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Flashcards in OBGYN Deck (91)
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1

why do women get breast cancer aka risk factors

too much estrogen
-early menarche
-late menopause
-nulliparity
-HRT
radiation
BRCA genes

2

when to start breast cancer screening

USPSTF says 50 Q2
ACS says 40 Q1

3

if a mammogram is irregular for >40, what do you do next?

core needle bx

4

lump and <30, what do you do

wait a few cycles then get an US, if US shows a cyst then get a FNA

5

how to tx HER2 + breast cancer

traztuzzumab

6

how to tx ER/PR + breast cancer

SERM if premenopausal
Aromatase Inhibitors is post menopausal

7

cervical, vaginal, and vulvar cancers are all this type

squamous

8

endometrial cancer is this type

adenocarcinoma
common from too much estrogen

9

MOA leuprolide

GnRH analog, will inhibit LH/FSH

10

HIV affects

T lymphocytes

11

Genital herpes is HSV #

2, stored in S2/3/4

12

chancroid

H. Ducreyi
gram - rod
PAINFUL**

13

if ASC-US +, what do you do next?

reflex HPV, if - repeat PAP in 12 months
if +, colposcopy

14

how to tx molar pregnancy

dilation and curettage
monitor bhcg q1-2 weeks until neg, then monthly hcg titers

15

primary dysmenorrhea

begins after menarche, no clear disease, maybe prostaglandins

16

secondary dysmenorrhea

new onset older women, associated w/a cause (fibroids, endometriosis)

17

ovarian cancer marker

CA-125, 90% are epitheleal tumors

18

outpt tx of PID

ceftriaxone + doxy +-metro

19

inpt tx of PID

cefotetan or cefoxitin + doxy
clinda+ genta (if pregnant)

20

primary syphilus

PAINLESS chancre*

21

trichomonas

malodorous green d/c
strawberry cervix
ph 5-6
tx partner, 2 G metro

22

BV

gardnerella
clue cells
ph >4.5
topical/oral metro
don't treat partner

23

candida

KOH blanching hyphae and spores
ph <4.5

24

condyloma acuminatum

genital warts
HPV 6/11
tx with podofilox and imiquimod

25

risks of tamoxifen

may lead to endometrial changes
does increase bone density however and prevents breast cancer

26

gonorrhea

gram - diplococci
tx partner
ceftriaxone

27

how to tx PCOS

OCPs or medroxyprogesterone
increased LH:FSH ratio

28

GDM levels

fasting <95
1 hr <180
2 hr <155
3 hr <140

29

GDM can lead to

cardiac problems for baby and macrosomonia

30

what hormone changes are seen in menopause

increased LH/FSH