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Flashcards in Review Deck (164)
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1

Bartholin cysts are located where?

4 and 8 o'clock

2

What does Estrogen do?

Thickens the endometrium

3

What does Progesterone do?

Maintains pregnancy and prevents endometrial sloughing and miscarriage

4

What does Prostaglandin do?

Contract the uterine causing endometrial ischemia and uterine cramping

5

During the follicular phase there is a a spike in what hormone?

Estrogen

6

Ovulation occurs on what day of cycle?

Day 14

7

During the luteal phase there is a spike in what hormone?

Progesterone

8

What is the phases of the uterine cycle?

- Menstrual phase
- Proliferative phase
- Secretory phase

9

What structures are apart of the adnexa?

Fallopian tubes and ovaries

10

KOH (potassium hydroxide) is a dx test used for what?

Vulvovaginal Candidiasis

11

What are the risks of breast cancer?

- >50 yo
- 1st degree relatives
- postive BRCA1 and BRCA2

12

Is BRCA 1 or 2 associated with early onset of breast cancer and ovarian cancer?

BRCA 1

13

Medullary carcinoma (breast cancer) is MC in who?

Younger women and women with BRCA1

14

Where is breast cancer MC'ly located?

Upper outer quadrant

15

What age do you start screening (pap/hpv) for cervical cancer?

- Age: 21-39 pap q3 yrs
- Age: 30-65 Pap + HPV, q 5 yrs or pap q3 yrs
- Age: >65: not needed

16

When do you give a pt the HPV vaccine?

- 1st at age 11-12 yo
- catch up: 13-26 yo

17

When do you do mammograms?

- Every yr starting at age 40 or high-risk pts
- Every 1-3 yrs for women age 20-39 yo
- Every other yr for women age 50-74

18

When do you do a colonoscopy, FIT/FOBT and sigmoidoscopy?

- Colonoscopy: starting at age 50, then every 10 yrs
- FIT or FOBT: annual
- Sigmoidoscopy: every 5 yrs

19

What is the MC menopause complaint?

Sleep disturbances

20

What is the MC GYN cancer?

Breast cancer- Infiltrating ductal carcinoma

21

What GYN cancer has the highest mortality?

Ovarian cancer

22

What are S/Sxs of candidiasis?

- Thick, curdy, white d/c
- <4.5
- KOH odor: Negative
- Wet mount: WBC, Spores, hypae

23

What are txs for candidiasis?

Topical or vaginal suppository OTC:
- Miconazole
- Clotrimazole
Rx:
- Fluconazole
- Boric acid-fatal if swallowed

24

Ovulation occurs when?

30-36 hrs of LH surge

25

What are S/Sxs of trichomoniasis?

- Frothy, green/yellow d/c
- >5
- KOH odor: Positive
- Wet mount: WBC, Motile, Trichomonas, flagella
- Exam: petechia/strawberry patches

26

What is the tx for trichomoniasis?

- Metronidazole
- Tinidazole

27

What is the S/Sxs of bacterial vaginosis?

- Thin, white, gray d/c
- >4.5
- KOH odor: positive "whiff cells"
- Wet mount: few WBC, clue cells

28

What is the tx for bacterial vaginosis?

- Metronidazole
- Clindamycin

29

What is the tx for PID caused by Gonorrhea?

Ceftriaxone or Cefixime

30

What is the tx for PID caused by Chlamydia?

Azithromycin or Doxy