U-Wise REI and Neoplasia Flashcards Preview

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Flashcards in U-Wise REI and Neoplasia Deck (68)
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1

Normal puberty sequence

Thelarche --> adrenarche (hair growth) --> growth spurt --> Menarche

2

Body weight needed for menses to begin

85-106 pounds

3

Treatment of true precocious puberty

GnRH agonist

4

Normal menarche range

9-17

5

Look for what else in mullerian agenesis

Renal abnormalities

6

Labs for secondary ammenorrhea

FSH/LH, TSH, Prolactin

7

First test in suspected cushings

Overnight dexamethasone suppression test

8

What causes postpartum hair loss

Loss of high levels of estrogen in pregnancy

9

What is hyperthecosis

More severe form of PCOS (balding, clit enlargement, deepening of the voice)

10

Progestin converts endometrium from what to what

Proliferative to secretory

11

Test for heavy periods that began three months ago in G3P3 42 year old

Pelvic US to look for things like polyps or submucosal fibroids

12

Most common clotting disorder to manifest at menarche

VW disease

13

When is observation not recommended for a uterine polyp

When > 1.5 cm

14

Why is free T elevated in PCOS

Sex hormone binding globulin is decreased by elevated androgens

15

Best tx for submucosal fibroid to preserve fertility

Hysteroscopic myomectomy

16

How do COC help dysmenorrhea

Progesterone induces endometrial atrophy --> prostaglandins made in endometrium so less made to cause pain

17

Who gets GC test

All sexually active patients 25 years and younger

18

Young pts with persistent dysmennorhea despite treatment should get what

Laparoscopy

19

Boggy uterus and heavy bleeding? non surgical tx?

Adenomyosis
GnRH agonists, but problem recurs after cessation of treatment

20

Dysmenorrhea + palpable abnormality

Secondary amenorrhea

21

Women over 40 with heavy bleeding and clear fibroids should still have

Endometrial biopsy to rule out cancer

22

Fibroids path description

Well-circumscribed, non-encapsulated myometrium

23

Premature ovarian failure at what age

Under 35

24

Ca requirement per day in menopausal women

1200 mg

25

Risk factors for osteoporosis

Hx of fracture as an adult, low body weight, smoking
*Start these patients on bisphosphonates*

26

HRT risks

breast ca, MI, CVA, VTE

27

What do menopausal ovaries continue to produce

Androgens --> gets converted to estrogen in fat

28

Test to help confirm PCOS

Testosterone levels
(once dx is made, progesterone levels can help determine ovulation)

29

Imapramine can cause

Hyperprolactinemia

30

Hypothyroidism can cause

Hyperprolactinemia