Clinical Care of the OB&GYN Conditions

Question 1

breast pain or tenderness

pain worsen during premenstrual phase

multiple and bilateral masses

fluctuation in mass size

absence of enlargement or tenderness of lymphadenopthy

Answer 1

Breast mass

“Fibricystic Conditions”

Question 2

treatment of beast mass “fribricystic conditions”

Answer 2

NSAIDS

avoid trauma

supportive bra

decrease fat intake

eliminate caffeine

Vitamin E

Question 3

Round or ovoid mass

rubbery

discrete

relatively movable

non-tender

Answer 3

Fibroadenoma

Question 4

common after:
segmental resection / radiation therapy / trauma / breast augmentation

Answer 4

Fat Necrosis

Question 5

what is the 2nd most common cancer in woman and 2nd leading cause of death

Answer 5

Breast Carcinoma

Question 6

what are risk factors for Female breast carcinoma

Answer 6

age

family Hx

Genetics

Reproductive Hx

Menstrual Hx

PMx

Question 7

single, non-tender, firm to hard mass and ill defined margins

Answer 7

Breast Carcinoma

Question 8

once regular menses is established what is the most common cause of abnormal Uterine bleeding

Answer 8

ovulatory dysfunction

Question 9

painful menstrual cramping

signs of amenia

Answer 9

abnormal uterine bleeding

Question 10

treatment for AUB-O

Answer 10

Hormone treatment

NSAIDS

Question 11

when the emotional or mood Sx predominate along with the physical Sx and there is a clear fictional impairment with work or personal relationships

Answer 11

Premenstrual Dysphoric Disorder (PMDD)

Question 12

treatment of Premenstrual Dysphoric Disorder (PMDD)

Answer 12

aerobic exercise

reduction of caffeine, salt, alcohol

Vitamin D or magnesium

increase complex carbs

hormonal Contraceptives

SSRI

Question 13

vaginal irritation or pruritus

pain

unusual or malodorous discharge

Bi-manual Exam

Pelvic inflammation

Cervical motion tenderness

adexal tenderness

Answer 13

Vaginitis 0

Question 14

vaginal irritation or pruritus

pain

unusual or malodorous discharge

Bi-manual Exam

Pelvic inflammation

Cervical motion tenderness

adexal tenderness

Answer 14

Vaginitis 0

Question 15

white curd like discharge

NOT malodorous

exposure to hot humid conditions and wears occlusive clothing

Answer 15

Vuvovaginal Candidiasis

Question 16

STI

Malodorous frothy

yellow-green discharge

strawberry cervix - red macular lesions

Answer 16

Trichomonas Vaginalis Vaginitis

Question 17

polymicrobial disease

NOT an STI

Chronic

Increased Malodorous

Answer 17

Bacterial Vaginosis

Question 18

in bacterial Vaginosis vaginal pH is frequently greater than what

Answer 18

4.5

Question 19

Treatment of Vulvovaginal Candidiasis

Answer 19

Fluconazole

Question 20

treatment for trichmonas vaginalis Vaginitis

Answer 20

treat both partners with metronidazole (flagyl)

Question 21

treatment for Bacterial Vaginosis

Answer 21

Metronidazole

Question 22

treatment for Chlamydia

Answer 22

Doxyxyxline

Question 23

treatment for Gonorrhea

Answer 23

Ceftriaxone (Rocephin)

Question 24

periodic painful swelling on either side of the introitus

dysoareunia

Answer 24

bartholins gland abscess

Question 25

what is the most common benign neoplasm of the female genital tract

Answer 25

Leiomyoma of the uterus (fibroid tumor)

Question 26

Sx: dysmenorrhea chronic pelvic pain Dyspareunia abnormal uterine bleeding infertility PE: tender nodules in the cul-de-dac or rectovaginal septum cervical motion tenderness adnexal mass or tenderness

Answer 26

Endometriosis

Question 27

lower abdominal pain chills fever menstrual disturbances purulent cervical discharge cevical adnexal tenderness

Answer 27

pelvic inflammatory disease

Question 28

pelvic inflammatory disease is what type of infection

Answer 28

polymicrobial of upper GI tract

Question 29

pelvic inflammatory disease is most common in what population of females

Answer 29

young nulliparous polysexual

Question 30

what is the leading cause of infertility and ectopic pregnancy

Answer 30

pelvic inflammatory disease

Question 31

whats provides the most significant protection against pelvic inflammatory disease

Answer 31

barrier method of contraception

Question 32

menstrual disorder infertility skin disorders insulin resistance

Answer 32

polycystic ovarian syndrome

Question 33

sexual pain disorder with recurrent or persistent genital pain associated with sexual intercourse this is not associated with lack of lubrication or vaginismus

Answer 33

Dyspareunia

Question 34

whats the most common cause of dyspareunia

Answer 34

vulvodynia

Question 35

sensation of burning pain itching stinging irritation rawness

Answer 35

vulvodynia

Question 36

sexual disorder with recurrent or persistent involuntary spasm of the musculature of the outer third if the vagina

Answer 36

vaginismus

Question 37

interferes with sexual intercourse due to: fear pain sexual violence negative attitude towards sex

Answer 37

Vaginismus

Question 38

treatment for vaginismus

Answer 38

sexual counseling and edu edu on lube and botox injections

Question 39

treatment for vulvodynia

Answer 39

topical anesthetics tricyclic antidepressents SSRI gabapentin physical therapy

Question 40

what instruction covers sexual assult on ships

Answer 40

SECNAVINST 1752.4