CM 2

Question 1

when to do colpo? if pt has AGUS, what’s next step?

Answer 1

if >/= 25yo -> ASCUS-H, LSIL HR, HSIL AGUS. EMB to chk if glandular cells from ut or cvx

Question 2

when to do LEEP?

Answer 2

CIN1 x>2y, CIN2/3

Question 3

cause of VIN? sx? dx? tx?

Answer 3

HPV 16, 18, 31, 33. pain, burn, itch. bx. rpt cyto, chemo, laser abl, surg

Question 4

lichen sclerosis vs Paget inc risk of what? how to tx Paget?

Answer 4

SCC vs brca, colon ca. wide excision

Question 5

cause of Bartholin cyst? w/u? tx?

Answer 5

E coli, prevotella. test for gonorrhea if sexually active; bx if >40yo. I&D, abx, cx

Question 6

indic for D&C vs hysteroscopy. impt thing to note for hysteroscopy?

Answer 6

abnl bleed, incomplete miscarriage via suction vs abnl bleed, recurrent miscarriage, therapeutics (myo/polypectomy, adhesion, IUD). measure I/O (1000mL deficit vs 1500)

Question 7

when to do lap vs hysteroscopy myomectomy? what’s taken out in radical hysterectomy; why do it? complications of hysterectomy?

Answer 7

subserosal, intramural vs submucosal. ut, cvx, tubes, LN; for cvx ca or endometrial ca reaching cvx. urinary rtn, renal or ureter injury

Question 8

indic for oophorectomy?

Answer 8

endometriosis, tubo-ovarian abscess, pelvic adhesion/pain; >51yo who wants brca & ov ca prevention

Question 9

how to tx endometrial simple/complex w/o atypia vs w/ atypia?

Answer 9

progesterone/in/IUD vs progesterone if want children, hysterectomy if no children

Question 10

how to tx fxnal ovarian cysts?

Answer 10

resolve on own, ocp, if >5cm or w/ complex features -> rpt US (anechoic) or pelvic exam in 6-8wks

Question 11

complications of teratoma germ tumor. cause of ovarian fibroma. if you suspect any benign ovarian neoplasm, what should you order?

Answer 11

acute peritonitis. collagen prod by spindle cells, DOES NOT secrete sex steroids, mistaken for fibroids. preop US

Question 12

where do malig ovarian neoplasms derive from?

Answer 12

mesothelial cells undergoing metaplastic transformation when ovulation occurs

Question 13

characteristics of malig serous vs mucous tumor? dysgerminoma vs immature teratoma

Answer 13

multilocular, Psammoma vs pseudomyxoma peritonei. inc HCG & AFP, gonadal dysgenesis, rad/chemo vs inc HCG & AFP, hem/nec, chemo, uni ooph

Question 14

dx vs tx interstitial cystitis. what findings will you see on cysto?

Answer 14

PE, K+ sensitivity, lidocaine test, cysto (if hematuria) vs diet, Elmiron, antihist, SSRI, bladder instillation, cysto w/ hyperdistension. Hunner lesions (red after hydrodistension), glomerulations (petechial)

Question 15

how to tx vulvodynia?

Answer 15

lidocaine gel, gabapentin, amitriptyline, venlafaxine, PT, acupuncture

Question 16

how to tx syphilis? neurosyphilis? G/C?

Answer 16

PCN G even if allergic -> desensitize or doxy. ceft. ceftriaxone + doxy