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41 Cards in this Set
- Front
- Back
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1* causes of 3rd trimester bleeding
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placental abruption and placenta previa
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classic u/s and gross appearance of complete hydatidiform mole
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snowstorm on u/s. 'cluster of grapes' appearance on gross exam
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chrmosomal pattern of a complete mole
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46,XX
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molar pregnancy containing fetal tissue
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partial mole
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sx of placental abruption
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continuous, painful vaginal bleeding
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when should a vaginal exam be performed with suspected placenta previa?
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never!
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antibiotics with teratogenic effects
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tetracycline
fluoroquinolones aminoglycosides sulfonamides |
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shortest AP diameter of the pelvis
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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
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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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tx for postpartum hemorrhage
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uterine massage; if it fails, give oxytocin
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typical abx for group B streptococcus (GBS) ppx
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IV penicillin or ampicillin
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a pt fails to lactate after an emergency C-section c marked blood loss
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Sheehan's syndrome (postpartum pituitary necrosis)
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uterine bleeding at 18 wks' gestation; no products expelled; membranes ruptured; cervical os open
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inevitable abortion
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uterine bleeding at 18 wks' gestation; no products expelled; cervical os closed
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threatened abortion
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first test to perform when woman presents with amenorrhea?
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beta-hCG; the most common cause of amenorrhea is pregnancy
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term for heavy bleeding during and between menstrual periods?
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menometrorrhagia
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cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C
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Asherman's syndrome
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therapy for polycystic ovarian syndrome
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wt loss and OCPs
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meds used to induce ovulation
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clomiphene citrate
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diagnostic step req'd in postmenopausal woman who presents with vaginal bleeding
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endometrial biopsy
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indications for med treatment of ectopic pregnancy
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stable, unruptured ectopic pregnancy of <3.5cm at <6wks' gestation
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medical options for endometriosis
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OCPs, danazol, GnRH agonists
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laparoscopic findings in endometriosis
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"chocolate cysts," powder burns
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the most common location for an ectopic pregnancy
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ampulla of the oviduct
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how to dx and follow a leiomyoma?
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ultrasound
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natural hx of a leiomyoma
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regresses after menopause
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pt has (+) vaginal discharge and petechial patches in the upper vagina and cervix
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trichomonas vaginitis
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tx for bacterial vaginosis
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oral or topical metronidazole
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most common cause of bloody nipple discharge
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intraductal papilloma
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contraceptive methods that protect against PID
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OCP and barrier contraception
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unopposed estrogen is contraindicated in which cancers?
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endometrial or estrogen receptor (+) breast CA
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pt presents with PID and RUQ pain. dx?
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consider Fitz-Hugh-Curtis syndrome
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breast malignancy presenting as itching, burning, and erosion of nipple
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Paget's disease
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annual screening for women with a strong family hx of ovarian CA
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CA-125 and vaginal u/s
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50yo F leaks urine when laughing or coughing. nonsurgical options?
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Kegel exercises, estrogen, pessaries for stress incontinence
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30yo F has unpredictable urine loss. nl exam. medical options?
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anticholinergics (oxybutynin) or beta-adrenergics (metaproterenol) for urge incontinence
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lab values suggestive of menopause
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increased serum FSH
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most common cause of F infertility?
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endometriosis
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2 consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. follow up eval?
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colposcopy and endocervical curettage
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breast CA type that incr. future risk of invasive CA in both breasts
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lobular carcinoma in situ
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