Fishy, thin, gray white vaginal discharge
BV
This is the most common gynecologic malignancy in the US and is associated with increased estrogen exposure and Tamoxifen.
This screening test should be done between 24-28 weeks of pregnancy.
Gestational diabetes screening
Most common causes of prostatitis for <35 vs >35
<35 Chlamydia and Gonorrhea
>35 E. coli
Renal stones <5 mm in diameter should be treated with...
IV fluids, analgesics, anda strainer
Vulvar pruritis and a white raised crusted lesion in a 60 year old woman should be concern for this.
Vulvar cancer
This is the first line treatment for endometriosis
OCPs, NSAIDs, IUDs
This is the preferred treatment of hypertension in pregnancy
Methyldopa
Labetalol
Nifedipine
Can add hydralazine to this
Hurts real bad and has no cremaster reflex
Testicular torsion
A person with fever, chills, flank pain, and WBC casts likely has this
Pyelonephritis
After kegel exercises, what would be the next best therapy for a person with Grade 1 or 2 uterine prolapse?
Pessary
What is the initial test in a post-menopausal woman who has bleeding?
Trans vaginal US
-->Endometrial biopsy if >4mm
Someone with a previous C section presenting with painless vaginal bleeding in the third trimester and a soft, non-tender uterus likely has this.
Placenta Previa
Do not perform digital vaginal or speculum exam.
This is a strong contraindication for common erectile dysfunction meds like Sildenafil.
Cardiovascular disease
Those using nitrates
A 60 year old previous smoker on Pioglitazone presenting with painless hematuria should have what gold (-en shower) standard thing?
Repeat co-testing in 3 years
A symmetrically boggy and globular uterus in a non-pregnant individual is associated with this condition.
Adenomyosis
Though tracing had previously been normal, there is a sudden onset of severe, prolonged fetal bradycardia and some variable decelerations. This is a concern for...
Umbilical cord prolapse.
A left-sided varicocele should make you suspicious for....
Renal cell carcinoma
An older male with increased urgency, frequency, and nocturia and terminal dribbling should be treated with one of these two types of drugs
Alpha 1 blocker (Tamsulosin)
5-alpha reductase inhibitor (-sterides)
A string of pearls appearance of the ovaries, acanthosis nigricans, severe acne, and irregular periods are signs of this.
PCOS
Lifestyle, OCPs, Spironolactone
Endometrial hyperlasia shown with a thickened endometrial stripe (>4mm) is most commonly due to this
Prolonged unopposed estrogen
During delivery, turtle sing or a red puffy face should be clues for you to do this.
McRoberts maneuver
Woods corkscrew maneuver
Zavanelli maneuver
A hard, nodular, enlarged, asymmetric prostate on DRE should be assessed next with this for a diagnosis
trans-rectal US guided needle biopsy
Medical therapy for overactive bladder
antimuscarinics
Mirabegron
TCAs