Female Care

Question 1

Diagnostic criteria for PCOS

Answer 1

We use the Rotterdam criteria
Need 2/3 for Dx

1- Polycystic ovary on ultrasound either( 12 or more follicles )or
(an increase in the overall volume more than 10cm3 )

2-clinical or biochemical signs of
hyperangrogenism

3- oligo- an ovulation



Question 2

What cause increase ovary size ?

Answer 2

Insulin

Question 3

PCOS commonly associated with family hx of ?

Answer 3

Diabetes 2

Question 4

Mx of infertility in PCOS

Answer 4

• letrozole
• clomiphene
• metformin

Question 5

Menstrual irregularity mx 

Answer 5

Initial treatment is hormonal contraception

• ocp is superior to metformin
• mirena
  

Question 6

First-line therapy in mild hirsutism?  or acne ?

Answer 6

Oral contraceptives

Question 7

A-medication with Moderate anti androgen affects can be used to for hirsutism? 

Answer 7

Spironolactone

Question 8

Second -line therapy in mild hirsutism? or acne ?

Answer 8

Antiangrogen - spironoloctane

Question 9

Mx of acute uterine bleeding ?

Answer 9

Haemodynamically stable 🩸?

• tamponade
• IV estrogen
• curettage
• artery embolization

🩸 stable ?

• ocp
• oral progestin
• IV tranexamic acid

Question 10

All patients with abnormal uterine bleeding should be tested for?

Answer 10

Pregnancy and anaemia

Question 11

Who is candidate for endometrial biopsy ?

Answer 11

 45 female with abnormal uterine 🩸 

Question 12

First line imaging choice for you trying bleeding in most patients

Answer 12

Transvaginal ultrasonography 

Question 13

Risk factor for endometrial cancer

Answer 13

(Major risk )

• unopposed estrogen (long term)
• lynch syndrome
• estrogen producing tumor

(Minor risk) 
Obesity 
Pcos 
Nulliparty
Late menaupouse 
Tamoxifen use

Question 14

Normal flora in the. Vagina ?

Answer 14

Lactobacilli

Question 15

It is recommended to culture bacterial vaginitis ?

Answer 15

No

Do not obtain culture bc of polymictobial infection

Question 16

In infectious vaginitis is recommended to also do nucleic acid amplification test ?

Answer 16

Trichomoniasis vagnitis

Question 17

Bacterial vaginitis?

Answer 17

• 🐟 fishy odor , homogeneous discharge
• sign : no inflammation

Mx ? Metronidazole 5-7 days
\or
Clindamycin

Question 18

Dx criteria for bacterial vaginitis ?

Answer 18

NEED 3/4 for accurate dx

1- thin homogeneous discharge

2- +ve whiff test ( amine odor)

3- clue cells on microscopy

4- vaginal PH>4.5

Question 19

Candidiasis. V

Answer 19

PH<4.5
Negative whiff test
Thick white discharge

Vulvar itching , burnnig 🔥

No odor

Vulvar erythema and edema

Mx: Topical azole
Or /
Fluconazole

Question 20

Trichomoniasis V

Answer 20

Green yellow discharge, frothy
Foul odor
- vagina pain + soreness
- strawberry 🍓 cervix

• SHOULD SCREEN 📺 for STD ⚠️

Mx? Metronidazole
Or tinidazole

Question 21

Microscopic findings of infectious vaginitis

Answer 21

1- bacterial : clue cells
2- trichomoniasis: motile
3-candidiasis: pesudohypha

Question 22

Fetal heart rate at ?

Answer 22

10-12 week

Question 23

Fetal movement

Answer 23

20-24 week

Question 24

When to do urine culture?

Answer 24

At 12-16 weeks

Question 25

Fundal - height measurements?

Answer 25

At 20 weeks

Question 26

Full term delivery
Preterm
Abortion/ miscarriage

Answer 26

1- 37-40 weeks
2-20-36 weeks
3- before 20 weeks

Question 27

Aspirin prophylaxis recommendation for pregnant with a risk of pre-eclampsia

Answer 27

Should be started at 12weeks-28 weeks

Question 28

Screening for gestational diabetes

Answer 28

At 24-28 weeks

Question 29

Test to do at 35-37w

Answer 29

Group B strep
repeat urine analysis
and urine culture
CBC