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26 Cards in this Set
- Front
- Back
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What is the first test to perform when a woman presents with amenorrhea?
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β-hCG; the most common cause of amenorrhea is pregnancy
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What is the term for heavy bleeding during and between menstral periods
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Menometorrhagia
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What does Asherman's syndrome cause?
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amenorrhea with normal prolactin, no response to estrogen-progesterone challange, and a history of D&C
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Therapy for polycystic ovarian syndrome
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Weight loss and OCPs
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Medication used to induce ovulation
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Clomiphene citrate
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If a postmenopausal woman presents with vaginal bleeding , diagnostic step?
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Endometrial biopsy
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Indications for mediacl treatment of ectopic pregnancy?
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Stable, unruptured ectopic pregnancy of <3.5cm at <6 week's gestation
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Medical options for endometriosis?
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OCPs, danazol, GnRH agonists
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Laparoscopic findings in endometriosis?
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"Chocolate cysts", powder burns
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Where is the most common location for an ectopic pregnancy?
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Ampulla of the oviduct
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How to diagnose and follow a leiomyoma?
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Ultrasound
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Natural history of leiomyoma. What happens after menopause?
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Regresses
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A patient has↑ vaginal discharge and petechial patches in the upper vagina and cervix
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Trichomonas vaginitis
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Treatment for bacterial vaginosis
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Oral or topical metronidazole
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The most common cause of bloody nipple discharge?
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Intraductal papilloma
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Which contraceptive methods protect against PID?
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OCPs and barrier contraception
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Unopposed estrogen is contraindicated in which cancers?
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Endometrial or estrogen receptor -⊕breast cancer
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A patient presented with recent PID with RUQ pain. Potential causes?
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Consider Fitz-Hugh-Curtis syndrome
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What aret the symptoms of Paget's disease?
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Breast malignancy presenting as itching, burning, and erosion of the nipple.
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Annual screening for women with a strong family history of ovarian cancer, procedure?
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CA-125 and transvaginal ultrasound
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A 50-year-old woman leaks urine when laughing or coughing. Nonsurgical options?
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Kegel exercises, estrogen, pessaries for stress incontinence
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A 30-year-old woman has unpredictable urine loss. Examination is normal. Medical options?
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Anticholinergics (oxybutynin) or β-adrenergics (metraproterenol) for urge incontinence
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Lab values suggestiv of menopause?
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↑ serum FSH
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The most common cause of female infertility?
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Endometriosis
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Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow up evaluation?
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Colposcopy and endocervical curettage
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Breast cancer type that ↑ the future risk of invasiv carcinoma in both breasts?
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Lobular carcinoma in situ
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