Amenorrhea, Bartholin, Breast, Chronic Pelvic Pain, Dysmennorhea, Fertility Control, Menopause, Cervical ca, PID

Question 1

Amenorrhea

Answer 1

Absence of menstrual bleeding

Question 2

Primary amenorrhea

Answer 2

Delayed puberty at 14 years old OR
period stop after 2 years sexual maturation at 16 y/o

Question 3

Secondary Amenorrhea

Answer 3

No bleeding after getting period

Question 4

Amenorrhea physical exam focus on

Answer 4

Visual and Thyroid, r/o PREGNANCY *****

Question 5

Amenorrhea medication

Answer 5

Medroxyprogesterone

Pulsatile GnRH, Recombinant human leptin

Question 6

Breast Cancer Screening USPSTF Screening Recommendations

Answer 6

Mammography 50-74 y/o

Question 7

Mastitis

Answer 7

Inflammation of breast tissue.

Feverc, chills

Question 8

Puerperal Mastitis

Answer 8

Unilateral, happens during LACTATION

Question 9

Paget Disease

Answer 9

Unilateral scalp plaque starts on NIPPLE first , palpable mass.

Question 10

Chronic Pelvic Pain

Answer 10

> 6 month pain that’s non menstrual
GI,GU,GYN,ONC,MS, psychosoc

Question 11

CPP dx

Answer 11

Vaginal/cervical cx
UA/UC
CBC,ESR, preggo test

TVUS, Renal US CT/MRI

Question 12

CPP tx

Answer 12

NSAID
Tricyclic Antidepressant
Anticonvulsant

Question 13

Dysmenorrhea
primary

secondary

Answer 13

painful menstruation
primary- happen 6-12 mo after menses younger

secondary- later in life endometriosis, uterine fibroids, adenomyosis, PID infertility problems, ovarian cysts, polyps, intrauterine adhesions, cervical stenosis, other pelvic pathologic conditions, or IUD use

Question 14

dysmenorrhea dx

Answer 14

pelvic US, genital cx, laparoscopy, hysteroscopy, d+c, ct

CBC, esr

Question 15

Dysmenorrhea tx

Answer 15

nsaid
hormone contraceptive
ccb
tocolytics

Question 16

menopause age

Answer 16

> 50 years ago r/t decrease in estrogen

hot flashes, vaginal dryness, urinary incontinence,mood change

Question 17

Pap smear

Pap smear age

hpv age

Answer 17

test for cervical cancer

Pap smear start at 21 years old

hpv 30-65 q 3 years

3 normal paps- no more screens

Question 18

Asc-us lesions with positive hpv dna

Answer 18

colposcopy

Question 19

PID

Answer 19

leading cause of infertility

inflammation of upper genital tract

Question 20

PID s/s

Answer 20

fever, chills, cramp, dysuria, low back pain, n/v, abnl vag bleeding

Question 21

PID physical

Answer 21

lower and pain
elevated temp
cervical/vaginal mucopurulent discharge
inc WBC/ERCP
N.gonorrhea, c trochomatis

Question 22

PID tx

partner tx

Answer 22

antibiotic coverage
Treat sexual partner within 60 days