Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
101 Cards in this Set
- Front
- Back
|
DIFFERENCE BETWEEN MULLERIAN AGENESIS AND ANDROGEN INSENSITIVITY
|
MULLERIAN AGENESIS DOESNT AFFECT OVARIES SO THERE'S EVIDENCE OF PUBIC HAIR.
AND. INSENS. PRESENTS WO PUBIC HAIR SINCE THERE'S NO RESPONSE TO ANDROGENS |
|
|
PREGNANT 11 WKS P/W VAGINAL BLEEDING AND ABDOMINAL PAIN THAT CEASED AFTER SHE FELT SOMETHING PASSED THRU HER VAGINA. U/S SHOWS EMPTY UTERUS AND OS IS CLOSED. DX?
|
COMPLETE SPONTANEOUS ABORTION
|
|
|
MGMT OF THREATENED ABORTION
|
REPEAT U/S IN 24-48 HRS TO ASSESS FETUS VIABILITY
|
|
|
4 INDICATIONS FOR GBS PROPHYLAXIS IN PREGNANCY
|
1. HX OF GBS SEPSIS
2. GBS BACTEURIA 3. RUPTURE OF MEMBRANES BEFORE 35 WEEKS 4. RUPTURE OF MEMBRANES FOR MORE THAN 18 HRS |
|
|
3 BASELINE TESTS BEFORE GIVING MTX FOR ECTOPIC PREGN
|
CBC (ANEMIA)
LFT BHCG |
|
|
3 INFECTIOUS CONTRAINDICATIONS FOR BREASTFEEDING
|
HSV (BREAST LESIONS)
TB HIV |
|
|
STEPWISE APPROACH TO DX ECTOPIC PREGNANCY
|
1. H/PE SHOW VAGINAL BLEEDING, LOWER ABDOMINAL PAIN...
2. B-HCG 3. TRANSABDOMINAL U/S IF B-HCG > 6,500 4. TRANSVAGINAL U/S IS B-HCG < 6,500 OR > 1,500 5. SERIAL B-HCG DOUBLING IF U/S FAILS TO SHOW INTRAUTERINE OR ADNEXAL SAC |
|
|
NEXT TEST TO DX INFERTILITY IN A FML PT W A NORMAL H & P
|
CHECK MID-CYCLE PROGESTERONE LEVEL TO SEE IF OVULATION OCCURRED
|
|
|
DEFINE CERVIX INCOMPETENCE. WHATS ITS TX?
|
PAINLESS DILATION OF THE CERVIX (NO CONTRACTIONS) IN SECOND TRIMESTER.
TX: CERCLAGE |
|
|
SEQUENCE EVALUATION OF PRIMARY AMENORRHEA WORK-UP
|
1. H&P OR U/S FOR PRESENCE OF A UTERUS:
+ UTERUS: NO UTERUS DO FSH DO KARYOTYPE LOW FSH: XX ---> MULER. AGEN MRI(PITUIT) XY: ANDR.INSENS. HIGH FSH:KTP |
|
|
PT AT 36 WKS OF PREGNANCY P/W LOWER ABDOMINAL PAIN AND CONTRACTIONS THAT COME AND GO WITHOUT A REGULAR DURATION AND FREQUENCY. CERVIX ISNT DILATED OR EFFACED. MLDX? TX?
|
FALSE LABOR.
REASSURE PT AND D/C (TRUE LABOR MANIFESTS AS ABDOMINAL PAIN THAT STARTS AT FUNDUS AND RADIATES TO PELVIS. ALSO THERE'S CERVIX CHANGES) |
|
|
3 INDICATIONS FOR EMERGENCY DELIVERY IN A PT W/ PLACENTA PREVIA
|
- FETAL DISTRESS
- SEVERE OR PROLONGED BLEEDING - CERVIX DILATED > 4 CM (BESIDES THESE, GIVE STEROIDS AND INDUCE LABOR AT 36 WKS) |
|
|
PT W/ ECLAMPSIA TX W MG+ DEVELOPS HYPOREFLEXIA. WHATS TX?
|
D/C MG+, START CA+GLUCONATE
|
|
|
MNGT FOR BIOPHYSICAL PROFILE SCORE OF 8 W/ OLIGOHYDRAMNIOS?
|
DELIVERY
|
|
|
37 WKS PREGO W/ NL AMNIOTIC FLUID AND BPP OF 6. MNGT? IF < 37 WKS?
|
DELIVERY. IF < 37 WKS REPEAT BPP IN 24 HR
|
|
|
32 WKS PREGO W/ BPP SCORE OF 6 AND OLIGOHYDRAMNIOS. MGNT? IF < 32 WKS?
|
DELIVERY. IF < 32 WKS, MONITOR QD
|
|
|
BPP SCORE < 4 IN A 26 WKS PREGNANCY. MGNT?
|
DELIVERY
|
|
|
MENTION 4 CAUSES OF POST-PARTUM HEMORRHAGE
|
UTERINE ATONY
LACERATIONS PLACENTAL TISSUE RETENTION COAGULOPATHY |
|
|
5 STEPS IN THE MGNT OF POST-PARTUM BLEEDING
|
1- UTERINE MASSAGE
2- UTEROTONIC AGENTS (OXYTOCIN, METHYLERGONOVINE...) 3- CURETTAGE 4- UTERINE PACKING 5- EMBOLIZATION (IN STABLE PTS WHO WANT TO KEEP FERTILITY) |
|
|
MGNT OF 36 YO F W/ DUB?
|
ENDOMETRIAL BX TO R/O CA
|
|
|
WHEN SHOULD DELIVERY BE THE ANSWER IN PT W/ HELLP?
|
> 34 WEEKS OR MATURE LUNGS
|
|
|
PT AT 35 WKS BROKE HER MEMBRANES AND HAS CHORIOAMNIONITIS. NEXT STEP?
|
BROAD SPECTRUM ABX F/B DELIVERY OF BABY
|
|
|
A PT IN LABOR HAS SUDDEN INTENSE PAIN W VAGINAL BLEEDING, PALPITATIONS AND TACHYPNEA. THE FETUS RETRACTS FROM STATION 1 TO 0. DX?
|
UTERINE RUPTURE
|
|
|
A DECREASE IN FETAL VITAL SIGNS WHILE MOTHER IS STABLE IN SPITE OF CONTINOUS VAGINAL BLEEDING SHOULD RAISE CONCERN ABOUT WHAT CONDITION?
|
VASA PREVIA W/ RUPTURE OF UMBILICAL VESSELS.
*DO APT TEST TO DIFFERENTIATE BETWEEN FETAL AND MOTHER BLOOD |
|
|
PREGO P/W VIRILIZATION AND BILATERAL MASSES ON U/S. DX?
|
LUTEOMA (REASSURE)
|
|
|
3 COMPLICATIONS OF PREGNANCY IN ANOREXIC PT?
|
SGA
POST PARTUM DEPRESSION PREMATURE BIRTH |
|
|
2 FIRST LINE ANTI-HTN AGENTS USED IN PREGNANCY?
|
METHYLDOPA AND LABETALOL
|
|
|
LACTATING MOM ASKS WHICH OCP CAN SHE TAKE TO AVOID PREGNANCY. ANS?
|
PROGESTIN
* ESTROGENS INHIBIT LACTATION |
|
|
PT P/W VAGINAL BLEEDING S/P ABORTION 2 WKS AGO. SHE C/O PALPITATIONS AND TREMORS AS WELL AS SOB AND COUGHING. BHCG LEVELS ARE ELEVATED. DX?
|
CHORIOCARCINOMA.
* CAN CAUSE HYPERTHYROIDISM AND METS TO LUNG |
|
|
TX FOR LOW RISK MOLAR PREGNANCY?
|
MTX/ACTINOMYCIN, EVACUATE MOLE W/O REMOVING OVARIES (CYSTS REGRESS WITHOUT THE MOLE), AVOID PREGNANCY FOR 6 MOS W/ OCPs
|
|
|
PREGNANT W/ VARIABLE FETAL HR DECELERATIONS. NEXT STEP? MGNT IF THIS FAILS?
|
1ST GIVE O2 AND CHANGE MOTHERS POSITION. IF THAT DOESNT WORK, INFUSE AMNIOTIC FLUID.
* OLIGOHYDRAMNIOS CAN WORSEN CORD COMPRESION |
|
|
SCREENING FOR A 70 YO FEM W/ 3 CONSECUTIVE NEGATIVE PAPSMEARS.
|
NO MORE SCREENING
|
|
|
BREAST CONDITION THAT INCREASES THE RISK OF SUBSEQUENT BILATERAL BREAST CANCER? MENTION TX FOR PRE AND POST-MENOPAUSAL WOMEN
|
LOBULAR CARCINOMA IN SITU
PREMENOPAUSAL--> TAMOXIFEN POSTMENOPAUSAL--> RALOXIFENE |
|
|
A MOTHER P/W HER FIRST SON HAVING JAUNDICE AND HEPATOMEGALY. HE'S BLOOD TYPE A AND SHE'S O. DX? MGT?
|
ABO HEMOLYTIC DZ OF NEWBORN.
PHOTOTX. |
|
|
IN WHICH TYPE OF PATIENT ARE COMBINATION OCPS CONTRAINDICATED?
|
> 35 YO SMOKER
|
|
|
BENEFITS OF PROGESTIN ONLY OCP VS COMBINATION OCP? CONTRAINDICATIONS?
|
NO RISK OF VTE.
NO INCREASE IN BP NO SUPRESSION OF LACTATION IN NURSING MOTHERS. VAGINAL BLLEDING |
|
|
PT PRESENTS W 2 MOS WO MENSES, N/V AND VAGINAL BLEEDING. U/S SHOWS NO FETUS AND UTERUS BIG FOR DATES. DX? WHAT'S THE CUTOFF TIME IN WHICH HTN IS SUSPICIOUS OF THE DX? WHAT ARE TFT LIKE? MNG?
|
1 GTD/MOLAR PREGNANCY
2 HTN < 24 WEEKS 3 LOW TSH, HIGH T3-T4 *THYROTOXICOSIS IS UNUSUAL 4 SUCTION CURETTAGE IS TOC AND F/U BHCG IN 48 HRS |
|
|
PT P/W IRREGULAR VAGINAL BLEEDING. SHE DEVELOPED BREASTS AT 5 YO. PE REVEALS A MASS ON LLQ. DX? RISK?
|
GRANULOSA CELL TUMOR.
RISK OF ENDOMETRIAL CA 2/2 HYPERPLASIA OF THE ENDOMETRIUM CAUSED BY ESTROGEN RELEASED BY TUMOR * (+) CALL-EXNER BODIES |
|
|
WHEN CAN YOU GIVE INFLUENZA VX TO PREGO PT?
|
ANY TRIMESTER
|
|
|
TX TO PREVENT PREGNANCY LOSS IN ANTIPHOSPHOLIPID SYNDROME PT? TX IF 3 OR MORE LOSSES?
|
ASA LOW DOSE AND UMH.
LMH OK |
|
|
TX OF CHOICE FOR POSTPARTUM ENDOMETRITIS?
|
CLINDA+ GENTAMYCIN
|
|
|
RALOXIFENE: USE, CI
EFFECT ON BREAST AND GYN CA? |
OSTEOPOROSIS PROX.
CONTRAINDICATED IN PT W HO VTE. DECREASES BREAST CA RISK. NO EFFECT ON ENDOMETRIAL CA RISK |
|
|
TAMOXIFEN: USE, CI
EFFECT ON ENDOMETRIAL CA? |
BREAST CA TX.
C/I IN HYPERCALCEMIA, VTE * INCREASES ENDOMETRIAL CA RISK. |
|
|
MENTION 4 TOCOLYTIC MEDICATIONS.
|
1. TERBUTALINE
2. MGPO4 3. NIFEDIPINE 4. INDOMETHACIN |
|
|
4 INDICATIONS FOR GBS PROPHYLX IN PREGOS.
|
1. PRETERM DELIVERY (< 37 WKS) W/ UNKNOW GBS STATUS
2. PROLONGED RUPTURE OF MEMBRANES (>18 HRS) 3. GBS BACTERIURIA IN CURRENT PREGNANCY 4. PRIOR HX OF GBS SEPSIS NEWBORN |
|
|
DEFINITION OF PREMATURE OVARIAN FAILURE?
4 CAUSES? |
- NO PUBERTY BY AGE 16
- CESSATION OF MENARCHE FOR 3 MO BEFORE 40 YO W/ INCREASED FSH. 1. CTX 2. XRT *PT W HO CA* 3. FRAGILE X 4. TURNER'S |
|
|
WHATS THE MGT FOR A PREGO WHO > 35 YO AND HX/O PREVIOUS DOWN'S CHILD?
|
VILLUS SAMPLING AT 10-12 WEEKS
|
|
|
WHEN IS 4MG OF FOLATE INDICATED IN PREG?
|
HX/O NEURAL TUBE DEFECT CHILD
|
|
|
RESPIRATORY PARAMETERS REMAIN UNCHANGED DURING PREG? 2
|
RR AND VC
|
|
|
PT HAS SEEN THE DR EVERY MONTH UP UNTIL SHE WAS 28 WEEKS PREG AND THEN EVERY 2 WEEKS UP UNTIL NOW. SHE'S 36 WEEKS AND THERE ARE NO PROBLEMS. HOW OFTEN SHOULD SHE F/U WITH THE DR FROM NOW ON?
|
EVERY WEEK UNTIL DELIVERY
|
|
|
NEONATE P/W DECREASED CRANIAL OSSIFICATION AND RENAL FAILURE. WHATS THE CAUSE OF THIS PROBLEM?
|
MOTHER WAS TAKING ACE-I DURING PREG.
|
|
|
PREG PT HAS BEEN HAVING CONTRACTIONS FOR MORE THAN 20 HRS. THE CERVIX IS STILL LESS THAN 4 CM. DX? MGT?
|
PROLONGED LATENT PHASE.
AMBULATION/SEDATION *NO CS |
|
|
WHEN SHOULD YOU START CONSIDERING ACTIVE PHASE ARREST? MGT?
|
PT HAS NOT DILATED IN 3 HRS.
ASSESS CONTRACTIONS. *CS IF CONTRACTIONS ARE ADEQUATE (3 MIN) AND STILL NOT DILATING. |
|
|
PREG PT TOOK MILK OF MAGNESIA TO ALLEVIATE HEARTBURN. WHY IS THAT A BAD IDEA?
|
MAGNESIUM IS A TOCOLYTIC
|
|
|
HOW TO TELL BETWEEN NORMAL N/V OF PREGNANCY VS HYPEREMESIS GRAVIDARUM?
|
HYPEREMESIS GRAVIDARUM HAS > 5% WEIGHT LOSS AND KETONURIA AS MAIN FEAUTURES.
|
|
|
TX OF CHOICE FOR HYPEREMESIS GRAVIDARUM?
|
DOXYLAMINE (ANTIHISTAMINIC) + VIT B6
|
|
|
PT P/W IRREGULAR MENSES, PAINFUL SEX AND ABDOMINAL DISCOMFORT. A MASS IS FELT IN THE ADNEXA. THERE'S H/O HYPOPITUITARISM. DX?
|
FOLLICULAR CYST
|
|
|
PT P/W LLQ PAIN 2 WEEKS AFTER LMP. PE SHOWS A MASS ON LLQ, BHCG IS (-). DX?
|
LUTEAL CYST
|
|
|
PT P/W TREMORS, ANXIETY AND HEAT INTOLERANCE. SHE ALSO C/O RLQ ABDOMINAL PAIN 9/10. U/S SHOWS IRREGULAR SOLID COMPONENTS WITHIN CYST. THERE'S ALSO CALCIFICATIONS OF XRAY. DX?
|
DERMOID CYST AKA TERATOMA
|
|
|
PREG PT W CONTRACTIONS. TRACING SHOWS VARIABLE DECELERATIONS. MEMBRANES RUPTURE AND CORD COMES OUT. DX? MCC? MGT?
|
- PROLAPSED CORD
- ROM BEFORE ENGAGEMENT - EMERGENT CS |
|
|
PREG PT G2P1 W/ HO CS WANTS TO HAVE VB THIS TIME. WHAT WOULD BE A CI FOR THIS?
|
IF CS WAS CLASSICAL VERTICAL
*LOW TRANSVERSE CS IS FINE |
|
|
1 INDICATION AND 2 CI FOR USE OF CST (CONTRACTION STRESS TEST)?
|
- < 2 FETAL HEART ACC. IN 20 MIN.
1. PLACENTA PREVIA 2. HO UTERINE SX |
|
|
4 CI FOR REGIONAL ANESTHESIA DURING LABOR?
|
1. COAGULOPATHY (LWMH, BLEEDING DSD)
2. HOTN 3. BACTEREMIA 4. HIGH ICP |
|
|
POST-PARTUM PT ASKS YOU THE FWNG QUESTIONS: HOW LONG DOES LACTATING PREVENT PREGNANCY? WHEN SHOULD I START MY OCP PILLS? HOW LONG SHOULD I WAIT TO GET AN IUD?
|
- FOR 3 MO
- IMMEDIATLY ONLY PROGESTINS - 6 WEEKS |
|
|
PT HAS ECCLAMPSIA TX W MGSO4. SHE DELIVERS BUT CONTINUES TO BLEED. WHY?
|
MGSO4 IS A TOCOLYTIC
*ALSO BETA-AGONISTS (TERBUTALINE) AND HALOTHANE |
|
|
WHEN IS THE PREG PT AT MOST RISK OF HEART FAILURE DURING PREG?
|
POST-PARTUM
*SEPARATION OF PLACENTA INCREASES BLOOD VOLUME |
|
|
WHAT FETAL HEART TRACING CAN BE SUGGESTIVE OF FETAL ANEMIA?
|
SINUSOIDAL
|
|
|
PREG AT > 20 WEEKS REPORTS NO FETAL MOVEMENTS IN 2 DAYS. FETAL DEMISE IS DX. MOTHER IS NOT READY TO LET GO OF PREG. NEXT STEP? WHAT IF THERE'S FETAL ANOMALY?
|
- WEEKLY DIC PANELS
- PREG MUST BE INDUCED TO PERFORM AUTOPSY *NO ANOMALIES YOU CAN DO D/E |
|
|
PREG PT P/W ANEMIA. SHE ASKS IF BABY IS ANEMIC TOO. RESPONSE
|
NO. THERE'S ACTIVE IRON TRANSFER THRU PLACENTA SO BABY DOESNT GET ANEMIC
|
|
|
PREG IS PPD + . YOU DO CXR SHIELDED AND IT'S - . NEXT STEP? WHAT IF ITS + ?
|
- INH/B6 X 9 MO
- + CXR --> TRIPLE ABX TX |
|
|
PREG GETS AFP SCREEN AND COMES BACK HIGH. DATES ARE CHECKED W US AND THERE ARE NO SIGNS OF ANOMALIES. NEXT STEP?
|
AMNIOCENTESIS W AFP + ACHE (MORE SPECIFIC FOR NTD)
|
|
|
MGT OF CHORIOCARCINOMA?
|
MTX OR ACTINOMYCIN D
*HYSTX IF NO SUCCESS |
|
|
RECOMMENDATIONS FOR HIV+ PREGS
|
TRIPLE TX AT 14 WEEKS
|
|
|
RECOMMENDATION FOR ISOIMMUNIZATION OF RH - PREG?
|
- GIVE RHOGAM AT 28 WKS IF DAD UNKNOW.
- AT DELIVERY IF BABY IS RH + . - AFTER ANY PROCEDURE WHERE THERE COULD BE FETO-MATERNAL BLOOD MIXING (CVS, ECTOPIC, SAB) |
|
|
DIFFERENCE BTN SYMMETRIC AND ASYMMETRIC IUR? WHAT CAUSES ASYMMETRIC?
|
IN ASYMMETRIC RESTRICTION, THE HEAD IS SPARED BUT THERE'S DECREASED ABDOMEN CIRC.
- ASYMMETRIC IUR IS CAUSED BY PLACENTAL INSUFFICIENCY (DM, HTN) * + LOW AFI |
|
|
WHEN SHOULD FETAL TESTING BEGIN?
|
AFTER 24 WEEKS
*LUNGS ARE NOT VIABLE BEFORE 24 WKS SO TESTING IS FUTILE |
|
|
IF YOU WANT TO PROVIDE REGIONAL ANESTHESIA TO A PREG IN THE 1ST STAGE OF LABOR, WHAT NERVE ROOTS MUST TARGETED? HOW ABOUT 2ND STAGE OF LABOR?
|
- T10-T12
- S2-S4 |
|
|
WHAT'S THE MOST COMMON CAUSE OF HTN IN YOUNG WOMEN?
|
OCP
|
|
|
RECOMMENDATIONS FOR PAP SCREENING?
|
1ST PAP AT 21 YO OR 3 Y SP SEX.
QY UNTIL 30 THEN Q2Y IF 3 CONSECUTIVE NML. DC AT 70 YO |
|
|
MGT OF PT W/ ASCUS?
|
- REPEAT PAP IN 6 MO OR HPV TESTING: HPV +? --> COLPOSCOPY/BX // HPV -? ROUTINE PAP
*ANY OTHER DYSPLASIA HIGHER THAN ASCUS GETS COLPOSCOPY* |
|
|
4 INDICATIONS FOR CONE BX?
|
1. CYTOLOGY WORSE THAN HISTOLOGY (HIGH GRADE CYT BUT HIST. SHOWS CIN1).
2. ABNORMAL CURETTAGE 3. LESIONS GO INTO ENDOCERVICAL CANAL 4. (+) INVASIVE CA |
|
|
INDICATION FOR HYSTERECTOMY DUE TO CERVICAL DISPLASIA?
|
RECURRENT CIN2,3 SP LEEP OR CONE PROCEDURE
|
|
|
MGT OF A PREG W CIN?
|
PAP Q3MO, Q2MO POST-PARTUM
|
|
|
PREG AT 20 WEEKS W/ FRANK INVASION. MGT?
|
TX CA REGARDLESS OF PREGNANCY
|
|
|
PREG AT 26 WEEKS W/ INVASIVE CA. MGT?
|
WAIT TO 34 WEEKS THEN CS AND TX CA
|
|
|
PREG P/W URETERAL DILATATION ON U/S. NEXT STEP?
|
PLACE LATERAL RECUMBENT POSITION TO RELIEVE UTERINE PRESSURE ON URETERS
|
|
|
U/S SHOWS TWINS GESTATION W TWO PLACENTAS AND TWO AMNIONS. DX? WHAT DAY SEPARATION OCURRED?
|
DIDIDI OR MONODIDI/IDENTICAL OR FRATERNAL TWINS (DEPENDS ON SEX).
DAY 1-3 |
|
|
U/S SHOWS ONE PLACENTA W 2 AMNIONS. DX? DAY OF SEPARATION AND COMPLICATION?
|
1- MONO-MONO-DI TWINS.
2- BY 6 3- TTTS |
|
|
IF THERE'S ZYGOTE SEPARATION BEYOND DAY 13, WHAT'S THE RISK OF PREGNANCY?
|
CONJOINED TWINS
|
|
|
A PREG CLOSE TO TERM IS FOUND TO HAVE A DECREASE OF 3 CM IN FUNDAL HEIGHT. SHE IS A PRIMI. EXPLAIN?
|
THE FETUS COULD BE ENGAGED HENCE DECREASING FUNDAL HEIGHT. COMMON IN PRIMIS
|
|
|
TX FOR EPIDURAL INDUCED HOTN?
|
EPHEDRINE OR ADRENERGIC AGENT
|
|
|
PREG DEVELOPS CHICKEN POX AT 39 WEEKS. MNG?
|
VX NEWBORN AT DELIVERY
*AFTER MORE THAN 3 DAYS THE NEWBORN IS OK TO GET VZ AS ANY OTHER KID. |
|
|
MOST COMMON CAUSE OF SYMMETRIC IUGR?
|
CONGENITAL ANOMALIES AND INFECTIONS
|
|
|
COMPLICATION OF IUGR?
|
HYPOXIA, MECONIUM ASPIRATION, RDS
|
|
|
30 YO F W/ A PAINFUL VULVAR LUMP. DX? MNG?
|
BARTHOLIN CYST. TX W/ WORD CATHETER OR MARSUPIALIZATION..
*OTHER CYSTS ARE ASX |
|
|
WHEN SHOULD PREG RECEIVE VCZ VX?
|
NEVER! VX POST-PARTUM
|
|
|
A PREG P/W RUQ PAIN W/ FEVER, LEUKOCYTOSIS AND REBOUND TENDERNESS. DDX?
|
APPENDICITIS! UTERUS PUSHES BOWEL UP SO CAN BE CONFUSED W/ CHOLECYSTITIS
|
|
|
PREG AT 38 WEEKS DEVELOPS A UTI. WHAT DRUG SHOULD BE USED?
|
AMOXICILLIN. NITROFURANTOIN CAN CAUSE HEMOLYSIS IN FETUS SO CI AT TERM.
|
|
|
ASYMPTOMATIC, HYPOPIGMENTED VULVAR LESION, THINK? IS THERE MALIGNANT RISK? 2 HISTOLOGIC FEATURES?
|
1- LICHEN SCLEROSUS
2- THERE'S NOT 3- HYPERKERATOSIS AND ABSENCE OF RETE PEGS |
|
|
LYMPH DRAINAGE FROM CERVIX VS VULVA?
|
VULVA DRAINS TO INGUINAL AND CERVIX TO CERVICAL AND ILIACS
|
|
|
INDICATIONS FOR EXP. LAP. IN ADNEXAL MASS? 4
|
1- > 10CM
2- TORSION 3- ASCITES 4- PAPILLARY VEGETATION |
