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43 Cards in this Set
- Front
- Back
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1* causes of 3rd trimester bleeding |
placental abruption and placenta previa
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classic u/s and gross appearance of complete hydatidiform mole |
snowstorm on u/s. 'cluster of grapes' appearance on gross exam
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chrmosomal pattern of a complete mole |
46,XX
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molar pregnancy containing fetal tissue |
partial mole
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Symptoms of placental abruption |
Continuous, painful vaginal bleeding |
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When should a vaginal exam be performed with suspected placenta previa? |
Never! |
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Antibiotics with teratogenic effects |
tetracycline |
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?shortest AP diameter of the pelvis |
Obstetric conjugate: b/w the sacral promontory and the midpoint of the symphysis pubis |
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meds given to accelerate fetal lung maturity |
betamethasone or dexamethasone x 48hrs |
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most common cause of postpartum hemorrhage
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uterine atony |
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Treatment for postpartum hemorrhage |
Uterine massage; if it fails, give oxytocin |
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Typical antibiotics for group B streptococcus (GBS) prophylaxis |
IV penicillin or ampicillin
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A pt fails to lactate after an emergency C-section with marked blood loss. |
Sheehan's syndrome (postpartum pituitary necrosis) |
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Uterine bleeding <20wks gestation; no products expelled; cervical os open |
Inevitable abortion |
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Uterine bleeding <20wks gestation; no products expelled; cervical os closed |
threatened abortion
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First test to perform when woman presents with amenorrhea? |
beta-hCG; the most common cause of amenorrhea is pregnancy |
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Term for heavy bleeding during and between menstrual periods? |
Menometrorrhagia |
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Amenorrhea, normal prolactin, no response to estrogen-progesterone challenge, history of D&C |
Asherman's syndrome |
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Therapy for polycystic ovarian syndrome |
Weight loss and OCPs. Consider metformin. Clomiphene citrate if trying to get pregnant. |
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Medication used to induce ovulation |
Clomiphene citrate |
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Diagnostic step required in postmenopausal woman who presents with vaginal bleeding |
Endometrial biopsy |
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Indications for medical treatment of ectopic pregnancy |
stable, unruptured ectopic pregnancy of <3.5cm at <6wks gestation |
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Medications for endometriosis |
OCPs, danazol, GnRH agonists |
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Laparoscopic findings in endometriosis |
Powder burns, "chocolate cysts" |
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The most common location for an ectopic pregnancy |
Ampulla of the oviduct |
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How to diagnose and follow a leiomyoma? |
Ultrasound |
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Natural history of a leiomyoma |
Regresses after menopause |
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Increased vaginal discharge and petechial patches in the upper vagina and cervix |
Trichomonas vaginitis |
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Treatment for bacterial vaginosis |
Oral or topical metronidazole |
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Most common cause of bloody nipple discharge |
Intraductal papilloma |
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Contraceptive methods that protect against PID |
Barrier contraception and ?OCP |
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Unopposed estrogen is contraindicated in which cancers? |
endometrial or estrogen receptor (+) breast CA |
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PID and RUQ pain |
consider Fitz-Hugh-Curtis syndrome (perihepatic inflammation and fibrosis) |
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Breast malignancy presenting as itching, burning, and erosion of nipple |
Paget's disease
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Annual screening for women with a strong family hx of ovarian CA |
CA-125 and transvaginal ultrasound |
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50 yr woman leaks urine when laughing or coughing.
Nonsurgical options? |
Stress incontinence.
Kegel exercises, estrogen, pessaries. |
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30yo woman has unpredictable urine loss. Normal exam.
Medical options? |
Urge incontinence.
Anticholinergics (oxybutynin) or beta-adrenergics (metaproterenol). |
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lab values suggestive of menopause |
increased serum FSH |
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most common cause of female infertility? |
Endometriosis |
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F/U ASCUS on pap age 25+
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HPV testing. Colposcopy if positive. |
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breast CA type that incr. future risk of invasive CA in both breasts |
lobular carcinoma in situ
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Symptoms of placenta previa |
Self-limited, painless vaginal bleeding |
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F/U ASCUS on pap 21-24 |
Repeat in 1 yr: ASC-H, AGC or HSIL -->Colpo ASCUS x2 yrs -->Colpo Neg x2 yrs -->return to routine
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