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Reproductive System Exam
Reproductive System Exam
28
Medical
Graduate
07/31/2013

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Cards

Term
44yoF, obese, w/ h/o HTN and DM presents with inappropriate uterine bleeding. Endometrial Bx confirms Dx of endometrial Ca. Which of the following is appropriate Tx for endometrial cancer?
Definition
Total Hysterectomy
Term
What is the most common gynecological malignancy?
Definition
Endometrial Ca
Term
What is the most common presentation of endometrial Ca?
Definition
Abnormal uterine bleeding
Term
What is the most common etiologic factor for ectopic pregnancy?
Definition
h/o PID
Term
The symptom that is considered ominous of ectopic pregnancy is which of the following?
Definition
Pain radiating to the shoulder tips or blades
Term
What is the best Dx tool for ectopic pregnancy?
Definition
H&P
Term
What is the most appropriate Tx for a hemodynamically stable pt diagnosed with an unruptured ectopic pregnancy via U/S without evidence of fetal heart activity (hCG level 2K)?
Definition
Intramuscular MTX
Term
How do you Dx PCOS?
Definition
Blood tests, pelvic U/S, Clinical presentation (ALL OF THE ABOVE)
Term
Which of the following is NOT commonly seen in pts with PCOS?
Definition
Cirrhosis
Term
What is used as 1st line Tx of irregular menses in pts with PCOS?
Definition
OCPs
Term
A 23yo G1P0 presents c/o HA, nausea, swelling. 33wk gestation. PE reveals 5lb wt gain in 2 wks. BP 148/90, T98*, and UA concentrated with 1+ protein. Most likely Dx?
Definition
Pre-Eclampsia
Term
At what BP is a pt considered to have severe pre-eclampsia?
Definition
160/110
Term
What is the drug of choice to prevent seizures for a pt with eclampsia?
Definition
MgSO4
Term
Which of the following would not raise suspicion for a neural tube defect?
Definition
Sunken fontanels
Term
What is the recommended daily dose of folic acid for women of childbearing age?
Definition
400mcgs
Term
Which of the following is not associated with neural tube defects?
Definition
All are associated
Term
Endometriosis involves the presence of ectopic endometrial tissue within the myometrium.
Definition
FALSE
Term
A 23yo c/o chronic pelvic pain. It is worse with intercourse, several days before her period, and throughout her period. She is G0P0, LMP 2wks ago. Married with same partner >3yrs. Her S&S have been increasing over the last year. What would the most appropriate initial mgmt of her symptoms include?
Definition
Combined OCPs
Term
A 17yof presents with intermittent menstrual pain. Pain occurred before usually two weeks before period. Has been increasing over several months. Pelvic exam reveals no abnormalities. UCG negative. Most appropriate Tx?
Definition
Anti-inflammatory PRN for mittelschmerz
Term
Damage to the 8th nerve root leading to "claw hand" is known as what?
Definition
Klumpke's Palsy
Term
Which of the following is not a risk factor for shoulder dystocia?
Definition
Maternal obesity
Term
A Bishop score >3 predicts 90% chance mom will have a successful delivery?
Definition
FALSE
Term
What is the most commonly elevated lab value in hirsutism?
Definition
Free testosterone
Term
What percentage of the US female population is affected by Hirsutism?
Definition
5-10%
Term
A value of >8on the Ferriman-Galleway scoring system is a positive indication for androgen excess associated with Hirsutism.
Definition
TRUE
Term
A 28yo gravid female at 35wks gestation age is involved in MVA and presents with painful abdominal contractions and with vaginal bleeding on exam. Her fundal ht was measured at 36cm. Maternal VS include: HR 100, BP 90/60 and fetal HR 170. Best Tx?
Definition
Type and cross, insert large bore IV, admission to labor and delivery with emergency C-sec
Term
The classic triad of S&S of placenta abruption are: Frequent contractions, antepartum vaginal bleeding, and uterine tenderness with increased tone.
Definition
TRUE
Term
Which of the following is not considered a risk factor for placental abruption?
Definition
Nulliparity
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