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Flashcards in ob-gyn Deck (115)
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1

most common uterine cancer

adenocarinoma

2

risk factor for uterine neoplasm?

estrogen

3

uterine cancer has similar risk to what other type of CA

breast

4

Endometriosis define

uterine tissue outside of the uterus

5

Dysfunctional Uterine Bleeding treatment

OCPs or hormonal therapy (Progesterone) to regulate/shorten cycle
○ NSAIDs for dysmenorrhea & reduce bleeding
decreases despite small relative platelet dysfunction)
○ Surgical ligation or embolization of uterine arteries, D&E, hysterectomy

6

most common site for endometriosis

most common site of implantation is peritoneal

7

how to dx endometriosis

laproscopy

8

tx for endometriosis

hormone replaced / OCP

9

symptoms of endometriosis

cyclic cramping and heavy bleeding during peroids

10

Leiomyomata

benign uterine fibroid

11

leiomyosarcoma

cancerous uterine fibroid

12

how are leiomyomata (uterine fibroids) dx

US

13

tx of uterine fibroids

depends on what location:hormonal control (symptomatic relief), ablation/ligation/embolization of uterine
arteries, hysterectomy

14

Why are Patty & Selma, Bart Simpson’s aunts at risk for endometrial cancer?

given their obesity, diabetes, hypertension, and alcohol consumption. Both had periods at 9 years old, never had children, suffered from infertility and PCOS. both had breast cancer and took Tamoxifen

15

what increases the risk of ovarian torsion

cysts >5cm are at increased risk of torsion, may check flow with doppler, fertile patient dealt with Emergent. pain meds should be offered

16

benign bleeders (another name for?)

leiomyomata

17

normal cycling cyst

follicular 2.5cm

18

chocolate cyst

Corpus Luteum: associated with pregnancy

19

Thecal cyst

often bilateral, result from excess hCG secretion in molar and multi gestation pregnancy

20

risk of ovarian cancer

ovulation

21

ovarian cancer is associated with what syndromes

BRCA mutations & Lynch
Syndrome/HNPCC

22

what is C125 used for

ovarian cancer

23

is bleeding common in ovarian cancer?

no

24

dx ovarian ca

US or CT

25

tx of ovarian ca

chemo or surgery

26

cancer is secreting tumor markers (alphaFP,
betahCG, LDH, alkaline phosphate. you should think:

germ cell or tetratoma

27

Gardnerella is.....

bacterial vaginosis ---tx is flagyl

28

tx of Trichomonas

metronizole

29

Asherman Syndrome

uterine scaring

30

Premenstrual Dysphoric Disorder (Premenstrual Syndrome)

must interact with daily function. try SSRI, hormonal replacement