What is the most sensitive area in radiation therapy
ovaries
treatment of preterm labor
magnesium sulfate
treatment for lymphogranuloma
... [Show More] venerium
doxycycline
erythromycin **
azithromycin
snow storm on ultrasound
molar pregnancy
parabasal cells on pap. blood on urinalysis. what is the next step
urine culture
- do nothing
- biopsy
- renal sonogram
MCC of death in women over 65
heart disease
In the follicular phase of granulosa cells form at this at the edge of the follicle
corona radiate
zona pellucule
centrum semiovula
LH surge allows for
ovulation
how often should a woman get a pap smear
3 years after 21
tear through the anal mucosa
grade 4
patient with family history of breast cancer, mother diagnosed age 35, died age 40. what year should patient start doing mammon
25
- 10 years prior to familial diagnosis
patient presents with hypertension at 20 weeks with negative proteinuria. What do you recommend
life style modifications
strawberry cervix
trichmonoiasis
tx with flagyl
vesicles on ren inflamed area
herpes HSV 2
risk factors for endometritis
advanced maternal age *
multiple gestations
breast feeding
abdominal surgery
menstrual pain for 3 weeks, young girl 15 yo
treatment?
NSAIDS
patient presents with the inability to become pregnant for 11 months. recommendation
come back in 1 month
hormone to check when you reach menopause
FSH will be elevated
Patient with pelvic pain and missed period. First step
qualitative BHCG (not quant)
breast cancer risk factor
nulliparity
breast abscess tx
I&D
patient is Rh negative, father is positive. What test measures the amount go Rh antibodies of the mother
Indirect coombs
endometritis tx
gentamycin and ampicillin
patient has a positive GCT what to do next
GTT
what is the treatment for gestational diabetes
regular insulin
when is insulin highest physiologically
25 weeks
diagnose preterm labor
positive ferning test
patient has PCOS- what diuretic to use
spironolactone
preterm labor maternal side effects of magnesium sulfate
SOB and chest pain
signs and symptoms of endometriosis + adhesions
stage 3
what Fetal heart tracing is okay?
early decelerations
wha week do you test GBS
36 weeks
what do you treat GBS with
penicillin
Petechial rash, and periventricular calcifications
CMV
13 weeks, no heart beat, closed cervix
missed abortion
tx of missed abortion
D&E (evacuation)
what level is placement for epidural
L3-4
epidural effects labor how
prolongs it
overweight female, facial hair, ovarian cyst
PCOS
patient has ovarian cyst removed. it has hair a calcified deposits what is it
dermoid cyst
breast development. no period. 17 yo
primary amenorrhea
mcc of secondary amenorrhea
pregnancy
when is amniocentesis done
16-18 weeks
what vaccine is not recommended during pregnancy
MMR, intranasal flu, oral polio, varicella
what anemia is common in pregnancy
decreased H&H
patient has muscle pain, fever and enlarged nuchal lymph nodes
cat scratch disease - toxo
smoker, wants birth control
copper T
Stin levanthel syndrome (PCOS) initial treatment
OCP
tamoxifen is best for what type of breast cancer
ER + postmenopausal
invasive cercial carcinoma had a cone biopsy invaded into the pelvic wall. no mets
stage 3a
patient with htn + seizure
eclampsia
what is the most reliable test for IGUR
estimated fetal weight
- it is based on abdominal circumference, head circumference and femur length
Lady from Russia adopted. no known family history
genetic testing ?
risk factor for breech position
previous breech and polyhydramnios
endometritis post c-section
genta and ampicillin
- also clinda is c-section
fever, rash, joint pain early in pregnancy - now IUGR
MMR vaccine could've prevented this
mcc of postpartum hemorrhage
uterine atony
bulbo on labia
lympho granulatum
second stage of syphillis
diffuse maculopapular rash on palms and soles
stage of labor. Fully dilated and 100% effaced
stage 2
first leopold feels for?
1. what fetal part occupies the FUNDUS
2. what side is the BACK on?
3. what lies over PELVIC INLET
4. what side is CEPHALIC PROMINENCE
ROM diagnosis
nitrazine, fern, alkali
VEAL CHOP
Variable - Cord
Early - Head
Acceleration - okay
Late - placental insufficiency
breast mass dx
mammo --> US --> biopsy
painless ulcerating chancer
syphilis
PMS first line tx
NSAID
no blood flow to adnexa
ovarian torsion
wide nipples
turners
unopposed estrogen can lead to what
endometrial cancer
perimenopausal symptoms
check FSH
post partum 6 months wants birth control - she is breast feeding
give mirana (mini-pill of progesterone only)
dyspareunia, dysmenorrhea, dyschezia
endometriosis
Theca Lutein
Molar pregnancy
pelvic pressure, lumpy belly, heavy bleeding
leiomyoma
indications for genetic testing
advanced maternal age
risk factor for ectopic pregnancy
salpingitis, PID, chlamydia
patient has HTN and protein in the urine, begins to have seizures. How do you treat?
this is eclampsia, deliver the baby
patient with chlamydia and is pregnant. how can you treat her
azithromycin is safe in pregnancy
best test to diagnose ovarian cancer
sono
candida dx
KOH wet mount
thick, white adherent stuff in the vagina
candida
how to suppress herpes
valacyclovir
vaginal itching tx
HRT
treatment for PID other than azithromycin
Ceftriaxone, Doxy
what lab values are decreased in pregnancy
H&H
when do menses return postpartum
week 6
abnormal rise in Bhcg and gestational sac in adnexal area
ectopic pregnancy
choriocarcinoma
aneuploidy
luteal phase
secretory phase
perineal laceration is what degree
second degree
treatment of endometritis
ampicillin and gentamycin
most significant risk factor for breech presentation
polyhydramnios and multiparity
what is a complication of a transverse lying fetus
prolapsed umbilical cord
how to diagnose premature rupture of membranes
ferning test
PCOS screening
glucose levels
ambiguous sign of ovarian cancer
ascites
PAP comes back high risk, what do you do next
colposcopy and biopsy
presenting part of breech presentation
buttock
first line treatment of PMS
NSAIDS
painless shallow ulcer with lymphadenopathy
lymphogranuloma venerum
painless ulcer with foul discharge + lymphadenopathy
chancroid
calcium intake for postmenopausal woman
1200mg
most common type of cervical cancer
squamous cell carcinoma
most common cause of post menopausal bleeding
vaginal atropy
- second is endometrial biopsy
treatment of choice for PMDD
SSRI- fluoxetine
When is GTT and GCT performed
24-28 weeks
if GCT is >140 what do you do next?
GTT
cauliflower appearance
condyloma acuminatum (HPV)
Condyloma LATUM
laten syphilis
organ is at the introits and moves upward when valsalva is performed
rectocele
when to do an endometrial biopsy?
>4mm stripe
Endometritis treatment after C-SECTION
gentamicin and CLINDAMYCIN
Risk factor for preterm labor
infection E.COLI
medication to prevent preterm labor
mag sulfate
which FHT is okay during labor?
early deceleration
karyotype: clenched fists and rocker botton feet
trisomy 18 [Show Less]