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Rapid Review
Ob/Gyn
| Question | Answer |
|---|---|
| primary cause of third-trimester bleeding | placental abruption and placenta previa |
| classic US and gross appearance of complete hydatidiform mole | snowstorm on US; "cluster of grapes" on gross examin |
| chromosomal pattern of a complete mole | 46, XX |
| molar preg containing fetal tissue | partial mole |
| Sx of placental abruption | continuous, painful vag bleeding |
| Sx of placenta previa | self-limited, painless vag bleeding |
| vag exam for placenta previa | NEVER |
| Abx w/ teratogenic effects | tetracyclines, fluoroquinolones, aminoglycosides, sulfonamides |
| shortest AP diameter of pelvis | btw sacral promontory and midpt of symphysis pubis |
| meds to accelerate fetal lung maturity | betamethasone or dexamethasone X 48hrs |
| mc cause of postpartum hemorrhage | uterine atony |
| tx for postpartum hemorrhage | uterine massage, then oxytocin |
| Abx for GBS | IV PCN or amp |
| failure to lactate after C/S w/ marked blood loss | sheehan syndrome |
| uterine bleeding at 18wks gestation; no POC expelled, membranes ruptured, cervical os open | inevitable abortion |
| uterine bleeding at 18wks gestation, no POC expelled; cervical os closed | threatened abortion |
| first test to perform when a woman presents w/ amenorrhea | pregnancy test |
| term for heavy bleeding during and btw menstrual pds | menometrorrhagia |
| cause of amenorrhea w/ nl prolactin, no response to estrogen-progesterone challenge, Hx of D&C | Asherman's syndrome |
| therapy for POS | wt loss and OCPs |
| med used to induce ovulation | clomiphene citrate |
| diag step required in postmenopausal women who present w/ vag bleeding | endo biopsy |
| indication for med tx of ectopic pregnancy | stable, unruptured ectopic pregnancy of <3.5cm at <6wks gestation |
| med options for endometriosis | OCPs, danazol, GnRH agonists |
| laparoscopic finding in endometriosis | chocolate cysts, powder burns |
| mc location for an ectopic pregnancy | ampulla of oviduct |
| Dx and follow a leiomyoma | US |
| natural Hx of a leiomyoma | regresses after menopause |
| a pt has inc vag d/c and petechial patches in upper vagina and cervix | trichomonas vaginitis |
| tx for bac vaginosis | oral or topical metronidazole |
| mc cause of bloody nipple d/c | intraductal papilloma |
| contraceptive method that protect against PID | OCP and barrier |
| unopposed estrogen is CI in which CAs | endometrial or estrogen receptor + breast Ca |
| pt presents w/ recent PID w/ RUQ pain | consider fitz-hugh-curtis syndrome |
| breast malignancy presenting as itching, burning, erosion of the nipple | paget's dz |
| annual screening for women w/ strong FHx of ovarian Ca | CA-125, transvaginal US |
| 30yo women has unpredictable urine loss. exam is nl. med options | anticholingerics, beta-adrenergics for urge incontinence |
| 50yo women leaks urine when laughing or coughing. nonsurgical option | kegel exercises, estrogen, pessaries for stress incontinence |
| lab values suggestive of menopause | inc serum FSH |
| mc cause of female infertility | endometriosis |
| two consecutive findings of ASCUS on Pap. F/U eval | colposcopy and endocervical curettage |
| breast Ca type that inc the future risk of invasive carcinoma in both breasts | lobular Ca in situ |
Created by:
fl_sun80
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