Women's Health EOR review 100% Correct

ovulation can be best confirmed by measuring levels of _________________ mid-luteal phase - ANSWER progesterone (measure on day 21 which is during the luteal phase- If less than 3, she did not ovulate) sudden, painless, profuse third trimester bleeding - ANSWER placenta previa in which 3 instances would you excise a breast cyst after confirmation with FNA - ANSWER bloody fluid thickening residual mass treatment of choice for BV - ANSWER metronidazole treatment of choice for a pt that presents with preeclampsia to prevent seizures - ANSWER mag sulfate treatment of choice in patients with infertility due to anovulation with normal hormone levels - ANSWER clomiphene citrate (clomid) Progesterone influence on the breast tissue prior to menstruation causes - ANSWER growth of lobules and alveoli at what week gestation is the fundus at the height of the pubic symphysis at what week gestation is the fudus at the height of the umbilicus - ANSWER 10-12 weeks 20-22 weeks when should you do gestational diabetes screening - ANSWER 24-28 weeks definitive diagnostic method for endometrial CA most common type of endometrial CA - ANSWER endometrial biopsy adenocarcinoma treatment of stage I endometrial CA treatment of stage II/III - ANSWER hysterectomy + lymph node excision " " + post-op RAD most common type of ovarian CA - ANSWER epithelial tumors in which population is germ cell ovarian tumors most common - ANSWER patients 30yo treatment of early ovarian CA - ANSWER hysterectomy + BSO + selective lymphadenopathy most common cause of postpartum hemorrhage - ANSWER uterine atony most common type of cervical CA what are people who were exposed to DES in utero at increased risk for - ANSWER squamous cell adnocarcinoma diagnostic method of choice for cervical CA - ANSWER colposcopy with biopsy treatment of stage 0 cervical CA treatment of stage I/IIA - ANSWER carcinoma in situ- excision with LEEP or cold knife conization conization or total hysterectomy treatment of stage IIb-IVa cervical CA - ANSWER locally advanced- chemo (cistplatin) + XRT what are stages II, III, and IV of cervical CA - ANSWER II: extends locally beyond the cervix III: lower 1/3 of vagina or near the ovaries in the fallopian tubes IVA: local mets IVB: distant mets HPV causes CA HPV causes warts - ANSWER 16, 18, 31, 33 6, 11 treatment of cervical CIN - ANSWER LEEP - local excision most common type of breast CA - ANSWER infiltrating ductal carcinomas how many breast CA are estrogen receptor positive - ANSWER all invasive lobular carcinomas and 2/3 of ductal carcinomas management of early stage breast CA - ANSWER lumpectomy with sentinel node biopsy which oral medication is used to treat women with estrogen receptor positive disease and postmenopausal women - ANSWER tamoxifen most common type of vaginal CA most common type of vulvar CA - ANSWER squamous squamous MC symptoms of vulvar CA - ANSWER pruritis treatment of vaginal CA management of vulvar CA - ANSWER radiation therapy surgical excision, XRT, chemo, laser you see a red/white ulcerative and crusted lesion on the labia minora at 3 o'clock. what are you thinking - ANSWER vulvar CA strawberry cervix - ANSWER trich treatment of trich - ANSWER metronidazole- 2g oral one dose or 500mg BID oral x 7 days must treat partner MC cause of vaginitis - ANSWER BV an imbalance of what bacteria causes BC treatment of BV - ANSWER lactobacilli acidophilus metronidazole x 7 days--safe in pregnancy side effects of vaginal estrogens - ANSWER vaginal bleeding breast or perineal pain nausea thromboembolism endometrial CA why does estrogen increase clotting potential - ANSWER estrogen increases liver production of coagulation factors treatment of gonorrhea cervicitis - ANSWER ceftriaxone 250mg IM x 1 dose treat for chlamydia MCC cause of cervicitis and treatment - ANSWER chlamydia azithromycin 1g PO x 1 dose or doxycycline 100mg PO BID x 10 days azithromycin only medication for chlamydia safe during pregnancy 4 complications of chlamydia - ANSWER PID infertility ectopic pregnancy premature labor describe genital herpes in pregnancy - ANSWER dangerous to infant and mother first infection in pregnancy has a high risk of disseminated infection and maternal mortality - infants exposed to herpes in utero or delivery have high rates of visceral and CNS infection C section recommended for women with active infection when is herpes simplex contageous - ANSWER viral shedding without a lesion treatment of HSV keratitis suppressive therapy for recurrent HSV