At Your "Cervix"
This screening test helps prevent cervical CA.
What is a pap smear?
This is the second leading cause of maternal mortality and often presents with unilateral pelvic pain with occasional radiation to back and shoulder.
What is ectopic pregnancy?
A Loss of Balance in this neurologic test where the patient has arms outstretched in supination with eyes closed can indicate cerebellar ataxia.
What is Romberg sign/test?
This Cranial Nerve is responsible for opening and closing the eye and can lead to ptosis in a stroke or brain aneurysm.
What is CN III?
This neurologic disease often presents in young females with blurred or double vision in one eye and ataxia.
What is Multiple Sclerosis?
The hallmark for this pregnancy complication is painless vaginal bleeding.
What is placenta previa?
This area should be palpated after the breast exam due to the lymphatic drainage
What is the axilla (Tail of Spence)?
The following dx is most likely in a patient who presents with a headache, neck stiffness and a fever. On PE a positive Kerning sign is noted.
What is meningitis?
This is the term used for painful menses.
What is dysmenorrhea?
This condition is screened for in 24-28 weeks and is associated with macrosomia (large baby weight).
What is gestational diabetes?
This type of seizure is noted with a "blank stare" and patient will typically miss words in conversation.
What is Absence (petit mal) seizure ?
Nuchal rigidity is seen in this special test when the patient supine and the legs straight, gently bring the head forward in flexion. Positive is involuntary flexion of the hips and knees.
What is Brudzinski sign?
This neurologic syndrome causes demyelization disease of the peripheral nerves presenting with ascending paralysis (ground to brain) after an infection or immunization.
What is Guillain-Barre syndrome?
This condition occurs when the fetal anterior shoulder impacts against maternal symphysis following the delivery of the head of fetus. Also called the "turtle sign".
What is shoulder dystocia?
This is the age when ACOG recommends screening mammograms.
What is 40 years of age?
The diagnosis of a patient who presents with a "thunderclap HA" and describes it as the worst HA of their life.
What is a SAH?
This is the most common cause of secondary dysmenorrhea
What is endometriosis?
This syndrome is thought to be a form of pre-eclampsia and has a triad of Hemolysis, Elevated Liver enzymes and Low Platelets.
What is HELLP syndrome?
If this artery is occluded it can cause a major stroke with contralateral weakness, amaurosis fugax, and Horner's sign.
What is the carotid artery?
The Cranial nerve that is involved when a patient presents with acute onset of unilateral weakness of facial muscles with an otherwise normal neuro exam and often linked to viral infection.
What is CN VII (Bell's Palsy)?
This neurologic condition has 4 hallmark signs of Tremor, Rigidity, Akinesia (bradykinesia) and Postural instability (TRAP).
What is Parkinson's Disease?
The following fetal malposition is a common indication for C-section?
What is Breech (or transverse)?
This is a inflammation of the breast tissue presenting with unliteral pain, unilateral erythema and often fever in a breast feeding female.
What is Mastitis?
A patient presents with stroke like symptoms and markedly elevated BP (220/120). A stat CT of the head without contrast shows a hemorrhagic stroke. The following is most likely dx.
What is a hypertensive ICH?
This syndrome can occur 7-10 days prior to the onset of menses with complaints of bloating, breast tenderness, weight gain and irritability.
What is PMS?
This is a physical exam finding of blue-grey coloration of the cervix in a pregnant female.
What is Chadwick's sign?
This type of HA is more common in females and presents with unilateral HA associated with nausea and with or without aura.
What is a migraine headache?
This CN is involved with pain in jaw that often presents with pain while eating and radiation to the ear.
What is CN V (Trigeminal nerve)?
This neurologic disease is an inherited disorder that causes progressive cognitive deterioration and hallmark chorea (involuntary movements).
What is Huntington's Disease?
The following is a test used to indicate if membranes have ruptured.
What is Nitrazine test (or Ferning) ?
This is a common benign breast lesion in young women and on exam a palpable mobile mass within the glandular breast tissue, chest wall, and skin is noted and rubber-like in texture. Caffeine tends to make symptoms worse.
What is Fibrocystic Breast disease?
This type of HA is rare and is mostly seen in males. The patient presents with unilateral headache pain with associated eye lacrimation and unilateral rhinorrhea.
What is a cluster HA?
The following are 2 risks factors for cervical cancer.
What is smoking, HPV infection, early age at first coitus, multiple sexual partners or immunocompromised?
This type of pregnancy is often associated with hyperemesis and extremely high hCG for LMP and noted on US as a "cluster of grapes" and can in rare occasions develop into choriocarcinoma.
What is molar or hydatidiform pregnancy?
This physical exam finding is often seen in basilar skull fracture
What is raccoon eyes?
The name of a tremor often occurring in hands, head and occasionally voice that is worse on intention.
What is essential or familial tremor?
A GCS score of less than this is considered severe brain injury.
What is less than < or equal to 8?
This clinical finding distinguishes between gestational HTN and Pre-eclampsia.
What is proteinuria?
This form of breast cancer has a retraction noted on the breast skin exam known as peau d’ orange.
What is inflammatory breast cancer?
This type of HA often presents with unilateral throbbing pain associated with photophobia and nausea.
What is a migraine HA?
This condition is often caused by STI's but can also occur from chemical irritation. S/Sx include vaginal discharge and post coital bleeding.
What is cervicitis?
The increase in this hormone while pregnant can cause a hypercoagulable state (putting pregnant women 4-5 times high risk of DVT or PE)
What is estrogen?
The name of a PE finding of bruising over the mastoid process.
What is the Battle sign?
This CN is responsible for the tongue movements- Pathology like tumors, strokes and ALS may cause weaknesses or atrophy.
What is CN XII (hypoglossal nerve)?
This type of headache presents more commonly in males with unilateral/periorbital headache and is often triggered by stress.
What is a Cluster Headache?
This vaccine is given on or around 30 weeks of pregnancy.
What is TDAP?
When performing a breast exam it is always important to have this person present.
A chaperone?
This type of HA can happen with repeated use of anti-inflammatory meds like ibuprofen.
What is a rebound HA.
This condition is often associated with infertility, hyperandrogenism and insulin resistance.
What is PCOS?
The name of the sign when the cervix begins to soften during pregnancy.
What is Hegar's sign?
This deficiency is seen in alcoholics and can cause Wernicke's encephalopathy
What is Thiamine?
This is part of the neuro exam where a object is placed in the palm of a patients hand while the pts eyes are closed and the patient is asked to ID object.
What is stereognosis?
This brain abnormality occurs suddenly and commonly in males with untreated hypertension and presents with severe HA.
What is intracerebral hemorrhage (ICH)?
This is a formula to calculate the due date by taking LMP add 7 days then subtract 3 mo and add 1 year.
What is the Naegele Rule?
These 2 genetic markers put females (and males) at the highest risk for breast cancer.
What is BRCA1 and BRCA2?
A patient presents to the ED with confusion, right sided weakness, aphasia, and slight headache. EKG reveals Atrial fibrillation with CVR (no known hx of AF). Stat CT without contrast shows NO hemorrhagic CVA but some hazy distribution in MCA and the MRI is pending. The following dx is most likely.
What is an embolic stroke? (caused by undx AF)