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Flashcards in UWise - GYN Deck (21):
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Disadvantage of medical abortion versus surgical abortion?

Blood loss

1

Manual vacuum aspiration abortion – cannot be done when?

Over eight weeks

2

Prolonged Russell viper venom time from?

Antiphospholipid antibody syndrome

3

Patient over 20 weeks who wants termination and an autopsy of the fetus - management?

Must get medical abortion – begin induction with intravaginal prostaglandins

4

Vulvar vestibulitis – Symptoms? Tx?

Dyspareunia, pain with tampon insertion, exquisite tenderness to light touch

Tricyclic antidepressants, pelvic floor exercises

5

Lichen Symplex chronicus?

Non-neoplastic vulvar disorder from chronic scratching/rubbing

Enlarged labia with or without edema

6

Patient with chronic vaginal pain, bleeding gums, whitish reticular skin change, popular rash on wrist? Tx? Complications?

Lichen planus – Super potent tropical steroids; obliteration of the vagina

7

Patient with acute salpingitis – when to treat as inpatient with IV anabiotic's?

Nausea and vomiting; high fever

8

Patient with sudden pain and nausea, ultrasound shows 6 cm mass on right ovary – most likely diagnosis?

Ovarian torsion

9

Pt with suspected ovarian cyst – next step?

Surgical exploration (NOT Doppler)

10

Patient with endometriosis has complex ovarian cysts – diagnosis?

Endometrioma

11

Hemorrhagic cyst – Important patient history?

LMP 3 weeks prior

12

Patient with history of PID and TOA. Now has chronic pelvic pain. Laparoscopy shows adhesions on right salpinx, but normal left tube and ovary – treatment if patient desires future fertility?

Right salpingectomy and lysis of adhesions

13

Nerves at risk for entrapment (causing sensation problems) during pelvic surgical procedures from low transverse incision?

Iliohypogastric – Sensation to groin and skin over pubis

Ilioinguinal sensation little lower (growing, pubis, labium, upper inner thigh)

14

Nerve that can be injured during lymph node dissection? Results in?

Obturator nerve. Unable to abduct the Thigh

15

Patient wants removal of IUD – attempt with IUD hook fails – next step?

Hysteroscopy

16

Definitive (not first-line) treatment for endometriosis?

Hysterectomy with bilateral salpingo- oophorectomy

17

Previous pregnant pt now not getting pregnant. Test? Description?

Clomiphene challenge test

1. Give clomiphene on day 5-9
2. Check FSH on day 3 and 10 to determine ovarian reserve

18

Hidradenitis?

Chronic, unrelenting skin infection causing scars and foul discharge

19

Multicentric brown papules on perineum, perianal, and labia?

Vulvar intraepithelial neoplasia

20

When to suspect bartholin's gland cyst vs. abscess?

Pre vs post menopause