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30 Cards in this Set
- Front
- Back
salpingitis can develop in ___ to ___ % of women with inadequately treated gonococcal or chlamydial infection
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15-30%
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most important clinical criteria for acute salpingitis x3
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lower abdominal tenderness
uterine/adnexal tenderness mucopurulent cervicitis |
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why is hospital admission for IV abx warranted for a nullip with acute salpingitis and a high fever?
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aggressive abx therapy to prevent scarring of fallopian tubes and subsequent infertility
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why is routine screening of pregnant patients for asx UTI recommended?
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asx bacteriuria and UTI assoc with PTL
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mgmt:
48 yo F with white nipple discharge on exam sent for PRL level, which is elevated. next step? |
fasting PRL level
manipulation of breast can elevate serum PRL |
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this commonly consumed dietary product can increase the pain of fibrocystic breast changes
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caffeine
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most appropriate abx for postpartum mastitis?
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dicloxacillin
postpartum mastitis most commonly occurs 2-4 weeks after parturition |
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mgmt:
28 yo G0 with LSIL |
colpo
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mgmt:
90yo G7P7 who p/w severe vaginal prolapse and has contraindications to GETA |
colpocleisis
(sewing the vagina shut) |
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most appropriate first step for the treatment of symptomatic pelvic prolapse
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pessary fitting
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review etiologies of OVERFLOW incontinence
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UNDERACTIVE DETRUSOR
-neurologic disorder -diabetes -MS OBSTRUCTIVE -postoperative -severe prolapse |
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mgmt:
genuine SUI due to intrinsic sphincteric defect |
urethral bulking procedure
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mgmt:
genuine SUI due to urethral hypermobility |
retropubic urethropexy
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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 |
urge incont
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mgmt:
38yo G1P1 with incidental finding of an adnexal mass on bimanual exam |
TVUS
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definitive mgmt of endometriosis
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hysterectomy with BSO
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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 |
vulvar lesion unresponsive to treatment needs a biopsy
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mgmt:
26-year-old G0 with LSIL -> adequate cerv bx, ECC -> CIN I, benign endocervical cells |
f/u pap smear in 6 mos
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mgmt:
34-year-old G2P2 with HSIL (CIN III) |
LEEP
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medical abortion has higher rates of ____ than surgical abortion
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blood loss
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mgmt:
pt with heavy bleeding one day after a medical abortion |
D+C
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if a mother wants an autopsy after abortion of a 20 wk fetus for trisomy 18, how must the fetus be delivered?
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induce labor with vaginal PGs
D+E would destroy fetal parts, which would not allow autopsy |
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what is the meaning of a prolonged Russell viper venom time?
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APLA syndrome
tx: aspirin + heparin |
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mgmt:
septic abortion (x2) |
abx
uterine evacuation |
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abx for chlamydia x2
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azithro or doxy
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abx for gonorrhea
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ctx
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40-50% of women with chronic pelvic pain have a history of ___________
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abuse
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give the basic distribution supplied by each nerve
a. ilioinguinal b. iliohypogastric |
a. groin, labia, upper inner thigh
b. groin, skin over the pubis |
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dx:
chronic pelvic pain in the setting of varicosities |
pelvic congestion syndrome
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chronic pelvic pain frequently assoc with this GI disorder
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IBS
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