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30 Cards in this Set
- Front
- Back
- 3rd side (hint)
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When during the menstual cycle is a woman most susceptible to PID?
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During menses
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When must the os open each month?
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What sort of discharge accompanies PID?
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Yellow Mucopurulent Discharge
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Patient has painful ulcer on genitals that bleeds easily. Dx? Organism?
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Chancroid - H. ducreyi
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Pregnant lady has indirect bilirubinemia, liver dysfunction, and a low platelet count. Dx?
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HELLP syndrome
-hemolysis -elevated liver enzymes -low platelets |
The diagnosis is itself a mnemonic.
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Preeclampsia Si/Sx? (3)
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HTN
Proteinuria Edema |
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What finding moves a woman from preeclampsia to eclampsia?
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Seizures
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What is the prophylactic treatment for seizures in preeclampsia?
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magnesium sulfate
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Patient has a fixed abdominal TENDERNESS upon rotation. Eponym? Dx?
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Adler's sign -> ectopic Pg
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What does an ectopic pregnancy feel like during a physical exam?
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Bimanual exam: boggy, POORLY delineated adnexal mass
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What is the term for irregular menses?
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metrorrhagia
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What defines an inevitable abortion?
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Opened os with MEMBRANE RUPTURE
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What distinguishes threatened abortion from abortion?
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In a threatened abortion, the os is still closed.
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Bilateral breast pain that is worse with menses. Diagnosis?
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Dx: fibrocystic disease
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How do you clinically distinguish between placenta previa and abruptia placentae?
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Placenta previa is painless.
Abruptia placenta is painful. |
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What is the medical term for painful intercourse?
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Dyspareunia
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When the placenta adheres to the myometrium without an intervening decidual layer, what is this called?
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Placenta accretia
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Patient begins to bleed as cervix dilates and labor approaches. Name?
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Bloody show
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When does gestational thrombocytopenia develop?
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Third trimester
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How common is gestational thrombocytopenia?
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8% of pregnant women
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How do you distinguish ITP from gestational thrombocytopenia?
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Almost impossible during pregnancy. Basically, gestational thrombocytopenia will go away after parturition.
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Most common cause of "spotting" in a post-menopausal woman?
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Atrophic vaginitis
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Most worrisome condition in the differential diagnosis of "spotting" in the post-menopausal woman?
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Endometrial carcinoma
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Which tumor of pregnancy is associated with preeclampsia?
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hydatidiform mole
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How high should the uterine fundus be at 20 weeks?
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at the umbilicus
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Describe the discharge of bacterial vaginosis.
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Gray, watery, and fishy.
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Describe the discharge of trichomoniasis.
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frothy green
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What is the gross histological findings of trichomoniasis? (2)
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1) Petechiae
2) Strawberry spots on cervix or vaginal wall |
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A 25-year-old woman has a fixed, well-circumscribed, mobile mass in her breast. Most likely dx?
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Fibroadenoma
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A 50 yo woman has a bloody discharge from her nipple, but no breast mass. Diagnosis?
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Intraductal papilloma
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A 40 yo woman has an eczematous breast that occasionally bleeds and oozes a discharge.
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Paget's disease of the breast.
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