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Obstatrics and Gynacology > OBGYN3 > Flashcards

OBGYN3 Flashcards

(66 cards)

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1
Q

Risk factors for PP?

A

Age >35
Prior PP
Uterine scar
multiple Gestation

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2
Q

Endometriosis?

A

Presence of endometrial tissue outside utrus

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3
Q

When the patient will have pain during intercourse or exersise?

A

attach to the ovary or pelvic side well–

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4
Q

other symptoms?

A

Ovarian mass

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5
Q

U/S future?

A

unilocular
hypoechogenic
homogenous

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6
Q

what is the pathologic future of ovarian endometriosis

A

a chocolate cyst(hemolyzed blood)

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7
Q

other diseases can cause pain during intercourse or exersise?

A

Pelvic congestion syndrome

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8
Q

how to d/t?

A

In PCS
there will be dilated veins
Occur in pregnancy

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9
Q

Acute hemolytic transfusion reaction management?

A

stop transfusion
normal saline infusion
O2 and vasopressor based on need

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10
Q

complication?

A

shock
DIC
Renal Failure

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11
Q

transfusion-related urticaria symptom?

A

Onley urticaria

2-4 hr after transfusion

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12
Q

Management?

A

Diphenhydramine

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13
Q

Transfusion-related volume overload symptoms?

A

Congestion–respiratory distress and tachypnea
hypertension
afebrile
hypoxia

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14
Q

Management?

A

Diuretics

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15
Q

cause of high MSAF?

A

The discrepancy in amenorrhea and Uterine size(Iincorect dating–MCC
Neural tube defect
Multiple gestations

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16
Q

what we should do to mothers with increase MSAFP?

A

Fetal U/S

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17
Q

cause of non-immune hydrops?

A

Parvovirus
aneuploidy
heart abnormality
thalassemia

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18
Q

management?

A

intrauterine transfusion

serial ultrasoun

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19
Q

pathophysiology?

A

anemia-HF

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20
Q

vaginitis with elevated PH?

A

bacterial vaginosis

tricomonas vaginalis

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21
Q

Symptom of TV?

A

dyspareunia and post-coital bleeding–Due to the Friable cervix and punctate hemorrhage
Thin-yellow green malodorous discharge

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22
Q

Diagnosis?

A

Wet mount–ovoid motile organism

NAAT

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23
Q

management?

A 
Treat partner
Avoid sex for a week
avoid alcohol(disulfiram rxn)
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24
Q

what is the need of measuring uterine size?

A

assess uterine size -date discrepancy

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25
what is the normal US-D discrepancy?
+-2/3
26
what causes abnormal US-D discrepancy?
abnormal the fetal growth and amniotic fluid volume
27
How we measure?
after 20 wk 1cm-1 wk
28
polyhydramnios?
AFI>24 | Deep pocket >8
29
cause?
``` esophageal/duodenal atresia anencephaly GDM Multiple Gestation Congenital infection ```
30
complication?
malposition PROM cord prolapse preterm labor
31
suspect polyhydramnios?
US-date discrepancy >3
32
what we do when we get US-date discrepancy?
u/s | OGTT
33
when we diagnose GDM?
OGTT>200
34
folate suplementation dose?
O.4 mg /day for average risk 4mg/day for high risk 2 month before and 1 month after
35
when will NT close?
6-8 wk
36
Mittelschmerz CM?
``` Occur at mid of menstrual period Mild unilateral pelvic pain Mild tenderness No sign of peritonitis resolve within day ```
37
Pathophysiology?
During ovulation--blood leak--Mild peritoneal irritation
38
management?
reassurance after ruling out other pathology with history and PE
39
Pubic symphysis diastasis CM?
``` Difficulty of ambulation Wadling Gait Suprapubic pain radiates to the back, pelvis, and legs Suprapubic tenderness intact nurologic examination ```
40
management?
Conservative NSAID Pelvic and physical suport
41
Pathophysiology?
Px--progesterone and relaxin--pelvic motility and PSD(physiologic,asymptomatic)--traumatic vaginal delivery--symptomatic PSD
42
Risk factors?
fetal macrosomia multiparity operative vaginal delivery precipitous labor
43
epidural abscess CM?
Back/spinal pain Fever Focal neurologic deficiet
44
Macrobert maneuver for shoulder dystocia?
flex leg to abdomen--align sacrum--open birth canal | pressure applied to the suprapubic area
45
Which patient requires intrapartum glucose measurement?
patient with GDM which not controlled with diet and require treatment
46
S/E of selective estrogen receptor modulators?
Hot flash Venous thromboembolism Endometrial hyperplasia(tamoxifine onley)
47
How they cause hot flashes?
Block estrogen receptor in CNS--Thermoregulatory dysfunction in A.hypothalamus
48
How they cause Venous thromboembolism?
Increase Protein C resistance to inhibition.
49
Cause of vaginal dryness in lactational period?
Prolactin--decease GNRH release--decrease FSH and LH--Low estrogen--decrease vaginal B/F and collagen synthesis--loss of vaginal ruga and lubrication--sexual discomfort with an intact libido
50
Other symptoms?
Hot flash Amenorrhea Night sweet
51
Treatment?
Non-hormonal lubricants and moisture | estrogen cream if refractory
52
Vaginismus?
Pain during vaginal penetration(sexual/procedural)--Due to involuntary pelvic flor contraction.
53
The benefit of tamoxifen after Breast ca treatment?
Prevent recurrence in the same breast and occurrence in the contralateral breast.
54
Breast cancer risk classification?
Modifiable and non modifable
55
modifiable?
Hormonal replacement therapy Nulliparity alcohol(Have dose-dependent effect) Increase age at first PX
56
non-modifable?
early menarche and late menopause Genetic mutation white race Increase age
57
epidemiology?
1 in 8-lifetime risk 2nd cause of ca 2nd MCC cancer death
58
Genetic test recommendation?
First relative Bca age < 50, ovarian at any age
59
OCP relation to breast Ca?
preventive
60
Genital wart(condylomata accumulata )cause?
HPV 6 and 11
61
CM?
multiple pink/skin colored verccous (cauliflower lesion) | But maybe smooth and flat
62
How to d/t with condimulata lata?
this caused by syphilis grow in the mucosa(oral/perineum) the broad base and smooth surface(cauliflower in CA)
63
Management?
Chemical: podophyllin resin and trichloroacetic acid Immunologic:imuqimod(boost immunity) surgery:for large
64
risk factor?
immunodeficiency | smoking
65
How about recurrence?
Highley recurrent whatever treatment used?
66
Prevention?
Vaccination | Barrier contraceptive

Obstatrics and Gynacology (18 decks)

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