Flashcards in OB-GYN Review Deck (130)
The secretory phase of the mestraul cycle (day 14-28) is dominated by what hormone?
Who is the more likely to get pre-eclampsia a nulliparous woman or a multiparous woman?
Nulliparity is a risk factor for pre-eclampsia.
Since a genetic cause is the number one reason for primary amenorrhea what is one very important test?
Purulent cervical discharge should make you think of what diagnosis?
A description of a young girl with a web neck or wide shield chest should make you think of what diagnosis?
Cervical biopsy comes back as CIN1. What is the next step?
Repeat pap smear in 6 months and repeat colposcopy in 12 months.
What is the most common cause of secondary amenorrhea?
What three labs should you order if you are considering secondary amenorrhea?
beta HCG, TSH, Prolactin
Define premature birth.
Delivery of uterine contets between 20-36 weeks.
A unilateral, single, mobile, firm, nontender solid breast mass should make you think of what diagnosis?
Bleeding between menstrual cycles.
Postmenopausal bleeding is immediately believed to be what diagnosis?
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 treat bacterial vaginosis?
Metronidazole x 7 days
What location within the pelvis is endometriosis most commonly found?
On an ovary.
What lab test is the gold standard for chlamydia?
Nucleic acid amplification test.
Are fibrocystic breast masses usually bilateral or unilateral?
How do you definitively diagnose endometriosis?
What is the most common uterine tumor?
Leiomyoma, also known as fibroids.
What ethnic background is at an increased risk of fibroids?
African American are 5x more likely to have fibroids compared to Caucasian women.
How do you treat vaginal candida?
Fluconazole po 1 dose or azole cream x 1 week.
What is the first step of treatment for endometrial cancer?
Total hysterectomy and bilateral salpingo-oophorectomy.
If you see the term chocolate cyst it should make you think of what diagnosis?
A surge in what hormone leads to ovulation?
A patient presents with irregular menses, hirsutism and infertility. What is the most likely diagnosis?
Polycystic ovarian syndrome
What endocrine issue is associated with PCOS?
You have a patient with PCOS who would like to get pregnant. What are two medications you may start her on?
Metformin and Clomid
What is the medical treatment for an early ectopic pregnancy?
An ovarian cyst that contains hair and teeth should make you think of what diagnosis?