Gynecology

Question 1

1st test to perform when a woman presents w/ amenorrhea

Answer 1

B-hCG; MCC of amenorrhea is pregnancy

Question 2

Term for heavy bleeding during and b/w menstrual periods

Answer 2

Menometrorrhagia

Question 3

Cause of amenorrhea w/ normal prolactin, no response to estrogen-progesterone challenge, and a hx of D&C.

Answer 3

Asherman’s syndrome

Question 4

Therapy for PCOS

Answer 4

Wt loss and OCPs. Consider metformin.

Question 5

Medication used to induce ovulation

Answer 5

Clomiphene citrate

Question 6

Dx step required in a postmenopausal woman who presents w/ vaginal bleeding

Answer 6

Endometrial bx

Question 7

Indications for medical tx of ectopic pregnancy

Answer 7

Patient stable; unruptured ectopic pregnancy of

Question 8

Medical options for endometriosis

Answer 8

OCPs, danazol, GnRH agonists

Question 9

Laparoscopic findings in endometriosis

Answer 9

Powder burns, “chocolate cysts”

Question 10

Most common location for an ectopic pregnancy

Answer 10

Ampulla of the oviduct

Question 11

How dx and follow a leiomyoma

Answer 11

U/S

Question 12

Natural hx of leiomyoma

Answer 12

Regresses after menopause

Question 13

Pt has increased vaginal d/c and petechial patches in the upper vagina and cervix

Answer 13

Trichomonal vaginitis

Question 14

Tx for bacterial vaginosis

Answer 14

Oral or topical metronidazole

Question 15

MCC of bloody nipple d/c

Answer 15

Intraductal papilloma

Question 16

Contraceptive methods that protect against PID

Answer 16

OCPs and barrier contraception

Question 17

Unopposed estrogen is contraindicated in which cancers?

Answer 17

Endometrial or estrogen receptor-(+) breast ca

Question 18

Pt presents w/ recent PID w/ 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 dz

Question 20

Annual screening for women w/ a strong family hx of ovarian cancer

Answer 20

CA-125 and transvaginal U/S

Question 21

50 y/o woman leaks urine when laughing or coughing. Nonsurgical options?

Answer 21

Kegel exercises, estrogen, pessaries for stress incontinence

Question 22

30 y/o woman has unpredictable urine loss. Exam is normal. Medical options?

Answer 22

Anticholinergics (oxybutynin) or B-adrenergics (metoproterenol) for urge incontinence

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 undetermined significance (ASCUS) on Pap smear. F/u evaluation?

Answer 25

Colposcopy and endocervical curettage

Question 26

Breast CA type that increase the future risk of invasive carcinoma in both breasts

Answer 26

Lobular carcinoma in situ