Gynecological Disorders Indian Medical PG Flashcards - Medical Study Cards
Master Gynecological Disorders with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Gynecological Disorders Flashcard Deck - 135 Cards
Flashcard 1: _____ end of the Ayre's spatula is used for taking Pap smear (from squamocolumnar junction, portion vaginalis of cervix)
Answer: Bifid
Flashcard 2: What are the contents of red kit?
_____
*partner rx?
Answer:
Flashcard 3: _____ end of the Ayre's spatula is used for taking samples for vaginal cytology
Answer: Blunt
Flashcard 4: The instrument shown in the image is _____ speculum
Answer: Auvard
Flashcard 5: Transvaginal _____ is done to differentiate between the bicornuate uterus and a septate uterus if either is suspected on HSG
Answer: 3D ultrasonography
Flashcard 6: Identify the type of hymen: _____
Answer: Parous
Flashcard 7: Venetian blind appearance on USG is suggestive of _____
Answer: Adenomyosis
Flashcard 8: CDC criteria for the diagnosis of PID: No answer _____
Answer: :)
Flashcard 9: _____ vaginalis presents with a yellow-green discharge (color)
Answer: Trichomonas
Flashcard 10: _____ does change the vaginal pH
Answer: Gardnerella vaginalis
Flashcard 11: In women, vaginal candida infections do not occur when the vaginal pH is _____ 4
Answer: >
Flashcard 12: Discharges from the nipple:From more than one duct (blood stained):-_____Duct ectasiaCarcinoma (most common)
Answer: Fibrocystic disease
Flashcard 13: _____ is elephantiasis of female external genital organs, seen in late stage of Lymphogranuloma venerum
Answer: Esthiomene
Flashcard 14: _____ bacteria is a lactobacilli and converts the glycogen present in the vaginal epithelium into lactic acid under the influence of estrogen
Answer: Doderlein
Flashcard 15: A simple cruciate incision, anteroposteriorly from _____ and 2-8 o clock positions allow the free drainage of the collected blood in imperforate hymen
Answer: 10-4
Flashcard 16: Pap smear screening begins at age _____ and are performed every three year(s)
Answer: 21
Flashcard 17: What are the three areas that HPV most commonly affects in female genital tract?_____, vaginal canal, and cervix
Answer: vulva
Flashcard 18: Uterus _____ is an anomaly of the uterus due to complete failure of lateral fusion of the mullerian ducts, leading to double uterus, vagina, and cervix
Answer: didelphys
Flashcard 19: The _____ is used to visualize the cervix at a distance of around 20 cm
Answer: colposcope
Flashcard 20: _____ adhesions to the liver are characteristic of Fitz-Hugh-Curtis Syndrome that arises from disseminated Neisseria gonorrhoeae infection of the peritoneum
Answer: Violin-string
Flashcard 21: _____ is a bacterial infection that occurs at a pH > 4.5
Answer: Gardnerella vaginalis
Flashcard 22: What strains of HPV cause Condylomata Acuminatum?_____
Answer: HPV6
Flashcard 23: In a _____ broad ligament fibroid, the ureter lies underneath it.
Answer: true
Flashcard 24: Endometriosis spread to the Pouch of Douglas (posterior cul-de-sac) can present with _____ and painful intercourse
Answer: dyschezia (pain with defecation)
Flashcard 25: _____ ectopics are second most common
Answer: Isthmic
Flashcard 26: The best treatment of PID is Single IM injection of _____ with oral Doxycycline and oral metronidazole for 14 days.
Answer: Ceftriaxone
Flashcard 27: Treatment of Asherman's syndrome involves _____ followed by high dose estrogen for 1 cycle to prevent recurrence
Answer: hysteroscopic adhesiolysis
Flashcard 28: Endometriosis often presents with _____ and cyclic pelvic pain; it may also cause infertility
Answer: dysmenorrhea
Flashcard 29: Management of a Class I PAP smear is to repeat PAP once a year for _____ years f/b once every 3-5 yearly until 50 years
Answer: 3
Flashcard 30: Condyloma _____ is caused by HPV types 6 and 11
Answer: acuminata
Flashcard 31: Increased incidence of vaginal _____ is classically seen in females who were exposed to diethylstilbestrol (DES) in utero
Answer: adenosis
Flashcard 32: _____ is a rare complication of pelvic inflammatory disease (PID) that involves inflammation of the liver capsule and formation of "violin-string" adhesions.
Answer: Fitz-Hugh-Curtis Syndrome
Flashcard 33: _____ theory of celomic metaplasia states that metaplastic changes in embryonic mesothelium which responds to hormone stimulation is the etiology of endometriosis
Answer: Meyer and Ivanoff's
Flashcard 34: _____ is associated with a positive KOH whiff test
Answer: Gardnerella vaginalis
Flashcard 35: Treatment of cervicitis with _____ and ceftriaxone covers the classic infections and prevents progression to pelvic inflammatory disease
Answer: azithromycin
Flashcard 36: Cervicitis is most commonly caused by _____ and chlamydia trachomatis
Answer: Neisseria gonorrhoeae
Flashcard 37: Intraductal papilloma of the breast typically presents as a _____ nipple discharge in a pre-menopausal woman
Answer: bloody
Flashcard 38: Bacterial vaginosis caused by _____ is treated with clindamycin or metronidazole
Answer: Gardnerella vaginalis
Flashcard 39: Abnormal uterine bleeding is further subcategorized by PALM-COEIN; with Structural causes including:- P_____- Adenomyosis- Leiomyoma- Malignancy / hyperplasia
Answer: olyp
Flashcard 40: _____ is the abnormal placement of endometrial glands and stroma outside the endometrial lining/cavity
Answer: Endometriosis
Flashcard 41: Management of a Class II PAP smear is to treat _____, and repeat after 3 months
Answer: HPV infection
Flashcard 42: Acute endometritis presents as fever, abnormal _____, and pelvic pain
Answer: uterine bleeding
Flashcard 43: Management of a Class IV PAP smear is to perform a _____ and biopsy
Answer: colposcopy
Flashcard 44: In a _____ broad ligament fibroid, the ureter lies lateral to it.
Answer: false
Flashcard 45: Mammary duct ectasia classically arises in _____ (parity), post-menopausal women
Answer: multiparous
Flashcard 46: _____ uterus is an anomaly of the uterus due to incomplete lateral fusion of Mullerian ducts
Answer: Bicornuate
Flashcard 47: A functional cyst of size should be followed up with _____ every 3 months while simultanously checking her CA-125 levels
Answer: USG
Flashcard 48: _____ causes cervicitis described as a 'strawberry cervix' or colpitis macularis
Answer: Trichomonas vaginalis
Flashcard 49: _____ syndrome is a triad of ovarian fibroma, ascites, and hydrothorax (pleural effusion)
Answer: Meigs
Flashcard 50: Surgical mx. for an unruptured ectopic is preferred when initial -HCG levels _____ mIU/L and G-sac size is >4cm
Answer: >5000
Flashcard 51: Is fibroid surrounded by a true capsule?_____
Answer: No
Flashcard 52: Candida vulvovaginitis is common in patients with _____ and patients who use antibiotics and oral contraceptives
Answer: diabetes
Flashcard 53: _____ discharge from the vagina is significant for Gardnerella vaginalis
Answer: Gray-white
Flashcard 54: The upper portion of the vagina is derived from the _____ duct (Mullerian duct)
Answer: paramesonephric
Flashcard 55: Which 2 bacteria are the most common causes of Pelvic Inflammatory Disease (PID)?_____ (subacute; often undiagnosed); Neisseria gonorrhoeae (acute)
Answer: Chlamydia trachomatis
Flashcard 56: Vaginal _____ is the focal persistence of columnar epithelium in the upper 1/3rd of the vagina
Answer: adenosis
Flashcard 57: _____ theory of metastasis states that embolization of menstrual fragments through vascular and lymphatic channels is the etiology of endometriosis
Answer: Halban's
Flashcard 58: _____ or fringe hymen can easily distend during sexual intercourse without rupturing the hymen.
Answer: Ring
Flashcard 59: _____ by induction states that induction of undifferentiated peritoneal cells to endometrial tissue by endogenous factor is the etiology of endometriosis
Answer: Histogenesis
Flashcard 60: What is the best management of a female with flat condyloma acuminata lesions?_____
Answer: Reassurance and observation
Flashcard 61: _____ sign is seen in ruptured ectopic pregnancy.
Answer: Cullen
Flashcard 62: The second narrowest part of fallopian tube is _____, and is the commonest site for tubectomy
Answer: isthmus
Flashcard 63: Septate uterus is associated with fundal midpoint being more than _____ mm above the line joining the ostia of the fallopian tubes
Answer: 5
Flashcard 64: What is the best management of a female condyloma acuminata lesions not responsive to medical rx?_____
Answer: Laser ablation
Flashcard 65: Bladder should be _____ for transvaginal USG Scan.
Answer: empty
Flashcard 66: The finding of an endometrial thickness greater than _____ mm requires further evaluation (i.e., a biopsy of the endometrium)
Answer: 4
Flashcard 67: The primary ulcer of LGV presents on _____ in women
Answer: posterior vaginal wall
Flashcard 68: Class _____ of Mullerian duct anomalies include unicornuate uterus
Answer: II
Flashcard 69: Which kit would you use for Vaginal discharge?_____
Answer: Green kit (2)
Flashcard 70: Patients with cervical polyps often complain of bleeding between periods, usually provoked by _____
Answer: sexual intercourse
Flashcard 71: Identify the type of hymen: _____
Answer: Parous
Flashcard 72: The treatment of choice for heavy bleeding due to submucosal fibroids is _____
Answer: hysteroscopicmyomectomy
Flashcard 73: Septate uterus is associated with absence of sagittal _____ on USG
Answer: notching
Flashcard 74: Which kit would you use for herpetic genital ulcers?_____
Answer: Red (5)
Flashcard 75: Class _____ of Mullerian duct anomalies include septate uterus
Answer: V
Flashcard 76: Class _____ of Mullerian duct anomalies include bicornuate uterus
Answer: IV
Flashcard 77: Passage of a _____ per vaginum is suggestive of ectopic pregnancy
Answer: decidual cast
Flashcard 78: Asymptomatic or calcified fibroids is a(n) _____ contraindication to uterine artery embolisation
Answer: absolute
Flashcard 79: The normal length of the uterine cavity including the cervical canal is usually _____ cm.
Answer: 6 7
Flashcard 80: _____ syndrome is a condition characterized by nonmalignant ascites and/or pleural effusion caused by pelvic tumors other than ovarian tumors
Answer: Pseudo-Meigs'
Flashcard 81: Septate uterus is associated with _____ of uterine fundus on laparoscopy or MRI scan
Answer: presence (absence/presence)
Flashcard 82: Discharges from the nipple:From more than one duct (purulent):-_____
Answer: infection
Flashcard 83: A pap smear is done _____ performing a vaginal examination
Answer: before (before/after)
Flashcard 84: The diagnosis of red degeneration of fibroid is confirmed via _____
Answer: USG
Flashcard 85: Class _____ of Mullerian duct anomalies include uterine hypoplasia or uterine agenesis
Answer: I
Flashcard 86: Cytobrush is used to take samples from the _____
Answer: endocervix
Flashcard 87: Management of a Class II PAP smear if the patient has persistent repeat smear after 3 months is to do _____
Answer: ablation/excision
Flashcard 88: At what time of the menstrual cycle is an MRI recommended for breast cancer?_____
Answer: Second week
Flashcard 89: Subserosal or submucosal fibroids is a(n) _____ contraindication to uterine artery embolisation
Answer: relative
Flashcard 90: _____ broad ligament fibroid arises from the uterosacral ligament, round ligament or tissues in the broad ligament.
Answer: Primary(True)
Flashcard 91: _____ generation endometrial ablation techniques do not require hysteroscopy
Answer: Second
Flashcard 92: A functional cyst of size >7cm in any woman should be treated with a _____
Answer: laprotomy
Flashcard 93: _____ is the earliest identifiable lesion in genital tuberculosis
Answer: Endosalpingitis
Flashcard 94: Mode of spread of genital tuberculosis from a primary infective focus to the fallopian tube is via the _____ route
Answer: hematogenous
Flashcard 95: Surgical mx. for an unruptured ectopic is done with a _____ when the family is incomplete and the patient desires to retain fertility, or the contralateral tube is abnormal
Answer: salpingostomy
Flashcard 96: Class _____ of Mullerian duct anomalies include uterus didelphys
Answer: III
Flashcard 97: _____ scoring system is recognised as the gold standard for bacterial vaginosis
Answer: Nugent
Flashcard 98: Thrombophlebitis may involve _____ venous plexus in females
Answer: pelvic
Flashcard 99: GnRH agonist use is a(n) _____ contraindication to uterine artery embolisation
Answer: absolute
Flashcard 100: Surgical mx. for an unruptured ectopic is done with a _____ when the family is complete and the patient desires sterlization
Answer: salpingectomy
Flashcard 101: Discharges from the nipple:From more than one duct (black/green):-_____
Answer: Duct ectasia
Flashcard 102: Around what time of the cycle is a pap smear ideally done?_____
Answer: Ovulation
Flashcard 103: The patient should not have intercourse _____ hours prior to performing a pap smear
Answer: 24
Flashcard 104: _____ end of the Ayre's spatula is used for taking samples for vaginal cytology
Answer: Blunt
Flashcard 105: The most common cause of blood-stained discharge from single duct is _____
Answer: duct papilloma
Flashcard 106: In fractional curettage, the _____ is curetted following cervical dilation
Answer: isthmic portion
Flashcard 107: Halban's sign on bimanual examination is seen in _____
Answer: adenomyosis
Flashcard 108: Smoking is a _____ factor for fibroids.
Answer: protective
Flashcard 109: Desire for future pregnancy is a(n) _____ contraindication to uterine artery embolisation
Answer: relative
Flashcard 110: Pelvic inflammatory disease is a(n) _____ contraindication to uterine artery embolisation
Answer: absolute
Flashcard 111: _____ cyst can present as an asymptomatic cyst that is found on the lateral wall of the vagina, or maybe associated with dyspareunia, vaginal pain, and difficulty inserting tampons
Answer: Gartner's
Flashcard 112: _____ end of the Ayre's spatula is used for taking Pap smear (from squamocolumnar junction, portion vaginalis of cervix)
Answer: Bifid
Flashcard 113: Class _____ of Mullerian duct anomalies include arcuate uterus
Answer: VI
Flashcard 114: Current or recent OCP use is a risk factor for _____ cancer
Answer: cervical
Flashcard 115: Liquid-based cytology has _____ sensitivity than conventional pap tests
Answer: higher
Flashcard 116: _____ part of the fallopian tube is most commonly involved in genital tuberculosis
Answer: Ampullary
Flashcard 117: The most common cause of serous discharge from the breast is _____
Answer: fibrocystic disease of breast.
Flashcard 118: In fractional curettage, the _____ is curetted in the end and sent separately
Answer: uterine cavity
Flashcard 119: Is fibroid associated with smoking?_____
Answer: No
Flashcard 120: Management of Gartner's cyst involves excision or _____ of cyst in symptomatic cases
Answer: marsupialization
Flashcard 121: Class _____ of Mullerian duct anomalies include DES/drug related eg. T-shaped uterus, shortened and narrow fallopian tubes, cervical collars (cockscomb cervix)
Answer: VII
Flashcard 122: Gold standard for diagnosing bacterial vaginosis is _____
Answer: gram stain
Flashcard 123: _____ criteria is used in the diagnosis of ovarian pregnancy
Answer: Spiegelberg's
Flashcard 124: Ovarian cysts are managed conservatively when the cyst is unilateral with a size less than _____cm, especially in a woman of childbearing age
Answer: 7
Flashcard 125: Most common discharge in duct ectasia: _____ discharge
Answer: serous
Flashcard 126: _____ broad ligament fibroid arises in the lateral wall of the uterus or cervix, but grows laterally, between the two layers of the broad ligament
Answer: Secondary(False)
Flashcard 127: In a colposcope, the _____ filter can be used to study the vascular pattern.
Answer: green
Flashcard 128: The next step in the management of a benign ovarian cyst of size 5 cm in a perimenopausal female would be to _____.
Answer: follow up with serial TVS
Flashcard 129: Ruptured ectopic pregnancy is managed by _____
Answer: Salpingectomy
Flashcard 130: Symptomatic Bartholin _____ are treated with Marsupialisation while Bartholin _____ are treated with surgical drainage
Answer: cysts; abscesses
Flashcard 131: Patients with Pelvic Inflammatory Disease (PID) are evaluated within _____ after starting abx, to see if they have responded adequately
Answer: 72 hours
Flashcard 132: A _____ fibroid or a _____ fibroid gets cut off from its uterine origin and derives its blood supply from the vessels of the organ it is attached to.
Answer: parasitic; wandering
Flashcard 133: The first line of management of asymptomatic pedunculated fibroids is _____
Answer: laparoscopic myomectomy
Flashcard 134: The vaginal pH in the case of candidiasis is _____
Answer: <4.5
Flashcard 135: A female presented with frothy, greenish vaginal discharge with a musty smell. On examination 'strawberry vagina' was noted. A diagnosis of trichomonas vaginalis was made. Drug of choice is:
Answer: Metronidazole
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