
Severe Preeclampsia Tx:
Magnisium Sulfate - siezure prophylaxis
Labetalols, hydralazine - HTN tx.
141
Missing of X chromosome is known as:
Turner syndrome
## Footnote
**45 x**
142
**Preclamsia** is caused by:
Endothelial dysfunction
143
tx of HIV pregnant pt:
Zidovudine
Zidovudine=zygote
