Term
|
Definition
- Blood type, Rh
- CBC (hemoglobin)
- Rubella Ab
- Pap test
- STDs (G&C, RPR, HIV, Hep B &C)
- PPD in high risk patients |
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|
Term
| Chorionic villus sampling (CVS) is offered at ___ weeks and can diagnose __, __, and ___ __, but cannot diagnose ___ __ ___ or ___ __. |
|
Definition
- 10-12 weeks
- Tay-Sach's Disease
- Hemophilia
- Down's Syndrome
- Cannot dx neural tube defects or lung maturity |
|
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Term
| Amniocentesis is offered at ___ weeks. This can detect __ __, __ __ __, __ __, and ___. It cannot detect ___ __. |
|
Definition
- 15-20 weeks
- chromosomal abnormalities
- neural tube defects
- lung maturity (3rd trimester)
- infection
- cannot detect birth defects like cleft palate or club feet |
|
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Term
| At ___ to glucose tolerance test is given. Describe this process and the results: |
|
Definition
- 24-28 weeks
- 50 grams glucose given po, 1 hour later glucose tested, <130= normal
- >130-> 3 hour glucose tolerance test is given in which 100 grams of glucose is given and blood sugar is measured at fasting, 1 hr, 2 hr, and 3 hrs, two high readings with this test is dx of GDM |
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Term
|
Definition
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|
Term
|
Definition
|
|
Term
| At ___, GBS (group B strep) aka __ __ is tested for from the cervix, vagina, rectum, or vaginal introitus. |
|
Definition
- 34-36 weeks
- Streptococcus agalactiae |
|
|
Term
| Risks of GBS during pregnancy: |
|
Definition
Neonatal sepsis, pneumonia, meningitis
Maternal Metritis
Risks
premature delivery
prolonged rupture of membranes
fever while in labor
positive cultures for GBS during pregnancy
Who to treat
Presentation during preterm labor
History of positive culture for GBS during pregnancy
Spontaneous, premature membrane rupture
Membrane rupture for longer than 18 hours
Presentation with fever
History of previous delivery of a newborn with GBS disease |
|
|
Term
| Treatment of GBS during pregnancy: |
|
Definition
| IV Penicillin or Ampicillin and 48 hour observation of baby |
|
|
Term
| At __ weeks, you start doing pelvic exam. |
|
Definition
|
|
Term
| When should you start doing pelvic exam again after labor? |
|
Definition
6 weeks PP
- if episiotomy or lacerations can do pelivic exam only, but no speculum exam |
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Term
|
Definition
- no period by age 16
- no period by age 13 and no secondary sex characteristics |
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Term
|
Definition
|
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Term
| PMS occurs in the __ phase ___ weeks before menses. |
|
Definition
- luteal phase
- 1-2 weeks |
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Term
| The triple/quad/penta screens include: |
|
Definition
1. hCG
2. alpha-fetoprotein
3. unconjugated estriol
4. dimeric inhibin A
5. invasive trophoblastic antigen |
|
|
Term
| What could elevated alpha fetoprotein mean on a quad screen? |
|
Definition
- farther along than originally thought
- twins
- neural tube defect |
|
|
Term
| What could low alpha fetoprotein indicate on a quad screen? |
|
Definition
|
|
Term
| What could low unconjugated estriol mean on a quad screen? |
|
Definition
|
|
Term
| Top two ddx for bloody nipple discharge: |
|
Definition
- intraductal papilloma
- invasive papillary CA |
|
|
Term
|
Definition
- Pregnancy
- Pituitary adenoma
- Acromegaly
- Hypothyroidism
- OCPs
- Anti-HTN medications
- Stress |
|
|
Term
| green sticky nipple discharge: |
|
Definition
|
|
Term
| Tmt for Toxic Shock Syndrome: |
|
Definition
| IV Vancomycin or Clindamycin x 10-14 days |
|
|
Term
| Tmt of Bartholin's Gland cyst: |
|
Definition
- drainage via word catheter
- marsupialization |
|
|
Term
| Bacterial Vaginosis treatment: |
|
Definition
| Metronidazole 500 mg bid x 7 days |
|
|
Term
| Bacterial vaginosis is aka ___ __ __ . |
|
Definition
| Haemophilus vaginalis vaginitis |
|
|
Term
|
Definition
3 of the following:
- Clue cells
- Thin homogenous d/c
- Vaginal pH >4.5
- Fish odor on addition of KOH |
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|
Term
| Yeast Infection treatment: |
|
Definition
|
|
Term
|
Definition
| Ceftriaxone 250 mg IM once |
|
|
Term
|
Definition
- Doxycycline 100 mg bid x 7 days
OR
- Azithromycin 1 gram po once (use this in pregnancy) |
|
|
Term
| Bluish discoloration of the vagina and cervix that occurs during pregnancy: |
|
Definition
|
|
Term
| Softening of the cervix that occurs during pregnancy: |
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Definition
|
|
Term
| Softening and cyanosis of the cervix that occurs at the fourth week of prenangy: |
|
Definition
|
|
Term
| Quickening occurs around the ___ week of pregnancy. |
|
Definition
|
|
Term
|
Definition
LTBMR
- Lithium
- Tetracycline
- Bromocriptine
- Methotrexate
- Radioactive substances |
|
|
Term
| __ causes condyloma acuminata. |
|
Definition
|
|
Term
| __ causes condyloma lata. |
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Definition
|
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Term
| A chancroid is caused by __ __. |
|
Definition
|
|
Term
| Lymphogranuloma Venereum is caused by ___ ____, while Granuloma inguinale is caused by ____ ___. |
|
Definition
- Lymphogranuloma Venereum> Chlamydia trachomata
- Granuloma inguinale> Calymmatobacterium Granulomatis |
|
|
Term
| Calymmatobacterium granulomatis causes ___ ___. |
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Definition
|
|
Term
| raised red lesions with rolled margins, rough elevated base and firm induration: |
|
Definition
| Granuloma inguinale caused by Calymmatobacterium granulomata |
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|
Term
| Granuloma inguinale treatment: |
|
Definition
- Doxycycline
- Cipro
- Bactrim |
|
|
Term
|
Definition
|
|
Term
| Chlamydia is an obligate __ __. |
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Definition
|
|
Term
| Management of women with ASC-H (atypical squamous cells cannot r/o HSIL), no matter the age? |
|
Definition
|
|
Term
| LSIL (low grade squamous intraepithelial neoplasia) is a good indicator of __ __. |
|
Definition
|
|
Term
| Pap smear of teenager reveals LSIL, what do you do? |
|
Definition
re-pap one year later
(only do coloposcopy in adolescents after 3 paps reveal LSIL) |
|
|
Term
| 20 y/o female with LSIL, next step? |
|
Definition
Colposcopic exam with directed biopsies (in reproductive age women with LSIL do colposcopy right away)
(but if prego, wait until 6 weeks pp before doing colposcopic biopsies) |
|
|
Term
| HPV DNA testing is/is not indicated in adolescents. |
|
Definition
|
|
Term
| Adolescent with ASCUS, at 12 months still ASCUS, at 24 months, still ASCUS, what now? |
|
Definition
|
|
Term
| Reproductive age group women, first LSIL, what do you? |
|
Definition
|
|
Term
| LSIL colposcopoic exam does NOT reveal CIN2 or 3, what now? |
|
Definition
| - cytology at 6 or 12 months OR HPV DNA testing> if >ASC or HPV+> colposcopy |
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Term
| LSIL colposcopic exam does reveal CIL 2/3, what now? |
|
Definition
| Leep conization of cervix |
|
|
Term
| Complete molar pregnancy is formed when an ___ ovum is fertilized by a sperm. |
|
Definition
|
|
Term
| An incomplete molar pregnancy is formed when a ___ egg is fertilized by __ sperm. |
|
Definition
- normal egg
- 2 sperm
This results in a triploid genotype |
|
|
Term
| 3 types of malignant trophoblastic disease: |
|
Definition
- Invasive
- Choriocarcinoma
- PSTT (Placental Site Trophoblastic Tumor) |
|
|
Term
| what hormone is used to determine pregnancy viability? |
|
Definition
Serum Progesterone
>25ng/mL= viable
<5 ng/mL= non-viable |
|
|
Term
| Gestational sac can be seen on u/s at __ weeks when bhcg is greater than ___. |
|
Definition
|
|
Term
| From __ weeks until __ weeks, fundal height in ___ equal the number of weeks. |
|
Definition
- 16 weeks to 36 weeks
- cm |
|
|
Term
| Down's syndrome has __ alpha fetoprotein, ___ estriol, and __ b-hcg. |
|
Definition
- decreased alpha fetoprotein
- decreased estriol
- increased b-hcg |
|
|
Term
| Trisomy 18 has __ alpha fetoprotein, __ estriol, and __ b-hcg. |
|
Definition
- decreased alpha feto protein
- decreased estriol
- decreased beta-hcg |
|
|
Term
| Choroid plexus cyst on u/s suggests __ __. |
|
Definition
|
|
Term
| Echogenic intracardiac focus (calcification of papillary muscle) on u/s suggests __ __. |
|
Definition
|
|
Term
| see slide 44 of cervical cancer ppt. |
|
Definition
|
|
Term
| No matter the pts age, if HSIL is present do ___. |
|
Definition
colposcopy
(even if they're pregnant) |
|
|
Term
| __ ___ is UNacceptable for pregnant women. |
|
Definition
|
|
Term
| management of HSIL in reproductive age women: |
|
Definition
|
|
Term
| management of HSIL in adolescents: |
|
Definition
| - colposcopy with biopsies and ECC |
|
|
Term
| Immediate ___ is UNacceptable for adolescent women with HSIL. |
|
Definition
| LEEP is unacceptable for adolescents with HSIL |
|
|
Term
| ___ is unacceptable as primary therapy for CIN2,3. |
|
Definition
| Hysterectomy is unacceptable as primary therapy for CIN2,3. |
|
|
Term
| F/U after treatment of CIN2,3: |
|
Definition
| HPV DNA testing and cytology testing q6months, if either positive> colposcope exam |
|
|
Term
| With HIV pts, if any ASC-US or SIL, perform __. |
|
Definition
|
|
Term
| If there are atypical glandular cells, this could be from the __ or the ___, so you have to take a sample of both and do __, __, and __. |
|
Definition
- endocervix
- endometrium
- colposcopy
- ECC
- EMB |
|
|
Term
| ECC reveals adenocarcinoma in situ. What now? |
|
Definition
| cold knife cone of the cervix |
|
|
Term
| After ECC, cold knife cone confirms adenocarcinoma in situ. What do you recommend? |
|
Definition
|
|
Term
| Initial evaluation of Atypical Glandular Cells (AGC)? |
|
Definition
- Colposcopy
- HPV DNA testing
- ECC
- EMB |
|
|
Term
| A Chancroid is caused by _ ___. __ __ __ and __ __ is pathognomic for this STD. |
|
Definition
- H. ducreyi (gm negative rod)
- suppurative inguinal adenopathy
- painful ulcers
The early chancroid lesion is a vesicopustule on the pudendum, vagina, or cervix. Later, it degenerates into a saucer-shaped ragged ulcer circumscribed by an inflammatory wheal. Typically, the lesion is very tender and produces a heavy, foul discharge that is contagious. A cluster of ulcers may develop. Lesions typically occur on the vulva, cervix, and perianal area in women. |
|
|
Term
|
Definition
- 1 gm Azithromycin once po
- 250 gm Ceftriaxone IM once
- 500 mg Erythromycin tid x 7 days |
|
|
Term
| Granuloma inguinale will have ___ __ on the __ stain or ___ stain. This is a __ __ __ __. It is caused by ____ ___. This is almost non-existent in the U.S. |
|
Definition
- Donovan bodies (bacteria encapsulated in mononuclear leukocytes) on the Write stain or Giemsa's stain
- Calammyobacterium granulomatis
Granuloma inguinale is Gone from U.S. |
|
|
Term
| Granuloma Inguinale symptoms: |
|
Definition
| A malodorous discharge is characteristic. The disorder often begins as a papule, which then ulcerates, with the development of a beefy-red granular zone with clean, sharp edges. The ulcer shows little tendency to heal, and the patient usually has no local or systemic symptoms. |
|
|
Term
|
Definition
BEADC
- Bactrim 1 double strength tablet bid x 3weeks
- Doxycycline 100 mg bid for 3 weeks
- Ciprofloxacin 750 mg bid x 3 weeks
- Erythromycin base500 mg 4 times/day x 2-3 weeks
- Azithromycin 1 g po once/week for 3 weeks
(PCN NOT effective) |
|
|
Term
|
Definition
| - > 100,000 CFU or 10,000 if symptoms present |
|
|
Term
|
Definition
|
|
Term
| Lymphogranuloma Venerum essentials of diagnosis: |
|
Definition
- rectal ulceration, inguinal lymphadenopathy, or rectal stricture
- positive complement fixation test |
|
|
Term
| Positive complement fixation test: |
|
Definition
|
|
Term
| The cause of lymphogranuloma venerum is an __ __ of __ ___ |
|
Definition
- L-serotype
- Chlamydia trachomatis |
|
|
Term
| Are men or women more frequently infected by LGV? |
|
Definition
|
|
Term
| Lymphogranuloma inguinale symptoms: |
|
Definition
- early course: vesicopustular eruption
- inguinal/vulvar ulceration
- lymphedema
- inguinal bubo phase
- hard cutaneous (red to purplish blue induration)
- anorectal lypmhedema
- painful blood streaked bowel movements |
|
|
Term
| Dx lymphogranuloma venerum: |
|
Definition
|
|
Term
| Lymphogranuloma Venerum treatment: |
|
Definition
- Doxycycline 100 mg bid x 21 days
- Erythromycin 500 mg 4times/day x 21 days
think LV> DE. |
|
|
Term
|
Definition
• Painless genital sore (chancre) on labia, vulva, vagina, cervix, anus, lips, or nipples.
• Painless, rubbery, regional lymphadenopathy followed by generalized lymphadenopathy in the third to sixth weeks.
• Dark-field microscopic findings.
• Positive serologic test in 70% of cases. |
|
|
Term
|
Definition
• Bilaterally symmetric extragenital papulosquamous eruption.
• Condyloma latum, mucous patches.
• Dark-field findings positive in moist lesions.
• Positive serologic test for syphilis.
• Lymphadenopathy |
|
|
Term
| Tertiary syphilis involves __, __, __, and __ lesions and the formation of __. |
|
Definition
- cardiac
- neurologic
- opthalmic
- auditory
- gummas |
|
|
Term
|
Definition
• History or serologic evidence of previous infection.
• Absence of lesions.
• Serologic test usually reactive; titer may be low |
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|
