Gyn 1

Question 1

Most common lymphoma?

Answer 1

Diffuse large b cell

Question 2

Tanner staging made easy?

Answer 2

Stage 1 is prepubertal, Stage 5 is normal. Stage three is in the middle then stage 2 and 4 can be filled in

Question 3

PUbic hair last step in Tanner staging?

Answer 3

5 is to the thigh

Question 4

What is central precocious puberty?

Answer 4

Early hypothalamic puberty

Question 5

What is heterosexual precocious puberty?

Answer 5

virilization for girls. Maturing like other gender

From pseudo precocious puberty (not following the axis)

Question 6

DHEAS is only made by adrenals

Answer 6

oh ok

Question 7

Tx central precocious puberty?

Answer 7

continous GnRH analog to stop the hypothal pit track

Question 8

FSH causes release of what from the follicle?

Answer 8

estradiol (makes sense for feedback)

Question 9

Perimenopause can have fluctuant flow. Sometimes worse than others, but if it is worse, you still need to work it up

Answer 9

Endometrial biopsy

Question 10

Oligomenorrhea in younger than 45 workup?

Answer 10

TSH, beta hCG, prolactin, FSH

too see if menopause or something else

Question 11

Can you use topical estrogen in any woman who had history of estrogen sensitive cancer?

Answer 11

NO. DUH!

Question 12

Hot flash tx?

Answer 12

Wellc an do temporary HRT, but not long term

SNRIs: venlafaxine, desvenlafaxine

Question 13

Liver issue with OCP?

Answer 13

Hepatic adenomas. SO ANY HISTORY OF liver issue can’t have OCP

Reversible cholestasis
Budd Chiari
Hepato carcinoma

Question 14

Guiness Coronas and PBRS induce chronic alcoholism

Answer 14

Griseofulvan
Carbamazapine
Pheny
Barbs
Rifampin
St Johns Wart
Chronic alcoholism

Question 15

Progesterone only pill issue if miss a day?

Answer 15

WONT WORK, MUS TAKE AT SAME TIME EVERY DAY

Question 16

What is Plan B?

Answer 16

Levonorgestrel no estrogen. Prevents OVULATION!!! and inhibits fertilization by thickening mutcous

Question 17

What is mifepristone?

Answer 17

Progesterone antagonist

Question 18

What age d you start to work up if patient has never had any puberty signs?

Answer 18

Age 13

Question 19

Secondary amennorhea lab?

Answer 19

B hCG
THS and free T4
Prolactin
FSH and LH
Check for testosterone and DHEA

Question 20

Progesterone challenge tells you what?

Answer 20

Tells you if estrogen is the problem or not.

If bleed, it is anovulatory but estrogen is being made

If no bleed, she is likely not making estrogen or there is outflow obstruction

Question 21

When do you do estrogen-progesterone challenge?

Answer 21

To test outflow tract after no let down after progestin challenge

Question 22

What is abnormal mullerian development?

Answer 22

No development of internal genitalia and presents as primary anovulation

Question 23

Patient has amenorrhea, absent secondary sexual characteristics and anosmia?

Answer 23

Kallman syndrome