Women's Health Flashcards

(88 cards)

1
Q

Wet mount with motile protozoans

A

trichomonas

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2
Q

tx for trichomonas?

A

metronidazole

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3
Q

What is condylomata acuminata?

A

genital warts

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4
Q

What is tx for genital warts? (4)

A

podophyllum, cautery, liqiod N, imiquimod

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5
Q

Painful genital ulcer w/inguinal adenitis?

A

chancroid

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6
Q

What causes chancroid?

A

H. ducreyi (bacterial infection)

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7
Q

How do you dx chancroid?

A

gram stain

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8
Q

What is tx of chancroid?

A

Zithro, ceftriaxone

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9
Q

What is tx of gonorrhea?

A

ceftriazone IM (+ azithro or doxy for chlamydia)

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10
Q

What is the Tzank smear used to dx?

A

herpes

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11
Q

What is tx for chlamydia?

A

azithromycin 1g x1, doxycycline x10 days

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12
Q

What is the second phase of syphilis?

A

rash on palms and soles of feet

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13
Q

What is causative agent of syphilis?

A

Treponema pallidum

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14
Q

What does dysmenorrhea mean?

A

painful menstrual cycle

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15
Q

What is primary dysmenorrhea?

A

cramping pelvic pain in young females

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16
Q

How do you tx primary dysmenorrhea?

A

NASIDS, OC

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17
Q

What is secondary dysmenorrhea?

A

menstrual pain d/t organic cause )endometriosis, PID)

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18
Q

How do you dx endometriosis?

A

laparoscopy

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19
Q

How do you treat endometriosis?

A

OC, progestins, GnRh agonists (lupron), surgical excision, coagulation of tissue)

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20
Q

What strands of HPV are associated with gyn cancers?

A

16, 18, 31, 33

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21
Q

What are risk factors for cervical cancer?

A

early first coitus, multiple partners, smoking

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22
Q

What type of cancer is cervical ca usually?

A

squamous cell

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23
Q

What type of cancer is endometrial cancer usually?

A

adenocacinoma

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24
Q

What are risk factors for endometrial ca?

A

obesity, nullparity, fam hx

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25
What type of cancer is ovarian most often?
adenocarcinoma
26
risk factors of ovarian cancer?
nulliparitym fam hx
27
What lab test is assocaited with ovarian cancer?
CA-125
28
When is the follicular/proliferative phase of the menstrual cycle?
days 1-14
29
What happens during follicular/proliferative phase?
increased estrogen to proliferate endometrium and peaks at ovulation
30
What hormones increase at ovulation?
FSH and LH
31
When is the luteal/secretory phase?
days 14-28
32
What hormone is predominate in luteal/secretory phase?
progestin increased for possible implantation
33
What secretes progestin?
corpus luteum
34
What age is primary amenorrhea considered?
14yo w/o secondary characteristics or 16 w/ secondary characteristics
35
What is definition of secondary amenorrhea?
hx of periods but none for over 6 months
36
What is work-up for amehorrhea?
hCG, prolactin, FSH, LH, TSH, progestin challenge to r.o ovulation
37
What are risk factors for PID?
infertility, repeat infections and adheions
38
What is tx for PID?
ceftriaxone and doxycycline x14days
39
What are potential txs for PCOS?
wt loss, OCP, spiranolactone, metformin
40
What is definition of menopause?
12 months w/o period, FSH over 40
41
Patient presents with painful breast mass that becomes more painful during menstrual cycle and fluctuates in size. What is most likely dx?
fibrocystic disease
42
What is next step in dx in someone who you suspect has fibrocycstic disease of the breast?
FNA biopsy
43
Patient presents with round, rubberym abd movable nontender mass. Most likely dx?
fibroadenoma
44
How do you dx fibroadenoma?
FNA bx
45
What are risk factors for breast ca?
fam hx, BRCA, early menarche, late menopause, nulliparous or late first pg
46
What is a common electrolyte abnormality found with breast ca?
hypoCa
47
What is definition of delivery?
cervical os dilation over 10cm, effacement (thinning) 100 percent, station (location of presenting past at ischial spines)
48
What is the first stage of delivery?
onset of true contractions to full dilation
49
What is the second stage of delivery?
full dilation to delivery
50
What is the third stage of delivery?
expulsion of placenta
51
What is the 4th stage of delivery?
1st hour after delivery
52
What does dystocia mean?
abnormal labor (size of pelvis or adequacy of contactions or size of infant)
53
What is PROM?
premature rupture of membranes
54
What is the problem with PROM?
increased risk of infection if not delivered w/i 24hrs
55
What defines postpartum hemorrhage?
crit decrease over 10 percent
56
What is common presentation of woman with endometritis?
fever, uterine tenderness, decreased BS, WBC>20k
57
What are risk factors for endometritis?
C-section or PROM over 24hrs
58
What is common cause of endometritis?
anaerobe
59
What is tx of endometritis?
clindamycin and gentamicin
60
What are risk factors for ectopic pg?
previous ectopic, PID, surgery, IUD
61
What is hyperemesis gravidarum?
persistent severe vomiting d/t increased estrogens
62
What is definition of gestational dm?
new in PG
63
What is tx for gestation DM?
diet, exercise, insulin and oral agents
64
What is complication of gestation DM?
fetal macrosomia
65
What is preeclampsia?
HTN, proteinuria and edema
66
What is complication of preeclampsia?
HELLP (hemolysis, increased LFTs, decreased platelets), renal failure, FIC, fetal hypoxia, low borth weight, preterm
67
What is eclampsia?
preeclampsia PLUS seizures (hyperreflexia)
68
What is tx of eclampsia?
Mg sulfate and delivery
69
What is tx of pre-eclampsia?
bedrest, anti-htn meds
70
26-wk PG lady presents with PAINFUL vaginal bleeding
abruptio placenta
71
What is abruptio placenta?
premature separation of placenta form uterus after 20th week
72
What is tx of abruptio placenta?
delivery
73
PG patient presents with PAINLESS vaginal bleeding?
placenta previa
74
What is placenta previa?
abnormal placental location over cervical os
75
What are risk factors for placenta previa?
hx C-section, over 35yo, increased parity
76
What is Rh incompatability?
mom Rh-neg, baby Rh-pos
77
What is tx of Rh incompatability?
300ug Rhogam at 28 weeks gestation and w/n 72hrs of delivery
78
How does Hcg normally increase in PG?
doubles every 48hrs, peaks at 50-75 days then decreases in 2nd and 3rd trimesters
79
When can you start to hear fetal heart sounds?
10 weeks
80
When is the fundus palpable at the pubic symphysis?
12 weeks
81
When is the fundus palpable at the umbilicus?
20 weeks
82
What is chadwick sign?
cervical cyanosis
83
What is hagar sign?
softening of cervix
84
When do you see chadwick and hagar sign?
37 weeks
85
When do you check alfa-feroprotein?
16-20 weeks
86
When do you check glucose tolerance test?
28-30 weeks
87
When do you check for GBS?
33-37 weeks
88
What is a good fetal heart rate?
120-160 bpm