Reproductive Flashcards Preview

MJ- Womens Health EOR > Reproductive > Flashcards

Flashcards in Reproductive Deck (37)
Loading flashcards...
1

MC breast cancer

Ductal carcinoma (85%)-

Infiltrating Intraductal Carcinoma (IIC) 80%

2

USPSTF guidelines for breast cancer screening in women with average risk factors

Mammo q2yrs at 50-74y/o

3

USPSTF guidelines for mammography screening in a woman with increased risk factors

q2years from age 40 or 10 yrs prior to primary relative dx

4

Recommendations for clinical breast exam screening in women with average risk factors

Clinical breast exam q3 years in women age 20-39 years then annually after age 40

5

tx for galactorrhea caused by pituitary adenoma

dopamine agonist (lowers prolactin):

bromocriptine

or

cabergoline

6

tx for gynecomastia caused by hypogonadism

danazol

7

chronic eczematous itchy, scaling rash on the nipples and areola

Pagets disease of the breast

8

which breast cancer is often bilateral

Infiltrating lobular 

9

red swollen, warm and itchy breast often with nipple retraction and peau d'orange (NO LUMP)

Inflammatory Breast Cancer

10

tx options for breast cancer

  • Lumpectomy + radiation/chemo
  • Anti-estrogen Tamoxifen  (ER+)
  • Aromatase inhibitors (postmenopausal ER+) 
  • Monoclonal AB treatment (HER2+) 

11

breast cancer prevention in high risk patients

SERM: Tamoxifen or Raloxifene can be used in postmenopausal or women > 35 with high risk – treat for 5 years.

12

what is the most carcinogenic HPV type?

16 (causes 55-60% of all cervical cancers)

18 is next MC

13

which HPV types cause anogenital warts

6 and 11

14

what is a negative about spermicides

increased risk of HIV

15

MC type of endometrial cancer

adenocarcinoma

16

what is a cystocele

bladder prolapse into ANTERIOR vagina

17

what is a enterocele

Pouch of douglas (small bowel) into the UPPER vagina

 

18

What is a rectocele

rectom herniates into POSTERIOR DISTAL vagina

19

Ovarian cysts less than what size are most likely functional and will spontaneously resolve

< 8cm

20

what is the MC type of ovarian cancer

90% epithelial

(germ cell seen in patients <30y/o)

21

what lab value do you use to monitor tx of ovarian cancer

CA-125

22

What is the MC benign ovarian neoplasm?

tx?

Dermoid cystic teratoma

Tx= removal

23

MCC type of vaginal cancer?

If DES exposure in utero?

squamous cell

DES exposure= Clear cell

24

What is the MC presentation of vulvar cancer

pruritis

25

What is a complication of PID involving the liver

Fitz-Hugh Curtis Syndrome (RUQ pain due to perihepatitis or liver capsule involvement)

-"Violin string adhesions" on the anterior liver surface

26

increase of what bacteria is seen in BV

Gardnerella vaginalis

27

Thin, watery, Grey-white discharge

BV

28

pH of BV vs Trich vs Candida

BV= >5

Trich= <5

Candida= nml (3.8-4.2)

29

FROTHY yellow green discharge

Trichomoniasis

30

Strawberry cervix

Trichomoniasis

31

Tx for trich and BV

Metronidazole

32

There is decrease in what bacteria in BV

Lactobacilli

(regulates pH- this is why pH is higher in BV)

33

condylomata acuminata vs condyloma lata

acuminata= genital warts

lata= seconday syphillis

34

Infertility- when should you check progesterone level?

Luteal phase (day 21) progesterone level 

 if the progesterone level < 3 ng/ml on day 21= no ovulation

35

how much weight should be gained during pregnancy

20-35 lbs: average weight women

40-45 lbs: underweight women

10-15 lbs: overweight women

36

What are the 3 stages of delivery

First stage: onset of labor--> fully dilated (10 cm)

Second stage: fully dilated--> birth

Third stage: delivery--> delivery of the placenta

37

What measurement on NT indicates trisomy

>3.5 mm