Gynaecology Flashcards Preview

CB Obstetrics and Gynecology > Gynaecology > Flashcards

Flashcards in Gynaecology Deck (26)
1

What is the first test to perform when a woman presents with amenorrhea?

B-hCG - the most common cause of amenorrhea is pregnancy

2

What is the term for heavy bleeding during and between menstrual periods?

Menometrorrhagia

3

What is the cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D&C?

Asherman syndrome

4

What is the therapy for PCOS?

Weight loss and OCPs, consider metformin

5

What medication is used to induce ovulation?

Clomiphene citrate

6

What diagnostic step is required in a postmenopausal woman who presents with vaginal bleeding?

Endometrial biopsy

7

What are the indications for MEDICAL treatment of ectopic pregnancy?

Patient is stable
Enraptured ectopic pregnancy of <3.5cm at <6weeks gestation

8

What are the medical options for endometriosis?

OCPs
Danazol
GnRH agonists

9

What are the laparoscopic findings in endometriosis?

Powder burns
Chocolate cysts

10

Where is the most common location for an ectopic pregnancy?

Ampulla of the oviduct

11

How do you diagnose and follow a leiomyoma (fibroid)?

Ultrasound

12

What is the natural history of a leiomyoma?

Regresses after menopause

13

A patient presents with increased vaginal discharge and petechial patches in the upper vagina and cervix. What is the likely diagnosis?

Trichomonal vaginitis

14

What is the treatment for bacterial vaginosis?

Oral metronidazole

15

What is the most common cause of bloody nipple discharge?

Intraductal papilloma

16

What contraceptive methods prevent against PID?

Barrier contraception (OCP, maybe)

17

Unopposed estrogen is contraindicated in which cancers?

Endometrial cancer
Estrogen receptor + breast cancer

18

A patient presents with recent PID and RUQ pain, what is on your differential?

Consider Fitz-Hugh-Curtis syndrome

19

A patient presents with itching, burning, and erosion of the nipple.

Patent disease (malignant)

20

What is the annual screening for women with a strong family history of ovarian cancer?

CA-125
Transvaginal ultrasonography

21

A 50-year-old woman leaks urine when laughing or coughing. Nonsurgical options?

Kegel exercises, estrogen, pessaries for stress incontinence

22

A 30-year-old woman has unpredictable urine loss. Examination is normal. What are the medical options?

Anticholinergics (oxybutynin)
B-adrenergics (metaproterenol)
for urge incontinence

23

What lab value is suggestive of menopause?

Elevated serum FSH

24

What is the most common cause of infertility?

Endometriosis

25

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on pap smear?
What is the follow-up evaluation?

Colposcopy and endocervical curettage

26

Breast cancer type the increases the future risk of invasive carcinoma in both breasts?

Lobular carcinoma in situ