Save
Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Gyne 4 Menstrual D/O

Menstrual Disorders

QuestionAnswer
A young child presents with thigh m weakness, a waddling gait, and pronounced calf mm. What is the dx? Duchenne's MD
A female neonate who was born in breech position is found to have asymmetric inguinal and gluteal skin folds on her newborn exam. What is the dx and tx? DDH. Tx with Pavlik harness
How is benign paroxysmal positional vertigo diagnosed? How is it tx? Dx with history and Dix-Halpike maneuver. Tx with Epley maneuver.
Tx options for endometriosis? NSAIDs, OCPs dosed contin, GnRH agonist for 6-12mos, armoatase inhibitors (anastrazole or letrozole), or surgery
What ist he first line tx for a young, infertile woman with obvious s/s of endometriosis? Laparoscopy (confirm dx, ablate ectopic endomet tissue and lyse adhesions)
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: MCC of AUB anovulatory bleeding
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: positive beta hCG + intrauterine preg + closed os threatened abortion
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: enlarged uterus + menometrorrhagia for months fibroids, molar pregnancy, or adenomyosis
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: bleeding a/w severe menstrual pelvic pain endometriosis or adenomyosis
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: menorrhagia + perimenopausal endometrial hyperplasia
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: AUB started with menarche bleeding diathesis (prob 2/2 von Willebrand's dz)
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: positive beta hCG + severe pain + no fetus in uterus on US ectopic pregnancy
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: metrorrhagia esp after intercourse + no pain + normal sized uterus polyp (endometrial or cervical)
What is the most likely cause of abnormal uterine bleeding (AUB) in the following pts?: depression + constipation + AUB hypothyroidism
What drug should you prescribe to any pt that you put on high E therapy to control severe menorrhagia? Phenergan aka promethazine (helps with nausea)
What is the MCC of irregular heavy uterine bleeding? Anovulation
When is an endometrial bx a necessary part of the work-up for AUB? Incr bleeding in a woman >35yo, multiple risk factors for endometrial CA
What is the tx of choice for primary dysmenorrhea? NSAIDs, OCPs
What meds are effective in the tx of PMS and PMDD? SSRIs, vit B6, progestins, SSRIs, NSAIDs, OCPs, +/- alprazolam
What is the first-line tx for endometriosis? Monophasic continuous OCPs, laparoscopy (if immediate fertility desired)
Which PCOS tx must be stopped in pregnancy due to risk of anti-androgenic effects in male fetus? Spironolactone
What is the best tx for infertility in a PCOS pt? Clomiphene (better than metformin)
WHat is the MCC of female infertility? Endometriosis
What is the MCC of hirsuitism in the US? What lab findings are used to make the dx? PCOS. Labs: high LH (LH:FSH >3), high total testosterone, high DHEA (normal DHEAS), and high androstenedione
For which type of cancer are women with PCOS at an increased risk and why? Endometrial CA b/c of unopposed E stimulation. Also breast CA
What meds are used in the tx of PCOS? OCPs, progestins, metformin, spironolactone, clomid (if preg desired), statins, exercise and wt loss
What is the MC clotting d/o that can cause menorrhagia? What lab values are abnormal? von Willebrand's dz. Norm platelets, incr bleeding time, norm PT, incr PTT
What are the 3 D's of the presentation of endometriosis? Dysmenorrhea, deep dyspareunia, and dyschezia (painful/difficult defecation)
Created by: sarah3148
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards