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adolescent female presents with *primary amenorrhea* and cyclic pelvic pain PE: may be notable for absence of an identifiable vaginal lumen, a tense bulging hymen, and possibly increasing abdominal girth - Answer- imperforate hymen resulting in obstruction of the outflow tract and build up of secretions in the vagina = hydrocolpos and mucocolpos hematocolpos = build up of menstrual flow in the vagina hematometra = ...in the uterus adolescent female presents with *primary amenorrhea* a...

primary amenorrhea definition - Answer- Absence of menses by age 15-16 with normal secondary sexual development OR absence of menses by age 13-14 with absence of secondary sexual characteristics pri amenorrhea WITH breast and uterus - Answer- outflow obstruction pri amenorrhea WITHOUT uterus WITH breast - Answer- mullerian agenesis or androgen insensitivity pri amenorrhea WITH uterus WITHOUT breast - Answer- get FSH/LH if high: ovarian cause if low/normal: hypothal-pit axis cause ...

What does endometrial cancer risk factors (ENDOMET) stand for? - Answer- E - Elderly N - Nulliparity D - Diabetes O - Obesity M - Menstrual Irregularity E - Estrogen Monotherapy T - HyperTension What are 4 risk factors for placenta previa? - Answer- 1. Multiple gestations 2. Previous placenta previa 3. Increase maternal age 4. Previous uterine procedures Painless bright red vaginal bleeding usually in 3rd trimester? - Answer- Placenta Previa What are 5 other fetal and placental...

Which strains of HPV cause the majority of cases of cervical cancer? - Answer- HPV 16 and HPV 18 What is Naegele's/McDonald's rule for the EDC (estimated date of confinement/due date)? - Answer- Go back three months from the month of LMP, then add one week to the day of the LMP. Ultrasound should be used for determining gestational age no later than ______ weeks. - Answer- 20 *Ultrasound is most accurate in determining gestational age in early pregnancy. At what gestational age is ...

MC organism of infectious mastitis and treatment - Answer- staph aureus drug of choice = dicloxacillin treatment of breast abscess - Answer- incision and drainage stop breast feeding form the infected breast bilateral enlarged breasts 2-3 days post partum - Answer- congestive mastitis MC location of ectopic pregnancy - Answer- ampulla of the fallopian tubes drug of choice for puerperal breast abscess drug of choice for mastitis - Answer- nafcillin dicloxacillin most comm...

A 15-year-old sexually active female presents with non-pruritic mucopurulent cervicitis and post coital bleeding. She was given medication for the same symptoms three weeks ago but reports she did not take it. Which of the following is the best treatment? A azithromycin x 1 dose B benzathine penicillin G x 1 dose C doxycycline x 7 days D tetracycline x 14 days - Answer- A The patient has Chlamydia trachomatis, one of the the most common bacterial STI in women. Risk factor for chlamydia in...

Dx of fibroadenoma - Answer- FNA biopsy Dx of fibrocystic mass - Answer- Ultrasound FNA biopsy - reveals straw colored fluid (no blood) What breast disease involves painful and tender breast lumps that is often bilateral and increases in discomfort during menses? - Answer- Fibrocystic disease Tx for fibroadenoma - Answer- None MC breast disorder, especially in 30-50 yo. - Answer- Fibrocystic breast disorder What type of benign breast disease involves breast masses that increase o...

causes and risk factors for post partum depression - Answer- cause is not totally known, hypothryoidism is a cause is in some cases so screen if appropriate, women who had depression before or who have poor support systems are more likely to develop severe depression, psychotic features are possible treatement for postpartum depression - Answer- -consult psych for psychotherapy -antidepressant medication -support groups -involvement of services to relieve child care burden presentation ...

The fundus is at the umbilicus at approximately how many weeks? - Answer- 20 At how many weeks is the test for gestational diabetes performed - Answer- 24-28 At what point during a normal pregnancy should exams go from every 4 weeks to every 3 weeks? - Answer- 28 weeks A women whose LMP was on June 6th will have what estimated due date according to Nägele's rule - Answer- 3/13 A blueish cervix seen at early pregnancy is known as whose sign? - Answer- Chadwick's When can chronic...

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