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51 Cards in this Set
- Front
- Back
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Q1150. Ligament that contains the Ovarian artery and vein
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A1150. Infundibulopelvic ligament
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Q1151. Ovarian tumor with Call-Exner bodies
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A1151. Granulosa cell tumor; (increased serum E2)
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Q1152. Where is Hematopoiesis the most in development at age:; 1. <12 weeks; 2. 12 - 24 weeks; 3. >24 weeks until birth
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A1152. 1. <12 weeks = Yolk Sac; 2. 12 - 24 weeks = fetal Liver; 3. >24 weeks until birth = fetal Bone Marrow
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Q1153. 27-yo with secondary amenorrhea and 4 months of hirsutism; normal pelvic exam and US; First step?
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A1153. Serum DHEAs; (to see if it is from ovary or adrenal gland)
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Q1154. At what age does a female have the most Oocytes?
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A1154. 20 weeks gestation; (at birth 1/2 are lost)
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Q1155. Dx:; Condyloma ACUMINATUM
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A1155. HPV
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Q1156. woman being evaluated for infertility is found to have a double uterus; Next test?
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A1156. IVP; (30% of women with uterine anomaly have urinary tract anomaly)
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Q1157. Patient has confirmed Chlamydia; Tx?
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A1157. Tx Patient and Partner with Doxycycline ONLY
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Q1158. Patient has confirmed Gonorrhea; Tx?
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A1158. Tx Patient and Partner with both Ceftriaxone and Doxycycline; (if it was Chlamydia, it would be Doxy only)
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Q1159. Dx test for Septic Pelvic thrombophlebitis; Tx?
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A1159. Dx test: MRI of pelvis; Tx: Heparin and IV Antibiotics
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Q1160. a 44-yo with normal pap smear 3 years ago has intermenstrual and post-coital spotting intermittently for 6 months. First test?
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A1160. Pap Smear; (cervical polyp is strong possibility of Dx0
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Q1161. Name of the surgery for Stress Incontinence
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A1161. Retropubic Urethropexy
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Q1162. Best predictor of Breast CA that has spread outside of the breast?
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A1162. Initial SIZE of the Tumor; (which is Stage in this case)
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Q1163. Dx:; Purulent vaginal discharge and pH of 4.2 - 5.0
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A1163. Monilial Vaginitis
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Q1164. Dx:; Decreased ejaculate volume and azoospermia without fructose
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A1164. Absent Seminal vesicles; (SV adds the fructose to ejaculate)
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Q1165. Total time for sperm to ejaculate
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A1165. 90 days
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Q1166. what type of immunity is a RhoGAM shot?
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A1166. Passive Immunity; (b/c you give the Antibody)
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Q1167. after delivery, what should be suspected if placenta does not separate spontaneously after 30 minutes?
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A1167. Placenta Accreta
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Q1168. What VD can affect the throat and present with exudative pharyngitis?
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A1168. Herpes
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Q1169. (5) reasons to hospitalize for PID
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A1169. 1. Bad infection (>39C; N/V);; 2. Adolescent; 3. NULLIPAROUS; 4. Low SES; 5. Failure to respond to IV meds
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Q1170. In a woman with IDM, what should be done for fetal surveillance?
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A1170. NST; (starting at 28 weeks; 2 times weekly to decrease risk of Sudden Intrauterine Death)
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Q1171. Which form of incontinence is associated with DM?; Tx?
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A1171. Overflow Incontinence (Detrusor instability from neuropathy; will present with increased post-void volume); Tx: Self-catheterization
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Q1172. which type of incontinence may be treated by alpha- adrenergic meds?
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A1172. Stress Incontinence; (after Kegel exercises are attempted; also E2 therapy works; if all else fails, then this is the only one that can be cured by surgery)
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Q1173. How long must a diaphragm stay in after intercourse?
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A1173. at least 6 hours
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Q1174. pregnant woman presents with tachycardia, increased breathing, and chest pain. CXR is negative; Next step?
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A1174. V/Q exam
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Q1175. what is the follow-up post delivery if the patient has gestational diabetes?
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A1175. 2-hour GTT in 6 weeks post partum
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Q1176. 14-yo presents with vaginal bleeding causing a Hct of 30%; no History of blood disorder; Beta-HCG and US are negative; normal vitals; First step?
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A1176. give OCPs; (will stabilize bleed in initial menstrual cycles; no transfusion needed)
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Q1177. Uterine Leiomyoma (Fibroids) - What is it
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A1177. MC benign gyn lesion; MC in Blacks and patients > 35; smooth muscle cell tumors; responds to hormones; increased during pregnancy; usu regresses after menopause; transform to leiomyosarcoma is rare
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Q1178. Uterine Leiomyoma (Fibroids) - History/PE
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A1178. Usu asymp; may have - abnorm uterine bleeding; pelvic pressure; dysmenorrhea; urinary freq. pain; NT; irreg enlarged uterus; "lumpy bumpy"
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Q1179. Uterine Leiomyoma (Fibroids) - Dx
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A1179. US
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Q1180. Uterine Leiomyoma (Fibroids) - Tx
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A1180. If asymp - manage expectantly; monitor growth; serial exams; US; if severe Sxs or postmenopausal growth - myomectomy or hysterectomy; med therapies - shrink tumors; tumors grow when meds stopped; use in perimenopausal
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Q1181. Infertility - What is it
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A1181. Inability after 1 year; female dysfunction (no. 1); male dysfunction; female - no. 1 = endometriosis, PID, cervix, uterine-tubal, ovulation prob, peritoneum, multiple factors, UNK
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Q1182. Infertility - Dx
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A1182. FSH; LH; TSH; prolactin; hysterosalpingography; semen analysis
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Q1183. Infertility - Tx
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A1183. Tx underlying cause; endometriosis - lap removal of implants; clomiphene citrate; Pergonal - purified human FSH & LH; GIFT, IVF
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Q1184. Menopause - What is it
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A1184. Due to end-organ ovarian resistance to gonadotropins; median age 50-52; premature - < 40: idiopathic premature ovarian failure, assoc. with cigarettes, artificial - after removal of ovaries, after irradiation of ovaries; postmenopausal - lose protection from estrogen, increased risk for osteoporosis and heart dis.
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Q1185. Menopause - History/PE
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A1185. Menstrual irreg; sweating; sleep disturb; mood changes; decreased libido; dyspareunia; dysuria; vaginal dryness; decreased breast size; genital tract atrophy
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Q1186. Menopause - Dx
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A1186. Increased serum FSH - suggestive; 1 yr without menses
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Q1187. Menopause - Tx
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A1187. HRT - can relieve Sxs, help prevent osteoporosis; contraindications - unDx vag bleeding, liver disease, acute vas thrombosis, history of endometrial cancer, history of breast cancer; progesterone/estrogen - if still have uterus; estrogen alone - if had TAHBSO; clonidine; topical estrogens; calcium, vit D; calcitonin; bisphosphonates
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Q1188. Contraception - Rhythm Method; What is it
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A1188. Use body temp and cervical mucus consistency to predict time of fertility
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Q1189. Contraception - Rhythm Method; Side Effect
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A1189. Unreliable
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Q1190. Contraception - Coitus Interruptus; What is it
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A1190. Withdraw before ejaculation
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Q1191. Contraception - Coitus Interruptus; Side Effect
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A1191. High failure rate
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Q1192. Contraception - Diaphragm and Cervical Caps; What is it
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A1192. Domed sheet of rubber or latex placed over cervix; must be fitted by physician; must remain in vagina 6-8 hrs after intercourse
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Q1193. Contraception - Diaphragm and Cervical Caps; Side Effects
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A1193. Possible allergy to latex or spermicides; risk of UTI, TSS
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Q1194. Contraception - Condoms; What is it
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A1194. Latex sheath
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Q1195. Contraception - Condoms; Side Effects
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A1195. Possible allergy to latex or spermicides
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Q1196. Contraception - IUD; What is it
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A1196. Plastic and/or metal device placed in uterus; causes local sterile inflammatory reaction in uterine wall so that sperm engulfed and destroyed
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Q1197. Contraception - IUD; Side Effects
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A1197. Increased vag bleeding - copper IUD; uterine perforation; IUD migration; infection; increased risk of PID; increased risk of ectopic preg
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Q1198. Contraception - OCPs; What is it
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A1198. Suppress ovulation by inhibiting FSH/LH; change consistency of cervical mucus; make endometrium unsuitable for implantation
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Q1199. Contraception - OCPs; Side Effects
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A1199. HTN; hepatic adenoma; weight gain; increased risk of thromboembolism; nausea; acne; breast tenderness; mood changes
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Q1200. Contraception - Levonorgestrel (Norplant) - What is it
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A1200. Taken off market 2002; progestin subdermal implant; suppresses ovulation; thickens cervical mucus; makes endometrium unsuitable for implantation; effect lasts 5 yrs.
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