Reproductive Boards - Sheet1 Flashcards

(50 cards)

1
Q

HCG, TSH, Prolactin. Progesterone challenge.

A

Amenorrhea

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2
Q

Anovulation. Coagulation disorder. OCP

A

DUB

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3
Q

Risk: Obesity, anovulation, Nulliparity, FHX, Post menopausal bleeding = biopsy. Endometrial stripe >5 mm

A

Endometrial Cancer

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4
Q

chocolate cyst. Chronic pelvic pain. laparoscopy. OCP. leuprolide

A

Endometriosis

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5
Q

Estrogen/progesterone dependent. Shrink at menopause.

A

Leiomyoma

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6
Q

Early satiety and bloating. Complex Cyst. CA-125. BRCA-1/2

A

Ovarian Cancer

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7
Q

Pap > 21 every 3 years. HPV 16 and 18.

A

Cervical Cancer

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8
Q

Clue cells

A

Bacterial Vaginosis

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9
Q

Green frothy discharge. Strawberry cervix

A

Trichomoniasis

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10
Q

Cottage cheese. budding yeast. hyphae

A

Candidiasis

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11
Q

51y /o. Elevated FSH. HRT: Give progesterone to protect uterus

A

Menopause

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12
Q

tamoxifen

A

Breast cancer

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13
Q

Prolactin

A

Galactorrhea

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14
Q

Chlamydia and gonorrhea. Cervical motion tenderness. Pelvic pain.

A

PID

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15
Q

< 20 weeks. Vaginal bleeding. Pelvic pain

A

Abortion

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16
Q

Fallopian tube.Positive pregnancy test, vaginal bleed, pelvic pain, cervical motion tenderness. IUP seen when HCG >2,000

A

Ectopic Pregnancy

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17
Q

CG > 100,000. Snow storm pattern

A

Molar Pregnancy

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18
Q

< 20 weeks

A

Chronic hypertension

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19
Q

> 20 weeks. No end organ damage or proteinuria. Labetalol and methyldopa

A

Gestational HTN

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20
Q

Preeclampsia + seizure. Magnesium

A

Eclampsia

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21
Q

Painless 2nd and 3rd trimester bleed. No digital or TV ultrasound

A

Placenta Previa

22
Q

Uterine Atony

A

Postpartum Hemorrhage

23
Q

< 37 weeks

24
Q

Painful third trimester bleed

A

Placental abruption

25
Frothy, clear - white or yellow-green to gray adherent vaginal discharge, dysuria, vaginal pruritis. Vulvar and cervical erythema. Flagellated protozoa
Trichomonas
26
Fishy odor, Thin grayish vaginal discharge, Clue cells
Bacterial vaginitis; Gardnerella vaginalis
27
Thick white vaginal discharge, hyphae & buds on KOH prep
Candida
28
Postmenopausal, dyspareunia, thin vaginal discharge, atrophic vulvar changes, vaginal petechiae
Atrophic vaginitis; Tx = topical estrogen
29
Secondary amenorrhea
Pregnancy
30
Female with acute abdominal pain. No characteristic acute abdomen pattern
Ectopic pregnancy
31
20yo female w/ rubbery, firm, well- circumscribed, non-tender breast lesion, doesn't change w/ cycle
Fibroadenoma
32
30 - 50yo female, painful, multiple, bilateral breast masses that increase in pain and size before menses
Fibrocystic breast disease
33
Spontaneous bloody, serous, or cloudy nipple discharge
Intraductal papilloma
34
Breast mass, nipple retraction, bloody nipple discharge
Breast cancer (mass is most common presenting clinical manifestation)
35
Overweight, irregular menstrual cycles (poss. Amenorrhea), elevated blood sugar, hirsutism
PCOS (stein-leventhal syndrome)
36
Adolescent female with midcycle pain alternating from left to right side. Relieved w/ NSAIDs
Mittelschmerz
37
Dysmenorrhea, dyspareunia, dyschezia. Uterus is fixed, retroflexed. Cyclic pelvic pain. May have palpable pelvic mass
Endometriosis. Palpable pelvic mass - "chocolate cyst"
38
Firm irregular shaped, NONTENDER enlarged uterus
Leiomyoma
39
Softened, tender, diffusely globular uterine enlargement
Adenomyosis
40
6cm unilateral, mobile, tender adnexal mass
Tubo-ovarian abscess
41
Naegele's rule:
LMP + 7 - 3 mo
42
Pregnant + rash, post-auricular or occipital LAD
Rubella. Give vaccine AFTER delivery
43
Pregnant, HA, visual disturbance
Pre-eclampsia
44
Pregnant, seizures
Eclampsia
45
Pregnant < 20 wks gestation w/ vaginal bleeding, abd & pelvic pain. Blood from closed cervical os.
Threatened abortion
46
Pregnant < 20 wks gestation w/ vaginal bleeding, abd & pelvic pain. Tissue at or said to be passed from open cervical os.
Incomplete abortion (complete abortion will have empty uterus, complete passage of fetal tissue, pain resolves after passage of tissue)
47
Pregnant woman who drinks during pregnancy and inadequate peri-natal care
Fetal alcohol syndrome - low birth weight
48
Postpartum hemorrhage
Uterine Atony. Tx = uterine massage
49
Postmenopausal vaginal bleeding
Endometrial Ca - do endometrial biopsy
50
Postmenopausal adnexal mass
Ovarian Ca