411.2 📚 國考版醫垫國考 / PGY OSCE

411.2.0.1 📌 Cram Sheet

411.2.0.1.1 🔥 高 yield 10
  1. CV #1 mortality in women
  2. MI atypical: fatigue, jaw, back pain
  3. SCAD: 90% women, peri-partum, FMD
  4. Takotsubo: 90% postmenopausal women
  5. Lung CA #1 cancer death in women now (surpass breast)
  6. HPV vaccine ≀ 45 yo
  7. PMDD: SSRI luteal or continuous
  8. Postpartum depression 10-15%: zuranolone oral 22E
  9. Autoimmune 80% women
  10. Osteoporosis 2-3x men
411.2.0.1.2 🔢 必背
項目 æ•žå­—
Heart disease women rank #1 mortality
Lung CA in women #1 cancer death
Breast CA lifetime 1/8 (1/13 Taiwan)
PPD prevalence 10-15%
PPD risk factors Prior depression, family Hx
SLE F:M 9:1
RA F:M 3:1
MS F:M 3:1
Hashimoto F:M 7:1
Osteoporosis F:M 2-3x
Postpartum thyroiditis 5-10%
Postpartum hemorrhage Sheehan rare

411.2.0.2 ⭐ 高 yield

411.2.0.2.1 女性 CV Specifics
  • HFpEF more common in women
  • Microvascular angina (INOCA)
  • SCAD (peri-partum, FMD)
  • Takotsubo
  • Anatomy: smaller coronary, more spasm
411.2.0.2.2 Postpartum Depression Drugs
  • Sertraline (preferred breastfeeding)
  • Paroxetine (OK breastfeeding)
  • Brexanolone IV (FDA 2019)
  • Zuranolone oral (FDA 2023, 22E)
  • Psychotherapy + ECT (severe)
411.2.0.2.3 PMDD
  • Definition: ≥ 5 symptoms in luteal phase
  • Mood + somatic + functional
  • Treat: SSRI (luteal-only or continuous), COC, dietary, exercise
411.2.0.2.5 High-Risk Surveillance
  • BRCA+: MRI + mammography from 25-30 + risk-reducing surgery
  • Lynch+: colonoscopy q1-2y from 20-25
  • DM: nephropathy, retinopathy, foot
  • Autoimmune: cycle + medication review

411.2.0.3 🎯 自我檢枬

  1. Heart disease women rank? → #1 mortality
  2. Lung cancer women rank? → #1 cancer death (surpass breast)
  3. SCAD demographics? → 90% women, peri-partum, FMD
  4. Takotsubo demographics? → 90% postmenopausal
  5. PMDD definition? → ≥ 5 symptoms luteal + functional
  6. PMDD treatment? → SSRI + COC
  7. PPD prevalence? → 10-15%
  8. Postpartum depression drugs? → Sertraline, paroxetine, brexanolone IV, zuranolone oral (22E)
  9. Postpartum thyroiditis %? → 5-10%
  10. SLE F:M ratio? → 9:1
  11. Osteoporosis F:M? → 2-3x
  12. HPV vaccine age? → ≀ 45 yo
  13. BRCA surveillance? → MRI + mammography from 25-30
  14. Mens MI vs Women MI? → Women atypical (fatigue, jaw, back)
  15. Lynch surveillance? → Colonoscopy q1-2y from 20-25

⚠ AI 草皿。