Obgyn - Apgo Gynecology

Front 1

salpingitis can develop in ___ to ___ % of women with inadequately treated gonococcal or chlamydial infection

Back 1

15-30%

Front 2

most important clinical criteria for acute salpingitis x3

Back 2

lower abdominal tenderness
uterine/adnexal tenderness
mucopurulent cervicitis

Front 3

why is hospital admission for IV abx warranted for a nullip with acute salpingitis and a high fever?

Back 3

aggressive abx therapy to prevent scarring of fallopian tubes and subsequent infertility

Front 4

why is routine screening of pregnant patients for asx UTI recommended?

Back 4

asx bacteriuria and UTI assoc with PTL

Front 5

mgmt:
48 yo F with white nipple discharge on exam sent for PRL level, which is elevated. next step?

Back 5

fasting PRL level

manipulation of breast can elevate serum PRL

Front 6

this commonly consumed dietary product can increase the pain of fibrocystic breast changes

Back 6

caffeine

Front 7

most appropriate abx for postpartum mastitis?

Back 7

dicloxacillin

postpartum mastitis most commonly occurs 2-4 weeks after parturition

Front 8

mgmt:
28 yo G0 with LSIL

Back 8

colpo

Front 9

mgmt:
90yo G7P7 who p/w severe vaginal prolapse and has contraindications to GETA

Back 9

colpocleisis
(sewing the vagina shut)

Front 10

most appropriate first step for the treatment of symptomatic pelvic prolapse

Back 10

pessary fitting

Front 11

review etiologies of OVERFLOW incontinence

Back 11

UNDERACTIVE DETRUSOR
-neurologic disorder
-diabetes
-MS

OBSTRUCTIVE
-postoperative
-severe prolapse

Front 12

mgmt:
genuine SUI due to intrinsic sphincteric defect

Back 12

urethral bulking procedure

Front 13

mgmt:
genuine SUI due to urethral hypermobility

Back 13

retropubic urethropexy

Front 14

def:
overactivity of the detrusor muscle resulting in uninhibited contractions, which cause an increase in the bladder pressure over urethral pressure resulting in urine leakage

Back 14

urge incont

Front 15

mgmt:
38yo G1P1 with incidental finding of an adnexal mass on bimanual exam

Back 15

TVUS

Front 16

definitive mgmt of endometriosis

Back 16

hysterectomy with BSO

Front 17

mgmt:
25yo woman with "wart" on vulva for 1y that has not responded to applications of acetic acid in office and a 12 wk course of imiquimod

Back 17

vulvar lesion unresponsive to treatment needs a biopsy

Front 18

mgmt:
26-year-old G0 with LSIL -> adequate cerv bx, ECC -> CIN I, benign endocervical cells

Back 18

f/u pap smear in 6 mos

Front 19

mgmt:
34-year-old G2P2 with HSIL (CIN III)

Back 19

LEEP

Front 20

medical abortion has higher rates of ____ than surgical abortion

Back 20

blood loss

Front 21

mgmt:
pt with heavy bleeding one day after a medical abortion

Back 21

D+C

Front 22

if a mother wants an autopsy after abortion of a 20 wk fetus for trisomy 18, how must the fetus be delivered?

Back 22

induce labor with vaginal PGs

D+E would destroy fetal parts, which would not allow autopsy

Front 23

what is the meaning of a prolonged Russell viper venom time?

Back 23

APLA syndrome

tx: aspirin + heparin

Front 24

mgmt:
septic abortion (x2)

Back 24

abx
uterine evacuation

Front 25

abx for chlamydia x2

Back 25

azithro or doxy

Front 26

abx for gonorrhea

Back 26

ctx

Front 27

40-50% of women with chronic pelvic pain have a history of ___________

Back 27

abuse

Front 28

give the basic distribution supplied by each nerve

a. ilioinguinal
b. iliohypogastric

Back 28

a. groin, labia, upper inner thigh
b. groin, skin over the pubis

Front 29

dx:
chronic pelvic pain in the setting of varicosities

Back 29

pelvic congestion syndrome

Front 30

chronic pelvic pain frequently assoc with this GI disorder

Back 30

IBS