Gynecology

Question 1

First test to perform when a women presents with amenorrhea

Answer 1

b-HCG

Most common cause 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, and a history of D&C

Answer 3

Asherman’s Sydrome

Question 4

Therapy for polycystic ovarian syndrome

Answer 4

Weight loss and OCPs

Question 5

Medication used to induce ovulation

Answer 5

Clomiphene Citrate

Question 6

Diagnostic step required in a post menopausal women who presents with vaginal bleeding

Answer 6

Endometrial biopsy

Question 7

Indications for medical treatment of ectopic pregnancy

Answer 7

Stable

Unruptured ectopic pregnancy of <6 weeks gestation

Question 8

Medical options for endometriosis

Answer 8

OCP
Danazol
GnRH agonists

Question 9

Laparoscopic findings in endometriosis

Answer 9

Chocolate cysts

Powder burns

Question 10

Most common location for an ectopic pregnancy

Answer 10

Ampulla of the oviduct

Question 11

How to diagnose and follow a leiomyoma

Answer 11

U/S

Question 12

Natural history of a leiomyoma

Answer 12

Regresses after metopause

Question 13

Pt has increase vaginal discharge and petechial patches in the upper vagina and cervix

Answer 13

Trichomonas Vaginitis

Question 14

Tx for bacterial vaginosis

Answer 14

Oral or topical metronidazole

Question 15

The most common cause of bloody nipple discharge

Answer 15

Intraductal papilloma

Question 16

Contraceptive methods that protect against PID

Answer 16

OCPs and a barrier contraception

Question 17

Unopposed estrogen is contraindicated in which cancers?

Answer 17

Endometrial or estrogen receptor -

+ breast cancer

Question 18

Pt presents with recent PID with RUQ pain

Answer 18

Consider Fitz-Hugh-Curtis Syndrome

Question 19

Breast malignancy presenting as itching, burning, and erosion of the nipple

Answer 19

Paget’s Disease

Question 20

Annual screening for women with a strong family hx of ovarian cancer

Answer 20

CA-125

Transvaginal U/S

Question 21

50 y/o women leaks urine when laughing or coughing.

Non-surgical options

Answer 21

Kegal exercises
Estrogen
Pessaries for stress incontinence

Question 22

30 year old women has unpredictable urine loss

Examination is normal

Medical options

Answer 22

Anticholinergics or B-adrenergics for urge incontinence

Question 23

Lab values suggestive of menopause

Answer 23

Increase serum FSH

Question 24

Most common cause of female infertility

Answer 24

Endometriosis

Question 25

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on pap smear

Follow up evaluation?

Answer 25

Colposcopy and Endocervical Curettage

Question 26

Breast Cancer type that increases the future risk of invasive carcinoma in both breasts

Answer 26

Lobular carcinoma in situ