Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

OBGYN MAKEUP > OBGYN > Flashcards

OBGYN Flashcards

(91 cards)

Start Studying
1
Q

why do women get breast cancer aka risk factors

A 
too much estrogen
-early menarche
-late menopause
-nulliparity
-HRT
radiation
BRCA genes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when to start breast cancer screening

A

USPSTF says 50 Q2

ACS says 40 Q1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

if a mammogram is irregular for >40, what do you do next?

A

core needle bx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

lump and <30, what do you do

A

wait a few cycles then get an US, if US shows a cyst then get a FNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how to tx HER2 + breast cancer

A

traztuzzumab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how to tx ER/PR + breast cancer

A

SERM if premenopausal

Aromatase Inhibitors is post menopausal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

cervical, vaginal, and vulvar cancers are all this type

A

squamous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

endometrial cancer is this type

A

adenocarcinoma

common from too much estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

MOA leuprolide

A

GnRH analog, will inhibit LH/FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

HIV affects

A

T lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Genital herpes is HSV #

A

2, stored in S2/3/4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

chancroid

A

H. Ducreyi
gram - rod
PAINFUL**

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

if ASC-US +, what do you do next?

A

reflex HPV, if - repeat PAP in 12 months

if +, colposcopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how to tx molar pregnancy

A

dilation and curettage

monitor bhcg q1-2 weeks until neg, then monthly hcg titers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

primary dysmenorrhea

A

begins after menarche, no clear disease, maybe prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

secondary dysmenorrhea

A

new onset older women, associated w/a cause (fibroids, endometriosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

ovarian cancer marker

A

CA-125, 90% are epitheleal tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

outpt tx of PID

A

ceftriaxone + doxy +-metro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

inpt tx of PID

A

cefotetan or cefoxitin + doxy

clinda+ genta (if pregnant)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

primary syphilus

A

PAINLESS chancre*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

trichomonas

A

malodorous green d/c
strawberry cervix
ph 5-6
tx partner, 2 G metro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

BV

A 
gardnerella
clue cells
ph >4.5
topical/oral metro
don't treat partner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

candida

A

KOH blanching hyphae and spores

ph <4.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

condyloma acuminatum

A

genital warts
HPV 6/11
tx with podofilox and imiquimod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
risks of tamoxifen
may lead to endometrial changes | does increase bone density however and prevents breast cancer
26
gonorrhea
gram - diplococci tx partner ceftriaxone
27
how to tx PCOS
OCPs or medroxyprogesterone | increased LH:FSH ratio
28
GDM levels
fasting <95 1 hr <180 2 hr <155 3 hr <140
29
GDM can lead to
cardiac problems for baby and macrosomonia
30
what hormone changes are seen in menopause
increased LH/FSH
31
breast abscess
progress from mastitis stop breastfeeding, pump and dump tx is I&D and anti staph anbx
32
mastitis
unilateral eythema continue breastfeeding anti staph anbx
33
fibroadenoma
young woman, rubbery/firm/painless no change with menstruation tx is bx
34
fibrocystic changes
b/l masses that increase in size and pain before menses | dx w/breast cyst aspiration w/US or mammo
35
latent stage 1 of labor
0-6 cm, <20 hr for nulli or 14 for multi
36
active stage 1 of labor
6-10 cm
37
signs of endometriosis
fixed and retroverted uterus
38
abortion
preg loss <20 weeks
39
how to tx a breech presentation
<37 weeks requires no intervention, repeat US at 37 weeks | external cephalic vision at term followed by trial of vaginal delivery
40
umbilical cord prolapse tx
c-section
41
Nrl IUP doubles bhcg every
48 houyrs
42
when do you see an IUP w/transvag,transabdominal
1500, 3600
43
when to use methotrexate for ectopic
bhcg <5000 | ectopic <3.5 cm
44
late decelerations
uteroplacental insufficiency
45
when to use a cerclage
14-16 weeks, remove at 36 weeks
46
how to confirm ROM
nitrazine ph >7.1
47
infertility is
can't conceive within 12 months of unprotected sex
48
preeclampsia
140/90 , usually after 20 weeks | severe is 160/110
49
PPH for vaginal or c-section
vaginal-500 ml | c-section 1000 ml
50
cystocele vs | rectocele
anterior posterior tx with colporrhaphy
51
level II US
18-22 weeks
52
maternal serum AFP
15-22
53
GTT
24-28
54
GBS
34-36
55
nuchal translucency
12 weeks
56
when to give rhogam
Rh - mother give rhogam at 28 weeks at 72 H
57
premature ROM is usually from
GBS
58
ROM should be <
18 H, if longer tx with genta+clinda
59
Quad screen
estriol, BHCG, inhibin A, AFP
60
when to get HPV vaccine
before age 15, 2nd dose 6-12 months later
61
cervical cancer is caused by
HPV 16/18
62
lymphogranuloma venereum
- painless genital ulcers | - +chlamydia test
63
when to give progesterone only OCP
>35, smoke, obese, HTN
64
what to order for pt with amenorrhea
bhcg, tsh, prolactin if nrl then do a progesterone withdrawal test to see if they bleed, fi they bleed they have adequate levels of estrogen If no withdrawal bleed, give cycle of estrogen and progesterone Do FSH level low or nl=hypothalamic elevated=ovarian failure
65
uterus size after pregnancy
18-20 weeks after delivery non-preg size 4 weeks later can have sex 6 weeks after delivery
66
BISHOP score (when to induce labor, >6 is safe)
``` Dilation Effacement Station Position Consistency ```
67
Leopold's maneuver
determines fetal position, done near end of preegn
68
primary amenorrhea
No menses by age 14 combined with absence of secondary sex characteristics OR No menses by age 16 regardless of development of sex characteristics
69
secondary amenorrhea
Absence of menses for 6 months or 3 cycle intervals in a woman who has previously menstruated
70
Asherman's syndrome
Most Common Secondary Endometrial destruction/scarring from infection or D&C Amenorrhea, infertility,habitual abortions, dysmenorrhea Dx-Hysterogram or hysteroscopy Treatments: D&C hysteroscopy (lysis of adhesions) IUD (keep uterine walls apart while healing) Estrogen (promote regeneration of endometrium)
71
sheehans syndrome
Postpartum pituitary necrosis Due to obstetrical hemorrhage and shock Failure of lactation and loss of body hair
72
nabothian cyst
Translucent or grayish-white cyst on cervical surface caused by squamous epithelium growing over columnar cells and blocking mucus secretions asymptomatic, no treatment necessary
73
how to tx fibroids
give GnRH agonist to try and shrink
74
urge incontinence tx
oxybutynyn, tolteridine
75
overflow incontinence aka overactive
anticholinergic bethanachol
76
when are you most fertile
day 10-17 of cycle
77
how do ocps works
progesterone inhibits LH and thickens mucus | estrogen enhances this effect
78
what to give a rape victim
- Hep B - ceftriaxone, azithromycin, metronidazole - levonorgestel - combovir plus tenofovir
79
HCG > what and no IUP indicates an ectopic
2000
80
naegales rule
adding a year, subtracting three months, and adding seven days to the origin of gestational age.
81
when can you obtain fetal heart rate w/doppler
10-12 weeks
82
increased AFP suggests
neural tube defect
83
if 1 hr GTT is > ( ), do a 3 hour
140
84
normal NST
15bpm acceleration in heart rate lasting for 15 sec above baseline heart rate after a significant movement 2 accelerations in a 20 min period = reactive NST
85
whats included in a biophysical profile
``` Nonstress Test (NST) Amniotic Fluid Level Gross Fetal Movements Fetal Tone Fetal Breathing ```
86
prolonged deceleration
Dec. in FHR >15bpm from baseline; lasting > 2 min.* but less then 10 min.
87
chadwicks sign
cervical and vaginal cyanosis
88
hegar's sign
lengthening and softening of the | cervix.
89
when can fetal heartbeat be seen on transvaginal US
6 weeks
90
APGAR
``` Appearance Pulse Grimace Activity Respiration ```
91
infected nabothian cyst tx
I&D

OBGYN MAKEUP (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions