female

Question 1

HSIL

Answer 1

Leep or colposcopy , if CIN ok
if not CIN2,3 21-21 every 6 month colposcopy and cytology for 2 years
more than 25 guidlines

Question 2

high in lesbians

Answer 2

CAD, DM2, Obesity, cervical cancer, breast cancer, ovarian cancer, depression and anxiety, intimate partner violence, bacterial vaginosis

Question 3

pap in HIV and IS

Answer 3

HIV onset the HIV diagnosis, and annually for three negative than normal routine

IS, annual with HPV

Question 4

LCIS

Answer 4

surveillance, but with increased risk ( diordered cellular adherence, nuclear pleomorphisms,…) excisional biopsy and may offer tamoxifen

Question 5

anovulatory uterine bleeding in menoposal transition

Answer 5

45 or more; with suspected anoulatory bleeding or under 45 with (obesity and PCOS, and persistent bleeding must have endometrial biopsy

Question 5

depot medroxyprogestrone adverse effects

Answer 5

initial irregular bleeding, amenorrhea, reversible bone loss( even with family osteoporosis the patient can take it), delayed return to fertility, +_ weight gain

Question 6

methotrexate contra

Answer 6

liver and kidney ( diabetic nephropath), ulcer disease, Immunodeficiency, active pulmonary disease, breastfeeding , and 5000 beta HCG

Question 7

absoute contraindication for breast conserviing therapy

Answer 7

multifocal disease, inflamatory breast cancer, prior theraputic chest wall radiation therapy

lymphadenectomy if 3 or more lymph node

Question 8

IUD contraindications

Answer 8

both; pregnancy, endometrial and cerviacal cancer, unexplained vaginal bleeding, gestational trophoblaastic disease, sever cavity uterine distortion, active infection

progestin: liver disease, current breast cancer

copper; wilson

Question 9

inferility

Answer 9

ovulatory : midluteal phase (21) proggestrone level,

ovarian reserve day 3 fsh and estradiol, clomiphene citrate challenge test, antral follicle count, antimullerian hormone

fallopian and uterin cavity

Question 10

us breast cancer recomidations

Answer 10

after 50 to 7 mamography, every 2 years,
genetic counseling for women with evidence of high risk family

high risk family:
2 first degree, including one under 50 ,
three 1st and second
1st and second breast and ovarian cancer,
1st bilateral breast cancer
male
Ashkenazi with breast or ovarian

Question 11

contraindications for hormonal contraceptive

Answer 11

migrans with aura, sever hypertension, IHD, age more than 35 and more than 15 cigrate, 3weeks post partum, thromboembolism, thrombophilia, active breast cancer, active liver disease,

relative, ; HTN, age more than 35 and under 15 cigarettes, certain medications,(lamotrigin, rifampin,), inherited thrombophilia carier

Question 12

raloxifen

Answer 12

postmenoposal osteoprosis

Question 13

hemiperitoneum ectopic

Answer 13

surgery

Question 14

sex changes age limit for puberty

Answer 14

female 15 and 13 if no secondary(thelarch pubarcand ,,,)