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Obstatrics and Gynacology > OBGYN 13 > Flashcards

OBGYN 13 Flashcards

(62 cards)

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1
Q

Is intimate partner violence screening in the postpartum is necessary?

A

Yes(It increase in this period) and sooner(3-6 week)

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2
Q

why?

A

B/C physical, emotional, and finanicial stress will be increased. this lead to
High risk of maternal(physical injury and MHD)
infant(poor feeding and maltreatment)

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3
Q

clinical sign?

A

Insomnia

physical abuse

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4
Q

How to diferentiate protinuria from DM and preclampsia?

A

DM<20 week

Preeclampsia >20 week

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5
Q

Benefits of COCP?

A 
Px prevention
Menstrual regulatory
endometrial and ovarian risk reduction
Hyperandrogenic symptom reduction
decrease the risk of benign breast disease(Fibroadinoma and fibrocystic changes)
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6
Q

Risk of COCP?

A 
Worsen HTN
Thromboembolism
Stroke and MI
Hepatic adenoma
Cervical ca
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7
Q

melasma?

A

centrofacial,malar or mandibular distibuted d/t hyperpigmented iregular macular lesion?

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8
Q

management?

A

observation
resolve postpartum
if persist skin lighteners or retinol

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9
Q

pathophysiology?

A

estrogen & progesterone stimulate melanocyte proliferation and pigment production.

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10
Q

differential?

A

SLE.Hypercortisolism,Hemocromatosissm.Acantosis nigricans,

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11
Q

Hypercortisolism,Hemocromatosissm?

A

Will be generalized

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12
Q

SLE?

A

Erythematous and scaly

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13
Q

Acanthosis?

A

At skin fold and valve lesion

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14
Q

vulvar vitiligo CM?

A

Hypopigmented macular lesion
Normal valvular archtecture
No inflamation sighn

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15
Q

management?

A 
Topical steroid (stabilize)
Phototherapy (Repigmentation)
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16
Q

Is discoid lupus erythematosus?

A

mimic vitiligo but have border inflammation

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17
Q

vulvar lichen sclerosis?

A

there will be a vulvar retraction and vaginal stenosis

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18
Q

mixed urinary incontinence approach?

A

take voiding diary which helps in to know the predominant type and to do a treatment.

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19
Q

voiding diary components?

A

fluid intake
urine output
liking episode

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20
Q

first tx?

A

all advised bladder training with lifestyle modification

and kegel exersise.

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21
Q

bladder training?

A

requires following a fixed voiding schedule, whether or not you feel the urge to urinate. If you feel an urge to urinate before the assigned interval, you should use urge suppression techniques — such as relaxation and Kegel exercises.

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22
Q

Is urge incontinence predominant?

A

Antimuscarinic

Timely voiding

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23
Q

if stress predominates?

A

MID urethral sling

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24
Q

If not respond?

A

urodynamic study and consider surgery

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25
lifestyle modification?
reduce alcohol and caffeine reduce weight stop smoking
26
abruption risk factors?
HTN Cocaine Trauma
27
Fetal fibronectine level?
Assess the risk of preterm delivery in preterm contraction?
28
Test to be done in PX with IUGR in 2nd 3rd?
Doppler flow of unbalical artery
29
Test to be done in PX with IUGR in 2nd 3rd?
Doppler flow of the umbilical artery
30
sartoli-lding cell tumour?
sex cord-stromal tumor | Increase testosterone
31
Pathophysiology?
High testosterone--rapid virilization and estrogen deficiency(inhibit GnRH release)
32
virilization?
Voice depending muscle increment Cliteromegaly Male pattern balding
33
Is male pattern balding?
Hair is lost in a well-defined pattern, beginning above both temples. Over time, the hairline recedes to form a characteristic "M" shape
34
Low estrogen?
breast atrophy Vaginal atrophy Dyspareunia Oligomenorhea
35
Rectus abdominis diathesis?
hernia due to linea alba weakening
36
cause?
``` Abdominal stretching(Px, multiparity) Surgery Increase intraabdominal pressure ```
37
CM?
Midline hernia | Fascia is intact, no pain, vomiting, and risk of strangulation(d/t it from midline hernia)
38
Management?
Observation(resolve after px) | surgery for persistent one and cosmic reason
39
When will be laparoscopy needed in endometriosis?
Infertility Not respond to medical therapy Diagnostic dilemma Suspicion of malignancy
40
Definitive management?
Hysterectomy and oophorectomy for not want fertility
41
Twin-Twin transfusion syndrome pathophysiology?
Should be monochorionic Arteriovenous malformation Blood from the placental artery of the donor will go to the placental vein of the recipient?
42
donor symptoms?
``` Anemia RF Oligohydramnios IUGR Low output heart failure ```
43
recipient?
Polycythemia Cardiomegaly Polyhydramnios Hydrop fetalis
44
management?
mild--serial u/s follow - up | moderate and sever-coagulate placental vessel anastomosis
45
ovulation signs?
raised basal body temperature | clear,elastic and thin cervical mucus
46
cervical mucus plug?
brown, red, or yellowish mucus plug in cervix--occur during pregnancy and help in preventing of ascending infection or sperm
47
a complication of acute hemolytic transfusion reaction?
Shock Renal failure DIC
48
which future of dysmenorrhea needs evaluation of secondary cause?
Onset age >25 unilateral pain absence of systemic symptom AUB(intermenstrual bleeding)
49
Physiologic dysmenorrhea symptom?
start in adolescents midline that radiates to back and lower extremity have systemic symptom
50
A complication of abruption?
shock DIC fetal hypoxia preterm delivery
51
Risk factor for vaginal ca?
age >60 HPV Tobacco use In utro DES exposure
52
CM?
Irregular vaginal lesion(ulcerative plaque mainly upper third posterior vagina) Maodoures vaginal discharge irregular vaginal lesion
53
Diagnosis?
vaginal biopsy
54
management?
surgery excision for local cancer hysterectomy, vaginectomy, and pelvic radiation for widespread one
55
active herpes simplex is c/i to VD?
yes immediate c/s is needed
56
cervical insuficiency diagnosis?
one of the following 1) >=2 painless,consecutive Px loss 2) cervical length <2.5 on u/s 3) painless cervical dilatation
57
management?
prophylactic cerclage exept diagnostic criterion 2
58
should do?
12-14wk
59
when to remove?
during labor start
60
risk factor?
collagen defect previous conization obstetric complication uterine anomaly
61
fetal fibronectin level in maternal serum used for?
To d/t false labor from preterm labor | used in GA above 22
62
cause of HEELP syndrome?
systemic inflammation complement activation coagulation activation hepatic necrosis due to portal vein thrombosis

Obstatrics and Gynacology (18 decks)

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