Gyne

Question 1

Labial fusion

Answer 1

excess androgens

Question 2

imperforate hymen

Answer 2

primary amenorrhea and cyclic pelvic pain

Question 3

White, thinned skin
on labia, perineum,
and perianal region;
resorption of the
labia minora into
the labia majora,
clitoral phimosis,
narrowed introitus.
Not found in the
vagina. Can scar

Answer 3

Lichen Sclerosus

Question 4

Bright red erosions
with white borders
(Wickham’s striae)
of the inner labia
minora and
vestibule. Can have
narrowed introitus
with inflamed
vagina from
erosions; may have
vaginal adhesions
or occlusion.

Answer 4

lichen planus

Question 5

most common tumor found on the vulva

Answer 5

Epidermal inclusion cysts

Question 6

Uterine septums

Answer 6

composed of collagen fibers and
often lack an adequate blood supply to facilitate placentation and maintain a
growing pregnancy.

Question 7

most common type myoma

Answer 7

intramural

Question 8

risk factor fibroids

Answer 8

African American
heritage, nonsmoking, early menarche, nulliparity, perimenopause, increased
alcohol use, and hypertension.

Question 9

MC symptom fibroids

Answer 9

asymptomatic

Question 10

medical tx fibroids

Answer 10

G: GnRH agonists (nafarelin acetate, leuprolide acetate depot, and goserelin acetate)
O: Oral contraceptive pills
P: Progestins (medroxyprogesterone acetate, Mirena IUD, norethindrone acetate)
A: Antifibrinolytics (tranexamic acid)
N: Nonsteroidal anti-inflammatory drugs
A: Androgenic steroids (danazol and gestrinone)
M: Mifepristone (Mifeprex, Korlyn, RU-486)

Question 11

Indications for Surgical Intervention for Uterine

Leiomyomas

Answer 11

Abnormal uterine bleeding, causing anemia
Severe pelvic pain or secondary amenorrhea
Uncertainty if mass is a fibroid or another type of tumor
Urinary frequency, retention, or hydronephrosis
Growth after menopause
Recurrent miscarriage or infertility
Rapid increase in size

Question 12

EIN carries a higher risk of progression to endometrial cancer %?

Answer 12

27-52

Question 13

Risk Factors for Endometrial Intraepithelial Neoplasia

Answer 13

E: Excess exogenous estrogen use without progesterone
N: Nulliparity
D: Diabetes mellitus
O: Obesity
M: Menstrual irregularity
E: Elevated blood pressure
T: Tamoxifen use
R: Rectal cancer (personal history of hereditary nonpolyposis colorectal cancer)
I: Infertility history
U: Unopposed estrogen
M: Menopause late (>age 55)

Question 14

risk of ovarian cancer in the general population %

Answer 14

1.6

Question 15

Benign cystic masses ovary

Answer 15

unilateral, <10 cm, and simple in appearance with thin, smooth walls

Question 16

Malignancy ovary

Answer 16

greater than 10 cm with mural irregularities, septations, papillary or
solid components, internal blood flow, and/or associated ascites