GYN

Question 1

What is the patho of stress incontinence?
Symptom Hallmark identifier?
Physical exam findings, 2?
Treat?

Answer 1

Weak pelvic floor
Sneeze and pee with no urge
Cystocele and q tip test
Strengthen pelvic floor, pessary, and surgery

Question 2

Patho of overactive bladder?

Answer 2

Hypertonicity of the detrusor, they are random

Question 3

3 symptoms to remember about overactive bladder?

How to diagnose overactive bladder?

Answer 3

Urge, nocturnal peeing, and leaking if you cant get to the bathroom

Cystometry

Question 4

How to treat overactive bladder?

Answer 4

Antispasmodic

Oxybutynin

Question 5

Patho of overflow or neurogenic bladder?

Answer 5

Absent of detrusor contraction.

Question 6

3 conditions causing neurogenic bladder?

Answer 6

MS, trauma, and antispasmodic

Question 7

3 symptoms identifying neurogenic bladder?

Answer 7

No urge, regularly leaks when the bladder is overflowing causing leak, and nocturnal problems

Question 8

Big time clinical finding on physical exam?
How to diagnose neurogenic bladder?
How to treat?

Answer 8

Distended bladder
Cystometry
Bethanecol

Question 9

Patho of irritative bladder?

Answer 9

Inflammation of bladder due to stones, cancer, UTI

Question 10

3 abx for UTI?

Answer 10

Amoxillin, nitro, or tmpsmx

Question 11

Clinical identifier of fistula?
Diagnosis?
Treatment?

Answer 11

Continuous leak
Tampon test, inject die into the urethra into the bladder and see where it ends up.
Resection.

Question 12

What is the 5 step process to abortion?

Answer 12

IUP, threatened abortion, inevitable, incomplete, complete

Question 13

Contents passed, cervical os and U/S of IUP?

Answer 13

Nothing
Closed
Live baby

Question 14

Contents passed, cervical os and U/S of threatened abortion?

Answer 14

Nothing but little blood, closed, live baby

Question 15

Contents passed, cervical os and U/S of inevitable?

Answer 15

Nothing, open, dead baby

Question 16

Contents passed, cervical os and U/S of Incomplete?

Answer 16

Yes, open, retained parts

Question 17

Contents passed, cervical os and U/S of complete?

Answer 17

Yes, closed, nothing

Question 18

Contents passed, cervical os and U/S of missed abortion?

Treat?

Answer 18

Nothing, closed, dead baby

Misaprostol, oxytocin, D and C

Question 19

What is the next step when patient presents with UPT positive and vaginal bleeding?

Answer 19

Transvaginal US

Question 20

If the transvaginal US shows IUP, what are the 3 options?

Answer 20

Molar pregnancy, abortion, normal pregnancy

Question 21

How to treat ruptured fallopian tube ectopic pregnancy?
No rupture?
Another option and 4 criteria to use it?

Answer 21

Saplingectomy
Salpingostomy
Mathyltrexate, BHCG less than 5000, baby is less than 3.5 cm, no folate on mom, no heart sounds.

Question 22

What happens if you don’t see anything on transvaginal US? What do you do?

Answer 22

Check the beta quaint. If its greater than 1500 (2000) and you don’t see anything. Treat it as ectopic. If its less than 1500 (2000) its too soon to tell and you have the lady come back in 48 hours and check the beta quaint

Question 23

What are the two options when she comes back 48 hours later?

Answer 23

If it double, IUP

If it fails to double, ectopic