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Obstatrics and Gynacology > obgyn12 > Flashcards

obgyn12 Flashcards

(70 cards)

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1
Q

aromatase deficiency triads?

A

Normal internal organ
Virilization of external genitalia
Undetectable serum estrogen

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2
Q

Hormon?

A

High FSH and LH
High andrasteradion
Undetectable serum estrogen

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3
Q

Ovaries apreance?

A

Multicystic

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4
Q

other menifestation?

A

Low estrogen related complication
osteoporesis
late puberty

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5
Q

Sx of SUI secondary to urethral hypermotility?

A

Valsave will induce leak

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6
Q

Diagnosis of abruption?

A

Primary clinical

U/S–to rule out PP

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7
Q

Cause of hyperaldosteronism?

A

PCOS
Cushing
Androgen secreating tumour
Non clasical CAH

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8
Q

Managmnet of GTD?

A

Evacuation and curitage

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9
Q

Cell free fetal DNA testing?

A

Done from maternal serum to detect anuploidy

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10
Q

Indication?

A 
Age > 35
Posetive screening test(quadriple test)
U/S detect anuploidy
Previous anuploidy
Parental balanced translocation
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11
Q

what we do if it detect posetive?

A

Chorionic villi sampling in first TM

Aminiosyntesis in 2nd and 3 rd Px

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12
Q

If negative?

A

No aditional test

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13
Q

Managment of AP with reasuring FHB patern?

A

Give fluid

Put on lateral position

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14
Q

What FHB patern respond to fluid?

A

Absent acceleration

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15
Q

safe drug during pregnancy for bipolar?

A

lamotrigine

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16
Q

what we should do after change?

A

asses eficacy 3-6 month then allow px

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17
Q

what we consider if patient taking litium for control of sever mania?

A

we may continu during Px with close moitoring

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18
Q

When to suspect thalasemia?

A

Hydrop fetalis

Normal growth pattern

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19
Q

HF U/S future?

A

Fluid ccumulation in all cavity

Edematous skin and placenta

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20
Q

Licken sclerosis?

A 
thin,thickend,white pach
pruritis and iching
dysparunia
dysuria and painful defication
loss of labia and clitoral retraction
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21
Q

Diagnosis?

A

Vulvar punch biopsy

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22
Q

pathophyisiology?

A

chronic inflamation

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23
Q

menopose diagnosis?

A

clinical

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24
Q

Licken sclerosis management?

A

Suplimental corticosteroid pach(clobetazole) and

ointmen for daily symptom relief

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25
Post partum clinical menifestation is due to which hormon change?
Increase oxytocin Increase prolactine Decrease estrogen and progestrone
26
Increase oxytocin?
``` utrine contraction(1-2 cm below or above umbalicus) Locia and minimal clote(upto several week) ```
27
Increase prolactine?
breast engorgment
28
Decrease estrogen and progestrone?
``` Chills and shivering Minimal Fever(<38) whithin 24 hour ```
29
Post partum fever defination?
Fever > 38 | after first 24 hour
30
Risk factors of osteoporesis?
Modifable/non modifable
31
non-Modifable?
``` Advanced age Postmenopause Low body weight (<58 kg) white Asian Malabsorption Liver and renal disease Inflammatory disorder Hypercortisolism/hypertyroidism/parathyroids ```
32
non modifable?
``` smoking alcohol intake(>2) sedantary life medication Vit D deficiency Low Ca intake Estrogen deficiency(opherectomy/POF/hysterectomy) ```
33
How to calculate fracture risk in osteoporesis?
FRAX risk calculator(10 year risk)
34
FRAX risk calculator criterion?
``` Age Wight(low) Sex Hight Previous # Smoking Glucocorticoid RA(rheumatoid artheritis) history secondary cause alcohol low mineral density at the femoral neck ```
35
CF of vulvar lickens planus?
``` age 50-60 vulvar pain and pruritis dysparunia erosive variant(common) erosive glazed vaginal lesion with white border (Wickman stria) vaginal involvment+-stenosis Associated oral ulcer(lace-like reticular erosion at palate and gingiva Papulosquamous variant small,papular,pruritic,purple lesion ```
36
diagnosis?
Biopsy
37
managment?
Potent topical steroid
38
androgen insensetivity syndrome?
X linked mutant on androgen receptor
39
CM?
``` genotype male phenotype female breast development(aromatized estrogen) minimal/absent pubic and axillary hair(androgen resistance) Female external genitalia cryptorchidism male testostrone level(300-700) ```
40
management?
gender identity counceling | remove tests
41
How to d/t MA/MRKHS/?
MA has normal axillary and breast development female level testosterone(<75) no testis
42
How to D/T 5 alpha-reductase deficiency?
5 alpha reductase No breast virilization after puberty (clitoromegaly)
43
primary amenorhea?
No menses at age >= 15
44
secondary syphilis symptom?
``` rash start from thrunk and spread(inv.palm and sole) condulamata latum oral ulcer rash LDP(peritrochiliar) ```
45
petriasis rosea?
start on trunk follow viral illnes not include palm and soles
46
polymorphic eruption of px?
occur in 3rd TM not involve pal and sole start at abdomen
47
the cholestatic disease of pregnancy?
excoriation involve pal and sole | but no rash
48
postprtum blue?
40-80% start 2-3 day and resolve in 14 day mild depresion/terfulnes/irritablity
49
post partum depresion?
8-15% px
50
onset?
maineley first 4-6 wk but stay upto year
51
CM?
``` marked sleep disturbance(early awakning) loss of energy sadness impaired functioning guiltines sucidal ```
52
admition?
sucidal indentation | harming baby
53
indication for treatment for myoma?
Heavy prolonged menses Chronic pelvic pain Bulk symptom Recurent Px loss
54
Premenstrual syndrome/premenestrual dysphoric syndrome?
disorderder ocuur in lutial phase(1-2 week prior to menses) reculrentely
55
CM?
Physical:blloating,headach,hot flsh,fatigu & breast tendernes Afective:Anxiety,irritablity,mood swing,decreased interest
56
Diagnosis?
symptome/menestrual diary
57
Treatment?
SSRI first line | But may use OCP
58
gonorhea and chlymedia screening recomendation?
Sexualy active anualy age <25 NAAT
59
what type of surgery C/I for VBAC?
Previous classical c/s | Myomectromy which enterd to endometrial cavity
60
what is the symptum of fitz ups curtiz diseae?
nausea and vomiting pruritic RQP(exacerbated by inspiration) elevated liver enzayme
61
Intrahepatic cholistasis of pregnancy?
RUQ PAIN generalized pruritis more involve palm and soles no rash occurs in 3rd TMP
62
Labratory?
Increase bile acide Increase TA increase total/direct bilirubin
63
obstatric complication?
preterm labour respiritory distrease muconium stained aminiotic fluid IUFD
64
Managment?
urodoxilic acid delivery at 37 antihistamin
65
polymorphic pruritic eruption managment?
Topical steroid
66
indication for endometrial biopsy in age <45 with AUB?
tamoxifine obesity failed managment to ocp persistence symptom >6 month
67
risk factors for VV fistula?
pelvic surgery(specialy with distorted anatomy like endemetriosis/adhesion) Pelvic radiation Malignancy Prolonged labour and child birth
68
Clinical future?
continius fluid likage per vagina
69
diagnosis?
PE cystourethrography dye test
70
Vaginal cuff dhesence?
Peritonial fluid leckage per vagina The apex look endurated ,inflamed and red mainely follow hysterectomy

Obstatrics and Gynacology (18 decks)

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