8

Question 1

complications of LEEP

Answer 1

infection
cervical stenosis
bleeding
preterm delivery

Question 2

IUD strings not there and hook failed! next step?

Answer 2

physteroscopy

Question 3

find adnexal mass..next step?

Answer 3

pelvic US

Question 4

endocervical polyp

Answer 4

benign and common in women 40-50s

spotting and bleeding btwn periods

Question 5

definitive treatment for pelvic pain due to endometriosis

Answer 5

hysterectomy BSO

Question 6

Mullerian agenesis

Answer 6

XX
uterus and cervix absent
Nl ovaries and 2 sex characteristics
renal anomalies

Question 7

chadwick’s sign

Answer 7

bluish color of cervix from increased blood flow

indicative of pregnancy

Question 8

how does anorexia lead to amenorrhea?

Answer 8

Hypothalamus-pituitary dysfunction

Question 9

reason behind post part hair loss

Answer 9

estrogen during pregnancy makes hair grow more and shed more

post-delivery, hair shedding can last up to five months

Question 10

hyperthecosis

Answer 10

more severe form of PCOS

high T, virlization symptoms

Question 11

how does progesterone give you your period

Answer 11

connects proliferative to secretory phase

and then progesterone withdrawal leads to menses

Question 12

therapy for fibroid for women over 35 who smokes and wants to have future kids

Answer 12

hysteroscopy and myomectomy

Question 13

how do OCPs decreased menstrual pain

Answer 13

progestins cause endometrial atrophy, so less prostaglandins are produced in the endometrium

Question 14

what should you do for any woman over 40 with irregular bleeding?

Answer 14

endometrial biopsy to rule out cancer

Question 15

amount of calcium supp. for postmenopausal women

Answer 15

1200 mg

Question 16

treatments for hot flashes during menopause

Answer 16

estrogen- lowest dose, shortest amount of time

Question 17

HRT causes increased risk for what type of cancer

Answer 17

breast

Question 18

hormone therapy effect on lipid profile and mechanism

Answer 18

LDL decreases
HDL increases

estrogen–> increased triglycerides, LDL catabolism, inhibit hepatic lipase

Question 19

what level on t scores should you valuate risk factors for fracture

Answer 19

-1 to -2.5

Question 20

what do you do to image infertility after PID?

Answer 20

hysterosalpingogram

Question 21

what hormone levels are helpful to diagnose PCOS

Answer 21

testosterone

LH/FSH

Question 22

risk factors for PMS

Answer 22

family history

vit B6, Ca, Mg deficiency

Question 23

risk factors for molar pregnancy

Answer 23

asian
prior miscarriages
less folic acid and beta carotene

Question 24

how long should women wait to get pregnant again after molar pregnancy

Answer 24

after hcg levels normalize to prevent spontaneous regression

Question 25

what imaging should you do to determine mets from trophoblastic neoplasm?

Answer 25

CT of body

Question 26

what will confirm diagnosis of choriocarcinoma

Answer 26

quantitative bhcg