Flashcards in Review Deck (164)
Bartholin cysts are located where?
4 and 8 o'clock
What does Estrogen do?
Thickens the endometrium
What does Progesterone do?
Maintains pregnancy and prevents endometrial sloughing and miscarriage
What does Prostaglandin do?
Contract the uterine causing endometrial ischemia and uterine cramping
During the follicular phase there is a a spike in what hormone?
Ovulation occurs on what day of cycle?
During the luteal phase there is a spike in what hormone?
What is the phases of the uterine cycle?
- Menstrual phase
- Proliferative phase
- Secretory phase
What structures are apart of the adnexa?
Fallopian tubes and ovaries
KOH (potassium hydroxide) is a dx test used for what?
What are the risks of breast cancer?
- >50 yo
- 1st degree relatives
- postive BRCA1 and BRCA2
Is BRCA 1 or 2 associated with early onset of breast cancer and ovarian cancer?
Medullary carcinoma (breast cancer) is MC in who?
Younger women and women with BRCA1
Where is breast cancer MC'ly located?
Upper outer quadrant
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
When do you give a pt the HPV vaccine?
- 1st at age 11-12 yo
- catch up: 13-26 yo
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
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
What is the MC menopause complaint?
What is the MC GYN cancer?
Breast cancer- Infiltrating ductal carcinoma
What GYN cancer has the highest mortality?
What are S/Sxs of candidiasis?
- Thick, curdy, white d/c
- KOH odor: Negative
- Wet mount: WBC, Spores, hypae
What are txs for candidiasis?
Topical or vaginal suppository OTC:
- Boric acid-fatal if swallowed
Ovulation occurs when?
30-36 hrs of LH surge
What are S/Sxs of trichomoniasis?
- Frothy, green/yellow d/c
- KOH odor: Positive
- Wet mount: WBC, Motile, Trichomonas, flagella
- Exam: petechia/strawberry patches
What is the tx for trichomoniasis?
What is the S/Sxs of bacterial vaginosis?
- Thin, white, gray d/c
- KOH odor: positive "whiff cells"
- Wet mount: few WBC, clue cells
What is the tx for bacterial vaginosis?
What is the tx for PID caused by Gonorrhea?
Ceftriaxone or Cefixime