Exam 1

Question 0

STI w/ normal pH

Answer 0

candidiasis

Question 1

strawberry cervix

Answer 1

Trichomoniasis

Question 2

clue cells on microscopy

Answer 2

BV

Question 3

2 big complications of PID

Answer 3

infertility & Fitz-Hugh-Curtis syndrome

Question 4

4 stages of herpes

Answer 4

primary: genital lesion w/o Abs
nonprimary 1st episode: opposite Ab in serology (Type 1 Ab w/ genital lesions)
recurrent: had type 1, keep getting type 1
asymp. viral shedding

Question 5

RUQ pain, adhesions, or pain w/ breathing

Answer 5

Fitz-Hugh-Curtis syndrome

related to PID

Question 6

which types of HPV account for 70% of cervical cancer

Answer 6

16 & 18

Question 7

syphilis diagnosis?

Answer 7

bacteria visible w/ Darkfield microscopy (VDRL panel)

Question 8

post-partum amenorrhea resulting from postpartum pituitary necrosis secondary to severe hemorrhage & hypotension

Answer 8

Sheehan’s syndrome

Question 9

related to D&C or uterine infection

Answer 9

Asherman’s Syndrome- secondary amenorrhea cause

Question 10

diagnostic test for secondary amenorrhea? and what do you look for

Answer 10

progestin challenge test

withdrawl bleeding- if no bleeding after 2 weeks –> pregnancy, hypoestrogenism, uterine defect

Question 11

PMS symptoms have to occur when?

Answer 11

luteal phase

Question 12

gold standard for tx PMDD?

Answer 12

SSRIs

Question 13

PMDD diagnosis criteria?

Answer 13

5 or more sx during the luteal phase

Question 14

average age of menopause?

Answer 14

51.5

Question 15

menopause official diagnosis

Answer 15

12 mo. of amenorrhea after final menstrual period

Question 16

multiple dilated ducts in the subareolar space. Discharge may be clear, milky, or green-brown

Answer 16

Duct Ectasia

Question 17

duct ectasia tx

Answer 17

duct excision

Question 18

most common cause of nipple discharge

Answer 18

duct ectasia

Question 19

most common lesion to cause serous or serosanguineous d/c

and what do you do

Answer 19

Intraductal papilloma

excise the involved duct (it could be invasive papillary carcinoma)

Question 20

bilateral milky nipple d/c in non-lactating pt

Answer 20

pituitary adenoma

Question 21

frequent cause of mastitis

mastitis tx

Answer 21

staph

antibiotics, incision & drainage, pain mgmt

Question 22

firm, mobile, slightly tender mass, well-defined borders

how do you evaluate and treat

Answer 22

breast cyst
u/s
aspiration- diagnostic & therapeutic

Question 23

palpable 1-3 cm mass, may have cyclical tenderness

change in size w/ menstrual cycle

Answer 23

fibroadenoma

excise if symptomatic or planning a pregnancy

Question 24

rapidly growing, similar to fibroadenomas

Answer 24

Phyllodes tumor

Question 25

cutaneous nipple abn- eczematous changes

Answer 25

Paget’s disease- can be an early sign of breast CA

Question 26

clustered pleomorphic calcifications on mammogram

Answer 26

DCIS

Question 27

first line tx osteoporosis

Answer 27

bisphosphonates- (risendronate sodium)

unless they have breast CA- then its SERM (raloxifine)

Question 28

mastitis that doesn’t improve w/ tx is concerning for?

Answer 28

inflammatory breast CA

Question 29

tx PID

Answer 29

Ceftriaxone IM
Doxycycline x 14 days
Metronidazole x 14 days

Question 30

trich tx

Answer 30

metronidazole

Question 31

chlamydia tx

Answer 31

doxycycline x 14 days or 1 dose zithromax

Question 32

gonorrhea tx

Answer 32

Ceftriaxone IM

azithromycin/doxy to cover chlamydia too

Question 33

syphilis tx

Answer 33

Benzathine PCN G, IM

Question 34

best imaging for evaluating DCIS

Answer 34

MRI

Question 35

tx for unilateral nipple discharge

Answer 35

excisional biopsy of offending duct & any mass/lesion

refer to specialist