GYN

Question 1

First test to perform when a woman presents with amenorrhea

Answer 1

B-HCG, MCC of amenorrhea is pregnancy

Question 2

Term for heavy bleeding during and between menstrual periods

Answer 2

menometrorrhagia

Question 3

Cause of amenorrhea with normal prolactin, no response to estrogen progesterone challenge, hx of D&C

Answer 3

Ashermans

Question 4

Therapy for PCOS

Answer 4

Weight loss, OCP, maybe metformin

Question 5

Med to induce ovulation

Answer 5

clomiphene citrate

Question 6

Diagnostic step required in a postmenopausal woman who has vag bleeding

Answer 6

endometrial biopsy

Question 7

indications for medical tx for ectopic pregnancy

Answer 7

Patient stable, unruptured ectopic pregnancy of gestation

Question 8

Medical options for endometriosis

Answer 8

OCP, danazol, GnRH agonists

Question 9

Laparoscopic findings in endometriosis

Answer 9

powder burns, chocolate cysts

Question 10

most common location for an ectopic

Answer 10

Ampulla of the oviduct

Question 11

how to dx and follow a leiomyoma

Answer 11

ultrasound

Question 12

Natural hx of leiomyoma

Answer 12

regresses after menopause

Question 13

A patient has increased vag discharge and petechial patches in the upper vag and cervix

Answer 13

trichomonal vaginitis

Question 14

tx for BV

Answer 14

oral or topical metronidazole

Question 15

MCC of bloody nipple discharge

Answer 15

intraductal papilloma

Question 16

contraceptive methods that protect against PID

Answer 16

OCP and barrier contraception

Question 17

unopposed estrogen is contraindicated in which cancers

Answer 17

endometrial or ER+ breast cancer

Question 18

Pt presents w recent PID and RUQ pain

Answer 18

Fitz-Hugh-Curtis syndrome

Question 19

Breast malignancy presenting as itching, burning and erosion of nipple

Answer 19

Paget’s

Question 20

Annual screening for women with strong family hx of ovarian CA

Answer 20

CA-125 and transvaginal ultrasound

Question 21

50yo woman leaks urine when laughing, coughing. Non-surgical options?

Answer 21

Stress incontinence, do kegel exercises or pessary

Question 22

30yo F has unpredictable urine loss. Exam is normal. Medical tx?

Answer 22

Urge incontinence. Use anti-cholinergics (oxybutinin) or beta-adrenergics (metaproterenol)

Question 23

Lab values suggestive of menopause

Answer 23

Increased serum FSH

Question 24

MCC of female infertility

Answer 24

endometriosis

Question 25

2 consecutive findings of atypical squamous cells of undertermined significance (ASCUS) on pap. Follow evaluation?

Answer 25

Do colposcopy and endocervical curettage

Question 26

Breast CA that increases the future risk fo invasive carcinoma

Answer 26

LCIS