GYN

Question 1

a form of hypogonadotropic hypogonadism with associated anosmia and pubertal delay and a normal response to exogenous gonadotropins.

Answer 1

Kallmann’s syndrome

Question 2

What is Kallmann’s syndrome?

Answer 2

Congenital: Absent of Gonadotropin releasing hormone due to failure of GnRH neurons developing = cause primary amenorrhea.

Question 3

__________ is an ovarian disorder that presents with amenorrhea, hirsutism, acne and infertility due to an imbalance between luteinizing hormone and follicle-stimulating hormone.

Answer 3

Polycystic ovarian disease

Question 4

The most common cause of secondary amenorrhoea is

Answer 4

Pregnancy

Question 5

The mainstay of the management of amenorrhea due to primary ovarian failure is

Answer 5

hormone replacement therapy.

Question 6

_____________ is the second most common cause of primary amenorrhea after Turner syndrome.

Answer 6

Mullerian agenesis

Question 7

Follicle-stimulating hormone and luteinizing hormone levels are (increased/ decreased) in exercise induced hypothalamic amenorrhea

Answer 7

decreased

Question 8

_________ syndrome is a uterine disorder that involves secondary amenorrhea due to scarring and the loss of the basalis layer of the endometrium which contains stem cells.

Answer 8

Asherman’s syndrome

Question 9

(Primary/Secondary) amenorrhea is a type of amenorrhea that involves cessation of menses for the length of time of 3 normal menstrual cycles or for a six month duration.

Answer 9

secondary

Question 10

______ syndrome is the most common cause of primary amenorrhea.

Answer 10

Turner Syndrome

Question 11

What is the name of the organism found in n vaginal flora?

Answer 11

Lactobacilli: produced lactic acid which decreases the vaginal pH to 4-4.5

Question 12

What is the amsel criteria?

Answer 12

Diagnosis of BV requires 3 of 4 symptoms
1)homogeneous, thin, grayish-white discharge
2)vaginal pH >4.5
3)positive whiff-amine test (fishy odor when exposed to 10% potassium hydroxide.
4)clue cells found on saline wet mount

Question 13

What is the name of the bacterial species that causes BV?

Answer 13

Gardnerella vaginalis

Question 14

What is the 1st line tx for BV?

Answer 14

500 mg metronidazole x2 daily for 7 days
OR
0.75% metro gel applicator for 5 days

Question 15

What is an alternative tx for BV?

Answer 15

Clindamycin (oral, vaginal suppository)

Question 16

The pH found is a pt with yeast infection is (increased,decreased, normal)?

Answer 16

Normal (4.0-4.5)

Question 17

What is the treatment for yeast infection?

Answer 17

150 mg of fluconazole

Question 18

What are the risk factors for candidasis?

Answer 18

abx use, diabetes, pregnancy, immunocompromised status.

Question 19

What are therapies for premenstrual syndrome?

Answer 19

Seotonin reputake inhibitors
Oral contraceptives
Spironolactone is fluid retention is present