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Role of round ligament
Anteversion of uterus
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Contents of broad ligament
Uterine vessels
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Contents of infundibular ligament
Ovarian artery, nerve, vein
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Function of cardinal ligament
Holds cervix and vagina
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Beta HCG level where fetal pole is seen
6000
-
beta HCG level where gestational sac is seen
1500
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1st trimester bleeding, with closed os, positive sac on ultrasound, no heartbeat
missed abortion
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1st trimester bleeding with positive heartbeat
threatened abortion
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1st trimester bleeding with tissue protruding through os
incomplete abortion
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risk factors for eptopic pregnancy (3)
PID, previous ectopic, previous tubal manipulation
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Disease causing dysmenorrheal, infertility, dyspareunia
Endometriosis
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Most common site for endometriosis
Ovaries
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Findings of ex-lap for endometriosis
Blue masses
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Treatment of endometriosis
OCPs
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Disorder with cervical motion tenderness, pain, fever, vaginal discharge
PID
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Causes of PID
Gonorrhea, Chlamydia
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STD with chancre, positive dark field microscopy
Syphilis
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Rupture of Graafian follicle causing abdominal pain
Mittelschmirtz
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Most common vaginal cancer
SCCA
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Vaginal cancer caused by DES
Clear cell
-
Rhabdosarcoma that occurs in young girls
Botryoides
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Treatment of vulvar cancer
WLE, inguinal node dissection (bilateral if >2cm) and postop XRT if margins close
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Estrogen secreting ovarian tumor causing precocious puberty
Granulose-theca cell
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Androgen secreting ovarian tumor causing masculinization
Sertoli-Leydig tumors
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Ovarian tumors with thyroid tissue
Struma ovarii
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Beta HCG secreting ovarian tumors
Choriocarcinoma
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Worse type of ovarian cancer
Clear cell type
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Initial site of regional spread in ovarian cancer
Other ovary
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Treatment of ovarian cancer
TAH BSO, chemotherapy
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Stomach cancer metastasis to ovary
Krukenberg tumor
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Pelvic ovarian fibroma causing ascites and hydrothorax
Meig�s syndrome
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Most common malignant tumor in female genital tract
Endometrial
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Risk factors for endometrial cancer
Nulliparity, late 1st pregnancy, obestity, tamoxifen, unopposed estrogen
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First site of spread of cervical cancer
Obturator nodes
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Virus associated with cervical cancer
HPV (16 and 18)
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Most common cancer type of cervix
SCCA
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Treatment of microscopic cervical cancer
Cone biopsy
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Treatment of stage I-IIa cervical cancer (cervix-upper 2/3 vagina)
TAH
-
Treatment of stage IIb-IV cervical cancer
XRT
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Characteristics of ovarian cysts requiring resection
Septated, high vascular flow on doppler, solid components, papillary projections
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Incidental ovarian mass during laparotomy: what to do?
Oophorectomy and frozen section (if postmenopausal), TAH if ovarian cancer
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Cause and treatment of abnormal uterine bleeding in women <40
Anovulation, and medroxyprogesterone
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Cause and treatment of abnormal uterine bleeding in women >40
Cancer or menopause, and biopsy
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Contraindications to estrogen therapy (4)
Endometrial cancer, active thromboembolic disease, undiagnosed vaginal bleeding, breast cancer
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Complete mole of paternal origin, with an elevated malignancy risk
Hydatidiform mole
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Treatment of ovarian torsion
De-torse, check for viability
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Treatment of ruptured tubo-ovarian abscess
Drainage
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Treatment of ovarian vein thrombosis
Heparin
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Treatment of postpartum pelvic thrombophlebitis
Heparin, antibiotics
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