Women's Health Flashcards
(131 cards)
1
Q
MC cause of postpatrum hemorrhage?
A
Uterine atony
2
Q
Postpartum hemorrhage volume?
A
> 500mL
3
Q
Tx for bacterial vaginosis?
A
Metronidazole (Flagyl)
4
Q
pH of Candidiasis discharge?
A
<4.5
5
Q
Causitive organism of mastitis?
A
S Aureus
6
Q
White, sharply demarcated lesion of the cervix after acetic acid applied?
A
Cervical dysplasia
7
Q
Gestational HTN at how many weeks of preggers?
A
≥20
8
Q
BP for gestational HTN?
A
≥140, ≥90, ≥20 weeks
9
Q
Clue cells in which condition?
A
BV
10
Q
Fishy odor which condition?
A
BV
11
Q
Which organism on wet mount from vag swab?
A
Trich
12
Q
Green d/c which condition?
A
Trich
13
Q
Ovarian enlargement MC caused by what?
A
Functional ovarian cysts
14
Q
Functional ovarian cyst causes what 2 symptoms?
A
- Irregular menses
2. Unilateral pelvic/abdominal pain
15
Q
Metroclopromide antiemetic which preggers category?
A
B
16
Q
How to help prevent lactational mastitis?
A
Lubricating ointment for excoriations and cracking
17
Q
Ovarian torsion most common on which side?
A
Right side
18
Q
Test for ovarian torsion?
A
Pelvic U/S
19
Q
Tx for PMS?
A
SSRI
20
Q
Uterine fibroid aka
A
Leiomyoma
21
Q
MC solid pelvic tumor in womens?
A
Leiomyoma (uterine fibroid)
22
Q
Leiomoyoma most common in who?
A
AA women of childbearing age
23
Q
How to remove leiomyoma and retain fertility?
A
Myomectomy
24
Q
Third trimester painless bleeding most commonly due to?
A
Placenta previa
25
Dx for placenta previa?
U/S
26
Yellow Gram negative diplococci?
gonorroeae
27
Tx for gonorreae
IM Certriaxone 250mg + PO Azithromycin 1g PO once
or
IM Ceftriaxone 250mg + PO Doxycycline 100mg BID x7
28
Painful third trimester vaginal bleeding?
Placental abruption
29
MC cause of anovulatory infertility?
PCOS
30
First-line tx for PCOS in women who want to conceive?
Weight reduction
31
Androgen excess, insulin resistance, gonadotropin abnormalities?
PCOS
32
Tx of hirsutism in PCOS?
Spironolactone
33
MC reported STD?
Chlamydia trachomatis
35
Dx for Chlamydia trachomatis?
NAAT
36
Tx for Chlamydia trachomatis?
1g Azithromycin PO once
37
What can follow after PID, gonorrheae, and clamydia?
Tubo-ovarian abscess
38
Unilateral adnexal tenderness or unilateral mass with fever and chills and vaginal d/c?
Tubo-ovarian abscess
39
Dx for Tubo-ovarian abscess?
U/S
40
Tubo-ovarian abscess most commonly caused by what other condition?
PID
41
Tx of Tubo-ovarian abscess?
IV abx, I and D
42
Anterior shoulder impacted behind the pubic symphysis called...?
Shoulder dystocia
43
Which maneuver for shoulder dystocia?
McRoberts maneuver
44
Tx for post-menopausal vaginal atrophy
Vaginal ring with 2mg estradiol
45
Atrophic vaginitis due to loss of what?
Estrogen
46
What does vaginal epithelium look like in Atrophic Vaginitis?
pale, dry, shiny
47
Tx for ectopic preggers?
Methotrexate or surgery
48
Sx of Chlamydia trachomatis?
Most ASx
49
Biggest risk factor in endometritis?
C section
49
When does endometritis develop?
2-3 days postpartum
50
Tx for endometritis
IV Clindamycin + Gentamycin
51
When are decelerations in uteroplacental insufficinecy?
Late decelerations
52
Test for uterine bleeding?
Hysteroscopy
53
MC cause of abnormal uterine bleeding?
Hormonal replacement therapy
54
Tx for abnormal uterine bleeding?
Combo OCPs
55
Cause of gynecomastia?
Estrogen>Testosterone
56
MC cell type in ovarian cancer?
Epithelial
57
FSH levels in menopausal women?
Elevated!
58
Define inevitable abortion
vaginal bleeding before 20 weeks with open internal os
59
Ovarian cancer serum finding?
Elevated CA-125
60
Non-cancerous breast lumps, tenderness, peaking before menstruation?
Fibrocystic breast disease
61
Painless, mobile, slow growing breast lump?
Fibroadenoma
62
Most common tumor in adolescent women?
Fibroadenoma
63
Most common postmenopausal cancer?
Vulvar cancer
64
Incomplete abortion?
Bleeding within 20 weeks, Os open, some retained products
65
What happens in rectocele?
Posterior vaginal wall defect with rectum anterior displaced
66
Rectocele is defect of what?
Rectovaginal septum
67
Major complication of rectocele surgical repair?
Dyspareunia
68
Is nulliparity a risk for developing breast cancer?
Yes it is
69
Most common site for breast cancer to occur?
Upper outer quadrant
70
Dyxocycline category in preggers?
D
71
Define Menorrhagia
Heavy/prolonged/excessive bleeding >80mL
or
Menstruation lasting more than 7 days
72
Define Metrorrhagia
Uterine bleeding at Irregular cycles/intervals
73
Define Menometrorrhagia
Irregular cycles with excessive flow and duration
74
Define Olgiomenorrhea
cycle length >35 days
75
Define Polymenorrhea
Cycle length <21 days
76
Define Amenorrhea
No menses for 6 months
77
Chandelier sign aka
cervical motion tenderness
78
IV abx for tubo-ovarian abscess
Cefoxitin, doxycycline, metronidazole
79
Protein/creatinine ratio in pre-eclampsia?
>0.3
80
Tx for mastitis?
Dicloaxacillin
81
Strawberry cervix?
Trichomoniasis
82
pH> 5, flagellated, motile pear shaped?
Trichmoniasis
83
Tx for trichomoniasis
Metronidazole
84
Dx for endometriosis?
Laparoscopy
85
Tx options for endometriosis?
GnRH agonists, Progesterone, oral contraceptives, NSAIDs
86
At how many weeks does the uterine fundus become an intraabdominal organ?
12 weeks gestation
87
At how many weeks does the uterine fundus reach the umbilicus?
20 weeks gestation
88
Cigarettes and placenta?
Abruption
89
Cigarettes and breast milk voume?
Decreased
90
Mullerian dysgenesis and utereus/vagina?
No utereus and no upper 2/3 vagina
91
Barthloand glands at which O’clock?
4 and 8 o’clocks
92
2 most common SEs of hormonal contraception?
1. Amennorhea
| 2. BTB
93
First-line for birth control?
Long-acting reversible contraceptive agent like IUD
94
What do some antiepileptic drugs due to estrogen-containing contraceptives?
Incude metabolism and cause them to fail
95
2 contraceptive options for epilepsy patient?
1. Styla/Mirena (levonorgestrel)
| 2. Copper IUD
96
Tx for breast invasive ductal carcinoma?
lumpectomy, sentinel node biopsy, radiation
97
Preferred outpatient tx for preggers HTN?
Methyldopa
98
Outpatient tx for PID?
Ceftriaxone 250mg IM
| Doxycycline 100mg BID x14d
99
pH of amniotic fluid?
≥6.5
100
What will amniotic fluid do to nitrizine paper?
Turn blue
101
3 most common areas of endometriosis?
1. Pelvis
2. Ovaries
3. Cul-de-sacs
102
Definitive dx of endometriosis done by what?
Laparoscopy
103
Define endometriosis
Abnormal growth of endometrium outside the utereus
104
3 most common signs of endometriosis?
1. Dysmenrrhea (painful menses)
2. Dyspareunia (painful sex)
3. Dyschezia (Pelvic pain)
105
Vulvar or vaginal itching MC due to which condition?
Volvovaginal candidiasis
106
Tx for vulvovaginal candidasis?
Fluconazole 150mg PO x1
107
BV’s bacterial morphology?
Gram negative rods
108
BV odor?
Fishy smell
109
Strawberry cervix MC with what?
Trich
110
Multiple punctuate hemorragic cervical lesions?
Trich
111
MC symptom of endometrial cancer?
abnormal vaginal bleeding
112
Tx for mental symtpoms of PMS?
SSRIs
113
Weeks gestation Rh immunoglobulin Rhogam administered?
28 weeks
114
Why is Rh immunoglobulin Rhogam administered?
Rh negative mother, Rh positive father so prevent miscarriage
115
Rhogam needed every preggers?
Yup
116
How many weeks first hear fetal heart rate?
12 weeks
117
Estrogen and menopause?
Decreased
118
FSH and menopause?
Increased!
119
Term for menopause before age 40?
Premature ovarian failure
120
Tx for chancroid?
Ceftriaxone 250mg
or
Azithromycin 1g
121
Decrease in which hormone causes the sx of menopause?
Estradiol
122
Contraception if have migraine?
Progesterone-only (no estrogen!)
123
Week when Preterm Premature Ruputure of Membrane?
before 37 weeks
124
Gestational diabetes is when?
BGL 130 one hour after 50g glucose load
125
Tx for chorioamnionitis?
Amp + Gent
126
MC cause of bleeding in older, obese women?
Endometrial Hyperplasia
127
What do tocolytics do?
Relax uterus to delay labor
128
How long to tocolytics last for?
48 hours
129
Tocolytics won’t work once cervix is dilated how much?
>3cm
130
Which hormone is high in PCOS and causes the androgen effects?
LH
131
PCOS caused by what?
Insulin resistance
