OB/GYN nbme Flashcards

1
Q

nabothian cyst

A

benign lesion on cervix at transformation zone

can be seen during cervisitis inflammation, or during metaplasia occuring at SCJ

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2
Q

pagets

A
  • fiery red, white areas
  • sore and tender, but not painful
  • Carcinoma in situ (adeno)
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3
Q

how to differentiate pagets from melanoma?

A

PAS+, keratin +, S100-

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4
Q

molluscum contagiosum

A
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5
Q

condyloma lata vs acuminata

A

LATA= flat topped vessicles that grow in skin folds assoc with secondary syphyllis

ACUMiNATA= HPV6/11, warty

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6
Q

how does cervical carcinoma spread through nodes?

A

parametrium and paracervical lymphatics

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7
Q

how do you treat bartholin gland cysts/abcess?

A

Asymptomatic= NOTHING

symptomatic/ abbcess= I/D, marsupilization

**usually polymicrobial or aerobic (e coli)

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8
Q

can stress cause HSV breakout? Is it painful?

A

YES, exquisitley painful, acute.

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9
Q

differentiate lichen sclerosus from lichen simplex chronicus

A

SCLEROSIS= thin, parchement skin

SIMPLEX CHRONICUS= leathery skin, will have thick epithelium on histlogy

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10
Q

lichen planus

A
  • wickhams striae –> can see in mouth
  • chronic vulvar burning/ puritis
  • insertional dyspaereunia
  • profuse discharge
  • biopsy shows NO atypia
  • d/c shows inflamm cells with no bacteria
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11
Q

“itch that scrathces, scratch that itches”

A

lichen simplex chronicus –> acanthotic, hyperkeratosis

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12
Q

there is weight gain… is it menopause or thyroid?

A

if it is rapid weight gain you can think thyroid

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13
Q

how should you treat anovulatory cycles?

A

cyclic progesterone

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14
Q

premenopausal woman on steroids should be on what to protect bones?

A

calcitonin probably

**doesn’t need est/prog is she has periods, bisphosphonates are for postmenopausal

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15
Q

decidual endometrium/ proliferative endometrium are code for? secretory endometrium code for?

A

decidual/ prolif= ESTROGEN

secretory= PROG

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16
Q

when is it safe to do an amniotomy?

A

second stage of labor and when you can feel the HEAD as presenting part, otherwise you can risk a cord prolapse

17
Q

fetal heart tracing in maternal fever

A

tachy and loss of variability

18
Q

sinusoidal heart tracing

A

fetal anemia, autonomic nervous system dysfunction. OMINOUS SIGN.

19
Q

whast the weight of a normal uterus?

A

90g

20
Q

tachysystole

A

>6 contractions in 10 minute period

21
Q
A

Clear cell vaginal carcinoma, think someone whos mom was given DES while in utero

22
Q

“inflammatroy atypia” on pap

A

think of chronic cervicitis

23
Q
A

HPV showing cervical squamous metaplasia with vacuolized cells (koilocytic change)

24
Q
A