dr ruman
Forum Elite
Topics: 29
Posts: 412
|
Hye ckiers
here we go,i know i know obs gynae ukkkkk,hate the subject ,but heres solution made by a good soul,name i dont remember,got this from another forum,pasting here for u
1. Progression to malignancy in complete mole is 20 %
2. Progrssion to malignancy in incomplete mole is 10 %
3. Taiwan and phllipines history , and H..T < 20WKS , AND passage of grape like vesicles < 16wks , suspect molar pregnancy
4. Theca luetin cysts in molar pregnancy
5. THE MOST COMMON SITE OF MET OF MOLAR PREGNANCY IS TO THE LUNG
6. Squamous hyperplasia of the vulva =whitish , focal , firm areas
Lichen sclerosis =bluish white papules coalase to form white plaques
Squmous dysplasia =white red or pigmented and mutifocal in location
melanoma of vulva = dark black lesion in vulva
pagets disease = red lesion in a postmenoupausal female
7. All vulvar lesions shud be biopsied
8. Pagets disease of vulva related to other cancers of git , g.u.Trt and breast
9. Treatment of vulvar cancer -study
10.The most common cause of death in ovarian ca is BOWEL OBSTRUCTION
11.TUMOUR MARKER FOR OVARIAN CA IS CA 125
12. Ovulation and ocp’s decrese the risk for ovarian carcinoma
13.ovarian cancer is the most common form of gynecological ca leading to death
14. T he current screnning test for the ovarian ca is bimanual pelvic examination
15.dysgerminoma is a tumour sensitive tox- RAY
16.chemotheraphy to ovarian cancer only if thr is metastasis
17.carcinoid syndrome has been described originating from the dermoid cyst
18. The most common cause of post menoupausal bleeding is NOT END .CA BUT ITS VAGINAL OR ENDOMETRIAL ATROPHY
19.ADENOMYOSIS is differentiated from endometriosis by the c?f of secondary dysmenorrhea and menorarhagia , And tenderness most common imm before and after the menses and the utx is globular and diffusely enlarged 2- 3 times
20.treat adenomyosis with LVG [levonorgestrol] ius surgery definitive treatment
21.ENDO CERVICAL CURETTAGE IS CONTRAINDICATED IN THE PREGNANCY , AND after the suspicious pap positive do only ecto cervical biopsy ..
22. Before 24wks , treat invasive cervical cancer with radical hysterectomy and radiation therapy
23. After 24 wks , treat cervical cancer invasive with conservative management and then c.s after the lung maturity has completed
24. The pt with distant met from the invasive cerrvical cancer , shud be consisdered chemo and the most effective chemo drug is cis -platinum .
25. The initial test for the cervical cancer , [sq ,cell .ca ] is cervical boiopsy
26. Ascus ==hpv 6 r 11 = repeat PAP in one yr
27. Ascus =HPV ?DNA =16 R 18 = EVALUATE WITH colposcopy and biopsy .
28. HPV 6 and 11 asss with condylomata accuminata
29. Indications for the cone biopsy .
a.abnormal pap
b. abnormal ECC histology
c. lesion seen entering the endocervical canal
d. biopsy showing microinvasive carcinoma of the cx
30 . The most common complications of cone biopsy is incompetent cervix and cervical stenosis
31. Sexual excitement is by hte parasympathetic connections
32. Sexual orgasm is by the sympathetic connections
33.desire of sexual activty is by the Dopamine stimulationa and seratonin inhibition
34.difficulty in vaginal lubrication becoz of estrogen deficiency
35. After an sexual assualt , the female shud be treated with cphalosporin , doxy and metronidazole and hep b and for pregnancy prevention , 2 large dose tablets of progesterone in 12hrs or LNG tablets are prescribed
36.vaginismus is the only sexual dysfunction tat can be diagniosed on physical examination and treatment is with the vaginal dilators ...
37.in pregnancy post sterlization , suspect == Ectopic
38.copper t =contraception nearly for about 10 yrs
39.. The risk factors for IUD are ,recent chlamydia inf ,vaginal inf , HIV , immunosuppression , and pts with crohns with the treatment of steroids
40. The subserosal fundal fibroid shud not interfere with the IUD placement
41 . If too lage sized vaginal diaphragm are used , it results in urinary incontinence
42.T he frequent side effect of POP , ie , minipill , depot provera , LNG TABLETS ARE ALL BREAK THRO bleeding
43,. Low doses of ocp’s apart from regularising the mencses Does not cause serious side effects
44.Yeast vaginitis transmitted by candida albicans , is not transmitted sexually ....so partner is not to be treated
45.Mtz IS SAFE TO USE DURING THE PREGNANCY including the first trimester
46. 3RD MOST COMMON Cause of STD in USA is T.V
47.ACUTE SALPHINGO OPHORITIS IS A CLINICAL DIAGNOSIS
48.out patient treatment for PID =oflox + metro =14days
49. Inpatient ttreatment in toxic pts with PID , is i.v cefoxitin , cefotetan plus doxy or i.v clinda + gentamycin
50.condyloma accuminata - HPV -16 and 18 =cauliflower like mass - clinical diagnosis - treat it with podophyllin , TCA acid , imiquinod
51. NUMber one STD in females is == chlamydia
52.transmission of chlamydia infection from mother to baby may present as chlamydia conj or otitis media
53. THE CLASSIC CLINICAL FINDING OF CHLAMYDIA IS =mucopurulent cervical discharge
54. DISSEMINATED gonorrhea Presents as DERMATITIS , POLYARTHRALGIAS AND TENOSYNOVITIS
55. SINCE COINFECTION is present between chlamydia and gono , treat with both ceftriaxone and azithro or doxy
56. Bartholin’s abscess present in hte gono.. Infection needs Marsupilation
57. PCR AND DNA PROBE FOR CHLAMYDIA
58. SWABS AND THAYER MARTIN MEDIA FOR GONORRHEA
59. The most common site of ectopic is in OVIDUCT AND IN IS IS THE DIST6AL AMPULLA
60.SUCTION AND CYRETTAGE IS DONE IN hydatidiform mole and no DANDC THAT IS dilatation and crettage becoz of the risk of perforation of Uterus .
61Hormone replacement treatment mainly for the vasomotor synptoms in the female [ hotflashes ., genotourinary atrophy and dyspareunia ]
62. I f hormone replacement theraphy is used for postmenoupausal osteoporosis , then antiestrogen med can be used
63.Tamoxife is a SERM with nthe Bone and endometrium agonist deffect and breast antagonist effect
64.Hormone replacement shud not be given primarily for prevention of cardiovascular risk
65.Raloxifene has bone agonist and endometrial antagonistic effect
66. Estrogen replacement theraphy shud be given for a max of 4 yrs ....becoz of the risk of breast cancer after prolonged period of treatment
67.the most bone type for osteoporosis is trabercular bone and the most common involved site are the vertebral bodies
68.In the postmenoupausal female , here is increased gonadotrophins [FSH , LH ]AND DECREASED ESTROGEN and the main reason fro all the post menoupausal vasomotor effects is becoz of decreased estrogen
69. The most common cause of mortality in he postmenoupausal female is cardiovascular disease
7o.clomid acts by fitting into the estrogen receptors and fools the pit by creating a low estrogen state and thus secreates gonadotrophins for the
For the ovulatio n induction
71. With clomid the patient is stimulated with the persons own gonadotrophins but with HMG , the patient is being stimulated with exogenous gonadotrophins
72.LH , FSH ratio increased in PCOD , 3;1 , normal 1.5:1 and sex hormone binding globulin [SHBG] IS DECREASED IN PCOS . OCP’S act by supressing the testosterone in 2ways in the treatment of the PCOS BY 1. SUPP THE LH stimulation 2. By increasing SHBG with decreases the free testosterone level
73. IDIOPATHIC OLIGOZOOSPERMIA IS THE MOST COMMONN MALE INFERTILITY FACTOR
74 .Ovarian failure occurs before age of 30 yrs and may be associated with autoimmune disease of Y CHROMOSOME mosaicism and so karyotyping is done
75. The most common method of assessing the bone density is with DEXA scan .
76.SSRI;s are the treatment of choice fro the emotional symotoms Of PREMENSTURAL SYNDROME
77. High doses of vit b6 thatis pyridoxine in PREMENSTURAL SYNDROME causes permanent sensory neuropathy and so the consumption of vit b6 shud be discouraged
78.kallmans syndrome is the inability of hypothalamus to produce GNRH and also anosmia
79. The important cause of premenarcheal vaginal bleeding is the FOREGIN BODY , and the other causes r estrogen medication , sarcoma boytryoids , pit . Adrenal and ovarion tumour ,sexual abuse and idiopathic precaucious puberty ... and the patient pelvic examination shud be done under SEDATION
80.The normal pubertal dev stages can be remembered as T>A>G>M [TAGM] that is thelarchae , adnarchea , growth spurt , menarche
81. Classification of precaucious puberty -study
82. FSH stimulates INHIBIN but it is SUPPRESED
by INHIBIN
83. DURING the cyclical changes of mensturation the funtionalis zone is sloughed offf and basalis zone does not undergo any changes and basalis has the basilar arteries .
89. The drug of choice for idiopathic hirsutitism is spirinolactone
90. Axillary lymphnode status is the important factor in prognosis of patients with breast cancer
91 . Hormone receptor status determination is a critical importance as a predictive factor
92.Over expression of HER-2 , shows a bad prognosis in the breast cancer
93.The criterias for the excisional biopsy in the breast are
#bloody fluid onaspiration of the cyst
#mass does not disappear on fluid aspiration
#bloody nipple discharge with or wih out the mass
#skin eddema and erythema suggestive of inflammatory ca , so needle biopsy could not be performed
#pt who has undergone FNAC before
94.PhyLLODES TUMOUR of the breast behaves like a sarcoma .
95.mammography shud not be performed until 2 wks after the aspiration of cyst or mass in the breast . USG distinguishes the cyst from a solid mass
also study in brief
1. Diagnostic app and the manfement of cervical dysplasia
2.classification of the ovarian cancer and tumour markers
3.all vulvular lesions
4. Urinary incontinence classification and drugs acting on bladder and urethra
5.criteria for the methotextrate administration in the ectopic pregnancy
6. PID
7.MENSTURAL CYCLE HORMONES
8. Classification of precautious puberty
9. Table of primary ammenorrhea
10.adjuvant treatment for the node positive breast cancer
other points of interest
96. Hyperthyroidism in pregnancy suspect hydatidiform mole
97 .chorio carcinoma is always treated by chemo
98.stress incontinence is treated by surgery
99. Neurogenic bladder treated by medications
100.definitive diagnosis of endometriosis is only by laproscopy
101 .Flagyll is CONTRAINDICATED IN APREGNANT FEMALE IN THE first trimester but can be given in 2nd and third trimester
102.The best time for the ohysician to examine the breast is 10-14 days after the menses
103. Fibrocystic disease of the breast is not usally seen in the postmenoupausal females
104 . The contraception which is safe for nursing mothers is depot provera
105 . Do regular endometrial samplings on the pt with tamoxifene becoz INCREASED RISK FOR ENDOMETRIAL CANCER
106.MICROADENOMA OF THE BREAST < 1cm is treated with bromocriptine , where as macroadenoam is treated with >1cm is treated with surgery
107.The most common side efeects of HMG [PERGANOL ] is increased twin pregnancy , ovarian hyperstimulation syndrome , hypovolemia , tachycardia and electrolyte imbalences
108. Do not remove the testis in less than 20 yrs in testicular feminization syndrome , since testis is the sourse of estrogen for the breast development and > 20yrs it can be removed since the risk for the testicular cancer
109 . External iliac artery ligation in the treatment of PPH , results in the ischemia of the lower limbs
110.ALL ENDOMETRIAL HYPERPLASIAS R TREATED BY PROVERA EXCEPT ATYPICAL HYPERPLASIA WHICH IS TREATED BY HYTERECTOMY SINCE U NEVER CAN sample the entire uterus so 10- 15% is always a carcinoma
111 . Most common epithelial CA of the ovary is SEROUS
112. Dysgerminoma responds well to the radiation
113,. Clear serous discharge in the post menoupausal female suspect FALLOPIAN TUBE CARCINOMA
114.Hormone replacement theraphy does not have a negative effect on the postmenoupausal female smokers since the dose of the estrogen is decreased
___________________
Living each day as a preparation for the next is an exciting way to live. Looking forward to something is much more fun than looking back at something—so lets do it together
|
| Ujk
Forum Guru
Topics: 42
Posts: 446
|
Thanks.
___________________
“When a person really desires something, all the universe conspires to help that person to realize his dream.”
|
| nyimalay
Forum Elite
Topics: 9
Posts: 280
|
Thanks.
Very high yield.
|
| mohamed.ali
Forum Junior
Topics: 12
Posts: 39
|
Thanks a MILLION!
|
| GOGETA
I'm Dr. GOGETA
Topics: 320
Posts: 2,708
|
good stuff
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| shahnaz.r
Forum Junior
Topics: 7
Posts: 77
|
"106.MICROADENOMA OF THE BREAST < 1cm is treated with bromocriptine , where as macroadenoam is treated with >1cm is treated with surgery "
Is that breast or the pituitary?
Please verify...
Thanks for the post...
very high yield
|
| dr ruman
Forum Elite
Topics: 29
Posts: 412
|
good point
thx for noting,yup this for pituitary microadenoma not breast
as breast ca therapies depend on hormone receptor positivity ,locally resectable or not and extent of mets,bromocriptine not at all in any choice for breast ca
___________________
Living each day as a preparation for the next is an exciting way to live. Looking forward to something is much more fun than looking back at something—so lets do it together
|
| Markus2009
Forum Senior
Topics: 9
Posts: 189
|
Thanks, i hate this subject as well.
|
| ilanoearl
Forum Newbie
Topics: 5
Posts: 10
|
regarding prolactinoma i know size doesn't matter in inital management. A px should should always be started on bromocriptine before deciding surgical management. correct me if i'm wrong...
|
| nyimalay
Forum Elite
Topics: 9
Posts: 280
|
You are correct to my knowledge.
|
|
| |
| | | | | | | | | | |
