4/2/13 b

Question 1

What is the term for the bloody, clot-filled vaginal discharge that is typical of the first few days after birth?

Answer 1

lochia rubra

Question 2

Are intra- and post-partum chills normal?

Answer 2

yes

Question 3

What characteristic of the lochia should alert you to endometritis?

Answer 3

foul smell

Question 4

What is the role of aromatase?

Answer 4

converts androgens to estrogens

Question 5

What is the appearance of the ovaries in an adult with aromatase deficiency?

Answer 5

polycystic

Question 6

What syndrome is characterized by the triad of cafe-au-lait spots, polyostotic fibrous dysplasia, and autonomous endocrine hyperfunction?

Answer 6

McCune-Albright syndrome

Question 7

When does puberty occur in mcCune-Albright syndrome?

Answer 7

early

Question 8

What happens to the mother of a fetus with aromatase deficiency during gestation?

Answer 8

virilization

Question 9

What is the state of the genitalia in a pt with aromatase deficiency?

Answer 9

normal internal, virilized/ambiguous external

Question 10

What ovarian tumor releases large amounts of estrogen and may cause precocious puberty?

Answer 10

Granulosa cell tumor

Question 11

What is the common presenting symptom of Granulosa cell tumor in post-menopausal women?

Answer 11

bleeding

Question 12

The presence of dysmenorrhea, heavy menses, and an enlarged uterus is classic for _______.

Answer 12

uterine fibroids

Question 13

Why do fibroids increase in size w/ OCPs?

Answer 13

they are estrogen dependent

Question 14

What kind of incontinence do you use oxybutynin for?

Answer 14

urge

Question 15

What are the 2 typical presenting symptoms of adenomyosis?

Answer 15

dysmenorrhea and menorrhagia

Question 16

In adenomyosis, what is the uterus like on physical exam?

Answer 16

symmetrically enlarged

Question 17

In a pt w/ leiomyomata, how is the uterus on physical exam?

Answer 17

ASYMMETRICALLY enlarged