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PLE 2018 > OBGYN > Flashcards

Flashcards in OBGYN Deck (35):
1

Vaginal tumor occuring before 6 years old

Sarcoma botyroides

2

Tx of endodermal sinus tumor

Surgery + Chemotherapy

3

Presence of schiller duval bodies in children <2 y/o

Endodermal sinus tumor

4

Treatment of urge incontinence

Medical

5

Structures derived from Mesonephros (Wolffian duct)

Vas deferens
Epididymis
Seminal vesicle

6

Mullerian duct abnormality assoc with reproductive loss

Septate uterus

7

Primary amenorrhea is absence of menses by what age

16.5
(14 if with no breast devt)

8

Most common cause of primary amenorrhea

Gonadal failure

9

Secondary amenorrhea is absence of menses longer than

6 to 12 months

10

During pregnancy, there is increase in all clotting factors except

Factor XI and XIII

11

Heart rate increases by _____ during pregnancy

10 bpm

12

What dx test should be done in a patient suspected of having urge incontinence?

Cystometry

13

Remnant of mesonephric duct in females

Gartner’s duct cyst
(vaginal inclusion cyst)

14

Gold standard for uterine lesions (uterine bleeding)

Hysteroscopy

15

Prolactin level suggestive of pituitary prolactinoma

100 ng/mL
(request for cranial MRI)

16

Pharmacologic category of Leuprolide creating a menopause-like state

GH receptor agonist

17

Gold standard for endometriosis

Laparoscopy

18

Type of androgen secreted most in the ovaries

Androstenedione

19

What are the levels of inhibin and activin in menopause patients?

Low inhibin
High activin

20

Type of androgen specific to adrenal gland

DHEA-S

21

How long after ejaculation does semen liquefaction happen?

15-20 minutes

22

Drug of choice for a perimenopausal woman complaining of hot flushes and decreased libido

Tibolone (estrogenic, progestogenic, androgenic)

23

Most commonly affected in pelvic inflammatory disease

Fallopian tube (acute salpingitis)

24

What is the most likely lesion?
Postmenopausal
chronic vulvar pruritus
reddish, moist patch on the vulva

Paget’s disease of the vulva

25

What is the most likely condition?
Prepubertal or postmenopausal
thinned vulvar epithelium with loss of rete pegs
limited to labia majora
hourglass or figure-8 formation

Lichen Sclerosus atrophicus

26

Next step if ASCUS on papsmear

Either:
-HPV DNA testing
-Repeat Papsmear in 6 months
-Colposcopy

27

Where do you get the specimen in cytohormonal maturation index?

Upper third of vaginal wall

28

Next step if papsmear showed glandular cells

Colposcopy

29

Next step if papsmear showed ASC-H or HSIL

Colposcopy

30

Most commonly identified aneuploidy in abortion

Autosomal trisomy

31

Window of implantation occurs in which days of the cycle

Day 20-24

32

Lamellar body count signifying fetal lung maturity

> 20,000

33

Most sensitive and specific test in determining neural tube defects

Acetylcholinesterase

34

Most common abnormal fetal position causing dystocia

Persistent Occiput Posterior

35

Single most reliable sign of fetal compromise

Reduced baseline heart rate variability