Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
49 Cards in this Set
- Front
- Back
When is pap screen indicated post-hysterectomy?
|
When hysterectomy performed for cervical cancer or HG-CIN
|
|
Which syphilis tests are non-treponemal specific?
How do they differ in utility from treponemal-specific testing? |
RPR, VDR are non-treponemal; non-specific for syphilis
If highly suspect syphilis and need confirmatory, perform treponemal-specific test |
|
When does HSV present with fever?
|
During primary outbreak
|
|
Postmenopausal post-coital bleeding
|
Cervical Cancer
PERFORM CERVICAL BX NOT PAP |
|
Fixation of cervix
|
Cervical cancer
|
|
What is the gold standard for diagnosis of HSV?
|
Culture; best done early in lzn; culture has 10-20% FN rate
Note: Ab screening would only indicate lifetime exposure |
|
Tachycardia
Irregular frequent menses Temperature instability Anxiety Sleep disturbance |
Hyperthyroidism!
|
|
Clue Cells
|
BV
|
|
KOH fish whiff
|
BV
|
|
Thick, white clumpy discharge
|
Yeast vaginitis
|
|
Multinucleate giant cells on discharge
|
HSV
|
|
Recommended folate supplementation for women trying to get pregnant.
|
40 mcg; diet alone not effective
Remember: folate decreases homocysteine levels |
|
Breast cancer screening guidelines by age according to ACOG.
|
Begin screening q1-2 years at 40-49
qyear at 50+ |
|
28 year-old female on OCPs
Prior hx irregular menses BMI 33 Acanthosis nigricans Appropriate workup? |
DM screen
|
|
Which contraceptives have a less than 1% fail rate?
|
IUD, Depo, sterilization
OCP has 3% Condom has 12% |
|
What are the risk factors for osteoporosis?
|
Early menopause
Glucocorticoid tx Sedentary lifestyle EtOH Hyper thy Hyperparathy |
|
What is the number 1 killer of women?
|
Heart Dz
|
|
What single factor determines the fail rate of the Ortho Evra patch?
|
Patient weight: 198 lbs
Note: patch is E2 and PG |
|
Tubal ligation decreases risk of _____ cancer.
|
Ovarian
|
|
OCPs decrease risk of _____ cancer.
|
Endometrial and ovarian cancers
|
|
Which OCP should be used with caution in patients with depression?
|
Progestin only
|
|
What test discerns stress urinary incontinence from urge urinary incontinence?
|
Cystometric exam--investigation of pressure and volume changes in bladder with filling of known volumes
|
|
Stress Urinary Incontinence:
Mechanism Diagnostic Test Treatment |
Bladder neck fallen out of normal intra-abdominal position
Dx: Loss of bladder angle, cystometric investigation Tx: Urethropexy or urethral sling |
|
Urge Incontinence:
Mechanism Diagnostic Test Treatment |
Detrusor muscle overactive and contracts unpredictably
Cystometric exam shows uninhibited contractions Tx: Anticholinergic meds to relax detrusor (surgery may worsen) |
|
Overflow Incontinence:
Mechanism Diagnostic Test Treatment |
Overdistended bladder due to hypotonic bladder
Postvoid residual (catherization) shows large amount of urine Tx: Intermittent self-catheterization |
|
Fistula:
Mechanism Diagnostic Test Treatment |
Communication between bladder or ureter and vagina
\Dye into bladder shows vaginal discoloration Surgical repair of fistulous tract |
|
Painless loss of urine concurrent with Valsalva.
|
SUI
|
|
I have to go to the bathroom and can't make it there in time.
|
Urge Incontinence
|
|
Loss of urine with Valsalva
Dribbling Diabetes or SC injury |
Overflow incontinence
|
|
Constant leakage of urine after surgery or prolonged labor.
|
Fistula
|
|
At what age should adults receive varicella zoster vaccine?
|
60
|
|
At what age should cholesterol screening begin? How often?
|
45 q5 years!
|
|
At what age should fasting blood sugar be tested? How often?
|
45 q3y
|
|
At what age should TSH be tested? How often?
|
50 q5y
|
|
At what age should pneumococcal vaccine be administered?
|
65
|
|
Most common cause of mortality in women <20 years old.
|
MVA
|
|
Most common cause of death in women >39 years old.
|
CVD
|
|
What are the four signs of placental separation?
|
Gush of blood
Lengthening of cord Globular, firm shape of uterus Uterus rises up to anterior abdominal wall |
|
How does the texture of the endometrium differ from that of the cervix?
|
Cervical/Vaginal tissue is smooth
Uterus is shaggy in appearance |
|
What is the third stage of labor? Upper limit of normal?
|
Delivery of infant-->delivery of placenta
Upper limit of normal is 30 minutes |
|
What is an abnormally retained placenta?
|
Third stage of labor that has exceeded 30 minutes
|
|
What are the risk factors for uterine inversion?
|
Grand-multiparous pt (5+ births)
Placenta implanted in fundus (top of uterus) Placenta accreta (abnormally adherent placenta) |
|
Perimenopause AKA _____
|
Climacteric
|
|
What is premature ovarian failure?
|
Cessation of ovarian function due to atresia of follicles prior to 40 years of age.
At ages younger than 30 years, autoimmune dz or karyotypic abnlts should be considered. |
|
What hormonal changes immediately occur in perimenopause?
|
Because ovarian inhibin levels decrease, FSH and LH levels rise before estradiol levels fall.
Decreased estradiol leads to vaginal atroph, bone loss, and vasomotor symptoms |
|
Treatment for symptoms of climacteric.
|
Continuous estrogen-progestin--small but sig inc'd risk BrCa, heart dz, pulm embolism, stroke; no e/o AEs if <6 mos E2 tx
OR Raloxifene (SERM)--helpful in preventing bone less, but doesn't alter hot flushes |
|
Will FSH remain elevated in climacteric after estrogen replacement?
|
Yes, bc FSH responds to inhibin, not estrogen.
|
|
Where does the most common osteporosis-associated fracture occur?
|
Thoracic spine as a compression fracture
|
|
Why should progestin be added to estrogen replacement therapy in perimenopausal women?
|
To prevent endometrial cancer
|