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Flashcards in Ob-Gyn Deck (131)
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1

The secretory phase of the menstrual (day 14 - 28) is dominated by what hormone?

Progesterone

2

Who is more likely to get pre-eclampsia, a nulliparous or multiparous woman?

Nulliparous

3

Since a genetic cause is the number one reason for primary amenorrhea, what is one very important test?

Karyotype

4

Purulent cervical discharge should make you think of what diagnosis?

Neisseria Gonorrhea

5

A description of a young girl with a webbed neck, or wide shield chest should make you think of what diagnosis?

Turner's Syndrome

6

Cervical biopsy comes back as CIN 1, what is the next step?

Repeat pap smear in 6 months
Repeat colposcopy in 12 months

7

What is the most common cause of secondary amenorrhea?

Pregnancy

8

What 3 labs should you order if you are considering secondary amenorrhea?

TSH, Prolactin, bHCG

9

Define premature birth?

Delivery of uterine contents between 20-36

10

A unilateral, single, mobile, firm, non-tender, solid breast mass should make you think of what diagnosis?

Fibroadenoma

11

Define metrorrhagia

Bleeding between periods

12

Post-menopausal bleeding is immediately believed to be what diagnosis?

Endometrial cancer (until proven otherwise)

13

During what portion of the menstrual cycle does PMS occur?

The second half of the menstrual cycle, and the symptoms are relieved by menstruation

14

How do you treat bacterial vaginosis?

Metronidazole (Flagyl) for 7 days.

15

What location within the pelvis is endometriosis most commonly found?

In the ovary

16

What lab test is the gold standard for chlamydia?

Nucleic acid amplification test

17

Are fibrocystic breast masses usually bilateral or unilateral?

Bilateral

18

How do you definitively diagnose endometriosis

Exploratory Laparoscopy (Ex-Lap)

19

What is the most common uterine tumor

Leiomyoma (Fibroids)

20

What is the ethnic backgrounds that has increased risk for fibroids?

Blacks (5x more likely than whites)

21

How do you treat vaginal candida

Flucazole PO one day, or Azole cream x 1 week.

22

First step of treatment for endometrial cancer?

TAH-BSO (Total Abdominal Hysterectomy with Bilateral Salpingo-oophorectory)

23

If you see the term chocolate cyst it should make you think of what?

Endometrioma

24

A surge in what hormone leads to ovulation?

LH

25

A patient presents with irregular menses, hirsutism, and infertility, what is the diagnosis?

PCOS

26

What endocrine issue is associated with PCOS?

Insulin insensetivity

27

You have a patient with PCOS, and she wants to get pregnant, what meds are you going to give her?

Clomid, and Metformin (if insulin sensetivity)

28

What is the medical treatment for early ectopic pregnancy?

Methotrexate

29

An ovarian cyst that contains hair and teeth, what is the diagnosis?

Terratoma

30

What is the mean age for ovarian cancer?

63 (think of this in older patients with vague abdominal symptoms)