OB/GYN EOR
Study online at https://quizlet.com/_g8wtmm
1. fibroadenoma vs fibrocystic fibroadenoma does not change in size with menstrual
breast changes cycle
2. breast cancer risk factors 1) increased umber of menstrual cycles (null parity, old-
er age of first kid, early monarch, late menopause
2) estrogen exposure
3) increasing age
4) BRCA1+2 mutations
3. most common breast cancer infiltrating ductal carcinoma
4. metastatic sites for breast cancer bone, brain
lung liver
think 2B's, 2L's
5. when do you get a mammogram -after age 40
- sooner if family history
- Q 1-2 yrs after initial
6. what bx is most accurate diagnos- open bx
tic test for breast cancer
-core bx is usually the best initial
-FNA is least invasive but doesn't allow for receptor test-
ing and has high false negative rates
7. SERMs vs Aromatase inhibitors SERM - premenopausal women
-- tamoxifen
Aromatase inhibitors - postmenopausal women
-- letrozole, anastrozole, exemestane
- AI are used in post menopausal women because they
increase amount of circulating estrogen which can in-
crease cancer risk for premenopausal women
, OB/GYN EOR
Study online at https://quizlet.com/_g8wtmm
- only for receptor positive breast cancer; if negative,
need chemo
8. USPSTF guidelines for breast can- Mammogram q2 years 40+
cer screening - but usually every year in real life
9. HPV vax 9-14 = 2 doses
15+ = 3 doses
contraindicated in pregnancy or lactating
10. breast abscess abx dicloxacillin, Keflex
PCN allergy = erythromycin
MRSA = Glinda or bactrim
11. cervical cancer screening 21-29yo q 3y with PAP
30-65 q 5y with PAP + HPV OR just pap q3y
12. ASC-US 21-29 y = repeat pap in 1 y or reflex HPV testing
>30 y HPV negative = repeat PAP +HPV in 3 years
>30 y HPV positive = colposcopy
13. LSIL Colposcopy
14. ASC-H always colposcopy
15. HSIL colposcopy or excision treatment
bx results = CIN2 (mod) or CIN3 (severe) dysplasia
---
16. CIN 1 and CIN 2 treatment mild and moderate dysplasia
-FOLLOW UP IN 1 Y FOR HPV + CYTOLOGY
-excision or ablation
, OB/GYN EOR
Study online at https://quizlet.com/_g8wtmm
17. CIN 3 treatment severe dysplasia
- need excision or ablation
18. excision vs ablative therapy used for cervical dysplasia
- ablative = cautery
- excision = LEEP (loop electrical excision procedure) or
COLD KNIFE
19. what is the cell type of cervical SCC
cancer
20. cervical insufficiency premature dilation of the cervix usually in 2nd trimester
21. indications for cerclage incompetent cervix/cervical insufficiency
cervical length <25mm or cervical insufficiency <24 wks
- other RF such as previous uterine defects, cervical
trauma or procedure (LEEP, ionization, cold knife, etc)
22. fetal monitoring VEAL CHOP
V = variable --> C = cord compression
E = early --> H = head compression
A = acceleration --> O = okay
L = late --> P = placental insufficiency
23. infertility diagnosis hysterosalpingography- helps evaluate tubal patency or
abnormalities
24. most effective emergency contra- copper IUD
ception
25. yes, if they don't have RF for estrogen therapy
Study online at https://quizlet.com/_g8wtmm
1. fibroadenoma vs fibrocystic fibroadenoma does not change in size with menstrual
breast changes cycle
2. breast cancer risk factors 1) increased umber of menstrual cycles (null parity, old-
er age of first kid, early monarch, late menopause
2) estrogen exposure
3) increasing age
4) BRCA1+2 mutations
3. most common breast cancer infiltrating ductal carcinoma
4. metastatic sites for breast cancer bone, brain
lung liver
think 2B's, 2L's
5. when do you get a mammogram -after age 40
- sooner if family history
- Q 1-2 yrs after initial
6. what bx is most accurate diagnos- open bx
tic test for breast cancer
-core bx is usually the best initial
-FNA is least invasive but doesn't allow for receptor test-
ing and has high false negative rates
7. SERMs vs Aromatase inhibitors SERM - premenopausal women
-- tamoxifen
Aromatase inhibitors - postmenopausal women
-- letrozole, anastrozole, exemestane
- AI are used in post menopausal women because they
increase amount of circulating estrogen which can in-
crease cancer risk for premenopausal women
, OB/GYN EOR
Study online at https://quizlet.com/_g8wtmm
- only for receptor positive breast cancer; if negative,
need chemo
8. USPSTF guidelines for breast can- Mammogram q2 years 40+
cer screening - but usually every year in real life
9. HPV vax 9-14 = 2 doses
15+ = 3 doses
contraindicated in pregnancy or lactating
10. breast abscess abx dicloxacillin, Keflex
PCN allergy = erythromycin
MRSA = Glinda or bactrim
11. cervical cancer screening 21-29yo q 3y with PAP
30-65 q 5y with PAP + HPV OR just pap q3y
12. ASC-US 21-29 y = repeat pap in 1 y or reflex HPV testing
>30 y HPV negative = repeat PAP +HPV in 3 years
>30 y HPV positive = colposcopy
13. LSIL Colposcopy
14. ASC-H always colposcopy
15. HSIL colposcopy or excision treatment
bx results = CIN2 (mod) or CIN3 (severe) dysplasia
---
16. CIN 1 and CIN 2 treatment mild and moderate dysplasia
-FOLLOW UP IN 1 Y FOR HPV + CYTOLOGY
-excision or ablation
, OB/GYN EOR
Study online at https://quizlet.com/_g8wtmm
17. CIN 3 treatment severe dysplasia
- need excision or ablation
18. excision vs ablative therapy used for cervical dysplasia
- ablative = cautery
- excision = LEEP (loop electrical excision procedure) or
COLD KNIFE
19. what is the cell type of cervical SCC
cancer
20. cervical insufficiency premature dilation of the cervix usually in 2nd trimester
21. indications for cerclage incompetent cervix/cervical insufficiency
cervical length <25mm or cervical insufficiency <24 wks
- other RF such as previous uterine defects, cervical
trauma or procedure (LEEP, ionization, cold knife, etc)
22. fetal monitoring VEAL CHOP
V = variable --> C = cord compression
E = early --> H = head compression
A = acceleration --> O = okay
L = late --> P = placental insufficiency
23. infertility diagnosis hysterosalpingography- helps evaluate tubal patency or
abnormalities
24. most effective emergency contra- copper IUD
ception
25. yes, if they don't have RF for estrogen therapy
