Lisa Adol-Gyn 3 Ucla/laughing/brs

Front 1

Define Primary amenorrhea

Back 1

No menarche by 14 if no secondary secondary sex characteristics (delayed puberty); no menarche by 16; no menarche if SMR Tanner 5 > one year; no menarche by 5 yo > breast development ;
-No breast, NL uterus

Front 2

Nl breast, tanner V, no hymen opening; uterus palapable on recto abdominal exam; amenorrhea

Back 2

imperforate hymen

Front 3

Short, normal hymen; uterus/cervix on bimanual; +breast development w/ no pubic hair; amenorrhea

Back 3

turners: Have pubic, axillary hair secondary to adrenals

Front 4

Pelvic kidney, nl breast development, no hymen opening, no uterus palpable on recto-abdominal exam -mullerian agenesis:

Back 4

Rokitansky meyer: cong absence of uterus; 46 XX

Front 5

no axillary or pubic hair -no hymen opening, twins, no uterus palpable on recto abd exam; + breast development

Back 5

Testicular feminization/ Androg insens: 46 XY

Front 6

define secondary amenorrhea

Back 6

Absence of menses x 3 cycles or 6 mo

Front 7

Empty sella; accident w/ pregnancy

Back 7

sheehan

Front 8

DHEAS hi (made by adrenals); total test and free hi; LH/FSH hi (> 2.5), hi androgens; prolactin hi; beard, midchest, upper back; amenorrhea; irregular menses x 2 yrs; menarche 12.5; what's cause and tx?

Back 8

PCOS; wt loss, OCP, anti-androgen, sprinolactone

Front 9

Amenorrhea x 6 mo; menarche @ 11; breast d/c; normal visual fields; constipation; goiter; hi prolactin, Galactorrhea

Back 9

hypothyroidism

Front 10

TSH, prolactin, NL; progesterone challenge : negative; FSH hi; Tanner 5, breasts, pubic air; + anti-ovarian AB;

Back 10

Premature ovarian failure/menopause

Front 11

Runs 30-60 mi/week; amenorrhea x 1 yr; TSH/prolactin normal; FSH normal; what's cz and treatment?

Back 11

female athlete triad; Ca, increase calories, decrease intensity of athletic training

Front 12

-body Wt < 85% expected wt for height; BMI < 17.5 OR wt 15% below expected -fear of wt gain, inaccurate perception of own body size, shape; -amenorrhea: absence of 3 consecutive menstrual cycles; dx and labs show?

Back 12

anorexia nervosa; vomiting, parotid enlargment;
Labs: low K, Low Cl metabolic alkalosis ~ pyloric stenosis ; low NA (water load); low Mag, Hi phos; low Gluc; Periph neuropathy ~ B6 deficiency

Front 13

what's most dangerous in refeeding syndrome and what are sx?

Back 13

Low Phos- most dangerous; low mag, Low K, fliud/glucose overload; cardiac arrythmias, fatty liver, Low Na, Hi gluc, metab acidosis, CO2 retention; resp failure

Front 14

- recurrent binge eating: 2 d/wk x 6 mo; recurrent purging, excessive exercise or fasting( 2x/wk x 3 mo); excessive concern about body wt or shape, absence of anorexia nervosa

Back 14

Bulimia nervosa; labs: LOW K, L CHL, metab alkalosis

Front 15

-recurrent binge eating: 2x/wk x 6 mo;
-marked distress w/ 3 of : eating fast, until uncomfortably full, when not ungry, along, feeling disgusted or guilty > binge; -no recurrent purging, excessive exercise or fasting -absence of anorexia nervosa

Back 15

binge eating d/o

Front 16

Low T3, hi reverse T3 ~ starvation

Back 16

eythyroid sick syndrome

Front 17

when does facial /axillary hair growth start in males relative to pubic hair?

Back 17

facial and axillary hair growth begins 18-24 mo after pubic hair;
-menarche happens average: 2-3 yrs after thelarche

Front 18

Highest failure rate of contraception?

Back 18

diaphragm

Front 19

short, 15 yo F, primary amenorrhea, normal gintalia, delayed pubertal devleopment, FSH, LH are high; what test will give u dx?

Back 19

TUrners, karyotype: 46 XO;
vs prolactinoma and thyroid diz: FSH low or normal;

Front 20

15 yo boy, woresning L scrotal pain x 24 hrs, tender L testicle, blue discoloration visible thru scrotal skin; whats dx and tx?

Back 20

torsion of L testicular appendage: acute or gradual onset of scrotal pain, tenderness @ upper pole of testicle, + blue dot sign~ cyanosis torsion of testicular appendage;
TX: pain meds, bed rest, resolves on own; UA - nl; still have cremastertic reflex- vs testicular torsion (spermatic cord)

Front 21

16 yo F w/ vag d/c x 5 days, exam shows purulent d/c; grm stain + intracellular grm neg diplococci; what's tx? and dx?

Back 21

dx: gonorhea, but need to treat for chlamydia as well;
Gon: ceftriaxone, ofloxacin, cipro cefixime; chlamdyia: azithrom, erythro, or doxy; no hosp if uncomplicated cervicitis

Front 22

14 yo F w/ painless bleeding x 13 days that started 15 days after her menses, now has anemia, what do you do?

Back 22

complete pelvic exam r/o anatomic abnl and start OCP- progesterone only or combo

Front 23

17 yo F, decreased family interests, activities, fighting more w/ parents, spending more time alone, worsened school performance, absenteeism; hanging out w/ new group of friends; what's problem?

Back 23

substance abuse,

Front 24

when hospitliaze for treatment of PID?

Back 24

homeless, or runaway adolescents, or those who fail outpatient managmeent

Front 25

18 yo w/ single painless genital ulcer w/ well demarcated border, PAINLESS inguinal adeonpathy, what's cause?

Back 25

Treponema pallidum/syphllis

Front 26

F w/ painful ulcers w/ purulent-appearing base and irregular borders + PAINFUL INGUINAL adenopathy **
cz?

Back 26

Chancroid:cz hemophilus ducreyi
vs: herpes: non-purulent base, but also has painful shallow ulcers